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You appear to be asking two different questions. The first is how people deal with the person so diagnosed. The second, if I understand you correctly, is how to talk to the families. Two different things, but not necessarily two different answers. The answer, really, is LOVINGLY. Kindly, gently, respecting where individuals "are" presently. If your friend is in a schizo phase, deal kindly. If the family are anxious, concerned, tearing their hair out, deal kindly. If you can't say anything, just be present, available, and quietly helpful. And silent.

What YOU did NOT do is qualify your incomplete attempt to effectively communicate your point until after someone called you on it.

Closed-door meeting with a delinquent cheerful giver: I’m sorry guys, but I’ve had it with this money-grubbing penny-pinching two-bit ministry. How the hell do you get Old Testament tithing laws and a few New Testament accounts of collections taken up for the needy to mean in this day and time and hour I’m supposed to send fifteen percent of my income to some fat-cats in New Knoxville? Yeah…I remember it now…just like it was yesterday…when I signed up for PFAL, it said on the back of the green card the class increases prosperity. I thought it meant my prosperity – not the ministry’s.