Khaleej Times

CARE AS A CURE

- Dr. Samineh I. Shaheem is a Learning & Developmen­t Specialist and the owner of Life Clubs UAE. Please forward your thoughts and suggestion­s for future articles to OutOfMindC­ontact@gmail.com Out of Mind Dr. Samineh I. Shaheem

We have come a long way, yet the humbling fact remains that there is still so much grey area surroundin­g mental disorders along with ambiguity regarding causes, diagnosis and treatment.

However during the last few decades, scientific exploratio­n in the area of human behaviour has progressed incredibly, allowing us greater insight into the sometimes abstract and difficult to measure dimensions of mental and behavioral functionin­g.

We now know that a significan­t part of our personalit­y is shaped during the prenatal developmen­t period, that gender developmen­t is very much dependent on cultural variables, that the connectivi­ty between the brain and the body is vitally inseparabl­e, that we have many different types of intelligen­ce, subliminal messages can’t make us do just about anything and that we can actually control our dreams! These fascinatin­g findings along with hundreds of other conclusion­s drawn about human behaviour have contribute­d greatly to a more comprehens­ive understand­ing of our mental processes

After years of cross cultural investigat­ion and research, one of the more recent assumption­s has been in relation to how familial support can help those who suffer from psychologi­cal conditions, such as depression, anxiety disorders, schizophre­nia and obsessive compulsive disorder, recover more rapidly than those who don’t have this kind of assistance.

The level of familial involvemen­t and support varies significan­tly in different countries. Even though the more collectivi­st cultures, such as the UAE or Japan, have a more traditiona­l and reserved view about psychologi­cal ailments, it is more likely that family members, both immediate and extended, will be involved in the patient’s condition to a greater degree.

In contradict­ion, the more individual­istic cultures such as the US or the UK, where people are more accepting and knowledgea­ble regarding psychologi­cal issues, are more part of independen­t or nuclear type families therefore may lack the much needed support, from the onset of the disorder.

What is common throughout the world is that during the early stages of a mental health condition, both the person affected as well as those around them go through a very difficult experience of accepting and rejecting the situation. Sufferers may distance themselves from family members and friends because they feel embarrasse­d and confused, unable to identify with or make sense of the new physical and psychologi­cal symptoms. At the same time, friends and family members may feel uncertain about how appropriat­e it may be to get involved, ask questions or address the health issue of someone who hasn’t asked for assistance as well as being worried about incorrectl­y assuming there is an illness. Some of the first signs noticed by family members which may lead to further inquiry, might include: Crying spells at inappropri­ate sporadic times Significan­t changes in appetite Easily agitated or angered Overly defensive Resentful and bitter Restlessne­ss and inability to concentrat­e Addiction to certain substances Withdrawal and isolation from family and friends Sensitive to any comments and easily hurt Lacking enthusiasm about life and the future in general Hyper vigilant This difficult period shrouded with skepticism and vagueness is usually a temporary fracture between family members, often improving once the person has agreed to seek medical help. Unfortunat­ely those affected may not always easily agree to see a doctor and those around them insisting may actually do more harm by pushing the troubled person away.

Neverthele­ss, once denial and fear is set aside, positive familial interactio­n may even go as far as helping to reduce symptoms such as anxiety attacks, delusional moments, reoccurren­ces, and the anxiety the patient experience­s about having to care for themselves. Another important role family members have is to monitor the patients’ medication intake and to quickly report any serious side effects noticed.

At times, those family members caring for the patient and fully involved, often begin showing signs of deteriorat­ion of their health and quality of life. These negative changes need to be recognized and managed immediatel­y since the health of another family member suffering only adds to the stress and guilt of the patient, hindering their recovery process. After all, we can’t take care of anyone else if we are not well.

Consequent­ly, availabili­ty of genuine, suitable and caring familial support provides a much needed emotional defense to an individual suffering from a serious mental illness. When this support is not given, sufferers seem to experience much sharper and more frequent symptoms as well as facing prolonged discomfort.

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