How to Encourage Reluctant Patients to Seek Psychiatric Help?

What should be done if a patient is unwilling to seek medical care?

Hello: A friend’s brother (who has completed military service) has no friends and is unwilling to communicate with family.
Recently, he has exhibited increasingly severe verbal and behavioral violence, and even walks around outside at night.
Although it seems necessary for him to seek medical attention, he is completely uncommunicative and refuses to go for treatment.
What should the family do?

Lao Du, 30~39 year old female. Ask Date: 2004/08/17

Dr. Zhang Xuncheng reply Psychiatry

Dear Old Du,
If your brother is exhibiting violent behavior, you can seek assistance from the local police to facilitate his transport to a medical facility.
He should be taken to the emergency department of a nearby major hospital's psychiatry unit, where professionals can assess whether he requires inpatient treatment.
Many patients with severe mental illnesses lack insight into their condition, making it challenging for them to seek help voluntarily.
Often, it takes a coordinated effort from family members, friends, and emergency responders or police to bring them to psychiatric care.
Even if there is some improvement during hospitalization, patients frequently struggle with medication adherence after discharge, leading to relapse and requiring further intervention.
Through the course of treatment, patients may gradually develop some awareness of their condition.
I recommend discussing the situation with your family to determine your brother's location before notifying the police for assistance in getting him to a medical facility.
Early intervention typically leads to better outcomes and prognosis.
Wishing you all the best.
Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/08/17

More Info

Encouraging a reluctant patient to seek psychiatric help can be a challenging yet crucial task, especially when the individual is exhibiting concerning behaviors such as verbal and physical aggression, as well as social withdrawal. Here are several strategies that family members and friends can employ to facilitate the process of getting the individual the help they need.

1. Open Communication:
Start by fostering an environment of open communication. It’s essential to approach the individual with empathy and understanding. Instead of confronting them about their behavior, try to engage them in a conversation about their feelings and experiences. Use “I” statements to express concern, such as “I feel worried when I see you struggling” rather than “You need help.” This can help reduce defensiveness and encourage dialogue.

2. Normalize Seeking Help:
Many people view seeking psychiatric help as a sign of weakness or failure. It’s important to normalize the act of seeking help for mental health issues. Share stories of others who have benefited from therapy or medication, including public figures or mutual acquaintances, to illustrate that seeking help is a common and positive step.

3. Address Misconceptions:
Often, individuals may have misconceptions about mental health treatment, fearing stigma or misunderstanding what therapy entails. Educate them about the process of therapy, the role of medication, and the potential benefits. Providing literature or resources can also help demystify the experience.

4. Involve Trusted Individuals:
If the individual is resistant to talking to family members, consider involving a trusted friend or mentor. Sometimes, hearing concerns from someone outside the family can be more impactful. This person can help bridge the gap and encourage the individual to consider seeking help.

5. Suggest a Low-Pressure Initial Step:
Encourage the individual to take a low-pressure step towards seeking help. This could be as simple as attending a support group, participating in an online forum, or having an informal chat with a mental health professional. Emphasize that this does not have to lead to formal treatment right away.

6. Professional Intervention:
In cases where the individual poses a risk to themselves or others, it may be necessary to seek professional intervention. This could involve contacting a mental health crisis team or emergency services. They can conduct an assessment and determine if immediate intervention is needed.

7. Family Support:
Family members should also seek support for themselves. Dealing with a loved one who is struggling with mental health issues can be emotionally taxing. Consider family therapy or support groups for families of individuals with mental health issues. This can provide strategies for coping and communicating effectively.

8. Create a Safe Environment:
Ensure that the individual feels safe and supported at home. This includes reducing stressors and creating a calm environment. Sometimes, simply knowing that they have a stable support system can encourage individuals to seek help.

9. Be Patient:
Change takes time, and it’s important to be patient. The individual may not be ready to seek help immediately, and that’s okay. Continue to express your concern and support without pressure, allowing them to come to the decision in their own time.

Conclusion:
Encouraging someone to seek psychiatric help requires a delicate balance of empathy, education, and support. It’s essential to approach the situation with care, recognizing that the individual may be experiencing significant internal struggles. By fostering open communication, normalizing the act of seeking help, and providing a supportive environment, family members can play a vital role in guiding their loved ones towards the help they need. If the situation escalates or if there is a risk of harm, do not hesitate to seek professional assistance immediately.

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