What should I do?
Hello Doctor: My younger sister has exhibited abnormal behavior for many years.
We have sought medical help and she was prescribed medication, but she is unwilling to take it and there has been no improvement.
Her condition is now worsening; she has delusions that someone is trying to harm her, speaks incoherently, has irregular eating habits, neglects her personal hygiene, and has been isolating herself in her room, hiding in corners, and even breaking things.
Recently, she has also started to harm herself.
Given that I am unable to take her for medical examination and treatment, what should I do?
ben, 40~49 year old female. Ask Date: 2003/12/21
Dr. Xie Qingzhou reply Psychiatry
Hello! Due to the patient exhibiting significant psychiatric symptoms and lacking insight into their condition, there are currently self-harming behaviors.
According to the Mental Health Act, we can request assistance from law enforcement to facilitate medical transport.
Sincerely, Dr.
Hsieh Ching-Chou, Department of Psychiatry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2003/12/21
More Info
When a loved one exhibits severe mental health issues, it can be an incredibly challenging and distressing situation for both the individual and their family members. The symptoms you describe, such as delusions, disorganized thoughts, neglect of personal hygiene, social withdrawal, and self-harm, are serious and indicate that your sister may be experiencing a significant mental health crisis. Here are some steps you can take to help her and manage the situation effectively.
1. Encourage Professional Help
While it may be difficult to convince someone to seek help, it is crucial to encourage your sister to see a mental health professional. If she has previously resisted treatment, consider discussing the possibility of therapy or medication in a non-confrontational manner. Highlight the benefits of treatment and how it could improve her quality of life. If she is unwilling to go on her own, you might consider accompanying her to appointments or seeking help from a trusted friend or family member who can support her.
2. Create a Safe Environment
Given that your sister is exhibiting self-harming behaviors, it is essential to ensure her environment is safe. Remove any objects that she could use to harm herself, and try to create a calm and supportive atmosphere at home. This may involve reducing stressors, such as loud noises or chaotic environments, and providing a space where she feels secure.
3. Communicate with Compassion
When talking to your sister, approach her with empathy and understanding. Avoid judgmental language and instead express your concern for her well-being. Use "I" statements, such as "I am worried about you" or "I care about your health," to convey your feelings without making her feel defensive. Listening to her without trying to fix her problems immediately can also help her feel heard and understood.
4. Seek Support for Yourself
Caring for someone with severe mental health issues can take a toll on your own mental health. It is important to seek support for yourself as well. This could involve talking to a therapist, joining a support group for families of individuals with mental health issues, or confiding in friends who understand your situation. Taking care of your own mental health will enable you to be a better support for your sister.
5. Consider Emergency Services
If your sister's behavior escalates to the point where she is a danger to herself or others, it may be necessary to seek emergency help. This could involve calling emergency services or taking her to the nearest hospital. In many places, mental health crises can be addressed by specialized crisis intervention teams that can provide immediate support and assessment.
6. Educate Yourself About Mental Health
Understanding mental health conditions can help you better support your sister. Research her symptoms and possible diagnoses, and familiarize yourself with treatment options. This knowledge can empower you to advocate for her and make informed decisions about her care.
7. Explore Community Resources
Look into local mental health resources, such as crisis hotlines, community mental health centers, or support groups. Many organizations offer services for individuals struggling with mental health issues and their families. These resources can provide additional support and guidance.
Conclusion
Dealing with a loved one’s severe mental health issues is undoubtedly challenging, but your support can make a significant difference in their recovery journey. By encouraging professional help, creating a safe environment, communicating compassionately, seeking support for yourself, and being prepared to take emergency action if necessary, you can help your sister navigate this difficult time. Remember, recovery is often a long process, and patience and understanding are key components of support.
Similar Q&A
Coping with Stress: Supporting a Loved One with Mental Illness
I feel like I'm going crazy right now. I have suspected that I might have depression and have a history of self-harm, but now a family member has also developed a mental illness (they are receiving treatment, but their condition fluctuates). Their situation seems to be more ...
Dr. Ding Shuyan reply Psychiatry
Hello, when a family member is ill and you are also under stress, it can indeed feel overwhelming. Regarding medical matters, there is limited information available for discussion. My suggestion is to seek medical attention promptly and allow healthcare professionals to assist in...[Read More] Coping with Stress: Supporting a Loved One with Mental Illness
How to Help a Loved One Recognize Their Mental Health Issues
Hello doctor, my family member has mental health issues, including insomnia, panic attacks, paranoia, and auditory and visual hallucinations. When she experiences these episodes, we have taken her to see a psychiatrist, but she is very resistant to seeing a doctor. The doctor men...
Dr. Huang Weiqin reply Psychiatry
Hello: Based on your description of your family member, it is likely that they are experiencing hallucinations and delusions, which are symptoms of a psychotic disorder. It is recommended that family members encourage them to visit a nearby psychiatric outpatient clinic or emerge...[Read More] How to Help a Loved One Recognize Their Mental Health Issues
How to Handle a Family Member's Mental Health Crisis Effectively
Since May of this year, my grandfather has been suspicious that the children in the house are not his biological grandchildren, accusing their mother without any reason. He has verbally abused her, locked her out of the house, and frequently wakes everyone up in the middle of the...
Dr. Chen Wenyu reply Psychiatry
Hello, Shin: It seems very likely that he is suffering from "geriatric psychosis," and he indeed needs medical treatment. There is no need to complicate matters by filing a complaint. If there is "mental illness with a risk of self-harm or harm to others," he ...[Read More] How to Handle a Family Member's Mental Health Crisis Effectively
Encouraging Depressed Loved Ones to Seek Help Without Hurting Their Pride
A family member is experiencing mental instability following the death of their spouse, believing they are being haunted by spirits. They frequently burn joss paper and often hide under the blankets. I would like to ask the doctor what methods can be used to encourage the patient...
Dr. Chen Wenke reply Psychiatry
Hello, Ms. Hu: It can be quite challenging to deal with individuals who have issues but are unwilling to seek medical attention. However, there are several approaches you might consider. Based on your description, your family member may exhibit symptoms of a mental disorder. Typi...[Read More] Encouraging Depressed Loved Ones to Seek Help Without Hurting Their Pride
Related FAQ
(Psychiatry)
Facing Death(Psychiatry)
Heartbreak(Psychiatry)
Hypochondria(Psychiatry)
Family Interaction(Psychiatry)
Relationships(Psychiatry)
Involuntary Psychiatric Treatment(Psychiatry)
Psychological Counseling(Psychiatry)
Consultation(Psychiatry)
Self-Injury(Psychiatry)