The symptoms are the same as for the person in an acute psychotic state but are less obvious. Be accepting, understanding and concerned, yet realistically challenging, and, if necessary, confronting in a supportive and nonjudgmental way. Introduce to the client, and include the client within, a stable and supportive communal network without being intrusive, intimidating or patronising, or overriding the client's autonomy or freedom of choice.
Some people prefer to remain as isolates and be reclusive.
You must respect this choice for 'loneness' while at the same time being prepared to intervene if isolation and alienation become pathological and harmful to the client. Be prepared for frequent but fragmentary contacts with this type of client, whose deeply wounded personality has lost its sense of self-confidence and belonging. Be prepared for rejection, which may occur suddenly and unexpectedly. Be alert to nonpsychiatric health problems which may coexist with, and be disguised or distorted by, the mental illness.