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Anosognosia Treatment in Spokane Valley, WA

In the intricate realm of human cognition lies a perplexing phenomenon known as anosognosia. With its elusive nature and puzzling implications, anosognosia challenges our understanding of self-awareness and perception. In this article, we embark on a journey to unravel the enigma of anosognosia, delving into its definition, causes, and the profound impact it has on individuals’ lives.


A lot of people think that sick people know when something is wrong. That doesn’t always happen. Some people really don’t know they’re sick, even if other people can see the signs. Anosognosia is the name of this disease, which is connected to some brain and mental health issues. It’s not that they are stubborn or in denial; their brains can’t figure out what’s wrong.

This guide explains anosognosia treatment options. You will learn about anosognosia. We will discuss its causes and the problems it creates for families. You will also see how help and support can improve the situation. 

We Level Up Washington works with individuals and families facing these challenges.

What Is Anosognosia?

The word “anosognosia” comes from the Greek words for “not,” “wisdom,” and “fear.” This means that a person can’t understand their own mental illness or its symptoms. Simple avoidance is a way to protect your mental health. Anosognosia, on the other hand, stems from problems in the brain; the brain can’t accept the truth about the disease.

A study from the Treatment Advocacy Center found that this disease affects around 40% of people with bipolar disorder and about 50% of people with schizophrenia. It’s not a choice to not know or choose not to know; it’s a real disease that is hard to treat.

When a family member is having a hard time and doesn’t know they need help, it can be very upsetting. Friends and family can talk about what they’re going through in a lot of different ways. It’s not hard to deal with that person. Really, their mind is getting in the way of what other people can see clearly.

Understanding Anosognia

Understanding anosognosia can help reduce blame and stress. A person is not trying to be difficult. Their brain is not giving them accurate “self-check” information.

Doctors believe it can involve brain networks that help with:

  • Self-awareness
  • Judgment
  • Insight
  • Error detection

Common Challenges Families Face

The problems that come with anosognosia can be tough for everyone. Someone can say no to care, stop taking medicine, or avoid going to the doctor.

Common challenges include:

  • Arguments about “what is real.”
  • Missed appointments
  • Stopping medication
  • Not safe action because of symptoms
  • Stress and burnout for the family

This can be hard for family members to understand. “Why won’t they just take help?” they might ask. How you react can change if you know this is based on the brain.

older man relaxing on a couch, staring off into the distance

How It Can Affect a Person and Their Loved Ones

A person with anosognosia may:

  • Say they are fine when they are not.
  • Believe others are lying.
  • Feel attacked when people bring up treatment.
  • Become angry or scared during conversations.

Anosognosia Treatment Options That Can Help

There is no one-size-fits-all treatment for anosognosia, but there are solutions that can help make things safer and more stable.

Treatment often focuses on:

  • Symptom reduction
  • Daily structure
  • Trust and communication
  • Support for the whole family
  • Long-term planning

In some cases, treatment can help people become more aware over time. This is especially true if symptoms improve and routines stay stable.

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Holding Hands
Holding Hands

Anosognosia Management Strategies

Often, these anosognosia management strategies are more helpful than arguing about the disease.

Use Shared Goals

Instead of telling someone, “You’re sick,” try focusing on something like

  • Better sleep
  • Less stress
  • Feeling calmer
  • Returning to school or work
  • Staying safe

Shared goals lower defensiveness and help a person agree to support.

Keep Conversations Calm and Short

It can be hard to handle long talks. Say things in a calm and simple way. If your feelings get too high, take a break.

Avoid “Proving” Someone Wrong

It’s not always possible to win a fight. It can make people more afraid and resistant.

Build a Consistent Routine

Structure helps the brain feel stable. A routine can include:

  • Regular sleep schedule
  • Meals at consistent times
  • Scheduled appointments
  • Daily self-care steps
man resting head on hands at kitchen table in deep in thought probably thinking about anosognosia treatment options in spokane valley washington

Anosognosia Therapy Approaches

Safety, function, and improved communication are the main goals of these anosognosia therapy approaches.

Supportive Therapy

This helps build trust and reduces stress. It can also help families learn calmer ways to respond.

Skills Training

This helps with daily living skills like:

  • Hygiene
  • Planning
  • Coping tools
  • Communication

Family Therapy and Coaching

Family support is often essential. Therapy can teach family members how to:

  • Set boundaries
  • Reduce conflict
  • Encourage care without force.

Even though therapy doesn’t always lead to full understanding, it can make working together and daily life better.

Medication Support and Clinical Care

Some conditions, like psychosis, mood swings, or extreme depression, may be easier to treat with medicine. When the person’s conditions get better, they may become more aware, even if it’s only a little.

Medication is often most effective when paired with:

  • therapy
  • routine
  • family support
  • ongoing monitoring

This is where healthcare professionals play a key role. They help adjust care plans and watch for warning signs.

How Healthcare Professionals Can Help

Healthcare professionals help by:

  • Building a treatment plan based on symptoms and safety
  • Offering therapy and psychiatric support
  • Supporting medication adherence when needed
  • Teaching families communication tools
  • Helping with crisis planning

The best care is team-based. It supports both the person and the family.

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Support in Local Communities

Many people feel alone dealing with this issue. It can make a big difference when local communities help.

Helpful community support can include:

Local support reduces isolation and helps families stay steady over time.



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Why Choose We Level Up WA for Anosognosia Treatment Options

Picking the right care is important. As part of mental health and dual-diagnosis care, We Level Up Washington helps people who are having trouble with anosognosia find the right treatment choices.

At We Level Up WA, people can receive:

  • A structured, supportive environment for treatment
  • Mental health treatment
  • Dual-diagnosis support when substance use is involved
  • Evidence-based therapies (CBT, DBT)
  • Family therapy to reduce conflict and build stability
  • Aftercare planning
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Frequently Asked Questions

What are the anosognosia treatment options?

Some types of treatment include therapy, medication support, a set schedule, information for the family, and planning for long-term care.

What is anosognosia?

Some people can’t tell they are sick, even when others can see the symptoms. This is a brain problem.

Why is a lack of illness awareness so challenging?

It can cause people to refuse care, stop taking their medicine, and fight at home, all of which increase the risk of harm.

Can therapy help?

Yes. Therapy can help you talk to people better, feel less stressed, and go about your daily life, even if you don’t understand much.

Can awareness improve over time?

Sometimes. When symptoms improve and routines are stable, some people show increased awareness.

How can family members help?

The most helpful things to do are often to stay calm, use shared goals, avoid arguments, and get help from an expert.

How to Get Started

People with anosognosia face unique challenges, but with the right support, they can better understand their condition, and their families can find more effective ways to help them. We’re committed to being with you on this journey here at We Level Up WA.

Call (509) 348-4077 today to take the first step toward stability and hope.

Further Readings

  1. Cleveland Clinic: Anosognosia
  2. National Institute of Health: Anosognosia
  3. National Alliance on Mental Health: Anosognosia
  4. Web MD: Anosognosia

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