A close relative, male, 50-ish, an actor by profession living in California has become very delusional. He sees pornographic images in photographs of his family and has most recently started seeing these images in pillow cases, slipcovers, drapes, etc. He destroys this pictures, and he has done a lot of destroying, in various very detailed ways. He does seem to be able to carry on in a normal way, casual friends or observers would notice nothing unusual and he seems to understand that he needs help. However his family, his wife, sisters, etc has encouraged him to see medical help for last several weeks, no clear evidence that he has. He has no history of any mental disorder or violent behavior. I am very concerned and am of the opinion he should be in some form of treatment immediately, would like your opinion regarding prognosis and treatment options.
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