Treatment FAQ

how to help mentally ill family member who refuses treatment

by Rogelio Williamson Published 3 years ago Updated 2 years ago
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Here are some ways to approach someone who refuses treatment:

  • Be yourself. This will help the person trust you and perhaps listen to your suggestions.
  • Give yourself and the person emotional and physical space. Avoid touching the person without permission, even to give comfort. ...
  • Calmly but firmly suggest that you take the person to see a doctor, therapist, case worker or counselor for evaluation. ...
  • Go with the person to the doctor or mental health center to provide information about when the symptoms started and what medications the person is taking, and to answer any ...

Here are a few things to consider when working with your loved one who doesn't want help:
  1. Listen and validate. If your relationship is iffy, it doesn't hurt to just listen. ...
  2. Ask questions. ...
  3. Resist the urge to fix or give advice. ...
  4. Explore options together. ...
  5. Take care of yourself and find your own support.

Full Answer

What do you do when a loved one refuses mental health treatment?

Be supportive, listen, reason with your loved one, present a plan for treatment, and if necessary consider staging an intervention with the help of a mental health professional. Listen and Be Supportive If someone is refusing treatment, resist the urge to walk away.

Why do people refuse mental health help?

We’ll highlight common reasons why people refuse help, and we’ll offer some useful advice to help you help that person make a wise choice if they’re struggling with any of the following mental health disorders: Behavioral/process addictions (gambling, sex, spending, gaming, internet)

How can I support a family member with serious mental illness?

One of the most important things you can do to support a family member with serious mental illness is to educate yourself. The more you learn about what to expect, the easier it will be to provide the right kind of support and assistance.

What happens if you don’t seek mental health treatment?

Many mental health conditions are progressive – they get worse over time without treatment. For example, if one struggles with substance abuse but seeks or receives no support, their misuse of drugs or alcohol will lead to dependence, a need to use a substance to feel ‘normal’ and functional.

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How do you help a mentally ill person who doesn't want help?

Reach out to your own support system. Talk to another friend or family member. Text START to 741-741 or call 1-800-273-TALK (8255) for a free, confidential conversation with a trained counselor. These counselors can support you and offer advice on how to help your friend.

How do you force a mentally ill person to get treated?

Usually, you can't force someone to go to therapy or get psychiatric treatment. However, if you believe that your loved one may be a danger to himself or to others because of a mental condition, in California, for example, you may want to consider a 5150 hold.

How do you get someone to go to therapy when they refuse them?

Explain specific areas of problematic behavior. Most people who refuse therapy may claim that they don't have a problem. By pointing out specific problems without coming off as judgmental, you can help them see the need for seeking professional help.

Can mentally ill patients refuse treatment?

Generally a competent adult has the right to refuse treatment, even if that refusal may adversely affect them. An unwise decision must be respected if the patient has capacity. No one else can give consent for an adult, someone over the age of 18 or 16 in some circumstances.

What to do with someone who doesn't want to do anything?

Here are a few things to consider when working with your loved one who doesn't want help:Listen and validate. If your relationship is iffy, it doesn't hurt to just listen. ... Ask questions. ... Resist the urge to fix or give advice. ... Explore options together. ... Take care of yourself and find your own support.

How do you get a delusional person to seek help?

Some things to keep in mind as you speak to the person:Pay attention to the emotions of the person.Discuss the way you see the delusion.Express that you are concerned about the person.Offer to pursue therapy together but be strategic.Ask the person why they believe as they do and be open-minded.More items...

When is it time to let go of a mentally ill person?

In some cases, the decision to leave is obvious. If physical abuse is present to any degree, and especially if the individual fears for their own life or well-being or that of their children, it's important to leave as soon as possible. Safety is the number one priority.

How do you help a schizophrenic who doesn't want help?

How to Encourage Them to Get HelpDon't use a threatening or confrontational tone.Close and trusted family members or friends should lead the conversation.Don't include people your loved one doesn't trust or feel close to, which can cause more anxiety, fear, or confusion.

How can you get someone sectioned?

Someone can only be sectioned if they meet certain criteria, these are:Their mental health problem is so severe that they need urgent assessment and treatment.They are a danger to themselves or others due to their mental health.

Can mental health patients be forced to take medication?

You have the right to refuse medical treatment or treatment with medications (except in an emergency) unless a capacity hearing is held and a hearing officer or a judge finds that you do not have the capacity to consent to or refuse treatment.

Why do people with mental illness refuse medication?

The single most significant reason why individuals with schizophrenia and bipolar disorder fail to take their medication is because of their lack of awareness of their illness (anosognosia). Other important reasons are concurrent alcohol or drug abuse; costs; and a poor relationship between psychiatrist and patient.

What to do if someone refuses to go to the hospital?

Sometimes there is no one available to help, and you have to take them to the hospital yourself or call the police. Remember that police aren't trained in mental health, and seeing them can scare people. Whenever possible, it's best to rely on support systems that include people with mental health backgrounds.

How to help someone with mental illness?

You’ll probably feel relieved once your loved one is stable, but for them this may be just the beginning. Especially if this is their first time, be there for them as they come to terms with their mental illness. Be patient as they go through the process of grieving this change in their life. And most of all, be supportive of their own recovery process. Make sure that they have a role in managing their own illness. It’s tempting to try and take control—but that’s disempowering for them, and it will make it harder for everyone moving forward.

How to tell a family member they are having a psychotic break?

When you admit your family member to a hospital, tell the staff what is going on—for example, that you think they are having a psychotic break. Explain to them whether this is the first time this has happened, or how long it’s been going on and what symptoms you’ve seen. The hospital will want to make sure your loved one has not used drugs. They’ll need to be off drugs for 72 hours before a hospital can clearly diagnose any type of mental illness, like psychosis.

What if things get worse and they still won’t go?

Still, there’s a time and a place for taking someone to the hospital against their will.

What is a psychotic break?

A psychotic break can be the result of drug use, or a symptom of a mental illness such as schizophrenia or bipolar disorder.

What is mobile crisis team?

Getting them to the hospital. A mobile crisis team is a group of health professionals that respond to mental health crises in people’s homes. The team may include nurses, social workers, psychiatrists, or peer specialists. Mobile crisis teams sometimes work together with police departments.

How long do you have to be off drugs before you can be admitted to a hospital?

They’ll need to be off drugs for 72 hours before a hospital can clearly diagnose any type of mental illness, like psychosis. Once they’re admitted, your loved one will be monitored, kept safe, and possibly given medications.

Can hospital staff treat you differently?

Hospital staff may treat them or you differently, and the process is more difficult for an involuntary commitment. Your loved one may come out of the experience feeling like you don’t respect their decisions, which can set them back in their recovery. Whenever possible, it’s best to make treatment decisions together.

What to do if someone doesn't want help today?

If the person does not want help today, ask if they would like to go another time.

What to do if someone is in danger?

If the person is a threat of danger to others, such as physical violence with a weapon or not, call 911 and seek shelter for yourself and children. If no danger is detected, try to remain courteous and non-threatening, but be honest and direct. Listen to the person in a non-judgmental way.

Why don't people take medication?

Fuller Torrey, a psychiatrist and schizophrenia researcher, believes that among those with schizophrenia and bipolar disorder, anosognosia is the most prevalent reason for not taking medications. The problem is with the 50 percent who do not have insight into their illness.

What is Alyson addicted to?

Alyson, a three-time White House intern and an award-winning student, met a boy in college who initiated her into drugs. She is addicted to morphine and crack and has returned to live with her parents. Alyson now steals painkillers from her dying father and works at alienating her mother and sister. (Full Episode video: Season 1 Episode 1 45 mins. OR: What is Intervention? Video approx. 3 mins. OR Alyson Follow up approx. 5 mins.)

Why is formal intervention important?

Informal interventions can be useful for less severe cases of substance use. But a formal intervention may be a more successful option for people who resist help. A professional who has experience with treating substance abuse directs it. In Alysons case, her family chose a professional intervention because they had treatment lined up and ready to go to inpatient treatment right then and there.

How many people with mental illness report having experienced stigma?

Three out of four people with a mental illness report that they have experienced stigma.Stigma is a mark of disgrace that sets a person apart. When a person is labelled by their illness they are seen as part of a stereotypedgroup. Negative attitudes createprejudicewhich leads to negative actions anddiscrimination.

Do people with bipolar have mental illness?

Many individuals with bipolar and schizophrenic disorders do not seem to recognize that they suffer from a mental illness. A syndrome has been identified in individuals, particularly individuals with schizophrenia and bipolar disorders, who adamantly refuse to believe that they need help or treatment. Anosognosia is a deficit of self-awareness, ...

What to do if someone refuses treatment?

If someone is refusing treatment, resist the urge to walk away. This is someone you care about, so continue to provide support as long as it makes sense for your own wellness. Listen to what they have to say about treatment and their reasons for refusing. You may find that when you sit back, listen, and just provide support, ...

What to do if someone doesn't want to get treatment?

If someone you care about is struggling with this illness but doesn’t want to get treatment, there are things you can do. Be supportive, listen, reason with your loved one, present a plan for treatment, and if necessary consider staging an intervention with the help of a mental health professional.

Why is it difficult to have a loved one with bipolar disorder?

To have a loved one with bipolar disorder is challenging, especially when that person refuses to get treatment . There are many reasons they may refuse care, including being unable to see they have a problem. This very serious mental illness that causes depression and mania cannot be managed without professional care. It is essential that family and friends push and do what they can to ensure a loved one with bipolar disorder gets the help they need.

How to help someone with bipolar disorder?

An intervention for a mental illness like bipolar disorder can be riskier than that for an addict. Take care and be prepared for denial, hostility, even aggression. Have a plan in place and don’t try to do this without professional assistance.

What is Bridges to Recovery?

Bridges to Recovery offers comprehensive treatment for people struggling with mental health disorders as well as co-occurring substance use disorders. Contact us to learn more about our renowned Los Angeles programs and how we can help you or your loved one start on the path to lasting wellness.

Why do we need to seek emergency care for a loved one?

These are generally for instances in which it is believed that the individual could cause harm to self or others. Suicide is one important reason you may need to seek emergency care for a loved one. If involuntary commitment will save their life, it is worth doing.

How to talk to someone about treatment?

As long as your loved one is still in a position to have a rational conversation about treatment, you can engage them and have a serious discussion. Talk about the benefits treatment could bring. For example, if your loved one is struggling to live the life they want to, talk about how treatment can help them make changes and set and achieve goals.

What to do if you think someone needs to be involuntarily committed to a hospital?

If you think someone needs to be involuntarily committed to a hospital, one option is to call the Office of Mental Health and explain to them what is going on. If you can't find the number for your local crisis center or Office of Mental Health, another option is to call the police or bring them to the nearest emergency room.

What is commitment in psychiatry?

Commitment is a complicated and sensitive issue in which most relatives feel confused as to whether it is the right thing to do.

Why do people have involuntary commitments?

The truth is, many times in schizophrenia and bipolar disorder, an involuntary commitment is the first step towards a person getting healthy. Family members may be worried about starting an involuntary commitment for fears of being blamed, feeling guilty, or not being trusted by their family member in the future.

How to help someone with mental illness?

Take a step back of offering too many suggestions and focus on a specific challenge which is a secondary symptom to mental illness such as being tired, or not feeling physically well. Additionally, they may be more willing to go see a doctor if they feel in control of the situation. Give them a choice of doctors, perhaps different geographic areas, or a choice of who might go with them.

What happens if a person with schizophrenia refuses treatment?

When a loved one with schizophrenia refuses treatment, even when their symptoms are getting worse, it could be time to look for additional assistance. If they don’t have a conservator, it could be very challenging making them do something they don’t want to do.

What does it mean when you don't know you have schizophrenia?

They might not realize they need to receive treatment if they aren’t aware they are ill, as about half of the diagnosed population have anosognosia —the definition when someone doesn’t realize they have a serious mental illness. People who have schizophrenia often have symptoms of hallucinations or delusions, which may “tell” them what to do. ...

What is the National Alliance on Mental Illness?

Learn everything you can about the illness, different methods of treatment, and attend support groups. A terrific resource for information on mental illness can be found through The National Alliance on Mental Illness (NAMI.) NAMI offers family free family courses for caregivers of people who have mental illnesses.

How to support a loved one in treatment?

When your loved one has entered treatment, a team of family and friends can design a plan for support. This can help those around them to not “burn out” as they provide care. The support team, (whether it’s 2 or 10) can be on the lookout for signs of relapse.

How to know if someone is schizophrenic?

When your loved one has entered treatment, a team of family and friends can design a plan for support. This can help those around them to not “burn out” as they provide care. The support team, (whether it’s 2 or 10) can be on the lookout for signs of relapse. Schizophrenic patients often exhibit symptoms when they have stopped taking medication. Signs can include: 1 Disorganized thoughts 2 Hallucinations 3 Delusions 4 Suicidal ideation 5 Withdrawal and isolation 6 Difficulty with communicating 7 Bizarre actions

What to do if someone is not talking?

Allow for silence. If they are not talking, try not to chatter just to keep the conversation going.

How to help a family member with mental illness?

Be patient with yourself and others. One of the most important things you can do to support a family member with serious mental illness is to educate yourself. The more you learn about what to expect, the easier it will be to provide the right kind of support and assistance.

What to do when someone is living with mental illness?

When a loved one is living with serious mental illness, it’s easy to want to take charge.

What to do if you feel your loved one is in danger of harming yourself or herself?

If you feel your loved one is in danger of harming himself or herself, or harming someone else, that’s an emergency. Don’t hesitate to call 911. If possible, ask for an officer trained in crisis intervention—many communities have officers on staff who are trained to diffuse a mental health crisis in the best possible way.

How do you know if you have a mental illness?

While symptoms of serious mental illnesses vary, these signs are among the more common: 1 Social withdrawal 2 Difficulty functioning at school or work 3 Problems with memory and thinking 4 Feeling disconnected from reality 5 Changes in sleeping, eating and hygiene habits 6 Alcohol or drug abuse 7 Extreme mood changes 8 Thoughts of suicide

How to help someone with a diagnosis?

Regardless of your answers to those questions, don’t let your fear of a diagnosis prevent you from encouraging your loved one to seek help. Start by talking to him or her. Express your concerns without using alarmist language or placing blame. You might say, “I’ve noticed that you seem more stressed than usual,” or “I’ve noticed you don’t seem like yourself lately.” Then back up those statements with facts, pointing out changes in hygiene or daily activities, for example.

What to do if your family member doesn't take you up on your offer?

If your family member doesn’t take you up on your offer, consider alerting his or her physician’s office with your concerns. Though the physician may not be able to share information with you due to privacy laws, it will give the doctor a head’s up to be on the lookout for signs of mental health problems.

Can a mental illness be a shock?

Being diagnosed with a serious mental illness can be a shock—both for the person diagnosed and for his or her family and friends. On the other hand, finally obtaining a diagnosis and treatment plan can sometimes help relieve stress in the family and start moving recovery forward.

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