Supporting Someone with Psychosis Who Refuses Help: A Guide for Helpers

When someone is dealing with psychosis, they might experience significant challenges that can affect their self-perception and trust in others. This can make it incredibly difficult to provide the support they need, especially if they actively push away loved ones and do not want help. In such situations, it's important to understand the nuances and limitations of each individual's experiences to effectively approach the challenge.

Understanding Psychosis and Denial

The importance of understanding psychosis and denial is well-documented in literature. For instance, the book I'm Not Sick, I Don't Need Help by Amadore provides valuable insights for non-clinicians on how to address individuals who are dealing with psychosis and are in a state of denial. This book offers practical advice that can guide our approach to these situations.

The Limits of Helping

Unfortunately, you can't always help someone who doesn't want help. When an individual is experiencing psychosis, they may believe that they cannot trust anyone, which can make their condition more complex. In these instances, attempting to help them may inadvertently cause more harm than good. This is not to say that help should never be extended, but rather, that the approach must be tailored to the individual's needs and mindset.

Strategies for Engagement

There are several strategies that can be employed to engage with someone who is reluctant to accept help. Here are a few key approaches:

Waiting for the Right Time

One of the most effective strategies is to wait until the person "bottoms out" before pushing for help. This means waiting until they reach a point of crisis where they might feel compelled to seek assistance. It's important to note that this should be done with sensitivity and patience.

Bridging the Gap with an Alliance

Avoid directly challenging or questioning the person's beliefs and views. Instead, try to align with their perspective and show understanding. Positively engaging with questions can help establish a connection, but make sure to position yourself as a supportive presence rather than an authority figure.

Understanding Refusal to Accept Help

It's crucial to consider several factors when someone refuses help. Here are some key points:

Respecting Autonomy

First and foremost, respect the person's autonomy. Forcing your help on them can backfire, giving them a sense of loss of control over their life. This can exacerbate their feelings of powerlessness.

Tackling the Root Cause

Try to understand why the person is refusing help. Is it because they believe they don't need it? Convincing someone of their need for help can be particularly challenging if they don't see it themselves. Knowing this can help you devise a more effective strategy.

Boundary Setting

Even if the person is not dangerous to themselves or others, it may still be the case that there is nothing you can do to change their mind. The best you can do is let them know that you are available to support them whenever they decide to seek help. This respect for their choice can also be seen as a form of support.

Closing Thoughts

Supporting someone with psychosis who is resistant to help is a delicate and challenging task. By understanding the complexities involved and employing strategic methods, we can make a positive difference in their lives. Remember, the goal is to provide support and respect, even if the individual is not ready to accept it immediately. Embracing patience and sensitivity will go a long way in building trust and fostering a supportive environment.