Doctor insights on:
Caregiving For A Spouse Or Friend
Wow: Not enough space to answer fully but in a nutshell: be available and supportive but not smothering. Respect the dignity and decisions of your family member (assuming he/she is competent) even if you don't agree. Keep petty family arguments and infighting out of the picture. Go with him/her to the oncology visits if you can. Just be your honest self. ...Read more
Thanks for asking!: A spouse with alzheimer's disease should be able to attend the funeral of his or her spouse, unless there is concern for the safety of the living spouse or others due to extremely agitated, combative behavior. Other relatives & loved ones can help the surviving spouse feel supported & comfortable w/ the surroundings. ...Read moreSee 1 more doctor answer
Theproblem decides: There are many psychological problems such as mild OCD and other related mild anxiety and mood disorders which would not preclude being a foster parent. When there are personality disorders or severe mood or anxiety issues, more care and assessment would be needed to tell if it would be safe to parent, foster child or not. ...Read moreSee 1 more doctor answer
I have a question about in-home caregiving for a family member. Should I pay myself if power of attorney for her?
Consult elder lawyer: I strongly recommended to consult a certified elder attorney. This way would allow to avoid legal issues involving financial mismanagement and medicaid fraud. ...Read more
Yes: If the patient is incapacitated, then a family member is authorized to make healthcare decisions according to that state's specific laws (e.g. Parent then any child vs eldest child). If a poa has previously been assigned & legal papers properly completed, then that poa has legal right to make healthcare decisions. However, any surrogate gets to make healthcare decisions only if the patient can't. ...Read more
Complex issue: If you mean other family members that might help with the caregiving, speak to them in a spirit of love, collegiality, and honesty about what's required. Let them know when you need help or respite. If you mean the family member for whom you're the caregiver, speak with him/her in a spirit of love, compassion, and support. For some people, receiving care may be as hard as it is to give it. ...Read more
Care giver stress: Most caregivers in this country are informal, or unpaid, caregivers. Often daughters or a spouse , it can be a gruelling job and seem to be longer then a 24 hr day. The caregiver can become ill, depressed, burnt out. Etc. Best to try to get some help if you are feeling stressed or angry- organizations like the alzheimers assoc if dementia is the problem are useful. ...Read more
It is possible for: people w/schizophrenia marry and have good relationships, but like other disorders, it needs to be treated and it is a risk factor. There are varying degrees of symptoms manifested when someone has schizophrenia and that needs to be considered also. The best predictor of future behavior is past behavior. Peace and good health. ...Read moreSee 1 more doctor answer
Challenging: Alzheimer's can affect memory and organizational skills, but can also affect behaviour. Therefore, be aware that inappropriate reactions are due to the disease and not the intrinsic prior character. Most pts require a diligent caregiver most of the day. Best to keep home events on a constant schedule, and avoid any changes which might confuse the member. More info available from the alz assoc. ...Read more
Play therapy: To clarify: child play therapy is a way for children to express their experiences, feelings through a natural self guided, self healing process. Play therapy enables communication/assistance to overcome psychosocial challenges. No one can every "force" a child to do something without backlash. Forming a strong alliance (parent/md) and engaging your child will be the key to moving toward any goal. ...Read more
Dual relationship: This applies to all mental health professionals. If a therapist were to counsel family or friends, the relationship might become complicated for both people. Friendly advise is okay, but a therapeutic relationship ought to be professional and confidential. ...Read moreSee 3 more doctor answers
Difficult: As you probably know, non compliance is the main problem in the treatment of bipolar illness. I'd try to find individuals the patient trusts to encourage psychiatric consultation. ...Read more
Who has the main responsibility to tell an adult daughter to see a psychiatrist for bipolar or other mental disorder? A mother or adult sister?
Anyone: It can often be hard to talk with others about mental health issues because it can be a sensitive topic. But, anyone close to an individual that has concerns about their well being should find a way to talk about it with them, particularly if there is a concern about their safety or well being. ...Read more
How to deal with staff taking care of a loved one who has been admitted to a mental health facility?
Depends on the issue: Generally, the staff need to be dealt with respect and politeness -- these qualities usually bring more results. Is there any particular issue you'd like to address with the staff? If you want diagnosis or treatment related info, your loved one or his/her power of attorney or legal guardian will have to sign consent. The question is too broad and needs to be more specific for a specific answer. ...Read more
Personal preference: You will need a reliable souce of childcare and a back-up plan. Nannies usually become almost a family member. Relatives know you best but can tire out. The most important quality is a loving attentive caretaker. Make sure your desingated sitter can seek medical attention for your child when you are away. You may find different solutions at different stages of your child's development. ...Read more
NO: If the individual can designate a proxy, then a guardianship is not necessary. If the next of kin is to become the poa(power of attorney) and wants to make the health care decisions, then it is not necessary to have a legal guardianship process. However, if the person can no longer designate a proxy or health care decision maker, a guardianship maybe necessary if the person is not next of kin(. ...Read more
Encouragement: Encourage them to get treatment and be supportive. You cannot force one into treatment unless they are a danger to themself or others. ...Read more
Awkward?: I imagine you're feeling concerned about a potential breach of confidentiality if you were to see your cousin's friend. That's natural. If you decide to see this person, you should definitely talk about your concern regarding confidentiality. If you're preoccupied with that concern during your therapy, it will constrict what you are willing to talk about, and that could be counterproductive. ...Read more
Family meetings: A family meeting can have someone there skilled in mediation to keep things positive. Everyone in a family cares, but sometimes family history can prevent progress. If everyone can agree to respect each others' obligations and abilities you have a starting place. Have everyone agree to be able to do one thing. The first meeting doesn't have to establish the finished product. ...Read more