When Andy began acting out and receiving poor grades at age 13, Brad and Gia assumed their son needed more discipline.
A few months later, when they found him clinging to a knife on the kitchen floor, fearful someone wanted to kill him, they assumed he suffered from a severe anxiety disorder.
And when a schoolteacher showed them a paper Andy wrote, describing how he planned to kill his parents, they began locking their bedroom door at night.
Andy's parents took him to therapists and doctors, accrued thousands of dollars in medical expenses and struggled with how to ease the pain that seemed to grow within him over time.
When Andy was 15, a psychiatrist diagnosed him with paranoid schizophrenia, a disorder that can cause hallucinations and delusions and an increased likelihood of suicide.
“It sounded like a death sentence,” Gia said. “I was heartbroken at that moment. I thought ‘My son has just been given the worst diagnosis, and there is no way he'll ever be normal again.'”
Brad, a construction manager, and Gia, who works in interior design, met at Oklahoma State University. They asked to be identified by their first names only, and “Andy” is not their son's real name.
This year, the couple's other son was granted a full scholarship to attend an Ivy League college.
Andy's future is full of questions.
A year and a half ago, Brad and Gia were terrified by that fact. It brought the Edmond couple sleepless nights, sadness and tension within their marriage.
“Thank God we were both too stubborn to give up on each other,” Brad said.
One night, the worry caused Gia to break down in sobs and drive to Crossings Community Church, in Oklahoma City, where the National Alliance on Mental Illness hosts a support group.
Brad's mother told him and Gia about NAMI after hearing about what Andy was going through. She also told him about relatives who had mental illness; a secret she kept due to the stigma associated with diseases of the brain.
The couple participated in a 12-week course called Family to Family.
“NAMI saved our marriage and my relationship with my son,” Brad said. “The best thing it does is teach families about mental illness.”
Gia and Brad admit to being ignorant about the subject before their son's diagnosis.
“We're both college graduates but you don't learn about this in college. People don't talk about it, they hide it,” Gia said.
The stigma associated with mental illness is what health care professionals like Traci Cook, NAMI Oklahoma's executive director, believe keeps people from seeking treatment.
“They are seen as scary, violent, horrible people when the reality is that they just have a disease that needs treatment,” Cook said.
Cook's daughter was diagnosed with autism and trichotillomania, a disease that prompted the urge for her to pull out her own hair, when she was 4.
She said no one is immune to mental illness.
“Everyone has a breaking point. Whether you're 5 or 105; if you live long enough you'll be in the club,” she said.
In Oklahoma, an estimated 620,473 adults have a mental illness, according to the Oklahoma State Department of Mental Health and Substance Abuse Services. Of those, 146,213 have a “serious” mental illness and an estimated 135,047 have experienced psychological stress in the past year.