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Tuesday, November, 24, 2009
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Social Stigma Still Evident for Alzheimer’s, Dementia and Mental Illness

Carol Bradley Bursack
Carol Bradley Bursack
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Carol Bradley Bursack is Answering questions
Author, blogger and eldercare columnist

For over twenty years author, columnist and speaker Carol Bradley...

Carol Bradley Bursack

Thursday, October 23, 2008
View All of Carol Bradley Bursack's Posts
Why is it that, in this supposedly enlightened age, mental illness still carries a stigma? Why is it that when people talking about someone who is ill, say in their office, and it's the flu or even cancer, they will discuss it openly, however if it is a mental illness, say depression or schizophrenia...
  1. mental illness
    Caring kb
    Thursday, October 23, 2008 at 12:08 PM

    Wow Carol! Thank you!

    You really hit the nail on the head. We need to talk about mental illness. We need to be informed, so that the mystery can be better understood.

    Sincerely,

    Kay

    Reply
  2. How True and Sad!
    dadcarer
    Thursday, October 23, 2008 at 02:39 PM

    As I read your post I couldn't help but think that here's someone who feels exactly the same way I do.  As my mother's dementia progressed, the number of visitors she and my dad had got fewer and fewer, as if no one wanted to witness this sad decline in what was once such a vibrant personality.  I have to admit that I myself fear that genetically I may be in for the same fate.  But that never kept me from trying to keep my mother's life as rich as possible up until the end.  Let the rest of the world feel uncomfortable if they can't deal with it, but this is reality, and there but for the grace of God go I (or they, as the case may be.)

    Reply
    re: How True and Sad!
    Carol Bradley Bursack
    Thursday, October 23, 2008 at 04:59 PM

    There were few visitors for my dad, who was much beloved by those who worked for him and those who were his friends. People hated "seeing him like that."

     

    It is hard - very hard. In a way I understand. But I think, too, people are afraid. They see their own vulnerability. And they don't know what to say. So they don't go. It's so sad.

    Carol

    Reply
  3. ashame of dementia?
    N.C.
    Thursday, October 23, 2008 at 05:18 PM

    Carol, dementia seems to be a real social problem. Some family physicians also seem not want to recognize it until the family calls out. The doctors would probably call it depression and leave it up to the family or patient to decide what to do about it. Fortunately my father-in-law got the diagnosis of AD in 2006 when he wanted to see if he could drive. Otherwise he would never get the diagnosis. However my father-in-law seems to be ashamed of it. Although he does not recognize that he has dementia or Alzhiemers now, sometimes he would realize he lost memory and said "I am crazy!" or " I am insane!" It is only at that moment and then he forgets about it later. To him, it seems that dementia is a mental illness or something that belong to someone in the asylum. I think perhaps in his life, he only studied brain using cats in the lab, but he had never observed how the dementia happens or progesses in real life. To him, it is something that belongs to the asylum. He is 87 so it must be the old school thought.

    It is true, his behaviors are crazy, but to him, he cannot admit it as it would be as same as insanity. Well I don't know if dementia and mental illness are the same to psychiatrists or not, I think it is too bad that people associate dementia with craziness. Yes, it is mental illness at times when the brain cannot makes sense in real life, but is it really like craziness?
    Maybe we need to understand more about mental illness overall. Even mental illness is something we need to bear with also.

    Regards,

    Nina

    Reply
    re: ashame of dementia?
    Carol Bradley Bursack
    Thursday, October 23, 2008 at 06:07 PM

    Exactly, Nina. That's why I put them together. People shouldn't be ashamed of any disease that affects the brain. It's illness, as are diseases that affect the rest of the body. This old attitude came from not understanding brain malfunctions.

     

    Most depression has physical and psychological components. Are people with depression "crazy."? No. They have an illness that affects their brain chemistry. People with dementia also have an illness that affects how they process information, react to stimuli, and respond emotionally. They are not crazy. They have a disease that is affecting their brain.

     

    Society has much to learn. Things have improved as people have become more willing to discuss these illnesses. It's a snowball affect and needs to keep growing. We need to bring dementia, depression and all illnesses of the brain out of the dark ages.

    Carol

    Reply
    re: ashame of dementia?
    Connie Moore
    Friday, October 24, 2008 at 07:35 AM

    Thank you Nina

    I to am fighting the battle to keep my husband going. In the beginning he forbid me to tell even our kids he had this disease. They knew it, it was just unspoken, now he is telling everyone and saying he is carzy too or thats how he thinks people view him. It is getting harder each day he is getting angrier and is taking it out on me verbally. Our granddaughter finally got post housing and moved out, Thank God but unfortunately not before she had to witiness one of her poppys tirades. She cried I cried and we talked about it, she hurts because this is happening to him to me and tries to stay strong and says she can take it but she can't and shouldn't have to. I want her memories of him to be the loving happy man that gave her rides on his wheel chair, even then he was happy and loving. This horrible disease is robbing all of us of a great man. I try to face each day positive but fear the day of getting him to ever leave the house is near and that he will soon be more then I can control, the anger is really coming out, for the past two days he has yelled at me and nothing I do for him is right. He blames me for this disease and I know its not him but it is getting harder each day. Pray for me. Connie

    Reply
    re: re: ashamed of dementia?
    N.C.
    Saturday, October 25, 2008 at 01:08 PM

    Connie, you are welcome! I just learn from my personal experience dealing with my FIL. Even he himself would not want to go to a cafe because he has trouble sitting down or getting up from a chair. He has ego and he does not want strangers to see that he has something wrong. It is his pride also. Not necessarily the shame. Nancy Reagan didn't let Reagan's friends come to see her husband when he was very sick. Her reason was that she knew that her husband would not want to be seen like that as a guy with dementia. In a way, we need to protect them from the peers and the hurt from the outside. On the other hand, I think it is not fair for the friends not to come. It is up to the friends to figure out if they can cope or not. If not, just don't come. It is hard. But we have to admit that at some point, the patients with dementia really can no longer socialize or go among people anymore for their own sake.

    Perhaps we need to draw a line betwee shame and pride so we can reverse their privacy as well.

    Nina

    Reply
    re: re: re: ashamed of dementia?
    N.C.
    Saturday, October 25, 2008 at 01:14 PM

    I meant to say reserve his privacy or his being. For example, if my FIL would do this thing like that as if he were normal, then I would try to do that for him unless he really protests and forgets about it. He certainly has changed and his old habits are gone. But we still try to do what he would have done as a normal being. One example is about his chasing women. He was very proper when it came to ladies, so we make sure the women/caregivers treat him properly also and no game for him in this matter. But he does not eat properly on the table anymore, and we let him because this is the change that cannot be reversed. He now uses his fingers to eat if it is hard to use a fork. He used to be so proper in his table manner.

     

    Nina

    Reply
    ashamed of dementia?
    Carol Bradley Bursack
    Saturday, October 25, 2008 at 02:36 PM

    All wise decisions, Nina. Preserving dignity when possible, and allowing changes where as they come. Thanks for commenting.

    Carol

    Reply
    re: re: re: re: ashamed of dementia?
    Connie Moore
    Sunday, October 26, 2008 at 06:23 AM

    Nina I hear you it has been so long since I have been able to get my husband at the table. He eats all his meals by him self in his room, He does everything in his room, I can barely get him to come out, If the ocassional friend stops by he insists his door be shut and no one allowed in. He is pack rating, at night after I go to sleep he get ups and gets food and hides it in his room. I try to make sure he eats healthy but it gets harder each day. If I give him a sandwich and chips it takes him three hours just to eat it, When I make roast or something else he works at eating it way into the night, he is gaining a tremendous amount of weight. I worry because I know it is bad for his heart, all he wants is DR Pepper, he drinks two and a half 1 liter bottles a day. I talked to the doctor and they said to let him have what he wants. I know this can't be good for him and I feel awful for buying it for him but if I refuse he gets extremely angry. I will never understand or get use to this disease. I know each patient is different but that is one of the things that make it so hard. If they could just say this and this is what is going to happen but they can't. When I read a share post I think wow I am living such a similiar problem but with a different twist. I laid the cigarettes down so far so good. Pray for me I am doing it cold turkey the medicine was making me to sick. Thank you and take care of your self. Connie

    Reply
    re: doctor
    N.C.
    Sunday, October 26, 2008 at 01:43 PM

    Connie, the doctor told us the same thing - let him eat anything. Just make sure he eats. In the future or in the end, he won't eat well anymore. So now let him eat....

    Well we still try to buy healthy food, but we just let the caregivers cook whatever they want to. He liked to be on good diet for his heart or blood flow, but it is hard to be picky given his situation. He does not drink coke anyway.... Lucky his habit was healthy so we don't have to buy junk food... I can feel for you.

    If your husband wants to eat something bad, there is nothing you can do. I guess this is time to let go or something. It is not easy. At least we make sure he drink enougn water.

    I am sorry you got so sick yourself.... Have you tried to ask someone to help? Maybe the hospice is a good idea for you and him.

     

    Take care,

    Nina

    Reply
    re: re: re: ashamed of dementia?
    Connie Moore
    Monday, October 27, 2008 at 03:10 AM

    Hi Nina you are so right,it's a shame that we have to learn about this disease by caring for a lived one. I lived for so long knowing about this but at that time it was something that hadn't touched me. I live it everyday now and as each day passes I learn more. There has got to be a way we can get it out there for more people to know about before it strikes their loved one. Knowledge helps and so many people probably live under the same aumption  as I did that it won't happen to me or my loved one. I found the site by accident but we need to get more people involved and educated about alzheimers. They advertise and encourage older people to have test for colon cancer they need to find a way to get the public more aware of this disease and better ways to check it and be aware of it, I am writing a letter to the editor of our news paper to see if they will do  a story about it. We have to get more people involved. In some ways this is worse then a cancer. How all is going as well as can be with you FIL your friend. Connie

    Reply
  4. Our Society or lack of
    Connie Moore
    Friday, October 24, 2008 at 07:24 AM

    Carol I read your post and cried and wanted to scream, how true what you say about what is happening. I have lived for 56 years and have decided I will never understand people. Bad things happen to good people through no fault of their own but are judged by our society for what they look like or what they having going on but not for what is inside of them or for what they have done to improve their lives and the lives of others. My husband gave 20 years and 12 days to his country. He served two tours in vietnam flying a helicopter to protect airplanes that sprayed ageant orange. He didn't just wake up one morning and say hey I have an ideal I'll spray this chemical that help the other soldiers in battle he did it because he was serving his country during war and was ordered to do it. As a result of those orders and his service to our country and being exposed to this chemical that our country is now denying and has killed and destroyed so many lives,  he has lost so much. Five heart attacks, three lower aorta surgerys to get blood to his legs, two amputations losing both legs, COPD. Congestive heart failure, and now the ultimate indignity Alzheimers. My husband lost both legs fifteen years ago and that didn't stop him this amazing man he had our van fixed and he drove it He would drive everywhere. He wanted to still take care of me. He indured this loss with such a grace it's so hard to describe and has never once felt sorry for him self, he just kept going until this disease alzheimers struck. I close my eyes and still see that man in his dress blues saying he loved me and wanted to marry me. He has endured the stares and the whispers and kept going. I have never looked at him as anything other then the loving man I married. The friends we had before he lost his legs left us, they couldn't handle being around, not much to say about true friendship or lack there of. When will we our society stop judging people by their looks and not their worth, I know very few people that could stand beside this man and compare their worth to his. As this hideous disease called Alzheimers ravages his body I get angrier, how much more indignity must this man endure, I am fighting a battle to keep him home with me, I love him and admire him so much. Everyone keeps telling me it would be easier to put him somewhere, why? Just because the person you loves has so many medical issues dosen't mean they don't deserve to be set away. If you had cancer would they send you away no they would take care of you they would set up endouments to honor that, why is mental disorder judged so much. Well this is a disease and I do know at some point I may not be able to take care of him my self but until then I will continue to keep him home and continue to fight to make his life as plesant as possible. I am the one who is blessed I have had the great american love story and it will continue. I am not losing anything it is the family and friends that don't come around that are losing out, every second of every day with this wonderful man is precious to me. When I took my marriage vows I meant them then and that has not once ever faltered. I will love this man until the day I die. Society wake up quit looking on the out side you are missing so much and you won't even take the time to realize it. I feel sorry for those who don't, not us those who are loving and living the life of care givers or the people on this site that are taking time out of their lives to help us keep going. Bravo Carol you said what so many of us are feeling. Connie

    Reply
    re: Our Society or lack of
    Carol Bradley Bursack
    Friday, October 24, 2008 at 09:51 AM

    Thanks for the kind words, Connie. After two decades with seven elders, I've been through a version of what most caregivers have gone ( or are going) through. Add to that a son with multiple health issues...

     

    I do try to be a voice for those who are caring and those who are cared for. You made my day.

    Carol

    Reply
    re: re: Our Society or lack of
    Connie Moore
    Saturday, October 25, 2008 at 04:04 AM

    Truly Carol thank you from the bottom of my heart. You take time out of your busy life and touch so many people, you help give us all the words and the courage to get up each day and keep on going. Everyone on this site I feel like has been a true blessing in my life. Thank you all. Connie

    Reply
  5. Re: odd behavior
    Leah
    Wednesday, October 29, 2008 at 10:03 AM

    I am doing my best to face the public head on, head held high...I want them to see that people with dementia come in many different sizes and shapes, with differing mens.  They are not contagious, nor "crazy".  Depending upon the progression of the disorder, they can be good citizens, offering much to society.  Even for me, it is not always easy.  I choose to remain open and approach people head on.  Recently at my family reunion, a cousin came up full of concern and said, "Oh, Leah, have you been ill lately?"  I cheerfully answered, "I guess if you can call vascular dementia an illness, I suppose I have!"  She was shocked; I surmise that she had only half-heartedly listened to whoever was telling her I was ill and so didn't get the "cause" of the illness...  She seemed very embarassed and didn't know what to say.  I tried to make her feel better by telling her it was okay...  I now have another cousin who is experiencing severe short term memory loss.  For the first time, she is turning to me for support.  We need to come out of the closet.  Recently, friends were breakfasting with my husband and myself when an older lady walked by holding a baby.  Upon further looking, we discovered that it was a doll.  At first, my colleagues were taken aback.  It proved to be a teaching moment for me. I talked about how she was not crazy; mentally, there was something going on, for sure.  But that's okay, I said.  She is with her loving family.  She is calm and hurting no one.  I cherished the idea that she was out in public!  No longer are we being shut away so as not to embarass the family!  Hoorah!!!!

    Leah

    Reply
    re: Re: odd behavior
    Carol Bradley Bursack
    Wednesday, October 29, 2008 at 10:29 AM

    Fabulous, Leah! You are such an inspiration. And yes, people need to experience interacting with people with dementia, so they can stopped being "embarrassed" or whatever. You are a perfect example and a great teacher. It's going to be one person at a time, but we can try to make progress. If people hide dementia, that makes it seem shameful, which is - well, shameful! Dementia is a disease. Mental illnesses are diseases. Education is the answer here.

     

    Best,

    Carol

    Reply
  6. Alzheimer's "in the Closet"
    Mary Emma Allen
    Wednesday, October 29, 2008 at 11:28 AM

    Excellent story, Carol.  I found this, too, that some family members and friends didn't want to admit to my mom's increasing Alzheimer's and "strange" behavior.  When I was growing up, families kept such people "in the closet," not literally, but figuratively.

     

    I'm referring my Alzheimer's Notes readers to your article.

    Reply
    re: Alzheimer's "in the Closet"
    Carol Bradley Bursack
    Wednesday, October 29, 2008 at 02:24 PM

    Thanks for the reference! Yes, it's so sad that people were hidden away, supposedly for their own benefit. Much was shame on the part of the family, which is equally sad. I do hope we are getting into a more enlightened stage.

    Carol

    Reply
  7. Alzheimer's Team
    Alzheimer's Team
    Monday, December 15, 2008 at 11:16 AM

    I always enjoy your blog.

    Reply
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