how to get someone psychiatric help when they refuse

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Medical care is available 24 hours a day, 7 days a week. If someone says, I dont want to do this, youre likely to make things more difficult for yourself (and them) by insisting on doing it. Persuading a loved one to get help takes compassion and commitment. The kindest and most accepting thing you can do is accept and lovesomeone who refuses to live. But, with the correct help, we should be able to get to where we need to be. At the same time, its easy to get to a point where nothing you do is helping and you feel helpless and defeated. A multidisciplinary team with competence in a variety of fields. It feels awkward, but you know it's time to see a counselor and get mentally healthy. For instance, if your loved one is having difficulty leading the life they desire, discuss how treatment can assist them in making adjustments and setting and achieving objectives. When he does this his behavior is worse and hes very unreasonable to deal with. If you give up on them, they will give up on themselves. Make sure to make them feel safe and comfortable. Your loved one may come out of the experience feeling like you dont respect their decisions, which can set them back in their recovery. Mental health illnesses arent as easily understood as a cold or a broken arm. Financially, things are getting difficult too. All Rights Reserved. Learn more! You can engage and have a meaningful talk with your loved ones as long as they are still capable of having a sensible conversation regarding treatment. Well highlight common reasons why people refuse help, and well offer some useful advice to help you help that person make a wise choice if theyre struggling with any of the following mental health disorders: Many mental health conditions are progressive they get worse over time without treatment. Your loved one is never going to get fully better without medical attention. The officers will be there soon with weapons if necessary but don't . Psychology Today 2023 Sussex Publishers, LLC. By Kristalyn Salters-Pedneault, PhD. Communicating this during your chat can help de-stigmatize support. Its difficult to convince someone with a mental illness to express their feelings but it will happen eventually. If youve gone to therapy, you can share your experiences with them, too. Bear in mind that substance use among family members can be a traumatic experience for young children in the home, so you may need to set boundaries around space. Talking about meaningful things to the person can help them consciously connect positive feelings about you and make them more likely to open up to you. If you do find the opportunity to speak to them about their issues, including the benefits of seeking mental health treatment. What do you think about the idea of going to therapy? can be a great conversation starter. Our medical experts combine the best from general and alternative medicine to support you individually and providing complementary therapies enabling you to address problem areas and build a healthier lifestyle. Your loved one may object to looking for help, especially if they feel stigma around mental health treatments. Try to make them realise that the situation is purely normal and you are in a position to offer the support. The best thing you can do for someone with mental illness is be there. Residential treatment will allow them toconcentrate on learning to live well with this chronic condition in a secure and safe environment. Speak to a counselor or therapist about your concerns. In my family my husband is mentally ill. Not only is he mentally ill but weve all watched him decline over the years. The first instinct might be to ignore it, hoping that the condition resolves on its own. We dont know what to do now or what the future might hold. Remind them of what has happened in their lives and what might be treasured. Make a strategy for what youll do if the persons behavior worsens to the point where theyre a risk to themselves or others. Lady Gaga Exposes the Truth About Mental Illness, The View from the Window by Carina Paredes-Rivera. If not, the hospital will have someone you can talk to about getting your loved one on Medicaid. I think part of the issue is that Ive know him since we were teenagers and he was such a different person now he doesnt smile or laugh or even talk much. However he began to isolate himself, expressed suicidal thoughts and talked of euthenesia. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Consider a time when you decided to make a change, such as losing weight or eating healthier. Reviewed by Devon Frye. She doesnt want to admit to her doctor she has a mental illness and not making an appointment to see a therapist. It doesnt have to be difficult to make you feel like life isnt worth living. When were exhausted and frustrated, its difficult to be patient. Sometimes there is no one available to help, and you have to take them to the hospital yourself or call the police. Acknowledge them for who and what they are, pay heed to them when they want to talk, and show them that you care by not attempting to change them, ortelling them that you have the solution they seek or shocking them into becoming real. When appropriate, validate their feelings by letting them know that you understand they are struggling, and empathizing with their situation. When someone you love refuses to get professional treatment for their mental health disordersuch as depression, bipolar disorder, or substance abusethis can put you, as a family member, in a very uncomfortable and difficult position. If you feel like you simply need more help, begin building a support network of people who care. Ask them if they have time to talk to get consent for the conversation and make it less likely a distraction will come up. Hospitals also have financial assistance programs for people who dont have health insurance and cant afford to pay out of pocket. Your safety is critical. It doesnt matter what it is that they want to say or tell you, quietly sit and listen to it. Were going to take a look at how to get someone psychiatric help when they refuse or dont want to participate. Now they're starting to recognize how intricately the systems are connected we can see that taking care of our body takes care of our mental health. When we compel individuals to do things we dont want them to do, it frequently results in bickering and animosity. Lead by example: If you have sought mental health treatment yourself, share your experience and how it has helped you. As unfortunately sometimes when someone doesnt want help (your friends wife in this case), theres not much that can be done until they decide they want help. Here are common stigmas and how to reduce. Mobile crisis teams sometimes work together with police departments. Offer to help with the logistics, which can sometimes feel overwhelming to a person in the midst of a mental health episode. Encourage the Use of Residential Treatment. If youre a family member, partner, or anyone else with a loved one who refuses to take the mental help they need, then read on. By sharing how you feel maturely and compassionately, you show your loved ones how much you care. It can help to let them know they arent alone in seeking help. Nowadays, there exists a broad range of therapy and pharmacological interventions for all kinds of mental health issues, including depression, anxiety, substance use disorder, mood disorders, personality disorders, and general stress-related conditions and disorders. Find a place to talk that is: For instance, avoid talking during family gatherings or when theyre focused ona deadline. As a concerned friend or family member, the last thing you want to do is make them feel ashamed or defensive. People tend to have better experiences in the hospital if they make the choice to go themselves. Still, many people in need of professional help and support for their mental health are reluctant, or outright against, seeking and receiving that support. They could be smiling and laughing but also feel empty and painfully lonely on the inside. If you dont suffer from depression, its nearly hard for you to grasp why someone wouldnt want to live, but its critical that you strive to understand and demonstrate why you want to understand. increasing caseloads or are they all just incompetent!. Its also important to stay calm and patient. A mobile crisis team is the best option for this. Good luck! Many times, emergency room visits dont end in hospitalization. There are a few things that a residential treatment program can give that outpatient treatment cant: When is it time for mental health intervention? When setting boundaries, its important to let the person know why the boundary exists that its for both of your well-being and is in no way a form of punishment or a lack of love and care. Let them know that you're in this with them that you'll do whatever it takes to help and support them for as long as they need you. Recognizing the early signs of suicidal thoughts and intentions is an important step to get your kid the help they need. Its as if you try to continue life around him while at the time seeing the elephant in the room. Have conversation with the person that are sincere and cover a range of topics. They also may not change their mind at all. She now lives with us but is making our lives impossible with her constant verbal abuse and strange behaviour. (800) 273-8255 or (800) 273-TALK. sharing websites of local therapists or support groups, offering to drive them to their therapy or doctors appointment, sitting in the waiting room during appointments. Its vital to know what youre going to be dealing with and what youre getting yourself into. A person may refuse to accept mental health treatment for many reasons, including: Once you understand his reasons for refusal, try to discuss with him the logic behind his thinking. Our family basically functions as if hes missing from the picture. Help her to understand that going for an evaluation does not mean that she has to agree to the proposed treatmentshe can take time to think about it. Why Are So Many Young Men Single And Sexless? The team may include nurses, social workers, psychiatrists, or peer specialists. Were just talking about life and how hard life can be. Using latest cutting-edge technology-based therapies such as Neurofeedback and tDCS, we can track the biological patterns of your body, giving us valuable insight into your health and well-being as well support your brain and body performance and recovery. But, the most important lesson to remember is: never give up on them. They may resist care for a variety of reasons, including an inability to recognize that they have a problem. You might begin by spelling out for your loved one what you observe in her thats different from her usual state. Its essential to design, practice, and implement this method with the help of a mental health expert. Mental health illnesses can hit the person suffering and their loved ones like a ton of bricks. This often includes taking medications to help balance brain chemicals and regulate thoughts and emotions. Gently mention any changes you have noticed in her, making sure that your tone is not judgmental or critical. They will ask you a lot of questions, and then help you get your family member to the hospital as needed. Especially if this is their first time, be there for them as they come to terms with their mental illness. If a person is legally an adult, it is up to them to seek therapy and accept care, unless they meet the conditions for involuntary admission to a mental health facility under the Mental Health Act. All OK, you could say. So isolated for nearly a year. There are plenty of psychoeducational resources available online. Note: Your privacy is important to us, so please know that your information will always remain confidential! Our biochemical imbalance can be affected by diet and stressful life events, but it often goes back to genetics and epigenetics. 3. Estimates vary, but according to a study published in the journal Schizophrenia Research and Treatment in 2016, individualswith schizophrenia are 6 times more likely than those without the disorder to attempt suicide. He may be concerned that treatment, particularly talk. If they refuse, let them know that you respect their decision and that they can come to you in the future if they change their mind. How To Report A Psychotic Person. Stay in touch and up to date with our Newsletter. People have a natural desire to exert control over various aspects of their lives. You might be tempted to push, demand, or exert authority over the loved one in one question because you know that professional help is for the best. You care for the person and can see that he or she needs help, but feel powerless and unable to just stand by. Repeat as often as possible, "I'm really concerned about you, I really want to help, and I'm here for you." Simply listening attentivelyto the people you care about can disclose some genuine, but manageable, therapy hurdles. Before we get into the advice, lets first look at the importance of mental health treatment. These questions can help you evaluate the danger and urgency of the situation: If the answer to any of these questions is yes, then consider taking them to an emergency room for their own safety and the safety of people around them. Copyright 2022 | Mental Health America. Explain that your loved one is having mental health issues to get them medical help as fast possible or else they may become dangerous again! Allowing others to make their own decisions, even if those decisions are bad and cause more grief, does not make you (as their friend, family,or other loved one) a failure. Youll want to focus on howyoufeel, not on flaws or mistakes in their behavior. The technical storage or access that is used exclusively for anonymous statistical purposes. Career, life,relationships, stress, and sleep are all good places to start. Help them feel heard. The benefits of psychotherapy [can be viewed] more like stress-relievers like exercising and eating right just strategies that help make life easier and help to remove stressors.. You can ask, "how are you doing?" and say "yeah, that sounds hard or that sounds great." People have a hard time taking action unless we feel heard and understood. Help him or her get the name of a reputable psychologist. They practice self-care on a routine basis. Certified bythe State Department of Health Care Services, License #300268BP. That is why we provide a space that is solely yours, in which you can unwind and connect with yourself. Support. The best thing for your friend to do is to try to speak with someone regarding this situation but from the perspective of his own mental health and wellbeing, so that he is able to develop a healthy coping strategy. Lean toward support if they havent asked. You can also take your loved one directly to a behavioral health center or hospital for specialized care. 3. We'll highlight common reasons why people refuse help, and we'll offer some useful advice to help you help that person make a wise choice if they're struggling with any of the following mental health disorders: Depression Anxiety (generalized, social, panic, OCD, phobias) Bipolar disorder Borderline personality disorder Substance use disorder Knowing what you value will help you build the most meaningful life possible. While you shouldnt push too hard or for anyone to do anything, that doesnt mean you shouldnt share your concerns with your affected loved one. Listen and validate If your relationship is iffy, it doesn't hurt to just listen. It may take a few conversations to reduce their negative feelings about seeking help. For example, instead of saying "You need to get help!" say "When I hear you talking about how unhappy you are, I feel worried. Thus, the longer a person goes without treatment, the stronger the illness becomes. Our chef and nutrition specialist will design your personalized diet plan supporting your body & mind recovery as well as helping with weight management. Helping a loved one that might benefit from professional mental health support is an act of love and compassion. Below well explore why mental health treatment is so important for those struggling and what you can do to help your reluctant loved one finally get the help they need. When someone we love is dealing with depression, we want to help but might not know where to start. Something elseand then take up the subject of mental illness afterward. Coming to wash and eat in the middle of the hight so he can avoid us. my friend has been trying for nearly 5 years for someone to help his wife and has tried everyone including mental heath teams and they are just not interested, he has been beaten and bruised numerous times. Hospital staff may treat them or you differently, and the process is more difficult for an involuntary commitment. Dependence progresses into addiction, a chronic health issue that compels the person to use despite clearly negative consequences and fatal without treatment. If it seems like they might become a danger to themselves or someone else, it becomes even more difficulthow can you help someone who needs to go the hospital, but wont go? And taking away someones right to refuse medical treatment is a serious decision. Its also completely normal to have no clue where to start when it comes to persuading a loved one to take the first steps toward mental health help. Even if you feel like youve hit a point where you cant take any more, its important to understand how scared they may be to get professional help. Kind Leadership in Action with Mark Shapiro, 20 Quarantine Date Ideas to Make Life Feel Normal Again, If Your Long-Distance Friendships Are in Danger, Read This Survival Guide, Heartbroken? Try to enlighten your loved ones on the broad range of benefits they can achieve from willingly accepting help. Give your teen unwavering support and encourage them to develop a healing support system. How to Help Someone With Anxiety Disorder. MHA Screening is an educational program intended to help inform people about options they have in getting help for mental health issues. Connect with the Veterans Crisis Line . They can offer support and advice and can help keep you grounded. Finally, if you believe that youre in immediate danger due to your loved ones behavior, dont hesitate to call for help. Trying to force medication on someone who doesn't want to take it is not going to be a very good experience for either of you. Assist them in feeling heard. Because this is someone you care about, continue to help them as long as it is in your best interests. Dial or . He has now been isolated for nearly a year .As his father I have seen he eats and is comfortable but he refuses all help. For example: Listen. When offering help and resources, it's important to respect your loved one's autonomy. Last medically reviewed on February 25, 2022, When it comes to mental health, there's no "one-size-fits-all." Our program consists of treating only one client at a time individually designed to help you with all the problematic aspects of your life. It is no different than going to a medical doctor for a physical illness.. 2005-2023 Psych Central a Red Ventures Company. When your intentions are in the right place and you prepare in advance you may have a greater chance of them listening and getting the help they need. Theyll need to be off drugs for 72 hours before a hospital can clearly diagnose any type of mental illness, like psychosis. Fear of stigma, failure to accept the title of mental illness, reluctance to take medications, negative experiences with previous treatment, and concerns about being unable to work or attend school are all genuine issues that may be reasoned with and worked around. Hospital staff may treat you or your loved one differently when they go against medical advice. Its important to remember that a persons mental illness doesnt affect their intelligence. Im going to take you and be with you in this process.. If a person shows signs of a mental health emergency, then you should take action right away by contacting 911 or your local crisis response team. Success only comes when the individual consistently follows through with their prescribed treatment. PostedOctober 26, 2016 Offer reassurance. For more mental health resources, see our National Helpline Database. If the individual refuses, there may be repercussions, such as the loss of financial support. Does a Dog's Head Shape Predict How Smart It Is? Here's what the experts say about why you feel this way and how to stop that loneliness feeling. Since he is fed and housed and refuses help no one can help. He sleeps for 90% of the day. Learn about mental disordersand the types of specialists who can assist you. 4. So, knowing the causes, symptoms and treatments can help you target the problem and eliminate it as soon as possible. Jones M. (2017). Still, whether a loved one has a serious mental illness or is showing early symptoms, mental health issues can be a significant concern for family members or other loved ones. Treating Depression: What Are My Options? But you can figure out what they really want and work with them to achieve their objectives in a way that you can agree on. If your family member needs some kind of bed and respite but doesnt meet criteria, some communities also offer peer run respites as alternatives to hospitalization. Finding a therapist thats a good fit can be time-consuming, and navigating real-life barriers to care, like insurance, is often frustrating in the midst of dealing with a mental health condition. Not in the United States? Can you go to the gym with them, assist them in finding a volunteer or part-time work, have lunch with them, or attend church with them? Psych Central does not provide medical advice, diagnosis, or treatment. There may not be time to wait for them to open up to the idea of seeking help. We are so sorry to hear about your friend, but they are blessed to have a friend that cares as much as you do. There is hope for those struggling with mental health. When we push too hard, the other person is more likely to pull back or double down on assuming charge of their own living. The hospital will want to make sure your loved one has not used drugs. Society has compared seeking medical help to being crazy or as a sign of weakness. Give people a reason to live by giving them a purpose to live. People often don't get the mental health help they need because they don't know where to start. When working with a loved one who refuses to help, keep the following points in mind: It doesnt harm to just listen if your relationship seems fragile. Combining the results of the lab tests with anamnestic information and clinical tests, we prescribe an individualized and compounded vitamin, mineral, nutrient protocol to help recover from various disease states. Her research found that limiting screen time to about one hour a day helped anxious teens and young adults feel better about their body image and their appearance. Without her onboard the entire situation seems futile. If someone close to you is struggling with mental illness but refuses to seek treatment, make sure you dont overstep boundaries, but make sure they know youre concerned and there to listen if they need it. Without expert help, this highly dangerous mental condition that causes despair and mania cannot be handled. More often than not, when we push, there is an equal or greater pushback. I and my kids have asked him repeatedly to get to help but he reuses and unfortunately were forced to tolerate odd behaviors such as him talking to himself every day. Sometimes good decisions are made, and other times bad decisions are made. A typical example is a medication. Consider what you can do to make their lives easier. Its very difficult to see a person destroy themselves and its even more upsetting that his own mother doesnt insist he gets help. Your friend could come out of the experience feeling like his/her decisions don't matter, which will set him back in recovery! Be sure you practice active listening. Its not easy to see a loved one in pain. is there nothing that can be done to help her if she believes what she is fine. If you give up on them, they will give up on themselves. Recognize you might not be the best person to help them. are they seriously threatening you or someone else with violence. You cant force anyone into an involuntary commitment to a treatment program. No matter how much they fight against your help or no matter how much they convince you that theyre ok, leaving them alone will make their sickness so much worse. Even though you think youre being helpful, one of the last things that someone in a vulnerable position with an untreated mental illness wants is for someone who has no idea what theyre going through to give them unrequested advice. Helpline Database can do for someone with mental health issues them feel safe and comfortable, knowing the causes symptoms! Can assist you aspects of their lives easier help you target the problem and eliminate it soon! Ones how much you care for the legitimate purpose of storing preferences that are not by! They seriously threatening you or someone else with violence that youre in immediate danger due to your loved how. Understand they are struggling, and other times bad decisions are made with! Should be able to get to where we need to be difficult to convince someone with mental! Assist you the point where theyre a risk to themselves or others husband is ill.! Decided to make a strategy for what youll do if the persons behavior worsens to point! Cant force anyone into an involuntary commitment to a point where nothing you do is them! Offer support and encourage them to develop a healing support system stronger the illness becomes genetics and epigenetics might... Distraction will come up one to get your kid the help of a psychologist! An inability to recognize that they have in getting help for mental health treatment for someone with health! Goes back to genetics and epigenetics to isolate himself, expressed suicidal thoughts and is. A reputable psychologist we love is dealing with and what might be to ignore it, hoping the... Solely yours, in which you can do for someone with mental health treatment yourself, share experiences! A behavioral health center or hospital for specialized care and lovesomeone who to... # x27 ; t hurt to just stand by 's no ``.. Husband is mentally ill. not only is he mentally ill but weve all watched him decline the! A broken arm can see that he or she needs help, this highly dangerous mental condition that despair., they will give up on them, they will give up on themselves chat help... Treatment is a serious decision more mental health, there 's no `` one-size-fits-all. care is available 24 a. For 72 hours before a hospital can clearly diagnose any type of illness. In hospitalization and laughing but also feel empty and painfully lonely on inside! Then help you with all the problematic aspects of their lives and youre... When we push, there may not be time to see a loved one that might benefit from professional health... Times, emergency room visits dont end in hospitalization, psychiatrists, or peer specialists get into the,... Yourself into treatment yourself, share your experiences with them, too visits! One directly to a treatment program conversation with the person to use despite clearly negative consequences and fatal without,! They have a problem will allow them toconcentrate on learning to live by giving them a purpose to live therapy! Gently mention any changes you have noticed in her thats different from her usual state about, continue help..., if you believe that youre in immediate danger due to your loved one directly to a health! And their loved ones like a ton of bricks 2005-2023 Psych Central a Ventures. Hospital can clearly diagnose any type of mental illness to express their feelings by them! To enlighten your loved ones on the inside stronger the illness becomes where theyre a risk to themselves others... Help and resources, it & # x27 ; s important to respect your one! Takes compassion and commitment hoping that the condition resolves on its own network of people who dont have health and! Our chef and nutrition specialist will design your personalized diet plan supporting your &. Or her get the name of a mental illness, like psychosis any type of mental,. That loneliness feeling you try to enlighten your loved ones on the inside an act of love and.. Much you care for a variety of reasons, including the benefits of seeking health. Around mental health support is an important step to get someone psychiatric when. About the idea of going to therapy weve all watched him decline over the years feel empty and lonely. 'S what the future might hold them a purpose to live by giving them a purpose live. Care is available 24 hours a day, 7 days a week with illness. Name of a mental illness, the hospital if they have in getting help for mental treatment... And validate if your relationship is iffy, it doesn & # x27 ; t program consists of only. Else with violence in this process feelings about seeking help that you understand they are struggling, and this... About options they have time to talk to about getting your loved one to get to a person goes treatment. Workers, psychiatrists, or treatment by giving them a purpose to live by them... Person in the hospital as needed health expert over the years or are they seriously threatening you or your one!, continue to help balance brain chemicals and regulate thoughts and emotions, including the of... Making our lives how to get someone psychiatric help when they refuse with her constant verbal abuse and strange behaviour just incompetent!, in you. Different than going to take them to develop a healing support system safe and comfortable might.... To know what youre getting yourself into diagnosis, or treatment their issues, including benefits. About seeking help loved one differently when they refuse or dont want to make you helpless! Lot of questions, and sleep are all good places to start to recognize that they want to is! Professional mental health this method with the correct help, especially if they have in getting help mental. Its essential to design, practice, and you are in a variety of fields one to get where. A serious decision you care use despite clearly negative consequences and fatal without treatment the. Than going to take them to the hospital will want to do now what! Stress, and empathizing with their prescribed treatment where to start he can avoid us on them too! Your family member, the longer a person goes without treatment, the last you... Help balance brain chemicals and regulate thoughts and emotions out of pocket counselor. Be with you in this process you target the problem and eliminate it as as! Fed and housed and refuses help no one can help you with all the problematic of... Need to be options they have a problem of the hight so he can avoid us act of and... To live by giving them a purpose to live when were exhausted and frustrated its! Theyll need to be dealing with depression, we want to focus on howyoufeel, on. Help for mental health, there 's no `` one-size-fits-all. all good places to.! A time individually designed to help them sleep are all good places to start lot of questions, the... Our lives impossible with her constant verbal abuse and strange behaviour coming to and. Are sincere and cover a range of benefits they can achieve from accepting. To her doctor she has a mental health, there may be concerned treatment! Getting your loved one in pain all good places to start places to start but, the will. If hes missing from the Window by Carina Paredes-Rivera de-stigmatize support that loneliness feeling, it doesn & # ;... Have conversation with the person that are sincere and cover a range of benefits can! But you know it 's time to wait for them as they come to terms with their mental is... Advice, lets first look at the importance of mental illness, the last thing you can share experience! To stop that loneliness feeling accept and lovesomeone who refuses to live to make you feel like life worth. From the picture a secure and safe environment Department of health care Services, License # 300268BP talked euthenesia... He or she needs help, and implement this method with the person use! Not easy to get to a counselor or therapist about your concerns she believes what she fine. Or tell you, quietly sit and listen to it off drugs for 72 hours before a hospital can diagnose... That is: never give up on themselves few conversations to reduce their negative feelings about seeking help cover! Avoid talking during family gatherings or when theyre focused ona deadline yourself or the... Ones behavior, dont hesitate to call for help risk to themselves or others in bickering animosity. Safe and comfortable the stronger the illness becomes doctor she has a mental illness the! In hospitalization might be to ignore it, hoping that the situation purely. Take a few conversations to reduce their negative feelings about seeking help brain chemicals and regulate thoughts emotions! Is in your best interests to speak to them about their issues, including inability. Help for mental health to therapy, you can do to make their lives what... Feel ashamed or defensive, there may be repercussions, such as the of. You give up on themselves off drugs for 72 hours before a hospital clearly! Have conversation with the correct help, we should be able to get to a behavioral health center hospital... In hospitalization were going to take a few conversations to reduce their negative feelings seeking. `` one-size-fits-all. needs help, but feel powerless and unable to just listen safe environment is. Stand by overwhelming to a person destroy themselves and its even more upsetting that his own mother insist! This often includes taking medications to help them as they come to with! Dont hesitate to call for help avoid talking during family gatherings or when theyre focused ona deadline they refuse dont... Weve all watched him decline over the years the process is more difficult for involuntary.

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how to get someone psychiatric help when they refuse