Early Identification: Family Members with Mental Health Problems

A family member’s mental health disorder creates stress for the entire family. Today, it is not uncommon to see Schizophrenia, depression, anxiety and many other mental health problems afflict people's psychological health. Identifying disorders can prove complex, especially when an individual is experiencing a developmental shift. For example, parents may mistake their child’s behavioral change for puberty rather than realizing she has a mental disorder. Elder members of the family may seem to change their behavior due to aging.

Following are simple descriptions to help identify early signs of mental conditions. Because these guildelines are only preliminary, do seek help from mental health professionals to confirm the diagnosis.

Significant attitude changes toward people

Mental health problems usually negatively affect social functioning. People caught in the early stages of a mental disorder might face uncertainty, fear, and frustration. For example, Schizophrenics or psychotics are likely to experience hallucinations, often hearing voices or seeing images not heard or seen by others. Such hallucinations trigger suspicion of other people and the fear of being harmed, leading them to isolate themselves. They may lock themselves in their rooms or show unusual hostility because of this fear of harm, to the great frustration of their family members. Their seclusion is not restricted to family. Pulling back from friends, coworkers, teachers and others is further proof of social isolation. Pay close attention to whether your loved one suddenly becomes remote or even fearful of others.

Increase in bizarre behaviors and reports of hallucinations

Bizarre behaviors are also indicators of mental health problems. Most prominent clues manifest in speech and appearance. Notice whether your family member suddenly seems to be speaking strangely, perhaps using a made-up language, which is an indication of Schizophrenia. Observe whether he becomes disoriented, losing track of time or place. Does he report hearing voices or seeing things that do not exist? These are signs of hallucinations. Make further investigations.

Look for a drastic change in personal hygiene. Has she become seriously unkempt or kept her room filthy when she never did before? Remember, long-term messy habits are not revealing. Abrupt changes are the key indicators.

What can I do...

Numerous resources for mental health assessment, diagnosis and treatment exist in the community. Mental health professionals such as psychiatrists, psychologists, social workers and family marital therapists are all able to identify potential mental health problems. If you observe any of the symptoms discussed above, do not panic. Remaining calm and supportive of your family member is essential and likely to improve his condition. Encourage him to receive an assessment from a psychiatrist and escort him to the appointment. With medication and continued care, many mental disorder sufferers are able to resume most of their functioning, so receiving early care is invaluable.

Author Andy Ying is currently a third year doctoral student at Azusa Pacific University, major in clinical psychology.  He received his B.A in Social work in Hong Kong, China. He also received his first M.A. in Hong Kong major in Family Counseling and Family Education. Later in the U.S., he received his second M.A. in Clinical Psychology in Azusa Pacific University. He is working on his doctoral dissertation about Asian American families who has members with Schizophrenia.