However, like anything else that people do, psychosis has a systematic structure. Even a schizophrenic doesn't wake up one day as a manic–depressive. If you learn how that structure works, you can flip him in and out. If you learn it well enough, you can even do it yourself. If you ever want to get a room in a full hotel, there's no better way than by having a psychotic episode. But you better be able to get back out of the episode again, or the room you get will be padded.

I've always thought that John Rosen's approach to psychosis was the most useful: enter the psychotic's reality and then spoil it for him. There are a lot of ways you can do this, and some of them aren't obvious. For instance, I had one guy who heard a voice coming out of electrical outlets, and the voice forced him to do things. I figured if I made his hallucinations real, he wouldn't be schizophrenic any more. So I hid a speaker in an outlet in my waiting room. When he came into the room, the outlet said "Hello.". The guy turned around and looked at it and said, "You don't sound the same."

"I'm a new voice. Did you think there was only one?"

“Where did you come from?"

"Mind your own business."

That got him going, Since he had to obey the voice, I used that new voice to give him the instructions he needed to chance what he was doing. Most people get a handle on reality and respond to it. When I get a handle on reality, I twist it! I don't believe that people are broken. They have just learned to do whatever they do. A lot of what people have learned to do is pretty amazing, and frankly I see more of that outside of mental hospitals than inside.

Most people's experience is not about reality, it's about shared reality. There are people who come to my door and give me religious comic books, and tell me the world is going to end in two weeks. They talk to angels, and they talk to God, but they're not considered crazy. But if a single person is caught talking to an angel, he is called crazy, taken to a mental hospital and stuffed full of drugs. When you make up a new reality, you'd better be sure that you get some friends to share it, or you may be in big trouble. That's one reason I teach NLP. I want to have at least a few others who share this reality, so the men in white coats don't take me away.



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