{"id":5177,"date":"2025-03-27T14:14:48","date_gmt":"2025-03-27T13:14:48","guid":{"rendered":"https:\/\/schizophrenia.life\/public\/?page_id=5177"},"modified":"2025-03-27T14:14:48","modified_gmt":"2025-03-27T13:14:48","slug":"sod-chapter-8","status":"publish","type":"page","link":"https:\/\/schizophrenia.life\/public\/sod-chapter-8\/","title":{"rendered":"Chapter 8"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<figure class=\"wp-block-image size-full square-image\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"298\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt8-1.jpg\" alt=\"\" class=\"wp-image-6327\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt8-1.jpg 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt8-1-150x150.jpg 150w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"lh-n mb-2 mt-1 has-text-color has-link-color wp-elements-3a22e8c6544068f59cf42d984c9bebd7 wp-block-paragraph\" style=\"color:#b69cc9;font-size:46px\"><strong><strong>Chapter 8<\/strong><\/strong><\/p>\n\n\n\n<p class=\"lh-n mb-2 mt-1 has-text-color has-link-color has-large-font-size wp-elements-ba1b36b267e3cc6bca3c5d9b6738ae35 wp-block-paragraph\" style=\"color:#b69cc9\"><strong>Words that connect<\/strong><\/p>\n\n\n\n<p class=\"mb-0 has-text-color has-link-color wp-elements-55e6fcfb7edf9ce0d59470543da8fad3 wp-block-paragraph\" style=\"color:#58595b;font-size:16px\">This chapter uses realworld examples to show how open, nonjudgmental, and prepared communication helps caregivers build crucial trust and support loved ones with schizophrenia and substance use disorders on their recovery journey.<\/p>\n\n\n\n<p class=\"has-text-align-center button__primary button-text sod-subchapter-button-b69cc9 wp-block-paragraph\"><a href=\"\/public\/wp-content\/uploads\/2025\/09\/08_Candid-Book-2_Chapter-8.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download the chapter<\/a><\/p>\n<\/div>\n<\/div>\n\n\n<\/div><\/div><\/div><\/div><div class=\"sod_highlight py-4\"><div class=\"rea-main rea-page-default\"><div class=\"rea-page-default__wrapper my-0\"><div class=\"entry-content\">\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-ae4d9bd0cdbf6700a631e0da18fd6e5d wp-block-paragraph\" style=\"color:#b69cc9;font-size:26px\"><strong>Fast Facts<\/strong><\/p>\n\n\n\n<p class=\"sod-border-left-b69cc9 mb-5 has-text-color has-link-color wp-elements-f7579c4e7c9fd55f9c0471a9cd92c1ae wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#b69cc9\" class=\"has-inline-color\">Open and supportive communication<\/mark><\/strong> between caregivers and individuals with schizophrenia and substance use disorders is key to building trust, understanding, and treatment adherence.<\/p>\n\n\n\n<p class=\"sod-border-left-b69cc9 mb-5 has-text-color has-link-color wp-elements-98cf1a8af8dd0a99468f7a349bd50dd6 wp-block-paragraph\" style=\"color:#58595b\">When suggesting <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#b69cc9\" class=\"has-inline-color\">alternative coping mechanisms<\/mark><\/strong>, it\u2019s important to focus on supportive, positive coping strategies tailored to each person\u2019s unique needs.<\/p>\n\n\n\n<p class=\"sod-border-left-b69cc9 mb-5 has-text-color has-link-color wp-elements-f48cea018b041974f4bdc6f1a234a6da wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#b69cc9\" class=\"has-inline-color\">During a crisis<\/mark><\/strong>, the situation should be approached carefully, being aware of immediate dangers, and having a clear, structured safety plan ready.<\/p>\n\n\n\n<p class=\"sod-border-left-b69cc9 mb-5 has-text-color has-link-color wp-elements-ca6c3f3f05fc0664b9625586551d50ce wp-block-paragraph\" style=\"color:#58595b\">By choosing a <strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#b69cc9\" class=\"has-inline-color\">non-judgmental, encouraging dialogue<\/mark><\/strong>, caregivers can better support their loved ones on their recovery journey, ultimately improving their quality of life.<\/p>\n\n\n<\/div><\/div><\/div><\/div><div class=\"rea-main rea-page-default\"><div class=\"rea-page-default__wrapper\"><div class=\"\"><div class=\"entry-content\">\n\n\n\n<div class=\"wp-block-columns mt-7 is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-1\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.1.png\" alt=\"\" class=\"wp-image-6329\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-c0fc3766b0753d15ffc315fd40e3c1d8 wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 1.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Current feelings and mental state<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-2\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.2.jpg\" alt=\"\" class=\"wp-image-6330\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-666f6b946fde8a0ec22ce4e7167c70c9 wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 2.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Substance use and triggers<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-3\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.3.png\" alt=\"\" class=\"wp-image-6331\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-12a3514a68280dc9b4a065b8835c13dc wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 3.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Coping mechanisms<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-4\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.4.png\" alt=\"\" class=\"wp-image-6332\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-8a55d440301199ef623641acd46cc15f wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 4.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Future plans and hopes<\/p>\n\n\n\n<\/a>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns mt-7 is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-5\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.5.jpg\" alt=\"\" class=\"wp-image-6333\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-05aea4ac2c1a121601e93f82e0a7871b wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 5.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Medication adherence<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-6\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.6.jpg\" alt=\"\" class=\"wp-image-6334\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-192ad978d449f60c15c8c52e3c10607e wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 6.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Non-stigmatizing communication<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-7\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.7.jpg\" alt=\"\" class=\"wp-image-6335\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-d37f339f96c1acdede483fe81ac858db wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 7.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Crisis intervention<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-b69cc9 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-8-subchapter-8\">\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"212\" src=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/8.8.jpg\" alt=\"\" class=\"wp-image-6336\"\/><\/figure>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-4a7507f24ca9b0ae508f84da4eb625ad wp-block-paragraph\" style=\"font-size:16px\"><strong>Subchapter 8.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"font-size:16px\">Suicide risk assessment<\/p>\n\n\n\n<\/a>\n<\/div>\n<\/div>\n\n\n\n<div class=\"custom-css-block\"><style>#aab_accordion_7d61ee24_0 {  }<\/style><\/div><div class=\"wp-block-aab-accordion-block aab__accordion_container  accessibilityOn\" style=\"margin-top:0px;margin-bottom:15px;border:1px solid #bcb6b638\" id=\"aab_accordion_7d61ee24_0\" role=\"button\" aria-expanded=\"false\" tabindex=\"0\"><div class=\"aab__accordion_head aab_right_icon \" style=\"background-color:#bcb6b638;border-top:none;border-right:none;border-bottom:none;border-left:none\"><div class=\"aab__accordion_heading aab_right_icon aab_right_link\"><div class=\"head_content_wrapper\"><div class=\"title_wrapper\"><h5 class=\"aab__accordion_title\" style=\"margin:0\">References<\/h5><\/div><\/div><\/div><div class=\"aab__accordion_icon\" style=\"border:0px solid transparent\"><span class=\"aab__icon dashicons dashicons-plus-alt2\" style=\"font-size:23px\"><\/span><\/div><\/div><div class=\"aab__accordion_body  \" role=\"region\" style=\"display:none;border-top:1px solid #bcb6b638;border-right:none;border-bottom:none;border-left:none\"><div class=\"aab__accordion_component\">\n<div class=\"wp-block-rea-list-rea-list-block rea-list-block front\"><div class=\"rea-list-block__wrapper\"><div class=\"list-ordered list\"><p>McGinty E, Pescosolido B, Kennedy- Hendricks A, Barry CL. Communication Strategies to Counter Stigma and Improve Mental Illness and Substance Use Disorder Policy. Psychiatric Services [Internet]. 2018 Feb;69(2):136\u201346. Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5794622\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5794622\/<\/a><\/p><p>Drake RE, Mercer-McFadden C, Mueser KT, McHugo GJ, Bond GR. Review of Integrated Mental Health and Substance Abuse Treatment for Patients With Dual Disorders. Schizophrenia Bulletin [Internet]. 1998 Jan 1;24(4):589\u2013608. Available from: <a href=\"https:\/\/academic.oup.com\/schizophreniabulletin\/article-abstract\/24\/4\/589\/1929004\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/academic.oup.com\/schizophreniabulletin\/article-abstract\/24\/4\/589\/1929004<\/a><\/p><p>Phillips K. Mental Illness Is Not Anyone\u2019s Fault: A Review of NAMI, the National Alliance on Mental Illness. Journal of Consumer Health on the Internet [Internet]. 2020 Jan 2;24(1):75\u201381. Available from: <a href=\"https:\/\/pure.psu.edu\/en\/publications\/mental-illness-is-not-anyones-faulta-review-of-nami-the-national\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pure.psu.edu\/en\/publications\/mental-illness-is-not-anyones-faulta-review-of-nami-the-national<\/a><\/p><p>Baigent M. Managing patients with dual diagnosis in psychiatric practice. Current Opinion in Psychiatry [Internet]. 2012 May;25(3):201\u20135. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22449766\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/22449766\/<\/a><\/p><p>Schrank B, Hayward M, Stanghellini G, Davidson L. Hope in psychiatry. Advances in Psychiatric Treatment [Internet]. 2011 May;17(3):227\u201335. Available from: <a href=\"https:\/\/www.cambridge.org\/core\/journals\/advances-in-psychiatric-treatment\/article\/hope-in-psychiatry\/324DF7F5D18B4EC148DD21D5619F4BB4\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.cambridge.org\/core\/journals\/advances-in-psychiatric-treatment\/article\/hope-in-psychiatry\/324DF7F5D18B4EC148DD21D5619F4BB4<\/a><\/p><p>Perkins AJ, Khandker R, Overley A, Solid CA, Chekani F, Roberts A, et al. The impact of antipsychotic adherence on acute care utilization. BMC Psychiatry [Internet]. 2023 Jan 24;23(1). Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36694142\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36694142\/<\/a><\/p><p>Arya Jayasree, Padmavathi Shanmuganathan, Ramamurthy P, None Alwar MC. Types of Medication Nonadherence &amp; Approaches to Enhance Medication Adherence in Mental Health Disorders: A Narrative Review. Indian journal of psychological medicine [Internet]. 2024 Mar 25;46(6). Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39545134\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/39545134\/<\/a><\/p><p>Ahad A, Gonzalez M, Junquera P. Understanding and Addressing Mental Health Stigma Across Cultures for Improving Psychiatric Care: A Narrative Review. Cureus [Internet]. 2023 May 26;15(5):1\u20138. Available from: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10220277\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10220277\/<\/a><\/p><p>Cassivi C, Sergerie-Richard S, Saint-Pierre B, Goulet M. Crisis Plans in Mental health: a Scoping Review. International Journal of Mental Health Nursing [Internet]. 2023 Apr 26;32(5). Available from: <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/inm.13158\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/inm.13158<\/a><\/p><p>Berardelli I, Rogante E, Sarubbi S, Erbuto D, Lester D, Pompili M. The Importance of Suicide Risk Formulation in Schizophrenia. Frontiers in Psychiatry [Internet]. 2021 Dec 16;12(12). Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34975579\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/34975579\/<\/a><\/p><p>Posner K, Buchanan J, Amira L, Yershova K, Lesser A, Goldstein E. Identification and screening of suicide risk. A Concise Guide to Understanding Suicide [Internet]. 2014 Sep 18 [cited 2025 Jul 18];17\u201332. Available from: <a href=\"https:\/\/psycnet.apa.org\/record\/2014-19111-003\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/psycnet.apa.org\/record\/2014-19111-003<\/a><\/p><p>Nompo RS. Therapeutic Communication in Schizophrenic Patients: A Systematic Literature Review. Scientia Psychiatrica [Internet]. 2023 Jul 10;4(3):405\u20139. Available from: <a href=\"http:\/\/www.scientiapsychiatrica.com\/index.php\/SciPsy\/article\/view\/158\" rel=\"nofollow noopener\" target=\"_blank\">http:\/\/www.scientiapsychiatrica.com\/index.php\/SciPsy\/article\/view\/158<\/a><\/p><\/div><\/div><\/div>\n<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 8 Words that connect This chapter uses realworld examples to show how open, nonjudgmental, and prepared communication helps caregivers build crucial trust and support loved ones with schizophrenia and substance use disorders on their recovery journey. Download the chapter Fast Facts Open and supportive communication between caregivers and individuals with schizophrenia and substance use [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-sod.php","meta":{"_acf_changed":false,"rea_page_title_signed_in_meta_block_field":"","rea_page_title_signed_out_meta_block_field":"","rea_page_description_signed_in_meta_block_field":"","rea_page_description_signed_out_meta_block_field":"","rea_page_footer_id_meta_block_field":"","rea_page_footer_date_meta_block_field":"","footnotes":""},"class_list":["post-5177","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/5177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/comments?post=5177"}],"version-history":[{"count":0,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/5177\/revisions"}],"wp:attachment":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/media?parent=5177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}