The only actual treatment is Xyrin, more commonly known as GHB or the date rape drug. It costs over $1300/month, and insurance does not cover it, not even Medicaid. It would actually be cheaper for him to fly to Mexico every month and smuggle it back.
So, in lieu of real treatment, most narcoleptics take stimulants to mask the symptoms. The newest one on the market is Nuvagil, which doctors really like because it is non-addictive, but a certain percentage of users have weird side effects, including hallucinations. Josh is one of them. Now he is on amphetamine, and it seems to be working.
However, the fact that it is temporarily under control does not change the fact that this is still a big scary thing. Amphetamines have side effects, including over-impulsiveness (i.e. randomly moving out?), serious crashes if he misses a day, and heart damage over time. Also, it is a degenerative disease, so the fact that this works now hardly means that it will work forever. There are other concerns, too, like the fact that it becomes a huge liability for him to drive. He has never fallen asleep at the wheel, but if he were to get in an accident, you can believe that it would be an issue.
There is a lot of uncertainty about what will happen in the next few months, years, etc., and I wish I could say that I made the brave and loving decision to stay with him in spite of it all, but I can't, because the truth is that I have to make that decision every single day.
And I am scared.
(I am leaving comments open after much internal debate, but please don't leave patronizing "advice")