Treatment FAQ

what can i do if my mentally ill loved one refuses treatment

by Kristian Kunze Published 2 years ago Updated 2 years ago

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.

What to do if a loved one refuses to get treatment?

If you’re struggling to cope with a loved one’s mental health issues and their refusal to get treatment, arrange some help and support for yourself. A loved one’s mental health issues can be mentally exhausting and stressful whether they accept treatment or not. Speak to a counselor or therapist about your concerns.

How do you deal with someone with a 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.

Is it normal for a loved one to refuse mental health support?

It’s normal to think this way, especially when you’re deeply concerned about your loved one’s well-being, but it’s maladaptive. The more demanding and controlling you become with someone who refuses to seek mental health support, the less likely they want to receive it.

Can you force a mentally ill person into treatment?

You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by. You cannot force anyone over the age of 18 into treatment, unless they pose a danger to themselves or others or show signs of psychoticthinking (which is not very common).

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.

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, ...

Is TMS good for depression?

TMS may be helpful in treating addiction patients for underlying depression issues, as prescribed by their physician.

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.

How to deal with a loved one's mental health issues?

Speak to a counselor or therapist about your concerns. This is a matter of prioritizing your well-being so that you can maintain your own mental and emotional health regardless of your loved one’s situation.

What to do if you are in danger of a loved one?

If you find yourself in this situation, the most important thing you can do is seek support for yourself. Connect with support groups, other family members, your family doctor, therapists, or counselors, and seek all the support you can get. You want your loved one to get better, but if you don’t look after yourself first, then you’ll be less able to help them anyway. Finally, if you believe that you’re in immediate danger due to your loved one’s behavior, don’t hesitate to call for help.

What is intervention in mental health?

An intervention is a mental health professional who can come to your home or the home of your loved one with a support team and arrange a family meeting in which family members share their concerns and express their love and support for the person struggling.

What are the different types of mental health issues?

Nowadays, there exists a broad range of therapy and pharmacological interventions for all kinds of mental health issues, including depression, anxiety, substance use disorder, mood disorders, personality disorders, and general stress-related conditions and disorders.

How does mental health get worse?

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. Dependence progresses into addiction, a chronic health issue that compels the person to use despite clearly negative consequences and fatal without treatment.

What is past invalidation?

Past invalidation of one’s personal experience and the confusion and self-doubt that follows (not wanting that to happen again)

Is stigma around mental health a stigma?

There has for a long time been a stigma around mental health and seeking treatment. Fortunately, this stigma has lifted significantly in recent years with an exponential increase in mental health advocacy. The use of the internet, particularly social media, has been used to promote the importance of mental health awareness and provide a greater understanding of different, more holistic approaches to help and access help from mental health professionals from the comfort of your own home. Still, the stigma exists and is particularly impactful to older generations who may still hold or be influenced by outdated ideas and judgments.

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 to do when someone is receiving treatment?

When your loved one is receiving treatment, offer support while not trying to “fix” everything. Allow them to be able to do small steps for themselves, which will create self-empowerment and be the beginning of independence.

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.

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.

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 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.

What is considered imminent danger?

As with every aspect of this issue, what is considered by law to be an imminent danger to others varies state to state. Usually, if a person has done some sort of bodily harm to themselves or others because of their mental illness they are considered to be in clear or present danger. The bottom line is that most states allow you to force someone ...

What to do if your loved one has never been diagnosed with a mental illness?

You can make an appointment with a psychiatrist, psychologist, mental health clinic, or family doctor to find out if your loved one has a mental illness for which they can receive treatment.

What If Your Loved One Refuses to Get Help?

Their conditions may cause them to lash out when people are only trying to help. In such cases, you must determine whether or not your loved one is a danger to his or her own safety or to others. If so, you should call emergency services.

What Are Mental Health Triggers?

Not all mental health crises begin with a trigger, but in many cases, a deep decline in mental health can be triggered by a particularly troubling event. Such events can include:

What Is a Crisis Intervention?

A crisis intervention is a tactic that you can use to address your loved one if he or she is experiencing emotional, behavioral, physical or mental distress. The intervention has the very important role of restoring your loved one’s equilibrium and preventing continuous mental distress.

How long does it take to get readmitted to a mental hospital?

The Substance Abuse and Mental Health Services Administration states that 10% of patients will be readmitted to a psychiatric hospital within one month of being released, and another 20% will be readmitted within six months.

What to ask a mental health assessor?

During the mental evaluation, the assessor will ask your loved one about his or her feelings, thoughts, and behaviors. Also, they will ask how your loved one manages symptoms and what makes him or her feel better or worse. Finally, the doctor or counselor will observe your loved one’s outward appearance.

What to do if you believe your loved one is in a mental health crisis?

If you believe that your loved one is experiencing a mental health crisis, it is your duty to address this issue with him or her. Let your loved one know that you are concerned and that you will help in any way you can. If the person is not receptive to your overtures, know that you cannot force them to do anything. If you believe that your loved one may harm himself or herself, you should call 911 or the suicide prevention hotline.

How to help someone who refuses treatment?

If symptoms aren’t too severe and the person refuses treatment, there may be nothing you can do but remain in contact and try to support the person. 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.

How to help someone trust you?

Be yourself. This will help the person trust you and perhaps listen to your suggestions.

Why is it important to seek help from a mental health professional for psychotic symptoms?

It’s important to seek help from a mental health professional to deal with psychotic symptoms because early treatment can improve outcomes long term.

What happens when you think others can read your mind?

Graham says “if these symptoms progress to unusual experiences such as thinking others can read your mind, paranoia, misperceiving events, or hearing and seeing things, then the likelihood that the person is developing a psychotic disorder goes up. ”. When a teen or young adult withdraws socially, starts to fail at school or work, ...

What to do when a teenager withdraws from school?

When a teen or young adult withdraws socially, starts to fail at school or work, begins to use drugs or displays other unusual behavior, it’s worth pursuing a mental health evaluation. A good place to start is with your family doctor, the OASIS program or another local mental health center.

How to deal with an agitated person?

Leave yourself an avenue of escape if the person is agitated. Calmly but firmly suggest that you take the person to see a doctor, therapist, case worker or counselor for evaluation. Don’t confront refusals or argue, but rather continue to listen and reiterate your suggestion.

Where do you file an affidavit of mental illness?

The affidavit must be filed in the magistrate’s office, usually in a local jail.

Mental Health Treatment

  • The quality of compassionate and informed mental health treatment has made great strides since the mid-20th century. Nowadays, there exists a broad range of therapy and pharmacological interventions for all kinds of mental health issues, including depression, anxiety, substance use disorder, mood disorders, personality disorders, and general stress-related conditionsand disord…
See more on selfcarefundamentals.com

Why Do People Refuse Mental Health Treatment?

  • There has for a long time been a stigma around mental health and seeking treatment. Fortunately, this stigma has lifted significantly in recent years with an exponential increase in mental health advocacy. The use of the internet, particularly social media, has been used to promote the importance of mental health awareness and provide a greater understanding of different, more h…
See more on selfcarefundamentals.com

What to Do When A Loved One Says No to Mental Help

  • Educate yourself on their illness
    Learn about your loved one’s experience to ease some of your fear and confusion. By increasing your understanding of what they’re going through, you feel more grounded and secure, and you’ll also find it easier to understand and listen to them. There are plenty of psychoeducational resou…
  • Don’t push too hard
    You might be tempted to push, demand, or exert authority over the loved one in one question because you know that professional help is for the best. Even if there is discomfort and resistance now, you believe that everything will be ok once they get that help. It’s normal to think this way, e…
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Conclusion

  • There is hope for those struggling with mental health. Many people can and do recover from all mental health issues with adequate and timely treatment. Still, understand that your loved one’s refusal of help is not your fault and need not be a source of guilt. If you find yourself in this situation, the most important thing you can do is seek support for yourself. Connect with suppor…
See more on selfcarefundamentals.com

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