Caring for someone who has mental health and drug and alcohol issues is complex. It can be hard to tell what came first, the mental illness or the drug and alcohol issues.
Quite often, people turn to drugs as a way of coping with their symptoms. While this can mask the effect of their symptoms, if they stop using the drug their issues may return.
For example, using a particular drug may help someone cope with their persistent low mood, but if they stop using the drug this symptom of depression will return. This can be an overwhelming feeling and act as a trigger, tempting people to start using again – creating a merry-go-round of substance abuse.
On the other hand, someone may have good mental health, but after using drugs they may experience mental health symptoms.
It is common for people caring for someone with a mental health condition, or drug and alcohol issues, to be unsure of what they can do to help. So how can we support people who are experiencing both mental health and drug or alcohol issues?
Here are some tips to help you support your loved one:
- Keep communication lines open
Encourage your loved one to talk about their experiences. Start by talking openly and in a non-judgmental way about your own experiences. Be careful not to start blaming your loved one as this can lead to defensiveness and a break down in communication. The Mental Illness Fellowship have some good tips on communication in their Effective Communication factsheet.
- Be patient
Depending on where your loved one is in their recovery, they may or may not be willing to use support services. If they’re not ready, this doesn’t mean that they won’t be in the future. As hard as it may be, this is a time when you need to be patient. Unfortunately there is not much you can do other than minimise the harm the drug poses to your loved one and others around them, including family or friends.
- Remember relapse is part of recovery
It’s important to remember that relapse (starting to use drugs again) is a normal part of recovery. In fact, most people do not permanently stop using the first time round. What is important is not that they have relapsed, but they are still trying. If your loved one relapses, and is feeling disheartened, remind them that they’re doing well. Instead of focusing on ‘failure’ encourage them to look at what triggered them to use again, so they can overcome the trigger next time. For instance, if your loved one used because they felt anxious, work together to develop ways to cope with this anxiety.
- Educate yourself
Knowledge is power. Understanding the effects of the substance, can help you understand its impact on your loved one. For example, using drugs can alter a person’s mood, perception and behaviour. A good place to start is the Drug info website, which offers comprehensive information on a range of drug related topics.
- Suggest an appropriate support service
If your loved one is open to the idea, suggest they contact a drug, alcohol and mental health support service. If possible, there are ‘dual diagnosis’ services that can assist in the management of substance abuse and mental health issues.
- Set clear boundaries
This is important. Boundaries keep everyone safe and set clear guidelines for communication and behaviour. You can set boundaries for what you feel is necessary in your situation. For example, you may have rules about lending money, or limiting a conversation if it is unproductive. For further tips on setting and keeping boundaries, have a look at the Coping Tips information on the Family Drug Support website.
- Look after yourself
This may be most important of all. Caring for a loved one who is struggling with mental illness and addiction can be a very challenging and stressful time. Caring for yourself is very important for your own wellbeing, as well as the relationship with your loved one. Looking after yourself is a very personal thing - what works for someone else may not necessarily work for you. It could include a range of things, such as getting a full night’s rest, or zoning out with some trashy TV. Basically whatever works for you and your lifestyle. Finally, you should establish a support network for yourself. There are organisations that offer support groups and counselling services which can be a great help to carers if the situation becomes too much.
If you would like to discuss your situation, or want more information on supporting someone with mental health and drug and alcohol issues, contact the SANE Help Centre on 1800 18 7263 from 9am–5pm AEST Monday to Friday, or via live Helpline Chat.