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Tuesday, August 27, 2013
Monday, August 19, 2013
What do you do when the curtains of anosognosia open up to show reality?
As parents, family, friends and physicians , we work very hard for years through teaming up to bring our
loved one to admit, face and embrace their illness.
I often thought to myself that if my son could realize that he is ill, it would make his therapy easier, his adherence to medication a breeze and his future much brighter.
Beating anosognosia became my obsession, (hard word to spell and to pronounce just like its meaning). The patient can't realize that he is ill because his reality it completely and totally real. The voices have taken enough shape and character to eclipse their surroundings. Getting my son to take his medications and adhere to therapy was probably the most difficult and daunting task at hand. However, how can you challenge the response? I am not sick. I don't need meds? Such a popular response that Doctor Xavier Amador has written a book about it. First, I used to challenge his disorganized speeches, his absurd clothing, his open reactions to auditory hallucinations... I became angry. Come on.... you are too smart for that... can't you see how you look? Can you even hear what you are saying? Why are you laughing? What is so funny? I thought pointing at all that will definitely be a winner but to my dismay, it didn't.
After I used the LEAP ( Listen, emphasize, agree and partner), and because my son was ready, I used it ad nauseam: don't you want to reach this? It could be so much easier with (name of medication)!
I became a trusted partner and (oh if only the pharmaceutical company heard me)! A loyal advocate for the benefits this tiny little pill represented (I made it look so insignificant in size but with huge positive significances to reach a goal). I never gave up, kept pounding these ideas repeatedly, beating the odds and the voices which (I guess) couldn't handle dismissing mine anymore!
My son sat with me on the couch the next morning, and said, Mom; I don't feel well. I am ill, and I need help.
I looked at him... I could feel my heart pounding...
I was completely blown away.
The next phase was very important. Crucial. Depression was looming. I knew at this point that my son was asking me to get him the help he needed.
As I was ready to formulate another LEAP phrase to get him to partner toward our next goal, he simply said: Mom, I think it is time. I need to go to the hospital.
Although my heart was breaking...I did hear the soothing bells of "Oh glory" ringing in my head!
Wednesday, August 14, 2013
The caregiver syndrom
It is so much easier to sweep this topic under the carpet, to ignore it and to dismiss it instead of dealing with it and coping to one's best ability with the endless spirals of positive and negative cycles.
It is a very lonely, overwhelming and forsaken place as a mother or anyone who is a caregiver. Friends, families, who are too nervous refuse to educate themselves therefore become, allies and architects of stigma that the sufferer and his team endures.
Beyond the pain and discomfort of their mental illnesses, they have to deal with ignorance, fearful apprehension and acts of disappearances, of persons they thought closest to them. These responses also affect the caregiver on many levels:
If a team is not created to support and pitch in, the caregiver becomes resentful, angry and tired before reaching acceptance. This situation has a label: it is called the caregiver syndrome.
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