People who have a diagnosis of a severe mental illness already feel a loss of control over their lives. They feel hopeless, helpless, frightened, and sometimes angry. Research indicates that a high percentage of patients with a severe mental illness, up to 70 percent in some studies, have a history of trauma and abuse. Patients who have achieved significant recovery report many factors other than medication as key to regaining control over their lives. Trusting relationships and feeling safe with family, peers, and caregivers are often mentioned.