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How to tell your spouse they need mental help? 

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Spouse negative responses to patient disability behaviors were associated with poorer mental health, whereas spouses' encouragement of patient well behaviors was associated with lower emotional distress.
The implications for mental health services are that many of the caregivers need help to educate their family members about mental illness.
Interventions targeted at survivor–spouse dyads and focused on improving communication between partners about survivor abilities may be effective for improving the mental health of spousal caregivers.
First and foremost, spouse carers strive for the relationship with their partner and accommodate mental illness into their lives to protect the relationship.
Older parents of adults with long-term mental illness need professional help with planning for their offspring's future.
Mental health professionals need to help caregiving families make choices to improve their challenging situations and identify the rewards of caregiving, and to advocate for increased systemic supports to ease caregiver burden.
We suggest that physicians working with these patients partner with mental health professionals who can help couples address the challenges they encounter and extend the continuity of care when the need for medical intervention has passed.
They need support from mental health professionals in order to cope.
They, therefore, need appropriate support and intervention by mental health services.
This has implications for how mental health service providers work with and support spouse carers.