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Book ID Asin: 0967718929
Book Title: I Am Not Sick I Don't Need Help: How to Help Someone with Mental Illness Accept Treatment
Book Author: Xavier Amador
Book Format and Price:
Book Format Name: Paperback
Book Format Price: $100.02
Book Price: $100.02
Book Category: Books, Health, Fitness & Dieting, Psychology & Counseling and unknown
Book Rating: 226 ratings

I Am Not Sick I Don't Need Help: How to Help Someone with Mental Illness Accept Treatment by Xavier Amador Book Review

Name: Thomas H. Pyle
Rating: 5.0 out of 5 stars
Title: How To Dialogue Successfully in a Different Reality
Date: Reviewed in the United States on August 18, 2011
Review: Over 6 million Americans suffer from with severe mental illness. Incredibly, 50% of these who do believe they don't. Clinically speaking, they do not have "insight" into their diseases. They experience what is technically called anosognosia. Previously thought to be a deliberate act of denial on the part of a patient, anosognosia is today considered to be caused by a neurological deficit, probably in the frontal lobe of the brain. Its presence is a symptom of the brain disorder, not a subconscious or willful psychological state.

Anosognosia can cause myriad problems for loved ones, their families, and society as a whole. A lack of insight results in treatment refusal. How could it not? Anyone who thinks they are not sick would understandably refuse diagnosis and treatment for what they do not acknowledge. Treatment refusal leads to medications non-compliance, which in turn can lead to more florid delusions or hallucinations. Personal hygiene can deteriorate. Isolation can increase. Especially when someone with a severe mental lacks insight and also abuses street drugs or alcohol, there is a heightened potential for violence in a small percentage of cases.

How can family members cope with a loved one lacking insight? How can they get a loved one needed help if the loved one doesn't acknowledge the need for help? Many family members in the maelstrom know the frustration of getting an oppositional loved one to do what might be good for them, at least as the family members perceive. Those in the earlier stages of the psychodysseys may feel particularly stressed the apparent futility of talking a loved one out of his delusions or into a treatment for an illness he refuses to believe he has.

In his classic work, I'm Not Sick; I Don't Need Help!, clinical psychologist and Columbia University professor Xavier Amador proposes a simple technique. It is called LEAP, for Listen, Empathize, Agree, and Partner. "Listen" means listening without commenting, disagreeing, or arguing. It is based in reflective listening, in which the listener drops his or her own agenda and redoubles efforts to understand the loved one, whatever his psychological idiosyncrasies. Amador stresses the three A's of good listening: apologize, acknowledge, agree. "Empathize" means displaying genuine emotion even when relating to a loved one's delusions. "Agree" means agreeing as a neutral observer, acknowledging that the loved one has personal choice and responsibility for his decisions. "Partner" is an undertaking with the loved one to achieve shared goals.

The LEAP technique is an amalgam of three therapies. From Carl Rogers' client-centered therapy is drawn the concept of reflective listening without judgment or opinion. From Aaron Beck's Cognitive Therapy come the ideas of collaboration, agenda setting, and cost-benefit analysis. From William R. Miller and Stephen Rollnick's Motivational Interviewing derives the emphasis on the loved one keeping the locus of control for personal change.

Amador's approach is elegant in its simplicity. It is also authentically based in Amador's lived experience as younger brother to the late Henry Amador, a man with schizophrenia. (The evidently deep love that Amador felt for his brother is itself an inspiration for other family members with loved ones in similar circumstances.) I Am Not Sick; I Don't Help!, now in its 10th anniversary edition, is a classic text in the field of treatment of schizophrenia, an invaluable navigation tool for all families in the maelstrom of severe mental illness.

Name: Anise
Rating: 5.0 out of 5 stars
Title: Not quite the whole story, but still good
Date: Reviewed in the United States on June 27, 2008
Review: This book is excellent, but there are certain vital aspects that are kind of left out. I do understand why Dr. Amador probably did this; it's a book about how to deal with loved ones who refuse to admit they're sick, so it can't go off into too many tangents. What it doesn't do is to make it clear that not all mentally ill people are like this!!! Some of us are NOT in denial and DO have insight. Some of us KNOW we're sick and we DO need help (that's why we take our meds exactly the way our doctor told us to!) The only problem, then, is that anyone reading this book is likely to get the impression that nobody with a severe and persistent mental illness admits it or is able to admit it. This is so untrue. To be fair, Dr. Amador does say in the beginning that as many of 50% of all of us SPMI folk are med compliant, but that's the only place where this is said and it's easy to forget.

I'd like to see someone explore the issue of the 25-50% of people with SPMI's who ARE compliant with their meds. We're out there! I should know-- I'm one of them. YES, I'm bipolar, and I'll need medication until the day I die, so give me the pills! That's pretty much my attitude. The capper to it all is that I have a closed head injury from a car accident, and an MRI certainly DOES show that I have frontal lobe lesions. Hey, guess what... I'm still not in denial about having BP. The least attractive thing about it is that I can get pretty self-righteous about people who don't take their meds, complete with the "if I can do it, anyone can" attitude. ;) But still, I would really like to see Dr. Amador (or another author) address why and how some patients are fully compliant. What are they doing that the others are not doing; what are they avoiding that others are falling into? Are there warning signs that even the compliant folks might go off meds? If so, what are they? Are certain subtypes of mental illnesses more likely to cause people to be compliant? Less likely? I think there's so much that could be learned by looking at the people who have SPMI's but are not covered in this particular book. Other than that, though, it's a great book. :)

Name: Elise
Rating: 5.0 out of 5 stars
Title: Awesome Reading For Dealing With Mental Illness
Date: Reviewed in the United States on October 24, 2021
Review: Excellent reading to learn how to talk with someone suffering from mental illness that's in denial. There are definite do's and Don'ts when talking with someone who is unaware that they have a problem. This book is a Must Have to help you help them to get into treatment!!!

Name: M. Myers
Rating: 5.0 out of 5 stars
Title: Finally!
Date: Reviewed in the United States on May 1, 2010
Review: I heard about this book through a relative who is taking a NAMI class. When I was told about it, I knew I had to get at least one copy somewhere. I drove 25 miles to check it out from a library in a neighboring town...they actually had it available and I couldn't wait to read it. Since then, I have purchased 14 copies, 12 for my relative's NAMI class, 1 for myself and a copy for a lovely lady that I had talked to that was dealing with this issue with her husband. This book has been very difficult to track down at a reasonable price so I would encourage you to purchase them now. The least expensive used copy that I could find when I first started looking was $45! I am so glad that suddenly this book has become readily available at an affordable price. The most important concept that I took away from this book was understanding that the person with this illness is living in a world very different from reality but it is still their reality. I know this because I went through something very similar 30 years ago. This understanding will give the people that are close to the person with the illness a completely different way of helping their loved one. God bless Dr. Amador for writing this groundbreaking book!

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