{"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-1 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-2 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-3 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-4 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-5 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-6 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-7 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-8 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-9 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-10 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-11 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-12 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-13 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-14 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}]}}