To me it was a straightforward thing:
I am the same way. My friend and I focus on trying to not analyze why it's happening but to just go along with the ride. To just relax, make sure I stay safe, and then when I'm in a better mindset we can talk about it a bit more.
Sometimes I can tell I was hallucinating, but other times I really can't. I get anxious and/or paranoid. An example would be that one time while with my friend I swear I heard a young girl yell out, "Hello?" as if she was lost looking for her parents or something and she sounded a bit nervous. It didn't sound fake, it sounded like a girl really could have been in the nearby parking lot.. I immediately stopped what I was doing and turned toward the sound. I remember I felt anxious even though normally I'd be able to ignore stuff like that and not care for younger kids.
But during times like that, I get anxious. I looked around trying to find the girl but didn't see one. My friend encouraged me to continue walking and I asked, "Did you hear that? It was a little girl crying out."
She replies with, "No I didn't hear the girl." and we move on. I still feel anxious and I'm still looking around some because to me it was real and I'm convince.. but eventually my friend helps distract me. The girl was still on my mind that night and I asked my friend to confirm and she said the same thing. That she didn't hear the girl.
Other times I can tell I'm hallucinating. I'll see a cat walk around my friend's house and for the longest time she's never had a cat. She can't anyways because of her dogs. I'm able to ignore it a bit more easily than a distressed cry.
Things are definitely a lot worse without my friend around to do reality checks with. Sometimes I take pictures of things I think are weird or funny and send it to her. She figures out how "mentally stable" I am at the moment and responds appropriately. She's a real gem of a friend... I feel bad for her that I had to come across in her life.
I don't see how that is victimizing or insulting or anything other than straightforward truth. Sure, just like anything else, these words could be misused as an insult or bullying tactic, but they are real medical symptoms and terms, and it's not automatically a bad thing to be told by a health care professional or any person who is close to you and understands you are suffering from a legitimate illness. It can be very helpful to get a handle on things.
Exactly. For me, personally, it helps for someone to say, "It's paranoia. It's your PTSD. It's your OCD." because those are real illnesses and can be a disability. It tells me that it's not just something in my head and that I'm not crazy, and there's a way to get help for it. It tells me that sometimes I can't always trust my mind, despite how scary that is.. i'm really lucky to have such a supportive friend who doesn't judge me for how I am. I can be open and honest with her. She knows a lot more things than my therapist and she's the one that helped me take my first steps toward recovery.
BUT I also completely understand how that can be insulting and even damaging. To some, I think, it requires them to accept the fact that there is an issue going on and that they need help. I used to be like that when I was younger. I didn't want to admit I was depressed, had anxiety, or OCD. I was just lazy and melodramatic. I was just shy and I was just weird. I was raised being told that and I consumed those words, labeling myself with them.
Now I have these diagnoses and a friend who will talk to me about it as "a matter of factly" kind of way, and I return it to her because that's how I am as well. It's really helpful to both of us. I've had an old friend who didn't want to be told he was depressed when he obviously was. He didn't want to be called sick or ill. He would say he was being selfish since he had no reason to be depressed, therefore not making him depressed but just overly emotional. So with him I had to be careful when talking to him, and even sometimes leaving the word "depressed" completely out of it because of his strong reaction.
It's really an individual thing, I think.