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Chapman - Interview 20

Age at interview: 23
Age at diagnosis: 20
Brief Outline:

Chapman, 23, describes himself as Black-African and was born in Zimbabwe. He has been in the UK for 7 years and is awaiting the decision of an application for asylum. He was diagnosed with paranoid schizophrenia at the age of 20.

Background:

Single. Ethnic background/nationality: Black-African (born in Zimbabwe); in UK for 7 years.

More about me...

Chapman, 23, describes himself as Black-African and was born in Zimbabwe. Chapman had experienced problems with his mental health in Zimbabwe. He says he didn't try to get help because he didn't want to be shunned, and although he tried to act normal, he says he wasn't fooling anyone and people noticed his behaviour. Chapman says his mental health problems were caused by the loss of his sister and his mum. He says he was seeing weird things and doesn't know if they were real or not and prefers not to talk about it because he's trying to forget. 

He has been in the UK for 7 years and has been awaiting the decision of an application for asylum for 2 years. Chapman came here because of the problems in Zimbabwe, and probably wouldn't have come to the UK otherwise. He came with a cousin but they're no longer in contact.

Whilst living in the UK, Chapman has experienced bullying, racial harassment and has been beaten up. He says he tried to ignore what was happening to him and was drinking alcohol to try to cope' he was spending all his money on alcohol instead of food. Chapman was arrested by the police for theft and sent to hospital where he was diagnosed with paranoid schizophrenia. Chapman disagrees with his diagnosis' he believes the doctor diagnosed and then discharged him because he Chapman wasn't being co-operative and had tested positive for crack, heroin and cannabis. Chapman says his diagnosis cannot be correct because otherwise the medications he has tried would help to control his symptoms. He thinks he may have paranoia and depression. He says he found it difficult to explain to the doctor. When he was discharged from hospital, Chapman was homeless and he slept rough for between 6 months and a year. 

Chapman experiences hallucinations (hears voices and sees things) and paranoia. He finds this scary and it makes him angry. 

He says he would rather not try counselling or therapy because it might make things worse and bring back things that he's forgotten. He has considered electro-convulsive therapy (ECT) but is worried it might affect his memory. Chapman uses drugs and alcohol to try to cope with his symptoms, but he says it doesn't really help, and smoking cannabis makes him more paranoid. He has tried watching television or listening to music but this is difficult because he sometimes thinks the television is talking to him. Chapman has a depo injection every fortnight (Consta Risperidone). When he had tablets he didn't take them because he thought the alcohols and drugs would affect the medication.

Chapman says he used to be an enthusiastic young boy who played sports but he now he just lays on his bed and drinks, has no qualifications and is not allowed to work because of his asylum status. He socialises and plays pool at a local support centre where he has received some help. Chapman thinks he might recover eventually but says it won't be any time soon.

 

Chapman says that taking medication did not help his symptoms and he has tried several different...

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OK. And I know you said why you think he gave you that diagnosis, but why do you think you don't have that, is there something about that diagnosis that you think is not right for you?

Because if I had that the medication that I'm on would be working but, would have made a difference but it's still the same up to now, there's nothing, nothing's changed, it's still the same voices, hearing the stuff, seeing, seeing the stuff which I don't want to be seeing. Images and all that.

Have you, you've only had that one type of medication did you say?

No I've had different medications, they've changed me I think, they've changed me some medications about three times.

Right OK but nothing's'? 

Nothing has done the trick I should put it that way.

Right, can you remember what the others were?

No I can't.

 

Chapman stopped taking his medication in case the weed and alcohol he was using affected them and...

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Do you know the name of the medication that you're taking then?

Consta risperidone 50mgs.

Right and do you take that 50mgs?

Fortnight.

OK is that, you take a, have an injection or something? Is it a depo?

A depo yeah.

What's that like having that injection?

It doesn't make a difference.

No? Do you mind going for the injection?

I don't mind.

No?

No, exactly. 

Would you rather have tablets or'?

If, I have been on tablets but I, got so bad that I wasn't taking them, I'd piled them, stashed up, I used to get it delivered at home so my social worker said that I should start getting an injection, that that would be easier because I wasn't taking my medication. My medication as well wasn't, I don't think it was making a difference.

Why weren't, why weren't you taking it because'?

I was drinking so I thought if I was drinking it would, it would affect the way the medication would work. And I was taking drugs as well.

Right, what kind of drugs?

No just weed.

Yeah okay. Did that help or'?

It makes me even more paranoid. Makes me even more paranoid when I smoke weed.

 

Chapman doesn't want to try counselling in case it brings back bad memories.

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Chapman doesn't want to try counselling in case it brings back bad memories.

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Did you do anything like group therapy or anything like that?

No.

No?

No.

Have you had any other kinds of treatments, I'm thinking of things like, things that other people have talked about like counselling?

No, someone told me I should go for counselling but I don't think its going to help, it's going to make it worse, it's going to bring back stuff that I've forgotten about.

Right, okay. So you'd rather not try that?

No.

Who was it that suggested it?

Some woman at refugee council, Refugee Action.

 

Chapman explains why he thinks he was diagnosed with paranoid schizophrenia and says if the...

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Chapman explains why he thinks he was diagnosed with paranoid schizophrenia and says if the...

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Is there anything that does help you?

My medication doesn't even help. 

It doesn't?

No, I asked my doctor if I could get that changed. I don't think he had the time to , because I didn't, I didn't want to talk a lot in the, when I got admitted, I didn't want to speak a lot so I think he just got fed up of me being quiet and just decided to discharge me and just diagnosed me with something that I don't even, I'm not sure I have.

Okay and you said they gave you the paranoid schizophrenia diagnosis, and did you say you don't agree with that?

No, I just think he just got fed up of me because I was taking drugs in the hospital, I was taking crack and heroin in the hospital ward.

In the hospital? 

Yeah and I think he got fed up of that, because I tested, my urine sample tested positive for crack and cannabis and heroin. So I think he got fed up of it or something, but it must've been something like just ticked him off and he thought no I'll just diagnose him with paranoid schizophrenia. And get him out of here.

How did you feel about that then, getting that diagnosis when'?

I wasn't bothered, I was like, 'Oh okay.' 

You said that you don't agree that you have this diagnosis of paranoid schizophrenia. So do you think it's something else?

I think it's something else.

Right. What is it do you think, have you got an idea of what it might be? 

I don't know.

Okay. And I know you said why you think he gave you that diagnosis, but why do you think you don't have that, is there something about that diagnosis that you think is not right for you?

Because if I had that the medication that I'm on would be working but, would have made a difference but it's still the same up to now, there's nothing, nothing's changed, it's still the same voices, hearing the stuff, seeing, seeing the stuff which I don't want to be seeing. Images and all that.

Okay. So what do you think caused you to have this mental health problem, in your view?

The loss of my sister, hallucinations, the loss of my mum. That's why I'm saying I don't think it's paranoid schizophrenia but I don't know what it is, maybe it's paranoid and depression.

Right. Is that something you feel, depressed?

I don't know.

 

Chapman has seen people who looked real but weren't, including someone attacking him with a knife.

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Chapman has seen people who looked real but weren't, including someone attacking him with a knife.

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I used to hallucinate, I used to see things, see people, see stuff that weren't there when I, there was this once when I, when I went back home, I looked in the window to see if there was anyone in because my window was broken because everyone used to smash my windows. So I looked in the window, I saw a group of people gathered in the, in the living room and I was scared to go in. I fought my fear and just opened the door and when I got in and looked in the living room there was no one. And there was this other once when I was hallucinating I, I saw someone trying to kill me with a knife. I put a wardrobe, put a wardrobe on the window so that he couldn't come in but I didn't know what was happening really'

Right. Well what about the things that you said you see images, what kinds of images?

' It's difficult to, well I've seen like I just told you in my living room, I've seen people who used to live on the same on streets as me and they'll be, they used to steal stuff from me. I saw an, like them in the living room and when I went in there was no one. I've seen an image of my brother and a man from the asylum team who was trying to help me out and I don't know what they were saying. But they were, I was sleeping on the ground and they were just like right in front of my face and looked so real. When I went like that there was nothing.

What's it like when, when those things happen to you?

Scary, it makes me angry but there's nothing I can do. I'd rather drink than harm someone.

Is that how it makes you feel sometimes?

Yeah.

 

Chapman didn't tell anyone about his mental health problems in his home country because he didn't...

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Chapman didn't tell anyone about his mental health problems in his home country because he didn't...

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No, not bothered, okay. If I can just go back to when you were saying about when you were back in your home country and you said that you think you had some things with your mental health then as well. Did you have any help there at all or'?

I couldn't get any help.

Did, did you try to get some help or'?

I didn't want to bring it up.

Right. Why was that?

Because I didn't want to get shunned.

Is that what could happen?

Yeah.

Can you tell me about that because that would be really help for me to know what happens when that happens?

Well people look at you differently if you say you've got a mental health problem back home. They don't treat you the same. I think now it's changed but that, when I was there it was different'

So the sorts of things that, how would they treat you differently, what kind of things would happen?

'I don't know.

So, but you managed to keep it a secret did you from people?

I didn't keep it a secret, I just tried to act normal.

Oh I see

Tried acting normal but it never seemed to work. I wasn't fooling anyone anyway.

You weren't what sorry?

I weren't fooling anyone.

Right okay, you think people noticed that'?

Yeah something was wrong with me.

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