How concerned should I be?

Hi... I was talking with a friend tonight and some things he said have me concerned. He's 26, college grad but sort of drifting through life.

We were talking about that tonight, and he said things that alarmed me a bit, such as he doesn't trust his brain, he feels destined to change the world but doesn't know what he wants to do. Then the conversation turned and he said that he sometimes doesn't know what is real or not, such as believing for several days that an acquaintance is dead when, in fact, they are alive and well. And in another instance, believing something that logically he knows isn't true, but remaining convinced of it anyway.

I'm at a loss as to what to do or say. Does this sound like normal mid-20s unsure-of-what-to-do-with-myself (been there, done that) or does it sound more worrisome?

Hi,

Sounds like it wouldnt be a bad idea to get him to have a chat with a trusted doctor. I am also 26 and I have schizophrenia among other things.

It sounds like he could be becoming a bit psychotic and may need some help.