Category: counseling

Caregivers: Improving Your Serve

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One of the weightiest issues of caring for a mentally ill spouse, child, or friend, is that it is so phenomenally relentless.  The disease is so unpredictable, in its intensity and its spontaneity.  You think you have the situation in hand, and it breaks out somewhere else, and often in public and causing major problems.  This is wearing on anyone, including the Christian believer. And sometimes that can even make it more challenging.

You will need a support network, if you’re going to be a caregiver.  This support is received in three different ways.

First, emotional support.  Without someone who can listen and give words that encourage you, you’ll grow in resentment and frustration with your particular “lot”.

Second, I would suggest physical support.  You will need someone to help you make sure the practical issues are met.  (washing the car, fixing the shower, etc.) My wife as a caregiver has had to do things that she would normally wouldn’t be called on to do (fix the stove, do the taxes, etc.) because of my illness.

Third, spiritual support.  It has three concentrations. Worship, prayer, and fellowship.  These three have obvious effects on the caregiver.  Just a word to the wise–when you pray you are going into it as two people (as well as for yourself).  You must maintain and strengthen yourself and for the person you are serving.  I think this is critical to your relationship.  Try to see challenges, not obstacles. Don’t forget the power of a worshipping heart or the warmness of good Christian fellowship.

God gives special grace to the caretaker.  My advice is to take it, and then use it.  Draw upon Jesus who is your caregiver.  Present your afflicted one to Him.  Be supernatural in the mundane.  The story of the paralyzed man on his cot being brought into Jesus’ presence by his friends fascinates me.  It has many parallels for you to be a good caregiver.

“And behold, some men were bringing on a bed a man who was paralyzed, and they were seeking to bring him in and lay him before Jesus,”

Luke 5:18, ESV

My last word of advice is that you don’t be self-critical or feel guilty.  Remember, it is your friend or family member who is the sick one.  Don’t get consumed by your responsibilities.  Don’t fall in the trap of judging yourself by how well you do or don’t do as a caregiver.  Remember, you are not performing for others, but for an audience of One, who sees all.

Educate yourself, use the internet to track down information.  If I can help you further, please feel free to contact me.  I’m not a rocket scientist but if I can encourage you I will.   May the Holy Spirit touch your heart. You are going to need it.

 

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OCD: Rituals and Obsession

“I couldn’t do anything without rituals. They invaded every aspect of my life. Counting really bogged me down. I would wash my hair three times as opposed to once because three was a good luck number and one wasn’t. It took me longer to read because I’d count the lines in a paragraph. When I set my alarm at night, I had to set it to a number that wouldn’t add up to a ’bad’ number.”

“I knew the rituals didn’t make sense, and I was deeply ashamed of them, but I couldn’t seem to overcome them until I had therapy.”

“Getting dressed in the morning was tough, because I had a routine, and if I didn’t follow the routine, I’d get anxious and would have to get dressed again. I always worried that if I didn’t do something, my parents were going to die. I’d have these terrible thoughts of harming my parents. That was completely irrational, but the thoughts triggered more anxiety and more senseless behavior. Because of the time I spent on rituals, I was unable to do a lot of things that were important to me.”

People with obsessive-compulsive disorder (OCD) have persistent, upsetting thoughts (obsessions) and use rituals (compulsions) to control the anxiety these thoughts produce. Most of the time, the rituals end up controlling them.

For example, if people are obsessed with germs or dirt, they may develop a compulsion to wash their hands over and over again. If they develop an obsession with intruders, they may lock and relock their doors many times before going to bed. Being afraid of social embarrassment may prompt people with OCD to comb their hair compulsively in front of a mirror-sometimes they get “caught” in the mirror and can’t move away from it. Performing such rituals is not pleasurable. At best, it produces temporary relief from the anxiety created by obsessive thoughts.

Other common rituals are a need to repeatedly check things, touch things (especially in a particular sequence), or count things. Some common obsessions include having frequent thoughts of violence and harming loved ones, persistently thinking about performing sexual acts the person dislikes, or having thoughts that are prohibited by religious beliefs. People with OCD may also be preoccupied with order and symmetry, have difficulty throwing things out (so they accumulate), or hoard unneeded items.

Healthy people also have rituals, such as checking to see if the stove is off several times before leaving the house. The difference is that people with OCD perform their rituals even though doing so interferes with daily life and they find the repetition distressing. Although most adults with OCD recognize that what they are doing is senseless, some adults and most children may not realize that their behavior is out of the ordinary.

OCD affects about 2.2 million American adults, and the problem can be accompanied by eating disorders, other anxiety disorders, or depression.  It strikes men and women in roughly equal numbers and usually appears in childhood, adolescence, or early adulthood. One-third of adults with OCD develop symptoms as children, and research indicates that OCD might run in families.

The course of the disease is quite varied. Symptoms may come and go, ease over time, or get worse. If OCD becomes severe, it can keep a person from working or carrying out normal responsibilities at home. People with OCD may try to help themselves by avoiding situations that trigger their obsessions, or they may use alcohol or drugs to calm themselves.

OCD usually responds well to treatment with certain medications and/or exposure-based psychotherapy, in which people face situations that cause fear or anxiety and become less sensitive (desensitized) to them.

Source: http://www.nimh.nih.gov/index.shtml

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Relapsing [Without Being a Moron About It]

 A Bumpy Road: Dealing with Relapse

There may not ever be a last episode, but there are ways to fend off and mitigate the next one.

By Jodi Helmer

Doctors never talked to Elly L. about RELAPSE.

Although she was hospitalized during a manic episode and diagnosed with bipolar disorder, doctors never mentioned that it could happen again. Instead, Elly was stabilized, handed a prescription for mood stabilizers and discharged. She had no idea that she’d be battling mania and depression for the rest of her life.

“I was told that as long as I took my medications, I’d be okay,” recalls Elly, a mental health coach in Toronto, Ontario.

Elly experienced at least eight relapses between her diagnosis in 1978 and 1991. Each time, she was hospitalized, often placed in restraints and taken to the psychiatric ward in a police car or ambulance. Upon discharge, Elly always promised herself it would be her last hospital admission-but she had no idea how to stave off future relapses.

In bipolar disorder, relapse is defined as the return of depression or a manic or hypomanic episode after a period of wellness. According to a 1999 study published in the American Journal of Psychiatry, 73 percent of those diagnosed with bipolar disorder experienced at least one relapse over a five-year period; of those who relapsed, two-thirds had multiple relapses.

“You can never say that someone with bipolar disorder has had their last episode; relapse is part of the illness,” explains Alan C. Swann, MD, professor and vice chair for research in the Department of Psychiatry and Behavioral Sciences at The University of Texas Medical School at Houston and director of research for the University of Texas Harris County Psychiatric Center. “Relapse is self-perpetuating; once it happens, the more likely it is to happen again.”

Searching for Answers

It’s possible to do all of the right things- follow a proper medication regimen, eat well, exercise, minimize stress and get enough sleep-and still experience relapse. Unfortunately, there is no clear understanding of why this happens.
“There may be changes in the cellular level that cause cycling but their cause is unknown,” says Joseph R. Calabrese, MD, director of the Mood Disorders Program at the Case Western Reserve University School of Medicine in Cleveland, Ohio.

While the neurological causes of relapse are unknown, a few things are certain: Those who are diagnosed with bipolar II are more likely to relapse than those with bipolar I. Their episodes of depression, mania or hypomania are often shorter than the episodes experienced by those with bipolar I but tend to return more often, according to Calabrese. It’s also far more common to relapse into depression than into mania or hypomania. Calabrese estimates that in bipolar II, there is a 40-to-1 ratio of depression to mania; the ratio of depression to mania drops to 3-to-1 in bipolar I.

“The key to recovery is a low tolerance for relapse,” says Calabrese.

In fact, Dr. Roger S. McIntyre, MD, associate professor of psychiatry and pharmacology at the University of Toronto and head of the Mood Disorders Psychopharmacology Unit at the University Health Network, believes that even the mildest symptoms of depression and mania should be treated as potentially hazardous.

“The takeaway message is that we need to seek complete elimination of symptoms as our treatment objective,” he says…

Click here to read the full article, “A Bumpy Road: Dealing with Relapse”

“bp Magazine” is a wonderful “shot in the arm.”  I would suggest that you get a subscription, and for a friend as well.

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Join NAMI today!

When you become a member of NAMI, you become part of America’s largest grassroots organization dedicated to improving the lives of persons living with serious mental illness. And now you can join online.

http://www.nami.org/template.cfm?section=About_NAMI

Different Ways to Fall Out of a Tree

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Imagine climbing up to the top of a very tall tree. You work your way up to the highest point– you can go no further. The view is completely glorious, it’s more than you hoped for. You want to post it on Facebook, so you dig into your pocket to get your camera-phone. You suddenly slip, and because your arms are occupied getting your camera, you fall. And you fall fast.

As you plummet, you realize that you’re hitting every branch on the way down. The smaller ones break, and the bigger ones, well– you just bounce off. The trip down is very fast, and perhaps even a bit illuminating.

  1. First, you think of death.
  2. Then you think about the pain each branch causes, and wonder about your imminent arrival on terra firma.
  3. Perhaps you consider how stupid you are, and how you are going to explain it.
  4. Lastly, I suppose, you wonder if you have clean underwear on, like your mother always told you to wear.

This is how my life has gone, the last 20 years. This metaphor is a good way for me to process things, and to find some understanding. I now believe that some of us go through life sideways, or horizontal. We careen off of every branch on the way down, and it seems we are hitting branches that we didn’t even know were there. Tree limbs are snapping, as we are dropping.

Others who are wiser (or maybe more experienced,) try to fall more vertically. As they fall, they use their hands to try to slow their descent. (This does work!) They will take their fair share of jolts, no doubt. But their journey to the forest floor is way less traumatic. They may end up in the hospital– but not in emergency surgery like the first guy.

It sometimes seems like every trouble I have faced I have gone into it sideways. I have broken a lot of branches on my way down. I suppose I’ve entertained some who have watched me plummet, and seen me careen and spiral my way to the bottom. These have been some painful times, I have inflicted considerable amount of bruises on myself.

People who go through life sideways will invariably suffer. They seem to hit every obstacle and trial that could be in their flight path. The existence of pain in this life cannot be disputed.

“I have told you all this so that you may have peace in me. Here on earth you will have many trials and sorrows. But take heart, because I have overcome the world.”

John 16:33, NLT

Jesus understands. Especially if you are one of those people who are “trial magnets” going through life horizontal. (You just seem to collect them.) My hope for you that as you break your branches on the way down (for maybe the 100th time). You will try to plummet vertically. Not that it is any easier, life will hurt. But perhaps it won’t be as agonizing. And I suppose that would be a good thing.

“Now unto him that is able to keep you from falling, and to present you faultless before the presence of his glory with exceeding joy,”

Jude 24

Just hanging on!bry-signat (1)

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kyrie elesion.