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Supporting a loved one who is experiencing psychosis

Supporting a loved one who is experiencing psychosis

Hi, I am currently trying to support a very dear friend's daughter who is experiencing behaviours, attitudes, and symptoms of what I believe to be psychosis.

My own mental health journey includes trauma from sexual assault which occurred when I was younger (I will be 61 this year) anxiety and a period of time where I was agoraphobic, and PTSD as a result of the unexpected and extremely violent death of my father, at the hands of my mother. My father will have been dead for 10 years this upcoming June.

I have recently spent two days in the very close company of my loved one, and have come to realise that whilst they have been lucid at times, for the better part of the time we have recently spent together she was exhausting me by continually being focussed on things which were clearly extremely distressing for her. She has experienced violence (family and domestic violence) the imprisonment of two of her sons and their father, being involuntarily committed and treated for her schizophrenia in the past, and is currently homeless and living with her mother (who is my dear friend of 20+ years.)

She is refusing timely medical treatment for a recent physical injury which is causing her to deal with an enormous amount of pain and has restricted her movement. She self medicates (daily) with marijuana, and when she is able to afford them, harder drugs.

Recently she has been arrested, and charged with resisting arrest, assaulting a police officer and being an accessory to a crime.

She has an upcoming court date.

Most recently I accompanied her and acted as a companion, support and source of comfort while she attended court.

When she is lucid, we are able to communicate openly and freely, and have a deep love, care and respect for each other. When she is in the grip of psychosis, this falls by the wayside, and whilst I try my utmost to listen respectfully, acknowledge her concerns and fears, and don't offer my opinion or act any differently than I normally would, the beliefs and fears she holds are becoming more extreme and frequent. They cause her to behave in ways which have alienated her from the friends, family and loved ones who are so important to both her physical and mental health and wellbeing.

She is in danger of imprisonment, being attacked when she wanders the streets in the evening alone, and being influenced by her 'mates' (who are illegal drug users) to commit offences and antagonise police officers attempting to do their jobs.

I would like some guidance and advice from the members in this community who have undergone similar experiences, and what worked and helped them to support their loved one.

8 replies

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In response to: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Hi there @Strelitzia64 ,

We wanted to take this opportunity to welcome you to the forums.

We hope that you find the forums a great place to connect with other members, share stories and ideas, and find the support and connection you deserve.

From your post, it sounds like you are in a very stressful situation and you feel a little bit lost in how you can help a loved one. Hopefully some of our members here is able to provide you with some insight on what you can do.

In response to: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Hello @Strelitzia64 and welcome.

I have no answers re your loved one's dual diagnoses, injury and current legal predicament except that each and every strand of these difficulties deserves support. And you're giving it to her. If she's not looking for help with her physical injury I guess she's not looking for help with her mental health or substance use either. Your ongoing commitmen, gentle urging and providing a sense of safety and predictability are important. These were things that helped me recently during psychosis. But you need support too. I hear your difficulties and can assure you the forum community are a caring bunch. Some will have had experiences similar to yours but many more will accept you, whether listening or comparing coping strategies or connecting socially (anonymously) online.

Take care.

In response to: Re: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

@Strelitzia64 I agree with @Dimity the forums are a welcoming and supportive place. Also, that you have already provided much support for your friend's daughter.

You have experienced so much trauma in your life, yet are still able to try and assist another human being who has complex MH issues. Thank you for helping your friend's daughter.

I have not known anyone going through a psychotic episode, nor do I experience psychosis, so I don't really have much advice. Just being there as a stable person would be helpful though.

I do have a trauma background though and you have obviously experienced considerable trauma, so I think it's especially important to remember to look after yourself.

You didn't mention whether or not she has any current or recent help with her MH. As you probably know it is difficult to assist someone when they don't feel that need or want any assistance.

In response to: Re: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Thank you for your reply. My friend's daughter has received mental health support in the past, bit unfortunately it was forced upon her (without her consent) when the police deemed her a danger to herself and others, and placed her on a psychiatric hold in hospital. This was an extremely traumatic and negative experience for her, especially as it was members of her immediate family who called the police. Now she refuses to listen to her mother and sisters, and becomes extremely agitated whenever any kind of intervention is brought up as a treatment option.

I fully understand her position regarding this, but she is even unwilling to discuss alternatives which don't involve hospital admission or being involuntarily committed to a mental health ward in hospital.

In response to: Re: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Thank you for your reply. You are correct in your summation of the situation regarding seeking help for her current legal situation, physical and mental health. I don't want to pressure her, or cause her any additional stress.

I feel that it's very important for me to maintain an open and honest line of communication with her, and to let her know that all I want is for her to move forward into a more positive and healing space.

In response to: Re: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Thank you for your reply, and the warm welcome.

I find that writing things down helps me to organise my thoughts, and often brings about a calmer frame of mind to assist with finding alternative strategies to deal with situations.

Communicating with others who have had similar experiences, and expressing my fears and worries in a safe environment is proving to be extremely important and helpful to me.

Thank you.

In response to: Re: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Yes I agree re the importance of trust and openness and positivity @Strelitzia64 .

At the same time I wonder if it's important or helpful to pursue mh diagnosis and potential help before the cases come to court. I trust she'll have a legal representation who might be able to advise on this.

In response to: Re: Supporting a loved one who is experiencing psychosis

Re: Supporting a loved one who is experiencing psychosis

Just a forum tip @Strelitzia64 if you type @ and the first couple of letters of the person you are wanting to message, their name will come up in blue and they will know that you have replied to them.

It's difficult once someone has had a negative experience with the MH system for them to be able to trust it again, so it's unfortunate that your friend's daughter has already experienced that. Also difficult that her family was involved because it's hard for her to trust and reach out. I think sometimes people see one aspect of MH system and think it's all bad which means approaching any service or provider is difficult.

Do you know if there are any peer support opportunities in your area? As that may be an option for her to talk to people who understand having had a lived experience. The Sane call line has peer support workers as do the forums

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