Family are the first to notice. My first contact with the mental health system occurred one evening when a friend of my wife’s and mine—we’ll call her Linda—came over for dinner. Linda seemed a bit off. Anxious and awkward, she told us that people at her workplace were invading her mind to control and manipulate her and others using some kind of psychic broadcast.
Linda was reluctant to even make eye contact with us, for fear those conspiring against her would identify and attack us too. I have a fairly open mind, but all this seemed highly unlikely.
A few days later Linda and I went for a walk. During our walk it became very clear to me that she needed medical attention. I calmly told Linda that we were going to head to the hospital. Luckily, she didn’t object.