Family and systemic interventions

Meet the family

A 21-year-old man is two weeks post-discharge after a first episode of psychosis. He is on aripiprazole, he is sleeping, and the voices have quietened. He is also home eleven hours a day with a mother who has not slept properly in four months.^[1][21]

In the clinic she says, in front of him: "He just sits there. I've told him a hundred times to get up. If he wanted to get better he would." Then, quietly, to you: "Is it something I did?"^[2][3][21]

Two exam questions are now live: what does that exchange predict, and what do you actually offer this family — not a supportive chat, a named intervention? Everything below answers those two.^[1][5][6]

References22ShowHide

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