Changing the expectations of those with mental illness

 

 

It is important to ask the question, do we BELIEVE that the person we are working with can live a productive life?  At times it can be hard to do so.  The amount of trauma some individuals have faced in their lives, along with illnesses once thought to be disabling, add to the thoughts of some that maybe, just maybe, the best this person can do is stay out of the hospital.

 

The thought process connected to this must change in order to best serve the patient.  As a Peer Support Specialist, I go into it with the memories of the once overwhelming and nearly incapacitating effects of Bipolar Disorder I and PTSD.  I remember the long road and struggle to get well after diagnoses.  The bouncing back and forth from stable to symptomatic was frustrating until I found the right combination of medication. I also look at my life now and know that I can live a productive life.  If I can, why can’t other patients in this hospital?

 

A “productive” life can look differently to every individual.  Productive to some might mean volunteering; to others the word might mean staying sober.  Others may return to work and pursue a career like Kay Redfield Jamison, a well-known psychologist and author who writes about her own journey with Bipolar Disorder.  My victory was getting my degree and returning to employment.  I’m not cured by any means.  I still must work at it, as I tell the patients (peers) with whom I speak.  I go to my psychiatrist, my therapist, I watch my sleep patterns, and I try to manage my stress levels.

 

To some the goal may be to simply stay out of the hospital, but we must believe they can achieve beyond that.  Rebuilding their self-image and instilling hope may help make them realize that there IS life after diagnoses.  Others have done it successfully. A mental illness can become a small part of a person’s life.

 

Rebecca Coursey, KPS

Peer Support Specialist

 

Effective Listening and Peer Support

Effective Listening and Peer Support Services The Peer Support Specialist uses “Effective Listening” techniques when working with his or her peers (patients).  According to the Kentucky Peer Support training, the difference between listening and “effective” listening is that we know what we are listening for; there are cues that guide the questions we will ask.  We try to discern the person’s current self-image, what the person thinks would improve his or her life and what he or she thinks is standing in the way of those goals.  Self-image, goals, and barriers are simple things to listen for actively.

 
It can be hard to really listen.  We try to interrupt with advice, judgments, criticisms, or comparative stories of our own, or even feel the need to one-up the person.  Effective listening means there may be moments of silence.  That is okay.  The Peer Support person’s role is to guide the peer into listening to his or her own inner truth with open, honest questions.  These questions go by the old rules of journalism: who, what, where, when, how…but “why” is never involved.  “Why” can make people defensive.  Honest questions mean that one doesn’t already know the answer.  The patient may feel his or her intelligence insulted by such questions.

 
The next time you have a conversation with a friend, try using these techniques.  It can be difficult!  Try to do as a Peer Specialist and don’t fix, save, advise, judge, or set the person straight.  Just listen and ask honest, non-judgmental questions.  It is interesting how much people really appreciate it.

 

Rebecca Coursey, KPS
Peer Support Specialist

 

“Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.”

SAMHSA