ABSTRACT

Families of people who have a mental illness are frequently confronted with the need to deal with problems requiring practical coping skills. Yet many families report not knowing how to deal effectively with commonly recurring problems. For the purposes of this chapter the authors will be focusing on coping concerns related to the family member with a mental illness. Problems including social withdrawal, poor hygiene, bizarre behavior, self-destructive behavior, assaultiveness and lack of cooperation with treatment are common sources of concern for families. These behaviors can be distressing and generate profound feelings of anxiety, anger, guilt and worry. Families often feel frightened and quite helpless. Certain behaviors such as suicidal threats are especially distressing. Unfortunately, professionals often lack the information and skills required to assist families with their practical coping needs (Spaniol, 1987).