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How to manage psychosis at home

Guidelines and strategies to promote family well-being
Regina Vila Badia

Dr. Regina Vila Badia

Postdoctoral psychologist at the MERITT group. Research and Development Unit.
Parc Sanitari Sant Joan de Déu
Marta Coromina

Marta Coromina Sadurní

Psychiatrist. Assistant to the Mental Health Department
Parc Sanitari Sant Joan de Déu
Gestión psicosis en casa

When a family member has psychosis, managing day-to-day life can present unique challenges. Coping with psychotic symptoms within the home is a complex journey that requires understanding, communication, patience, mutual support, and practical actions. Managing these challenges impacts not only the person directly affected, but also the entire family unit.

Through a holistic and practical approach, families can develop effective strategies to cope with this reality and to create an environment conducive to recovery and resilience, promoting the well-being of all its members. Some recommendations that can help families or caregivers of a person with psychosis are:

  • Education and understanding: Understanding the disorder and associated psychotic symptoms not only reduces uncertainty, but is necessary for good management. Ongoing education is key to reducing fear and fostering empathy within the family.
  • Routines and Structures : Routines provide a sense of order and a solid foundation that offers emotional stability and a predictable framework, and this helps reduce anxiety for everyone in the home. Therefore, it is advisable to establish regular schedules for daily activities, including time for meals, rest, and other necessary activities.
  • Open Communication : Open and honest communication is the common thread that maintains family cohesion. Establishing a sincere, non-judgmental dialogue creates a safe space where all family members can express their concerns, share feelings, and seek mutual support.
  • Crisis Management Strategies : It is important to develop a crisis management plan that includes specific steps to follow in difficult situations. Make sure that all family members are aware of this plan. Creating a crisis management plan is a practical strategy for anticipating difficult situations and responding in a coordinated and effective manner.
  • Relapse plan: It is very important that the family works on the relapse plan with the affected person and that everyone knows it perfectly. This plan provides a specific structure for dealing with and mitigating acute symptoms, adding an additional layer of support for families. Clear and specific steps can be included to identify early signs of relapse. This may include changes in behavior, alterations in sleep patterns, or an intensified emotional response. Establishing these indicators helps the family intervene more quickly and effectively.
Recaída en psicosis

Relapses in psychotic disorders

  • Promoting independence : Empowering the person with psychotic symptoms, whenever possible, to make decisions and carry out daily tasks independently can increase their self-esteem and confidence.
  • Clear boundaries : Setting healthy boundaries for everyone in the home can help maintain a safe environment and reduce anxiety for the person experiencing psychotic symptoms.
  • Ongoing therapeutic support : It is important to ensure that the person with psychotic symptoms receives regular therapeutic support. Sessions with mental health professionals offer guidance and resources to deal with daily challenges.
  • Knowledge of medication : If the person is taking medication, it is good for all family members to be informed about it and to know its effects. This facilitates collaboration in the management of treatment. In addition, it is also important to ensure that the person with psychosis receives the appropriate medication, as it is a key element for the effective management of symptoms.
  • Mutual family support : Establishing support networks between siblings or other family members can be crucial for managing emotions and sharing emotional burdens, as it can help alleviate feelings of isolation and create a stronger foundation for family resilience.
  • Self-care : Don't forget to take care of each other and yourself. Managing psychotic symptoms at home can be exhausting, so take time to take care of your physical and emotional well-being.
  • Avoid drug use : Drug or alcohol use can worsen symptoms or lead to relapse. It is important to encourage the person to avoid such use, but it is also important to lead by example at home, as the behavior of family members can have a significant impact on the habits of others. Showing a substance-free environment and promoting a healthy lifestyle can be a positive role model for the entire family.
Familia de adolescente con psicosis

My son has been diagnosed with psychosis, now what?

Your well-being is a priority, take care of yourself

In order to care, it is important to first take care of yourself. Caring for someone with psychosis can be emotionally and physically draining, so if we don't take steps to care for ourselves, the situation can affect our health and ability to provide effective support to the person affected.

Below are some essential guidelines for maintaining your emotional well-being while caring for a person with psychosis:

  • Maintain personal relationships : Total dedication to caregiving can affect personal relationships. Taking time to maintain connections with friends and family helps preserve these relationships and provides emotional support that will often be much needed.
  • Take breaks and encourage your rest : It is essential to take regular breaks to relax and recharge your batteries. Sleep and getting a good rest are important for maintaining good physical and emotional health.
  • Don't neglect your leisure activities : Don't let leisure activities be a secondary option and prioritize having time for yourself and being able to maintain those activities that you like and that bring you pleasure. These activities act as moments of emotional recharge, allowing you to temporarily free yourself from the emotional burden associated with the responsibility of caring, and help maintain a positive mood. At the same time, they contribute to preventing burnout and preserving your own identity, since these activities remind you of who you are outside the role of caregiver and help maintain your individuality.
  • Assess your physical and mental health : It is important to be alert to signs of fatigue or stress. Regularly assessing your physical and mental health and not hesitating to seek professional help if necessary is vital to preventing burnout.
  • Seek support : Don't be afraid to seek help and support. Connecting with other caregivers, whether through local or online support groups, can provide a platform to share experiences and advice, as well as an opportunity to feel heard and understood.
Persona cuidadora

Guidelines for self-care for the caregiver

A healthy balance between caregiving and self-care is needed to provide comprehensive support for the person with psychosis. This not only benefits the caregiver, but also improves the quality of support provided to the person with psychosis. So remember, you need to take care of yourself, because your emotional and physical health is just as important as that of the person you are caring for.