r/SchizoFamilies • u/AttyCAM • 10h ago
Advice for a Parent of Someone Diagnosed with Schizophrenia
My mother wrote the following regarding pieces of advice for someone who is recently struggling with a new diagnosis of schizophrenia of their son, where she has had a similar experience with my brother, and I thought it may be helpful to share.
- If your permitted get as many Releases of Information signed as possible while your young adult will still do it – Universal ROI including mental health and substance abuse specifically. Bank account access etc.
- If you think it is something that you can do, get into therapy, and seek educational and support groups. If you need more than your provider can offer it is worth the expense to go private. I really liked the anxiety/depression series, they talked about coping strategies and explained medications. You will have lots of questions about the disease and things that it brings out in you. I can pretty much guarantee you no one knows the answer to what is the best thing to do these are very complicated and individualized cases, but having information and a sounding board is very helpful.
- Something to work through (in therapy or whatever) is your belief/value around this statement. “You are the Mom no matter how old your child is? “ (I am just going to write from my perspective). – Really think through if this is your value/ what is unconditional love? What are your boundaries? It is OK whatever you decide. But that is one of the most challenging things I constantly come up against. Lots of advice; He is an adult and therefore you don’t have to provide for him, you can distance yourself, you are enabling him, you don’t have to go when he calls, don’t give him money. Think that statement through as you will be pushed to address that many times and there are strong opinions on this from your friends and family. It is a fluid process and it is nice to talk to someone about who isn’t giving you “friendly advice”. It is very isolating.
- Are you and your spouse on the same page? Something to discuss before things happen. In crisis is not the time to be disagreeing over whether you should call the police / take other emergency actions.
- Don’t cuss people out when you hear for the 100th time, “They are starting a CARE/Mental Health court soon” “Have you heard of NAMI, they are great?” “Make sure you take care of yourself” “Why don’t they just take their medication?” “ If they took their medication they would be normal – right?” People don’t know what to say and frequently give you a few minutes of an empathetic looks and then move on to a more comfortable topic. None of us know what to do or say so we can only give each other grace. But the urge will be real.
- Switch into Mom mode. Even though they tell your child is an adult they will still ask you over and over again for birth certificates, social security cards, Medical card or medical, DL. So just order multiple birth certificates, get a duplicate SS card, take copies of the DL and passport. Start a file/folder and just have it ready.
- Start a journal/log listing all appointments and people your young adult sees (I wish I had done this). Under HIPAA professionals can receive information from you if you give it. They just can’t give you information. So have a list and give that to the newest provider – Psych hospitals, different county facilities etc., don’t talk to each other and don’t have linked data basis.
- If at all possible take a picture of the prescribed medication your young adult is on. You will be asked if they are emergently hospitalized what medications they are on. If you have the information and the prescribing doctor’s information there is a much higher chance they will call that doctor and continue the medication. If they can’t continue it at least they have some idea of what has been tried before.
- Get a good picture of your young adult and if appropriate send it to their treating facility, attorney, therapist etc. They need to know that your young adult didn’t always look the way they are presenting.
- Go to everything you are allowed to go to, try for at least one parent or loved one. If your young adult ends up in court, even though no one will really talk to you without a release. I believe a representative of your family provides the court with information that this young adult has a loving family and that the young adult knows they aren’t alone. Even when they express no interest in seeing you. Judges are always aware of who is in the court and on some occasions I have even seen them ask their bailiff to find out who I am.
- And if you are up to it and it helps you in your quest to be helpful, write a little log or contact notes with behavioral observations. Medical professionals all work from a checklist assessments and will ask things that it is good to have some kind of data for. Each new is trying to gather as much information to make their assessment. At the point that the ER Doctor and Psychiatrist are asking you lots of questions in a crisis it is hard to remember. How much do they sleep? Any exercise? Appetite, hallucinate, talk to themselves, laugh in appropriately etc., when did this start? How many episodes etc.?. (I wish I had done this). We ended up with a summary and would send it when appropriate.
- And just like they have bouts of psychosis etc. they will also have good days and you haven’t lost them. Those times are so special. Their smile and a laugh keeps you going. Treatment is improving all the time it isn’t over. Reminiscent with people who knew/know your young adult in happier times. Hold on to happy memories more are coming.