Mail box replies

Subject: how do i help someone who doesn't want help?

The question was submitted Friday, 12 February 2010

i feel some people close to me are having mental problems (bi-polar and the other one some disorder i don't know yet) and i suggested they seek help but they would not admit they have depression or need therapy for their problem. the problem is, they are affecting my depression and they seek comfort from me even if they know i have depression. it makes me so guilty that i could not comfort them not because i don't want to but because i'm all drawn out of emotions. i can't get away from them either as they seek me constantly. i took one with me in my therapy and the psychologist suggested he, too, seek help. but he doesn't want to. help!

Answer from DepNet

The answer was published on DepNet Wednesday, 24 February 2010

Thank you for your question as it raises an important problem. Hopefully people will be well and stay well in which case no treatment ever needs to be started. Sometimes people get very ill with mental illness, and indeed so ill that they are not well enough to make judgements whether they need treatment or not. In that circumstance every government in Australia has legislation which allows for involuntary treatment.   This is the case for most countries worldwide.   There are very tightly controlled processes for this, and provisions for review to minimise the chance of any abuse.   Mostly it requires a layperson to make a request, support from a medical practitioner, and in many jurisdictions also requires legal review.

You have described an intermediate circumstance in which people do have mental problems, yet do not recognise they have an illness like depression, and are not prepared to seek help. It can be very distressing to see a friend, relative, or loved one in such a circumstance. Mostly, there are occasions where a person's condition will vary sufficiently that they will accept some sort of assessment.

It is worth trying to understand why people do not recognise their problems, or that help is available. Sometimes this is because they do not believe there is any help therefore there is no point recognising the problem because you can't do anything about it (from their point of view). Having troublesome feelings, feeling drawn out of all emotions, and feeling you are stuck with your distressed friend can be exhausting.  

I can understand that you might have tried to help by taking one such friend to your therapy, but that can always run the risk of interfering with your therapy without actually changing your friends attitudes or behaviours.

If they will not see anyone, will not see a doctor, nor counsellor, nor psychologist, nor anyone in their workplace or otherwise, then unless they get very ill in the meantime it is sometimes the case of simply being there to support and help them until hopefully they change their mind, or a crisis emerges when they clearly have to seek effective treatment.

There is one unfortunate consequence from this delay in that most illnesses are best treated promptly and effectively to get the best long-term outcome. In this circumstance, your friends are choosing to avoid and not engage in such treatment.

I hope that your friends either recover in the meantime, or are prepared to seek effective help. For them to talk with their own family medical practitioner is often the first step to getting further assistance.

Best wishes