<P> A common aspect of recovery is said to be the presence of others who believe in the person's potential to recover, and who stand by them . While mental health professionals can offer a particular limited kind of relationship and help foster hope, relationships with friends, family and the community are said to often be of wider and longer - term importance . Others who have experienced similar difficulties, who may be on a journey of recovery, can be of particular importance . Those who share the same values and outlooks more generally (not just in the area of mental health) may also be particularly important . It is said that one - way relationships based on being helped can actually be devaluing, and that reciprocal relationships and mutual support networks can be of more value to self - esteem and recovery . </P> <P> Finding and nurturing hope has been described as a key to recovery . It is said to include not just optimism but a sustainable belief in oneself and a willingness to persevere through uncertainty and setbacks . Hope may start at a certain turning point, or emerge gradually as a small and fragile feeling, and may fluctuate with despair . It is said to involve trusting, and risking disappointment, failure and further hurt . </P> <P> Recovery of a durable sense of self (if it had been lost or taken away) has been proposed as an important element . A research review suggested that people sometimes achieve this by "positive withdrawal"--regulating social involvement and negotiating public space in order to only move towards others in a way that feels safe yet meaningful; and nurturing personal psychological space that allows room for developing understanding and a broad sense of self, interests, spirituality, etc . It was suggested that the process is usually greatly facilitated by experiences of interpersonal acceptance, mutuality, and a sense of social belonging; and is often challenging in the face of the typical barrage of overt and covert negative messages that come from the broader social context . Being able to move on can mean having to cope with feelings of loss, which may include despair and anger . When an individual is ready for change, a process of grieving is initiated . It may require accepting past suffering and lost opportunities or lost time . </P> <P> The development of personal coping strategies (including self - management or self - help) is said to be an important element . This can involve making use of medication or psychotherapy if the patient is fully informed and listened to, including about adverse effects and about which methods fit with the consumer's life and their journey of recovery . Developing coping and problem solving skills to manage individual traits and problem issues (which may or may not be seen as symptoms of mental disorder) may require a person becoming their own expert, in order to identify key stress points and possible crisis points, and to understand and develop personal ways of responding and coping . Developing a sense of meaning and overall purpose is said to be important for sustaining the recovery process . This may involve recovering or developing a social or work role . It may also involve renewing, finding or developing a guiding philosophy, religion, politics or culture . From a postmodern perspective, this can be seen as developing a narrative . </P>

The most significant negative consequence from the perspective of a recovery model of care would be