5.4. FUTURE PLANS AND HOPES
Initiating a conversation about goals and future plans with someone facing both schizophrenia and substance use disorder can be a powerful way to support their journey.
Talking about their hopes and aspirations helps them feel a sense of purpose and control, making recovery feel more achievable.
Even small steps toward personal growth can be incredibly motivating and empowering.
Focusing on small, achievable steps
Talking about plans can feel easier when big goals are broken down into small, simple steps. This can make progress feel more doable and prevent feelings of stress or overwhelm.
For example, you might explore something simple together, like improving sleep or adding a small, enjoyable activity to their routine, as a way to create positive change.
Exploring personal values and interests
Having a conversation about what truly matters to them, like family, creative hobbies, or personal growth, can be a meaningful way to uncover what gives them hope and purpose. This might include reflecting on hobbies or activities they once enjoyed and considering ways to reconnect with those interests to improve well-being.
Change through motivational conversations
Using a method like motivational interviewing, which encourages curiosity and reflective listening, can help start gentle conversations about what they want to improve or change.
Asking open-ended questions about their hopes or what makes them feel more stable and comfortable can support their own thinking without adding pressure.
Helping to believe in the ability to make progress
Offering reassurance that even small steps forward are meaningful can be a way to show support. Telling them that you believe in their ability to work toward their goals, no matter how slowly, can be a powerful motivator.
Recognizing setbacks as part of the journey
Setbacks are a natural part of the process, and reminding them of this can help reduce feelings of guilt or frustration. Acknowledging that some days will be harder than others, while offering reassurance during those times, can help keep their sense of support and motivation strong.
Example dialogue about plans and hopes
Caregiver: “When you think about the next few weeks or months, is there something you’d like to focus on improving? It could be something small, like finding a routine that works for you.”
Individual: “I’d like to feel less anxious, maybe get a better handle on my sleep.”
Caregiver: “That’s a great goal. Feeling more rested could make a big difference. Are there any things that help you relax or feel calmer before bed?”
Individual: “Sometimes reading helps, but it doesn’t always work.”
Caregiver: “That’s a good start. How about we try exploring a few other options together? We could also work on a plan that keeps building toward what you need to feel more comfortable.”
This technique helps the person think about their own goals and what they want to achieve. It does this through supportive conversations that encourage them to express their thoughts and feelings, which can build hope and motivation.
