What should the family members of patients who refuse to seek medical treatment do?
Hello, doctor! In the previous discussion, I saw your suggestion for family members to encourage the patient to seek medical treatment for her psychiatric symptoms, but my daughter is very resistant and distrustful.
In fact, after being ill for twenty years, she once had a record of treatment after being strongly encouraged by church elders.
The treatment was effective and quick, allowing her to find a job that lasted over three months, which made us all very happy, and she experienced psychological and physiological peace.
However, a few months ago, for reasons unknown, she stopped her medication on her own, and after working at a company for a year, she was let go.
She no longer listens to anyone's advice and refuses to seek medical care.
Initially, I tried the approach you suggested, using her frequent urination as an excuse to take her to the doctor, but she seems to know that she "cannot" go to the hospital and uses various excuses to refuse.
Watching her condition worsen day by day is unbearable for me.
I am getting older, and my other children have their own lives, so I can only grit my teeth and endure, but how much longer can I hold on?
May I take videos of her symptoms with my phone and consult her original treating physician for a diagnosis? Could I take advantage of her love for vitamins to have her take them, and then encourage her to seek regular medical care when her symptoms are milder? Since she has no history of harming others, it is truly impossible to have health department personnel enforce treatment...
Thank you, doctor, for taking the time to respond!
Ke lian de mu qin, 60~69 year old female. Ask Date: 2016/02/22
Dr. Liang Sunyuan reply Psychiatry
Hello, if you consult her previous physician, the medical records will contain her past symptoms and treatment history.
Along with your description and the supplementary video, discussing treatment options with the physician should be a viable approach.
Reply Date: 2016/02/22
More Info
Helping a reluctant family member seek mental health treatment can be a challenging and emotionally taxing endeavor. It is essential to approach the situation with empathy, patience, and a well-thought-out strategy. Here are some steps you can take to encourage your daughter to seek the help she needs:
1. Open Communication
Start by fostering an open line of communication. Create a safe space where your daughter feels comfortable expressing her feelings without fear of judgment. Instead of directly confronting her about her mental health, engage her in conversations about her daily life, interests, and feelings. This approach can help you understand her perspective and build trust.
2. Empathy and Validation
Acknowledge her feelings and experiences. Let her know that it’s okay to feel overwhelmed or anxious and that many people struggle with similar issues. Validating her emotions can help her feel understood and less isolated. Avoid using language that may come off as dismissive or critical, as this can increase her defensiveness.
3. Subtle Suggestions
Instead of directly suggesting therapy or medication, consider framing the conversation around general health and wellness. For example, you could discuss the importance of regular check-ups or how mental health is just as important as physical health. You might say something like, “I’ve been feeling a bit stressed lately and thought about talking to someone about it. Have you ever considered that?”
4. Use of Indirect Approaches
Since your daughter has previously responded well to treatment, you might consider using her interest in vitamins or supplements as a gateway. You could suggest that she see a doctor for a general health check-up, during which she can discuss her symptoms. This way, the focus is not solely on mental health, which she may resist, but rather on her overall well-being.
5. Involve Trusted Individuals
If there are people in her life whom she trusts, such as friends, mentors, or church leaders, consider involving them in the conversation. Sometimes, hearing encouragement from someone outside the immediate family can make a significant difference.
6. Documenting Symptoms
Taking notes or recording instances of her symptoms can be helpful. However, be cautious about how you approach this. If you decide to document her symptoms, do so discreetly and respectfully. You can later share this information with her doctor, which may help in understanding her condition better.
7. Professional Help
If her condition worsens or if she poses a risk to herself or others, it may be necessary to seek professional help urgently. In such cases, contacting mental health professionals for advice on how to proceed can be beneficial. They may suggest interventions that can be taken without her consent if her safety is at risk.
8. Self-Care for You
Caring for someone with mental health issues can take a toll on your well-being. Ensure you are also taking care of yourself. Engage in activities that bring you joy, seek support from friends or support groups, and consider speaking with a mental health professional yourself to help you cope with the stress.
Conclusion
Encouraging a reluctant family member to seek mental health treatment requires a delicate balance of empathy, patience, and strategic communication. It’s important to remember that change may take time, and your daughter’s journey to recovery is ultimately her own. By providing support and understanding, you can help her feel less alone in her struggles and more open to the idea of seeking help.
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