The value of positive mental health, hope and fighting spirit in promoting wellness and preventing relapse is well documented (Vaillant 2000). In contrast, feelings of hopelessness, poor self-esteem and lack of meaning in life are risk factors for relapse (Birchwood, McGorry & Jackson 1997). People gain positive mental health from feeling hopeful, having confidence, and having a sense of control (Birchwood et al 1993).

This is how far I've come. This is what I do to maintain myself. If I get sick, then I get sick. But I know how to maintain myself now. I know I'm strong. Let it be, let it happen. —Consumer
Resilience derives from many diverse sources, and these can vary according to individual temperaments, circumstances, life-stage and cultural background. Resilience can come from finding meaning in life and engaging in meaningful activity, having supportive social relationships, and having a sense of spiritual wellbeing (Myers 2000). It is increasingly being recognised that spiritual wellbeing can have a vital role in recovery for some people (Wilding 2003). Regardless of their source, the impact of factors that increase resilience should not be underestimated for preventing relapse.

Repeatedly, throughout the consultations, consumers and their families and carers mentioned the importance of humour for their wellbeing. Humour was a benefit that was often gained from belonging to self-help and peer support groups and other supportive relationships.

Here we don't have to be PC [politically correct]. We can say the most terrible things and just crack ourselves up. —Consumer

If you didn't have friends to laugh with, you couldn't get through it. —Consumer