Thanks for this explanation Eric. When my son was psychotic I spent many hours listening to him to try to understand his struggles. Most of the rest of our family, friends, and the professionals he interacted with just dismissed his ideas as “crazy”. But I know that he was struggling to make sense of the world and his place in it. The problem was not so much his ideas but rather the intense anxiety that he was experiencing. His anxiety/fear/paranoia resulted in him being unable to cope with life. He wouldn’t eat because he thought the food was poisoned. He couldn’t leave his home because everyone was out to get him. He couldn’t stay in his home because “they” were spying on him. His life became totally intolerable and that was what ended in him being hospitalized and medicated. He is much calmer now but sometimes I miss the interesting, deep conversations we used to have.