Crisis Handling:

Schizophrenia Patient is violent 1) What method you dealing when potential violent behavior ? a) Asking the schizophrenia Patient to go to another room b) asking the involved family member to go to another part of the house c) To leave the house. 2) How you dealing when patient are more violent?

A. The family contacts the police and explains what they are experiencing. B. Obtain treatment, C. control the violent behaviour D. Admit in Hospital. E. They contact the treating doctor and ask for advice.

3) Is dangerous objects are kept in a patient reachable place? Example keeping knives and other objects away from a) Yes b) No

4.) What do you think about the schizophrenia Patient when they refuse to take medication? a) Patients believe they are not ill. b) Patients accept the fact as hallucination, c) Patients are difficult to maintain on medication. d) Patients trust and own credibility.

5)Do you encourage the schizophrenia Patient to give the treatment and medication a fair trial to see if it can help? a) Yes b) No

6)Do you help the schizophrenia Patient to appreciate that the medication may decrease anxiety or make them more comfortable? a) Yes b) No

7) Does the family introduce benefits or privileges, which the schizophrenia Patient can obtain if they agree to medication? a) Yes b) No

8) Do you think if patient terrorizes family members or behaves in dangerous way to others or home, the family should use an ultimatum? They could say that the schizophrenia Patient must take medication and maintain a minimum level of appropriate behavior or they cannot live at home? a) Yes b) No

9)Do you think replace oral medication with medications given by injection? This also helps remove the family from the role of having to monitor schizophrenia Patient Patients by counting their pills or continually asking them if they have taken their medication that day. a) Yes b) No

Coping with stigma 10)Do you think family members should break out of their isolation by a) Forming relationships outside the immediate family b) Set graded tasks where the family can make short outings to test their fears of being rejected or looked down on. c) Gradually increase the difficulty of the tasks

11)Coping with the schizophrenia Patient drinking alcohol/ smoking cigarettes/ drinking numerous cups of coffee or tea

Some families have the misconception that the schizophrenia Patient illness started because they mixed in bad company and used alcohol or drugs. They misattribute the cause of the illness entirely to this. Make clear to the family that although they have the effect of enhancing vulnerability to the onset of the illness or relapses, they on their own do not cause the illness. Do you think the family may otherwise blame the schizophrenia Patient for causing their illness?

Drinking alcohol: a) Inform the schizophrenia Patient of the danger of drug use and its harmful effects such as its effect on tranquilizers or they may become violent when demanding money for drinks or when drunk. b) Schizophrenia Patient should be advised against any substance abuse. c) Complete abstinence for schizophrenia Patient may not be possible or necessary. d) Help the family and the schizophrenia Patient to discuss the potential problems related to alcohol intake e) Schizophrenia Patient can be helped to experiment with how much alcohol they can take without getting intoxicated. f) Advice the schizophrenia Patient against more than 2 drinks a day.

Do you think Cigarette smoking-help the family members to set limits with regard to specific problem behavior related to smoking (e.g., smoking in bed, limits to the use and emptying of ashtrays, etc) Coffee or tea-explain how this can lead to shakiness, nervousness, excitement, restlessness and sleep problems ? a) Yes b) No

12)Do you explain the Schizophrenia Patient how it is difficult to differentiate between the effects of too much caffeine intake from anxiety, nervousness and excitement which may be part of the schizophrenic process itself. It is also difficult to separate from akathisia. Do you advice the amount of caffeine intake should be moderated. a) Yes b) No

Suicide 13) Do you think if families comment that they wish the schizophrenia Patient dead during the sessions interrupt and immediately comment on and reframe the remark positively? Discuss and reassure them that there are positive aspects of the schizophrenia Patient. a) Yes b) No 14)Do you think schizophrenia Patient may have warning signs of these suicidal feelings-either as part of a relapse or part of new feelings of depression? a) Yes b) No

15)Do you think encourage the schizophrenia Patient to share feelings of loss and hopelessness- that they may never recover fully and life may be too difficult for them from now on? a) Yes b) No

16) Do you think if the schizophrenia Patient shares their feelings and warning signs or the relatives are familiar with it, then the action that should be taken or rehearsed with the family? a) Yes b) No

17)Do you think that family member should make a telephone call to their doctor or the treating team or to the emergency services if they are very concerned? If risk level significant, frequent monitoring or hospitalizations may be necessary.

a) Yes b) No 18) Do you think If the schizophrenia Patient becomes depressed or hopeless, discuss lowered expectations and help them to come to terms with it? b) Yes b) No