Living with Mental Illnesses

Having an Serious Mental Illness can make it a struggle to work, keep up with school, stick to a regular schedule, have healthy relationships, socialize, maintain hygiene, and more. However, with early and consistent treatment—often a combination of medication and psychotherapy—it is possible to manage these conditions, overcome challenges, and lead a meaningful, productive life. Today, there are new tools, evidence-based treatments, and social support systems that help people with SMIs feel better and pursue their goals.

Some strategies for living with SMI include:

• Stick to a treatment plan. Even if you feel better, don’t stop going to therapy or taking medication without a doctor’s guidance. Work with a doctor to safely adjust doses or medication if needed to continue a treatment plan.

• Keep your primary care physician updated. Primary care physicians are an important part of the long-term management of an SMI, even if you also see a psychiatrist.

• Learn about the disorder. Being educated can help you stick to your treatment plan. Education can also help your loved ones be more supportive and compassionate.

• Practice self-care. Control stress with activities such meditation or tai-chi; eat healthy and exercise; and get enough sleep.

• Reach out to family and friends. Maintaining relationships with others is important. In times of crisis or rough spells, reach out to them for support and help.

Know the Warning Signs of Mental Health Problems

For example, withdrawal from social interaction, unusual problems functioning at school, work or social activities or dramatic changes in sleep and appetite are possible signs. Someone exhibiting these signs or having these experiences does not necessarily mean the person has a mental health problem, the symptoms could also be related to other issues or problems. But following up with an evaluation from a medical professional could help address any problems and prevent more serious symptoms from developing.

Getting Started, Approaching the Issue

One of the hardest and most important steps may be just starting the conversation. You do not have to be an expert or to have the answers. Express your concern and willingness to listen and be there for the person. Don't be afraid to talk about it. Reassure them that you care about them and are there for them. Use "I" statements. For example, use "I am worried about you…," "I would like you to consider talking with a counselor…." rather than "You are…." or "You should…."

Try to show patience and caring and try not to be judgmental of their thoughts and actions. Listen; don't disregard or challenge the person's feelings.

Encourage them to talk with a mental health care provider or with their primary care provider if that would be more comfortable for them. For some people, it may be helpful to compare the situation to a physical health concerns and how they would respond. For example, if there was a concern about diabetes or high blood pressure would they be likely to seek medical care?

Remind them that seeking help is a sign of strength.

Learn about Mental Health Conditions and Treatments

Educate yourself. The more you understand about conditions, symptoms, possible treatments and what to expect, the better you will be able to support your loved one.

However, carefully consider sources of information online. As with any topic, the quality of information available online varies a great deal. (See resource list at the right.)

Help Address Potential Barriers

Try to anticipate and help address any potential barriers to the person seeking help. For example, find out about local resources available to help. For example, make it easier for the individual by researching potential therapists, hours, locations and insurance related issues. If you think they might be barriers, address possible issues with transportation, childcare, strategies for communicating with an employer, etc.

Seek Support for Yourself

While you're focusing on helping your loved one, it's also important to take care of yourself – physically and emotionally. Reach out for help for yourself if you need it. Recognize and acknowledge the limits of what you can give.

Blogger Victoria Maxwell writes: "When my mother was ill with the swings of severe depression, mania, and anxiety, I was worried as well as angry. I needed someone outside the family to freely discuss my frustrations and hurt without the fear of upsetting her. A qualified therapist offers clarity, objectivity, solutions not previously seen and a place to safely deal with the emotions rising from such difficult circumstances."