Showing posts with label Mental disorder. Show all posts
Showing posts with label Mental disorder. Show all posts

Wednesday, August 25, 2010

All over bar the shouting - heading down the hill to schizophrenia without realising it...

Mental Health Awareness RibbonImage via Wikipedia


All over bar the shouting - heading down the hill to schizophrenia without really knowing it..




ARTICLE: First published at Fortitude



by peter petterson



My previous article concerning mental health was really a historical account concerning my grandson's problematical life in childhood, adolescence and his mental breakdown at the age of fifteen years.



Here we will hit the keys and see where we end up tonight. Do you ever get like that: Just freewheeling your way through some writing, letting you brain and fingers do the walking? Just like an advert for Yellow Pages — let your fingers do the walking!



So what do I remember about his mental breakdown? Not a lot really. In such situations I don't think you really know a lot. Who knows what goes on in a person's brain? They can quiely deterioate without anybody realising it. In point of fact the youngster cracked up, after his session of drugging, drinking and not sleeping. It was all over bar the shouting when he told his grandmother he was a 'pussy' and didn't want to fight with one of the boys anymore.I didn't even know that was what he had been doing to try and prove himself with the 'normal' teens he was associating with there in the neighbourhood. Trying to be just one of the boys in the 'Hood.



Well it happened. He went all quiet; quite a change from the hyperactive kid he had been most of his life. He was taken into the local hospital, admitted into a ward for the night from Accident and Emergency, and the next day was taken to the regional youth mental health unit, about 20 miles away. He was on his way, on a journey he will be on for the rest of his life. The controversial little pain in the backside he could often be, to the frightened little rabbit he was before he went into hospital.



He would not return as the youngster we knew, but he would return and continue developing into the schizophrenic young man he is today. All that in less than a month! He was prescribed and regularly given Risperadol, an anti-psychotic medication he would be on for a couple of years or so. And it had side-affects like other medication he was on and others he would be on in the future. Like the mood stabiliser called Lithium. He had to have blood tests every three months because it could have detrimental effects on his renal functions in time. I can't remember when he started talking to himself — was it when he came back from the mental health unit? I'm not really sure about that. But he certainly became different and difficult. He was obviously hearing the voices pretty early in the piece; but we aren't sure when he obviously began to respond to them.



But we became concerned with the side-effects of his medication in future months. We found it difficult to get our points of view through to his health professionals — doctor and social worker. We did not have a good relationship with his social worker because he did not respond adequately to our questions and concerns for our grandson's well-being. The doctor was nice enough and tried to cooperate with us when we thought he was on too much medication — but we were ignorant and inexperienced with mental health problems. The dosage of his Risperadol was a bit like a yo-yo for a few weeks as the doctor tried to find a balance in his medication.



Finding a balance in the dosage of psychotic medication is something we would learn about in future years. Side-effects are something we would also discover too. It wasn't too long before he had a relapse and ended back in hospital again. He was now well on the road to being a confirmed schizophrenic. We knew also that alcohol was good for him in only small quantities, and marijuana was a poison for him in any quantities. The latter would be confimed by other mental health patients we knew on later occasions. We would also learn that you never recover from serious mental disorders — doctors can only manage the illness through the correct dosage of the right medication. Medication had now become as important to our grandson as food and drink. Yes, he was well on the road, alright!















































Published on Fortitude July 10, 2010

Copyright 2010 peter petterson






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What does the average person know about mental illness...

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What does the average person know about mental illness...



ARTICLE: First published at Fortitude .



by peter petterson



What does the average person know about mental illness, I wonder? Not very much I would suggest. Until just a few years ago I didn’t know much either and had very little contact with people afflicted with what can be one of the most complex and often heartbreaking conditions possible.



If a person has a broken leg, it is very easy to treat it. Take the patient to the hospital radiology department and have the leg x-rayed. Put the broken limb in a splint and plaster and let nature do the rest. A few weeks later, without complications, the patient is usually back on the road to full recovery.



If a person has a wound, take them to their doctor or the emergency department and get it treated, and stitched up if necessary. But not mental illness. It is so very complex indeed.



There are a variety of mental health conditions: The most common is of course depression, and also very hard to diagnose correctly. Schizophrenia is becoming more known about and also bi-polar as well. However, schizophrenia is the one I have become more familiar with over the last few years. It has become evident right there in my immediate family – in my grandson. He has now suffered with schizophrenia for about four and a half years, and the doctors have struggled to contain it, to find the right balance of anti-psychotic drugs to treat it. You never cure it, just contain it and help them to live with it. His condition is that much more difficult because he has a dual diagnosos — he suffers from a mild intellectual handicap as well.



As a preamble to discussing how my grandson became mentally ill and perhaps what brought the condition on — because that is the difference between physical illnesses, conditions and injuries. Let us just drop back into his past for a few years.



From a young age he displayed some unusual and at times some strange characteristics and actions. He was hyperactive, his behaviour was unusual and he found it difficult to get on with other children. He got into situations that most children would not – he had no consequences for his actions – he didn’t learn from his mistakes that most normal children did.



At school it was discovered he wasn’t able to read or write and had some serious learning difficulties. At the age of six years he was assessed as having Attention Deficit Hyperactivity Disorder, Oppositional Defiance Disorder and a measure of Conduct Disorder. A lot of people still don’t, and didn’t back then accept these as genuine disorders, but take my word for it – they are. It helped to explain the difficulties some children I grew up with and met at school had so many years ago. Back then there were no labels for these conditions – just bad kids who needed a good kick up the backside. They needed some good strong discipline. What they really needed was to be understood, but society didn’t have the knowledge those days to be able to do that.



From the age of six years until his late fourteenth year he had difficulties at all his schools and with senior school authorities who refused to accept that parents, or in our case grandparents, may actually know more about their child than they did. The outcome was predictable and usual – he was suspended and eventually expelled because he was a little round peg that didn’t fit in with the school’s square hole!.



But just shortly before his fifteenth birthday he had what is known these days as a psychotic episode. He had mixed with other boys of his age-group and a little older, drinking alcohol, smoking marijuana and not sleeping properly, and having that delicate disposition was pushed over the edge into a mental health disorder. The poor young fellow displayed some evidence of what we used to call madness!



He was admitted into a youth mental health unit for a number of weeks until doctors were able to control his behaviour with anti-psychotic drugs. He has periodically over four and a half years had a number of psychotic episodes, been admitted into the local mental health unit a number of times and had his medication changed as his disorder had worsened. It is also true that he was not treated quickly enough or properly at the time, and his condition had deteriorated to the point he is now on Clozapine, the most strongest and potentially dangerous medication available for mental health patients who have not responded to regular medication.



This then, dear readers, is my grandson that we still look after and have raised from the age of eight years, because there is nowhere else for him to live but in the arms of his family. New Zealand like all other western countries decided to close mental hospitals and homes and keep people in the community. Some of course have no family to look after them and others have been rejected by their families as an embarrassment.



In closing here, let me state I have had a very good education about the effects and requirements to treat schizophrenic patients – the ‘talking to voices’ syndrome. And our now nineteen year old grandson remains with us still . We hope to be able to find some way to get him able to move out into the community more without the family, and in some small way we are working towards this by having support people take him for car rides, shopping and just recently we enrolled him in a local gym to help his physical state – his weight is ballooning out because of his new medication. We hope this will prove beneficial as we try to prepare him for an independent future – we are in our sixties and won’t be able to look after him for much longer. At a later date I will discuss my grandson’s journey in more detail.




















Published on Fortitude June 29, 2010

Copyright 2010 peter petterson