Personal growth as a result of anti-relapse behavior: 30 years of experience in coping with mental disorder
N. Bokhan1, E. Gutkevich2, V. Lebedeva3, G. Selivanov4, S. Vladimirova5
1Mental Health Research Institute of Tomsk NRMC, Administration, Tomsk, Russian Federation, 2Mental Health Research Institute of Tomsk NRMC, Endogenous Disorders Department, Tomsk, Russian Federation, 3Mental Health Research Institute of Tomsk NRMC, Clinics, Tomsk, Russian Federation, 4Mental Health Research Institute of Tomsk NRMC, Addictive States Department, Tomsk, Russian Federation, 5Mental Health Research Institute of Tomsk NRMC, Research Coordination Department, Tomsk, Russian Federation
Background: Anti-relapse behaviour in schizophrenia is a practical skill for managing one's condition to maintain stability and quality of life. Developing this skill is not just part of treatment, but the foundation for personal growth for those facing this illness.
Aims & Objectives: The objective of this presentation is to determine the necessity of an elaborated clinical-psychological model of anti-relapse behaviour in schizophrenia.
Method: The research methods included the analysis of retrospective experience of a patient and literature.
Results: Firstly, at the individual level, such behaviour is based on self-awareness and regular actions. This involves the ability to notice early signs of deterioration (for example, sleep disturbances or anxiety), strict adherence to therapy, and the development of a gentle daily routine. Statistics confirm that regular medication intake and patient psychoeducation reduce the risk of rehospitalization by 50-60%. Thus, the person ceases to be a passive recipient of treatment and becomes an active participant, which strengthens the sense of control and responsibility for one's life.
Secondly, the role of the immediate environment—the microsociety—is critically important. When family and friends understand the specifics of the illness, they can provide timely support rather than inadvertently trigger stress. According to the World Health Organization, family psychoeducation reduces relapse rates by 20-30%. Support from loved ones creates a safe environment in which difficulties can be openly discussed. The return of an adult son to the family after a long separation, for example, can become a resource rather than a stressor if it is based on mutual understanding and new, mature relationships.
Finally, systemic measures are needed at the societal level— the macro-society . Access to supported employment, flexible work schedules, and social adaptation programs directly impact prognosis. Research shows that employment in suitable conditions increases treatment adherence and reduces the risk of exacerbations. When a person can realize their potential in a profession, for example, by using their skills as a linguist or teacher in research, this elevates them from the category of "patient" to the status of a full-fledged member of society.
Secondly, the role of the immediate environment—the microsociety—is critically important. When family and friends understand the specifics of the illness, they can provide timely support rather than inadvertently trigger stress. According to the World Health Organization, family psychoeducation reduces relapse rates by 20-30%. Support from loved ones creates a safe environment in which difficulties can be openly discussed. The return of an adult son to the family after a long separation, for example, can become a resource rather than a stressor if it is based on mutual understanding and new, mature relationships.
Finally, systemic measures are needed at the societal level— the macro-society . Access to supported employment, flexible work schedules, and social adaptation programs directly impact prognosis. Research shows that employment in suitable conditions increases treatment adherence and reduces the risk of exacerbations. When a person can realize their potential in a profession, for example, by using their skills as a linguist or teacher in research, this elevates them from the category of "patient" to the status of a full-fledged member of society.
Discussion & Conclusions: Thus, relapse prevention behaviour is a complex skill developed on three levels. It allows not only for crisis prevention but also for building a future that allows for professional growth, stable relationships, and personal development. It is a practical path to sustainable remission, achievable through the combined efforts of the individual, their social network, and social institutions.
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