I have a friend who’s full time caregiver I’ve been for 2 weeks now. I was able to take that time off work, but that is all. There is no one else to take care if this person, and I am willing to give up my job to help him. However I would like to know how long he will be needing this kind of assistance. I’m currently with him 24 h a day ( he’s been evicted from his flat). I know this may vary depending on the person, but I would like an idea of a general time line. Also, how long do you think he will need this sort of24h care. I am of course in regular contact with his therapist, and the first 2 weeks she insisted on us being together constantly. I was just wondering if anyone out there has experiences with this.
Hi Leelu, Depending on what’s going on, it could take a long time. Everyone is different with individual needs.
I think it’s a good idea to ask the doctors and other service providers what to expect. Tell them what you really can and can’t do.
Tons of answers to questions like that (and many others) here:
- Get a copy of these books, read them and have your family read them, as well. (Torrey can be a bit totalistic and unwilling to see exceptions to his “rules” at times, but most of his book is really worth the effort to plough through.)
- Get properly diagnosed by a board-certified psychopharmacologist who specializes in the psychotic disorders. One can find them at…
http://doctor.webmd.com/find-a-doctor/specialty/psychiatry and https://psychiatrists.psychologytoday.com/rms/
- Work with that “psychiatrist” (or “p-doc”) to develop a medication formula that stabilizes their symptoms sufficiently so that they can tackle the psychotherapy that will disentangle their thinking.
Psychotherapies for that currently include…
DBT – http://behavioraltech.org/resources/whatisdbt.cfm
MBSR – http://www.mindfullivingprograms.com/whatMBSR.php
MBCT - http://www.ncbi.nlm.nih.gov/pubmed/22340145
ACT – https://contextualscience.org/act
- the even newer somatic psychotherapies like…
MBBT – https://www.newharbinger.com/blog/introduction-mind-body-bridging-i-system
SEPT – https://en.wikipedia.org/wiki/Somatic_Experiencing
SMPT – https://en.wikipedia.org/wiki/Sensorimotor_psychotherapy
- or standard CBTs, like…
REBT – https://en.wikipedia.org/wiki/Rational_emotive_behavior_therapy
Schematherapy – https://en.wikipedia.org/wiki/Schema_Therapy
Learned Optimism – https://en.wikipedia.org/wiki/Learned_optimism
Standard CBT – https://www.nami.org/Learn-More/Treatment/Psychotherapy & scroll down
- Get two or more of those “down,” and one can use the skills therefrom in this way to combat delusional thinking and emotional reactivity very quickly:
10 StEP – http://pairadocks.blogspot.com/2015/04/the-10-steps-of-emotion-processing.html
- If you/she/he needs a professional intervention to get through treatment resistance, I would use those search tools in item 2 above. Look for clinics that include intervention and treatment resistance services.
- If you or your sz patient suddenly becomes manic: http://www.currentpsychiatry.com/specialty-focus/bipolar-disorders/article/what-to-do-when-your-depressed-patient-develops-mania/f3218a38f6603114ff2f9d9bfc21acfb.html?
- Look into the RAISE Project at https://www.google.com/webhp?sourceid=chrome-instant&ion=1&espv=2&ie=UTF-8#q=raise%20program%20schizophrenia.
- Look for mental illness clubhouses in your area (which can be hugely helpful… but may also pose risks). Dig through the many articles at https://www.google.com/webhp?sourceid=chrome-instant&ion=1&espv=2&ie=UTF-8#q=mental%20illness%20clubhouse%20model to locate and investigate them.