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On the last track we discussed the stigma of schizophrenia. Three topics included on this track are prejudices, stereotypes, and who to tell. We also discussed how clients can deal with prejudice and stereotypes.
On this track we will discuss avoiding relapses. Three aspects of avoiding relapse that we will examine are signs of relapse, decreasing stress and dating, and other healthy habits that can help avoid relapse. The focus of this track is to provide you with information on how Mike learned to avoid relapses. Therefore, as you listen to this track, consider ways to adapt these methods to avoid relapse for your client.
Three Aspects of Avoiding Relapse
To help Mike learn to acknowledge his personal signs of relapse, I gave him some typical warning signs which are common to schizophrenic relapse. I stated, "It is helpful to know your own warning signs so that you can get help as early as possible. Some early warning signs may be changes in appetite, weight loss, decreased or increased sleep, disturbed sleep, or changes in energy level. There may also be symptoms such as paranoia, feeling people are looking at you, or a return of other symptoms you experienced previously. As soon as you notice a change or a new symptom, notify someone immediately."
Consider the client who has schizophrenia that you are treating. Do you agree that a client’s awareness of his or her own signs of relapse can be an important step in avoiding relapse? #2 Decreasing Stress and Dating
To decrease his stress, Mike made sure that he slept well, maintained a good diet, and exercised. Also, I showed him a deep breathing exercise that he could use when momentary stress began to build up. If your client experiences high levels of stress, you might consider adapting a breathing or relaxation exercise to help decrease stress.
In addition to decreasing stress, Mike informed me of his intent to begin actively dating again. Mike stated, "I figured since I’m exercising regularly and watching what I eat, I should get back into the dating scene. You’re always telling me about ‘communication skills’ and ‘social ability.’" Would you agree that dating and intimate relationships can be productive ways for clients to avoid relapse? Can you think of ways to prompt your client to date, if he or she is ready to tolerate it?
#3 Other Healthy Habits That Can Help Prevent Relapse
Mike stated, "I take my medication all the time, just like I’m supposed to. But I sill have relapses." At a later session, Mike devised a list of healthy habits he used to prevent relapse. Perhaps your client could benefit from hearing Mike’s list. Feel free to share it with your client or play this track, if your client would be receptive.
Mike’s List of Healthy Habits to Prevent Relapse
As you can see, Mike found that by staying busy, taking his recovery slow, and living healthy he could avoid relapses. As you know, each client requires a different recovery method, but could your client benefit form any of the techniques described here? Has your client identified his or her signs of relapse?
On this track we have discussed avoiding relapses. Three aspects of avoiding relapse that we have examined are signs of relapse, decreasing stress and dating, and other healthy habits that can help prevent relapse.
Peer-Reviewed Journal Article References:
Hartmann, W, Kind, J., Meyer, J. E., Müller, P., & Steuber, H. (1980). Neuroleptic drugs and the prevention of relapse in schizophrenia: A workshop report. Schizophrenia Bulletin, 6(3), 536–543.
Lecomte, T., Potvin, S., Samson, C., Francoeur, A., Hache-Labelle, C., Gagné, S., Boucher, J., Bouchard, M., & Mueser, K. T. (2019). Predicting and preventing symptom onset and relapse in schizophrenia—A metareview of current empirical evidence. Journal of Abnormal Psychology, 128(8), 840–854.
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