Introduction
Understanding Schizophrenia
Managing Schizophrenia
Building a Support Team
Planning a Daily Routine
Coping Skills and Stress Management
Identifying Personal Stressors
Practicing Stress Management Techniques
Exploring Daily Coping Strategies for Stress Reduction, Wellness, and Recovery
Content Refresher
Symptom Management and Relapse Awareness
Substance Abuse
Building Social Skills

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Coping Skills and Stress Management

Welcome to Connections & Care
 Welcome to the Connections & Care counseling program. In this module, you will find new ideas, learning activities, and handouts to use when talking with your clients about schizophrenia and managing and coping with stress. Because there is no "one-size-fits-all" approach to meeting the education and support needs of people with schizophrenia, flexibility is the hallmark of this program. These materials can be used over a period of time to explore the topic in depth.


Overview

By participating in this session, clients will:

  • Understand the impact of stress on the symptoms of schizophrenia
  • Identify their personal stressors
  • Recognize that stress can affect their thoughts, behaviors,
    and physical health
  • Practice stress management techniques and create a plan for
    coping with stress
  • Learn how healthy habits can reduce stress and help promote recovery

Tips for facilitating this module

Normalize the experience of stress
Many clients mistakenly believe that stress is part of the illness of schizophrenia rather than a fact of life for everyone. Let clients know that they are not alone in experiencing stress and finding ways to cope with it. If you are comfortable doing so, talk about some of your own everyday stressors and ways you cope with them as a way to normalize stress.

Point out that stressors and the experience of stress are unique for each person
Describing the wide range of possible responses to stress can help clients identify their own stressors and responses, which can help them design their own strategies for coping. Offer clients an opportunity to consider stress as a positive force as well. For example, stress can sometimes help someone get something done.

Emphasize that learning to manage stress is part of the process of recovery
Although stress is not itself a symptom of schizophrenia, it has the potential to worsen schizophrenia symptoms and make it difficult to focus on treatment and recovery. Recovery from schizophrenia is an ongoing and highly individual process. On a practical level, recovery means finding ways to cope with schizophrenia and achieve personal goals. It includes physical, mental, emotional, and spiritual aspects. Learning to successfully cope with and manage stress involves taking small steps, gauging their effectiveness, and practicing them in daily life. And those small steps don’t have to be perfect; even imperfect steps can mean progress.

Above all, emphasize hope
Above all, emphasize hope For a very long time, the word recovery had no part in our clinical vocabulary. But, there has never been a time of greater hope for people with schizophrenia. Base your facilitation on this very real sense of hope by talking about stress management as an important part of recovery.


Using the materials

The materials are designed to be flexible. Here are suggestions for using them:
  • Review the learning activities and handouts as you plan your session
  • Choose the activities, discussion questions, and/or handouts that are appropriate for your clients’ needs, interests, and abilities
  • Use the handouts in ways that match your clients’ abilities. For example, use them for discussion ideas, read aloud as a group before completing, hand to clients to complete, or assign as homework
  • Revisit the learning activities and handouts as often as needed to cover
    the topic
Icons

Look for these icons to help you choose activities to use with your clients during individual or group sessions.

Discussion Starter Discussion starters - Ask questions to introduce and spark your clients’ interests in a topic.
Brainstorming Brainstorming - Ask your clients to suggest possible solutions to a problem or a situation.
Debate Debate - Ask your clients to engage in a debate, which helps them see all sides of an issue.
Journal writing Journal writing - Encourage your clients to write down their thoughts in a journal.
Creative expression Creative expression - Invite your clients to explore and express thoughts and feelings through art.
JIcebreaker Icebreaker - Ask clients for verbal responses to a topic question to help them feel comfortable with sharing.

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Janssen, Division of Ortho-McNeil-Janssen Pharmaceuticals, Inc.