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It just doesn’t seem that bad once you’ve gone through it and you know it all worked out. Almost all of the stress that you’re experiencing will work itself out one way or another, but the harm that you do yourself, as you go through a stressful event, is something that can be changed. You just have to see today’s stressful events with that 20/20 vision of hindsight! Think of a time when a story that you told yourself about a person, situation or event, changed. Let’s explore belief systems and stories a bit further in order to understand how you can use these concepts to combat stress. One of the biggest and most helpful questions that you can ask yourself when you’re stressed is simply, “Is this true? It’s a reasonable course of action to examine and fact-check the story that you’re trying to tell yourself while the stressful event is actually happening. You’ll usually find that you’ve made a lot of assumptions, quite a few jumping to conclusions, some catastrophizing (i. However, the stories you tell yourself are your own relative personal truths and they reflect your unique perception of the world. As I mentioned before, another individual 28 • Mindfulness Medication might look at a similar situation and see something completely opposite about it. When it snows, one person might be happy as it means they can ski, while his or her neighbor is stressed because that person has to shovel the driveway. For now, simply allow yourself to be open to the reality that your stories are true for you only and there is more than one way to look at any situation. Consider the following topics and see what beliefs or stories come up when you think of them. Briefly examine your beliefs about politics, homosexuality, abortion and religion. How you look at marriage, work, or finances, is shaped by your belief system and the stories it generates.

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Poorer outcomes have been associated with insidious onset and delayed initial treatment of the illness, social isolation, a strong family history, living in industrialised countries, male gender and substance misuse (Smith et al. Co-morbid substance use amongst people with schizophrenia is widespread (Cuffel, 1996). Estimates of the prevalence of alcohol and drug 8 misuse amongst people with schizophrenia vary, but it has been reported as three times higher than that observed in the general population (Green, 2005). It is likely that the true prevalence of substance misuse in this population may be higher than self-report by consumers might indicate (McPhillips et al. Compared to the general population, schizophrenia is associated with increased mortality. It is estimated that people with schizophrenia have a two to three-fold increased mortality risk compared with the general population, which may have worsened in recent decades (McGrath & Susser, 2009). There is an increased probability of people with schizophrenia dying prematurely, with suicide posited as a major contributor to this discrepancy (Beck et al. Various studies have also indicated that people with schizophrenia have elevated mortality across a wide array of illnesses (Beck et al. Research regarding the prognoses for people with schizophrenia must be treated with caution, however, as factors such as institutionalisation, socialisation into the consumer or patient role, lack of rehabilitation resources, reduced economic opportunities, reduced social status, adverse side effects of medication, lack of staff expectations and loss of hope have been found to impact on, or mimic, the chronicity of the illness (Anthony, 1993; Harding, Zubin & Strauss, 1992). Additional moderating variables on 9 the recovery process that have been proposed include biological and psychosocial therapies, social relationships, cultural determinants, illness behaviour, coping strategies, the consumer’s developmental stage, stigma and community attitudes towards mentally ill consumers (McGorry, 1992). A radical perspective in relation to the chronicity of schizophrenia is that what was once thought to have been a result of the illness, is rather, caused by the way consumers are treated by the health system and by society (Anthony, 1993). An acute episode, or the active phase, refers to a period of extremely intense psychotic symptoms. It may start suddenly, or develop more gradually over a period of several months (McEvoy et al.

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