23F with 24M

I truly believe my boyfriend is experiencing psychosis or severe paranoid delusions. He thinks his mind is hacked: “they” can hear his thoughts and Elon Musk is funding this project. He refuses to seek professional help or take any medication. He says he cares about me, but also says he isn’t capable of maintaining a relationship right now and wants me to leave him alone.

I don’t ask him for anything. The only thing I’ve consistently asked is for him to see a doctor. I’ve tried to respect his fears no tech, no phone, no pressure. I’ve abided by whatever boundaries he sets because I know he’s struggling. But the silence and isolation have been incredibly hard.

I know he’s not a bad person. That’s what makes this so painful. He’s just sick, and he genuinely doesnt realizes it. He believes his fears are real, so from his perspective, he doesn’t think he needs help. And I (or his parents) can’t force him to get treatment if he doesnt believe anything is wrong. As he is an adult he haves to book appointment with consent. He thinks he haves to do what “they” tell him to do i.e. to be alone and talk to Elon Musk somehow?!

I’m having a very hard time letting go because we were together for years, and I still care deeply about him. I know he is sick and needs help. It feels wrong to walk away from someone who is unwell. But at the same time, I don’t know how to help someone who refuses help and is actively isolating themselves.

Do I stay/support and keep hoping he eventually gets treatment, or is it healthier for me to walk away and move on?