hello @Gemima
I am unable to provide much help but can let you know that I have read your words. You have explained your concerns and I have to say I would be feeling exactly the same as you if I were in that situation.
I have an adult son in his 30's diagnosed the same. He also has paranoia. He has left the state and only contacts his dad and lately myself once when in need of money. He hides contact details and where he is from us.
He is not receiving any medical help or medication. He believes that he is well. The voices are telling him to be wary of just about everyone. His paranoia has heightened since I spoke to him last in November last year.
Your son is taking medication and is managing to work and have a reasonable quality of life. This is inspiring to read and well done to him and yourself for both of you getting to where you are.
Does he have a regular psychiatrist treating him., checking his medication as well?
If this is the case, I am hoping that it is because he really does need to be monitored for medication adjustments and general questions of wellbeing. He would be regulating his own health in this way, important for him.
Perhaps a visit with the psychiatrist with the three of you could be discussed first with the psychiatrist to get approval, then however the psychiatrist suggests discussing with your son and his girlfriend. Your son would need to hear from the psychiatrist that it is better to be open with his girlfriend re his condition.
honesty is paramount in any relationship and I am sure that your son would believe that too. He sounds lovely.
I dont know if any of that helps. Please know this, I feel for you and your son. I also feel such strong love. bonding between the two of you that most people in this world will never experience. Your son is a gift to this world and so is his beautiful mother who gave birth to him.
my heart goes out to you all and to all others in a similar situation.
please keep writing if it helps you
you are in a very safe place here.
One more thing are you a member of Carers Mental Health Australia. I hope so. If not look them up they have much to offer and you just make decisions yourself about which services, if any you choose to use.
I am off to hospital for a while on Tuesday, hopefully just a couple of weeks. I wont be able to respond whilst in there. I will look out for you when I return home. I will definitely be thinking of you and your son while I am in there. You have both given me some hope.
thanking you xxx