Malvok,
While I don’t disagree with the content of your message and I know everyone here wants to be helpful.
I think that it would be great if everyone here could try to be helpful way to phrase their help and to not be judgemental or “rough” on people here who are (we think) having delusions. We all know from our own experiences that telling someone that their thoughts are irrational or inaccurate isn’t going to talk them into having new and healthier thoughts. This is one thing all the psychiatrists, psychologists and researchers I talk to say is “don’t try to talk the people out of their unusual beliefs - it just breeds resentment and distance between you and the other person”.
I think everyone here can relate to people who have had delusions - everyone has thoughts that are inaccurate and distorted sometimes.
Here are some tips that the research suggests might be the best way to handle people in these situations:
You should be understand that people developing a psychotic disorder will often not reach out for help. If the first aider is concerned about someone, they should approach the person in a caring and nonjudgmental manner to discuss their concerns.
As far as possible, you should let the person set the pace and style of the interaction.
You should recognize that the person may be frightened by their thoughts and feelings.
You should ask the person about what will help them to feel safe and in control.
You should reassure the person that she/he is there to help the person and wants to keep them safe.
You should let the person know that she/he is there to support them.
You should allow the person to stay in control by offering choices of how she/he can help them where possible.
You should convey a message of hope to the person by assuring them that help is available and things can get better.
How the first aider can be supportive
You should always treat the person with respect.
You should try to empathize with how the person feels about their beliefs and experiences, without stating any judgments about the content of those beliefs and experiences.
You should understand that the person may be behaving and talking differently due to psychotic symptoms.
You should recognize that the person who may be experiencing psychosis may find it difficult to tell what is real from what is not real.
You should avoid confronting the person and should not criticize or blame them.
You should understand the symptoms for what they are and should try not to take them personally.
You should not use sarcasm when interacting with a person who may be experiencing psychosis.
You should avoid using patronizing statements when interacting with a person who may be experiencing psychosis.
How the first aider should deal with delusions (false beliefs) and hallucinations (perceiving things that are not real)
You should recognize that the delusions and/or hallucinations are very real to the person.
You should not dismiss, minimize, or argue with the person about their delusions and/or hallucinations.
You should not act alarmed, horrified, or embarrassed by the person’s hallucinations or delusions.
You should not laugh at the person’s symptoms of psychosis.
If the person exhibits paranoid behavior, the first aider should not encourage or inflame the person’s paranoia.
Whether the first aider should encourage the person to seek professional help
You should ask the person if they have felt this way before, and if so, what they have done in the past that has been helpful.
You should try to find out what type of assistance the person believes will help them.
You should try to determine whether the person has a supportive social network and if they do, the first aider should encourage them to utilize these supports.
If the person decides to seek professional help, you should make sure that the person is supported both emotionally and practically in accessing services.
If either the person experiencing psychosis or the first aider lacks confidence in the medical advice they have received, they should seek a second opinion from another medical or mental health professional.
From here:
http://www.schizophrenia.com/sznews/archives/005561.html