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Mental health

Lifestyle, Nutrition

6 emotions parents and guardians of children with disability go through

We often do not mind disability until it comes knocking at our doorstep. Everyone as long as we live is liable to interfacing with a disability at one time, either by it happening to us, to our very own, or to one we know.

In my line of work, I work very closely with children that have a disability (usually one that affects feeding) but it breaks my heart that usually these parents and guardians feel that during the course of their life, they must have stepped someone’s toe and they have to pay for it that way. The bitter truth is no one is shy of disability. Anyone like I said can interface with disability at any point in their life.

It is our duty to be empathetic to these persons, not sympathize please, it sucks but emphathetic. Today I am just here to mention that having a child with a disability is difficult, there are so many emotions at play without enough time to process them. In my book, Differently Abled Nutrition (you can order a copy here); a book I wrote for parents and guardians who have children that have a disability that affects feeding, I talk about these emotions in detail and so much more.

Get yourself a copy of this book, gift someone you believe needs it. Together we can be empathetic by sharing useful knowledge.

Dear parent, your emotions are valid

Denial

This is where it usually begins. You sit across that table and the doctor breaks the news that your bundle of joy is going to be a little bit atypical. Or your child is growing and not hitting the milestones as expected only for the physician to break the news that there will be some delays, the first ship you often the board is the denial ship.

Denial is refusing to acknowledge or accept that your child has a disability. First, there is blame apportioned to self and for some pregnant women whose child has not yet seen the face of the earth battle depression and the thoughts of not continuing through with the pregnancy increase. It is only sad that some of our colleagues in the practice only fuel these thoughts but offering the option to terminate the pregnancy. My dead one, this emotion is valid, just don’t stay there, don’t walk alone

Anger

Anger and denial are siblings who often ride together. Many times when this news is broken, you do not throw a party in your backyard. Questions like ‘why me?’, ‘what didn’t I do right?’, e.t.c run through your mind over and over again. When the stress becomes too much, it then boils into anger. The anger can be shown outwardly in form of rage or it can get one to withdraw due to the overwhelming feelings of guilt and shame. Displacement of anger is often seen among parents expressing itself through verbal attacks on anyone who may blame them for their ‘unfortunate’ circumstances.

This emotion too is valid my dear one, normal and purely understandable as a way of acknowledging the injustice that has been done on your child. The important thing here is to try and find some balance not to be carried away. This is most likely not done alone. The sad reality is that many marriages crumble at this point so try and find help

Fear

Fear is defined as an unpleasant emotion caused by the threat of danger, pain or harm. This is another emotion that is very common and perfectly valid. Fear often arises from the uncertainty of what to expect in the future as the child grows. It is burdensome for a parent to know that they are their children’s only defence and protection and when they are away from the child despite them growing into an adult, the child is vulnerable to attack, mockery, ridicule and difficulty in living. The imagination of society’s rejection for their little one coupled with the health challenges bound to be faced leaves parents gripped with fear.

This emotion usually breeds bargain where parents begin an unending journey of looking for a permanent cure or miracle to return their child to normalcy. Unfortunately many are ‘duped’ of even the little resources they have in exchange for empty promises.

Grief

This emotion is filled with a tremendous sense of loss that parents feel upon learning of their children’s apparent disability. This emotion just like the ones above is valid. We usually spend a lot of our lives making dreams that we would want for our children when the time comes so anything that interrupts this dream is extremely unsettling and brings with it a lot of grief. Allow yourself go through this emotion, try not to fight it, get help if it is possible but most importantly, do not stay there.

Guilt and depression

This emotion is often caused by the constant challenges parents and guardians face as they care for their children who have a disability ranging from social isolation, financial strain, outright exhaustion, feelings of confusion. Often time if these feelings remain and the person does not find relief, they can fall into deeper depression which could manifest in form of insomnia, fatigue, low self esteem, social isolation, changes in appetite to mention but a few. Valid an emotion as it is, it is important to seek help as it comes with compromised mental health for the parent.

Acceptance

Of all emotions, I love to call this the ‘happy emotion’. At this stage, the parent begins to dream again. They have gone through lots of emotions and have tasted the grief and fear, processed them well enough to know that all is not lost and they can dream again. At this stage, they are fully involved in the child’s life and activities, fully mastered their communication traits and can understand their emotions. Life becomes as normal as it can get and if there are siblings at home, they have fully understood how to handle and deal with their brother or sister. This is a grateful phase where parents are thankful for every step reached.

In conclusion

There is no definite line to demarcate the end and beginning of an emotion. They keep over lapping each other, a roller coaster of sorts and one often circles from one emotion to the other. There are always good emotional and bad emotional days, but when the good days outweigh the bad emotional days then we can comfortably say that we are good to go. It takes time but allow yourself to experience every emotion without feeling guilty. Try as much as possible to get all the help you need, but most importantly do not walk the journey alone.

Lifestyle, Nutrition

Polycystic Ovarian Syndrome (P.C.O.S) awareness month

September is a month set aside to increase awareness of a condition that has for so long baffled scientists and until now, has no confirmed cure. This condition is called Polycystic Ovarian Syndrome, or simply PCOS.

Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder among women that is also one of the leading causes of infertility yet it remains one of the most underdiagnosed diseases in the world, with less than 25% of women with PCOS being diagnosed, according to Reproductive Science Center. Dr. Louis Chang, the MD of the PCOS Awareness Association writes that “PCOS affects over 7 million people. That’s more than the number of people diagnosed with breast cancer, rheumatoid arthritis, multiple sclerosis, and lupus combined.”

PCOS is characterized majorly by; irregular or absent periods, excess androgens (elevated testosterone and androstenedione levels), and multiple cystic areas on the ovaries.

I remember my journey to discovering that I had PCOS began after I had missed my periods for about 9 months. They were regular from their onset at the age of 14 until the age of 22 when my hormones took a turn. Although I wasn’t sexually active at that time, I did not want to take chances because 9 months without your period is a long time. This pursuit I will assure you is not a walk in the park, it takes your money, your peace, and let me not talk about the uncomfortable tests done like the transvaginal ultrasound. At one point, because of the heavy periods, I was using at least 10 sanitary towels daily for not less than 3 weeks. When I tell you your mental standing will be tried, this is one of them.

PCOS is known to present itself with infertility, heavy periods, and spotting between periods, pelvic pain during or between periods, mood changes, weight gain, fatigue, or low energy levels, excess growth of hair on the arms, face, back, chest, abdomen or hands and feet, hair loss or male pattern baldness on the head, acne, and insomnia or poor sleep.

Now unless you are familiar, this hormonal disorder is invisible, nothing seems out of the ordinary yet it leaves the bearer miserable who often time will not come out to say anything; you know why? The world has indirectly conditioned women to bear the pain, branding the one who is able to endure the most pain as a ‘strong woman.’ Most often than not, that pelvic pain, the heavy periods, you will be told that that is normal and women are different. No one often sees it as a problem because well, we talked to the snake in the garden of Eden right?

No one sees how one’s mental, physical or spiritual life is affected, constantly hoping for a miracle since up to this day there is no permanent cure, only the symptoms are dealt with from time to time.

My most recent appointment was at Bethany Women’s and Fertility Hospital in Luzira here in Uganda and I remember my gynecologist, Dr. Nsenga Joseph, a highly qualified fertility specialist taking me through the mini-lecture of where scientists have reached in finding a permanent cure for PCOS, what was previously thought to work only to find out that it wasn’t. We ended our appointment with the same thing that has been happening for all these years, dealing with the symptoms.

The dramatic weight fluctuations are frustrating especially when everyone around keeps screaming, “you have lost weight! you have gained weight!” but the control is out of your hands. Many have been labeled lazy. The inability or slim possibility of becoming a mother, making others a father, grandmother, uncle, or auntie leaves you weak in your knees making you feel less of a woman because truth is, we dread the question; “When are you going to start having babies?”

The trap is deep because many of us do not want others to worry or feel sorry so we push on quietly, burdened by the pain and constantly wondering whose son would want to be dragged into this mess if only they knew. Sadly silence does not alleviate, it only isolates.

Writing this is not comfortable for me at all but I recognize that there are many out there scared to let anyone know. We need to reach out for help because we are fighters who need each other, speak up for others who continue to suffer in silence or ignorance. Our stories will offer hope or consolation to those in denial believing that they are alone or crazy.

No, my sister, you are a fighter and you are beautiful. Just like I mentioned in this piece I wrote a while back, PCOS may be part of your story but it is not your story, it is just a chapter in your life book and you cannot allow it to rob you of your joy and laughter, it cannot dictate your storyline or define you because you are in charge of which way your life turns.

So to every lady out there struggling with PCOS, push through the pain, persevere, cry if you need to, fall but do not stay there. Positive is doable and it is possible, take each day at a time and rise above every obstacle and achieve the impossible.

Care for yourself as much as possible, continue to consume the right diet, take the medication prescribed, and exercise with utmost dedication. Do not compare yourself with others because you do not know their story and be kind to yourself. Take the opportunity to help others whenever the opportunity presents itself, Stay strong because it takes soul searching to accept the disorder we suffer. Remember your identity is not your symptoms. You are special and can be confident.

No matter what you are going through, each and every one of you is worthy of joy, happiness, and love. Be strong, you are not alone!

Nutrition

Bipolar Disorder

NIMH » Bipolar Disorder

I am born in a culture where some disorders or say diseases are foreign, that is the African culture. A culture that teaches you to be tough regardless of your gender. You cannot begin to cry or whine about some things lest you become a weakling. So conditions like depression, baby blues are branded ‘white man’s’ diseases.

The first time I got to know about the Bipolar disorder, mark you! this is when I was already at university when we were studying about drug interactions in pharmacology. My entire existence was amazed or for lack of a better word shocked.

Bipolar disorder also known as manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania) and lows (depression). When one becomes depressed, they feel sad or hopeless and lose interest or pleasure in most activities. When the mood shifts to mania (emotional highs), they feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly.

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Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any.

Although bipolar disorder is a lifelong condition, one can manage their mood swings and other symptoms by following a treatment plan as prescribed by their doctor. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).

Symptoms

Manic episodes may include symptoms like high energy, reduced need for sleep and loss of touch with reality. Depressive episodes may include symptoms like low energy, low motivation and loss of interest in the daily activities. Mood episodes can last days to months at a time and may also be associated with suicidal thoughts.

In terms of experience, this is what we tend to see among such people;

Mood: mood swings, elevated mood, sadness, anger, anxiety, general discontent, apathy, apprehension, euphoria, guilt, hopelessness, loss of interest, or loss of interest or pleasure in activities.

Behavioral: irritability, risk-taking behaviors, disorganised behavior, aggression, agitation, crying, excess desire for sex, hyperactivity, impulsivity, restlessness, or self-harm.

Psychological: depression, manic episode, agitated depression, or paranoia

Cognitive: unwanted thoughts, delusion, lack of concentration, racing thoughts, slowness in activity, or false belief of superiority

Weight: weight gain or weight loss

Sleep: difficulty falling asleep or excess sleepiness

Also common: fatigue or pressure of speech

Treatment

Bipolar disorder is treated with three main classes of medication: mood stabilizers, antipsychotics, and antidepressants. In summary, treatment entails a combination of at least one mood-stabilizing drug and/or atypical antipsychotic, plus psychotherapy.

Bipolar diet

In addition to the medications given, it is important to manage mood episodes with healthy lifestyle habits. Did you also know that certain foods and dietary supplements can play a role in helping or hindering people with bipolar disorder?

Please note that there is no specific bipolar diet, nevertheless, it is important to make wise dietary choices that will help maintain good nutrition and facilitate a healthy living. Here are some of the foods you may want to avoid.

1. Caffeine

“Stimulants can trigger mania and should be avoided. Caffeine is an underappreciated trigger and can also impair sleep and sleep deprivation is a notorious trigger for mood swings and mania.

2. Alcohol

Alcohol and bipolar disorder make such a bad combination. Alcohol can negatively affect bipolar mood swings and may also interact negatively with medication such as lithium which is a common medication given to persons with the bipolar disorder.

3. Sugar

Eating a diet that is high sugar can make it harder to control weight and obesity and make some medications that are given less effective.

Some healthier options one can adopt

  • Instead of potato chips or fries, munch on fresh vegetables in a savory dip.
  • Swap that sweet pastry for a slice of whole-grain bread.
  • Instead of a fourth or fifth cup of coffee, make yourself a cup of herbal tea.
  • Craving for a fast-food burger and fries? Try a fresh salad instead.
  • Swap a fried main course for steamed entrée.

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Pass this information to someone who may need it and be a promoter of healthier living through informed choice of living.