{"id":6385,"date":"2025-09-08T11:53:33","date_gmt":"2025-09-08T10:53:33","guid":{"rendered":"https:\/\/schizophrenia.life\/public\/?page_id=6385"},"modified":"2025-09-08T11:53:33","modified_gmt":"2025-09-08T10:53:33","slug":"sod-chapter-9","status":"publish","type":"page","link":"https:\/\/schizophrenia.life\/public\/sod-chapter-9\/","title":{"rendered":"Chapter 9"},"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_Chpt9-1.jpg\" alt=\"\" class=\"wp-image-6387\" srcset=\"https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt9-1.jpg 300w, https:\/\/schizophrenia.life\/public\/wp-content\/uploads\/2025\/09\/Hero_Chpt9-1-150x150.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-66ef9a972defe4f913579f20606319fb wp-block-paragraph\" style=\"color:#bec531;font-size:46px\"><strong><strong>Chapter 9<\/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-f83c0e29fbbb896f470cd8fe5e2878b2 wp-block-paragraph\" style=\"color:#bec531\"><strong>Support for Supporters<\/strong><\/p>\n\n\n\n<p class=\"has-text-color has-link-color wp-elements-620045b0e6c1ff95fe1858690309364b wp-block-paragraph\" style=\"color:#58595b;font-size:16px\">The chapter offers practical strategies for self-care and preventing and managing burnout, helping caregivers to maintain their wellbeing and ability to provide effective care to their loved ones.<\/p>\n\n\n\n<p class=\"has-text-align-center button__primary button-text sod-subchapter-button-bec531 wp-block-paragraph\"><a href=\"\/public\/wp-content\/uploads\/2025\/09\/09_Candid-Book-2_Chapter-9.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-0028ce84b862c7bae5d441f6aab2b03e wp-block-paragraph\" style=\"color:#bec531;font-size:26px\"><strong>Fast Facts<\/strong><\/p>\n\n\n\n<p class=\"sod-border-left-bec531 mb-5 has-text-color has-link-color wp-elements-bde193774dcd6b02dd83e414905b1490 wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#bec531\" class=\"has-inline-color\">Caring can be demanding.<\/mark><\/strong> Supporting a loved one with both schizophrenia and substance use disorder involves managing unpredictable behaviors, relapses, and crises, often leading to chronic stress, guilt, and emotional exhaustion of caregivers.<\/p>\n\n\n\n<p class=\"sod-border-left-bec531 mb-5 has-text-color has-link-color wp-elements-93e9cb349f656487a4789f693d53b141 wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#bec531\" class=\"has-inline-color\">Balancing caregiving responsibilities.<\/mark><\/strong> Caregivers should adopt strategies that support both their loved one&#8217;s treatment needs and their own health and well-being.<\/p>\n\n\n\n<p class=\"sod-border-left-bec531 mb-5 has-text-color has-link-color wp-elements-cce1db8d282e3ea45ccc288a63812e31 wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#bec531\" class=\"has-inline-color\">Avoiding burnout.<\/mark><\/strong> Recognizing early signs of burnout allows caregivers to take action before burnout leads to more serious mental or physical health complications.<\/p>\n\n\n\n<p class=\"sod-border-left-bec531 mb-5 has-text-color has-link-color wp-elements-75de032a96bc43230f856e94bdc181d2 wp-block-paragraph\" style=\"color:#58595b\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0);color:#bec531\" class=\"has-inline-color\">Self-care is not a luxury &#8211; it\u2019s a necessity.<\/mark><\/strong> Prioritizing personal wellbeing, setting realistic boundaries, seeking social support, and practicing mindfulness can help caregivers manage burnout and sustain their ability to provide compassionate care.<\/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-bec531 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-9-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\/9.1.jpg\" alt=\"\" class=\"wp-image-6389\"\/><\/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\">Managing the emotional and physical burdens<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-bec531 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-9-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\/9.2.jpg\" alt=\"\" class=\"wp-image-6390\"\/><\/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\">Overcoming behavioral and communication challenges<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-bec531 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-9-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\/9.3.jpg\" alt=\"\" class=\"wp-image-6391\"\/><\/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\">Overcoming social isolation and double stigma<\/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-bec531 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-9-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\/9.4.jpg\" alt=\"\" class=\"wp-image-6392\"\/><\/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\">Seeking integrated treatment options<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-bec531 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-9-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\/9.5-1.png\" alt=\"\" class=\"wp-image-6397\"\/><\/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\">Balancing caregiving and personal well-being<\/p>\n\n\n\n<\/a>\n<\/div>\n\n\n\n<div class=\"wp-block-column sod-column sod-column-bec531 is-layout-flow wp-block-column-is-layout-flow\">\n<a href=\"\/public\/sod-chapter-9-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\/9.6.png\" alt=\"\" class=\"wp-image-6396\"\/><\/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\">How to avoid and manage caregiver burnout<\/p>\n\n\n\n<\/a>\n<\/div>\n<\/div>\n\n\n\n<div class=\"custom-css-block\"><style>#aab_accordion_972a973c_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_972a973c_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>Vadher S, Desai R, Panchal B, Vala A, Ratnani IJ, Rupani MP, et al. Burden of care in caregivers of patients with alcohol use disorder and schizophrenia and its association with anxiety, depression and quality of life. General Psychiatry [Internet]. 2020 Jun;33(4):e100215. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32656497\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32656497\/<\/a><\/p><p>Neyra A, Parro-Torres C, Ros-Cucurull E, Carrera I, Echarri E, Torrens M. Management of schizophrenia and comorbid substance use disorders: expert review and guidance. Annals of General Psychiatry [Internet]. 2024 Oct 30;23(1). Available from: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11526640\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11526640\/<\/a><\/p><p>Du M, Wang X, Yin S, Shu W, Hao R, Zhao S, et al. De-escalation techniques for psychosis-induced aggression or agitation. Cochrane Database of Systematic Reviews [Internet]. 2017 Apr 3;4(4). Available from: <a href=\"http:\/\/www.cochrane.org\/CD009922\/SCHIZ_deescalation-techniques-psychosisinduced-aggression-or-agitation\" rel=\"nofollow noopener\" target=\"_blank\">http:\/\/www.cochrane.org\/CD009922\/SCHIZ_deescalation-techniques-psychosisinduced-aggression-or-agitation<\/a><\/p><p>Yule A, Kelly J. Integrating Treatment for Co-Occurring Mental Health Conditions. Alcohol Research: Current Reviews [Internet]. 2019;40(1). Available from: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6799972\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6799972\/<\/a><\/p><p>Chien WT, Clifton AV, Zhao S, Lui S. Peer support for people with schizophrenia or other serious mental illness. Cochrane Database of Systematic Reviews [Internet]. 2019 Apr 4;4(4). Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30946482\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/30946482\/<\/a><\/p><p>Sampogna G, Brohan E, Luciano M, Chowdhary N, Fiorillo A. Psychosocial interventions for carers of people with severe mental and substance use disorders: A systematic review and metaanalysis. European Psychiatry [Internet]. 2023 Nov 24;66(1):1\u201375. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37997647\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37997647\/<\/a><\/p><p>Hobern B, Carrotte ER, Rehm IC, Blanchard M, Groot C. Stigma Towards People Living with Co-occurring Schizophrenia Spectrum and Substance Use Disorders: A Scoping Review. International journal of mental health and addiction [Internet]. 2024 Jun 27; Available from: <a href=\"https:\/\/psycnet.apa.org\/record\/2025-00783-001\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/psycnet.apa.org\/record\/2025-00783-001<\/a><\/p><p>Joo JH, Bone L, Forte J, Kirley E, Lynch T, Aboumatar H. The Benefits and Challenges of Established Peer Support Programmes for patients, Informal caregivers, and Healthcare Providers. Family Practice [Internet]. 2022 Feb 1;39(5):903\u201312. Available from: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9508871\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9508871\/<\/a><\/p><p>Stuart H. Reducing the stigma of mental illness. Global Mental Health [Internet]. 2016 May 10;3(17). Available from: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5314742\/#ref8\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5314742\/#ref8<\/a><\/p><p>Gaudreault K, Tremblay J, Bertrand K. The needs of carers who support people living with schizophrenia and a substance use disorder: a multiperspective evaluation. Advances in dual diagnosis [Internet]. 2024 Jan 2;17(1). Available from: <a href=\"https:\/\/www.emerald.com\/add\/article-abstract\/17\/1\/14\/1219100\/Theneeds-of-carers-who-support-peopleliving- with?redirectedFrom=PDF\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/www.emerald.com\/add\/article-abstract\/17\/1\/14\/1219100\/Theneeds-of-carers-who-support-peopleliving- with?redirectedFrom=PDF<\/a><\/p><p>Siddiqui S, Mehta D, Coles A, Selby P, Solmi M, Castle D. Psychosocial Interventions for Individuals With Comorbid Psychosis and Substance Use Disorders: Systematic Review and Meta-analysis of Randomized Studies. Schizophrenia Bulletin [Internet]. 2024 Jun 28; Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38938221\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/38938221\/<\/a><\/p><p>Tessier A, Roger K, Gregoire A, Desnavailles P, Misdrahi D. Family psychoeducation to improve outcome in caregivers and patients with schizophrenia: a randomized clinical trial. Frontiers in Psychiatry [Internet]. 2023 Jun 23;14. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37426102\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/37426102\/<\/a><\/p><p>Kokurcan, A, Yilmaz \u00d6zpolat AG, G\u00f6\u011f\u00fc\u015f AK. Burnout in caregivers of patients with schizophrenia. TURKISH JOURNAL OF MEDICAL SCIENCES [Internet]. 2015 [cited 2020 Nov 26];45(3):678\u201385. Available from: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26281339\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pubmed.ncbi.nlm.nih.gov\/26281339\/<\/a><\/p><p>Olindah Silaule, Daleen Casteleijn, Adams F, Nokuthula Nkosi. Strategies to alleviate the burden experienced by informal caregivers of persons with severe mental disorders in developing countries: a scoping review (Preprint). Interactive journal of medical research [Internet]. 2023 Apr 29;13. Available from: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10835589\/\" rel=\"nofollow noopener\" target=\"_blank\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10835589\/<\/a><\/p><\/div><\/div><\/div>\n<\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Chapter 9 Support for Supporters The chapter offers practical strategies for self-care and preventing and managing burnout, helping caregivers to maintain their wellbeing and ability to provide effective care to their loved ones. Download the chapter Fast Facts Caring can be demanding. Supporting a loved one with both schizophrenia and substance use disorder involves managing [&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-6385","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/6385","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=6385"}],"version-history":[{"count":0,"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/pages\/6385\/revisions"}],"wp:attachment":[{"href":"https:\/\/schizophrenia.life\/public\/wp-json\/wp\/v2\/media?parent=6385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}