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HOW FAMILY MEMBERS CAN HELP PEOPLE WITH HEALTH DISORDERS

 

 

Become informed:

 

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Read a book written by a person with the disorder you are interested in. Usually it is hard for the mentally ill to explain what they are feeling, but if you could understand, you would be a much better ally. Those who have taken on the task of writing about their illness usually do a good job of helping people understand what it is like.  Go to the disorder of interest to you to find ideas on books to read.

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Read a book written by a professional that provides information on the disorder you are interested in, so that you can understand the disease better and know what to expect in the future. Go to the disorder of interest to you to find ideas on books to read.

 

Be forgiving:

 

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Remember that mental health disorders cause changes in the behavior of people. They may not be able to carry out their regular daily tasks. They sometimes cannot care for themselves, let alone others. If you are close to a person with a mental health disorder, you may start to feel abandoned and left out yourself.  Attribute this to the disease, not to the person you love.

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Remember that what a person does during episodes of severe mental dysfunction (manic or psychotic episodes, for example) is beyond their control. The best strategy is to prepare for these episodes by making decisions together during episodes of stability: arrange to withhold credit cards, car keys, and especially discuss when it is time to hospitalize the person.

 

Take care of yourself:

 

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Mental health disorders cause a great deal of pain and strain in the lives of the family of the individual.  Try to minimize its effect on you by following the previous recommendations and practicing good health habits yourself.

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If you are well, you are better able to be a supportive ally to your friend or family member.

Listen for:

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any threats of suicide. People with mental health disorders may feel that suicide is the only way out of their pain. Usually attempts are preceded by threats, even if they are mild. Don't ignore any comments about death. Ask the person whether they are contemplating suicide. If you think they are in danger, call a doctor.

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what their needs are. People with mental health disorders need to talk about their feelings. Be understanding and encourage them to share with you, to learn about their condition, and to seek help.

Be a caregiver:

Bullet Remember that many mental health disorders cause memory impairment and problems with concentration.  This may be a function of the disorder or of the stress associated with having the disorder.  Remind them to take their medication, to go to appointments, help them with their chores. They are not "ignoring" their responsibilities, they are unable to function normally because of the disorder.

Accept the reality of the disorder:

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If you are having difficulty accepting the fact that your loved one has a mental health disorder, you are making it difficult for that person to accept it.

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If you do not acknowledge the disorder, you may react with anger to the behavior of the person, instead of with sympathy, which is what the person needs at this time.

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Talk to other family members, even young children.  Help them understand what the condition is and what it means for the life of the patient and the family. The patient will need help and support from the entire family in order to thrive despite the limitations imposed by the condition.

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Join a support group, or ask the patient's therapist for a few sessions of family therapy.  Any of these can help you learn to deal with the changes to come.

The best way to help a person with a mental problem is to remember that it is an illness. As such, it doesn't just go away when someone wants it to or when it is becoming a nuisance. As with other illnesses, it needs medical attention and attention from family members. Most mental health disorders improve with changes in behavior (exercise, good eating habits, relaxation, etc.); however, these changes in behavior are more difficult for this  person than they are for any other person because of the nature of the disorder.

A study performed in London with depressed people dramatically illustrated the importance of the family. Psychotherapy alone with the depressed person and his or her partner was more helpful than drugs alone! The study was reported in the British Journal of Psychiatry. Most studies, as you would expect, show that combining medication and psychotherapy works best. 

The following books may help you:

My Sister from the Black Lagoon :  A Novel of My Life by Laurie Anne Fox

The Burden of Sympathy:  How Families Cope With Mental Illness by David Allen Karp

When Madness Comes Home : Help and Hope for the Children, Siblings, and Partners of the Mentally Ill by Victoria Secunda

A Family Affair: Helping Families Cope With Mental Illness (Gap Report, No 119) by Committee on Psychiatry and the Community

How to Cope With Mental Illness in Your Family: A Self-Care Guide for Siblings, Offspring, and Parents by Diane T. Marsh, Rex M. Dickens, E. Fuller Torrey

Visit the following sites on the web for  for information for families:

National Alliance for the Mentally Ill
Beacon of Hope (for partners)
Depression Fallout (Depression and Bipolar Disorder)
BPD Central (for families of people with Borderline Personality Disorder)

                                                                                                                                Last updated  10/28/08

 
     
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