Yvonnie Bailey- Davidson

Dear Counsellor:

My son is 12 years old and is mentally challenged. I am worried about what will happen to him as he grows older.

- Susan

Dear Susan:

Mental retardation is a medical condition that affects some individuals. Some people are born with it while others developed medical conditions that predisposed them to mental retardation. Mental retardation can be mild to profound. You did not say whether he has mild or severe form but it has shown that individuals with mild mental retardation can learn and have a skill that makes them employable. Whatever interests your son has that is safe and can provide an income should be encouraged. People have various skills and interests that can be used to earn a living. One of the concerns of relatives of the mentally challenged is how to keep them occupied and employed. Some individuals have musical skills which can be harnessed in particular areas. It is unfortunate that there is a lack of sheltered employment for the mentally challenged in Jamaica. It is an area of need that someone can advocate for.

Life is easier for the individuals with mild mental retardation. Moderate to severe mental retardation requires individuals to lead dependent lives. They require relatives or caregivers to take care of them. Some individuals require medication to control behaviour and to improve sleep. These days there are nursing homes, children homes and special schools that cater to this population. The only limitation is one of finances to cater to their needs. People who are mentally challenged need to be protected and sheltered to enhance their functioning. These individuals are prone to being sexually or physically abused by others. It is important to police the activities of these individuals to keep them safe.

I need help

Dear Counsellor:

My son is autistic and he gets irritable sometimes. He gets speech therapy and behaviour therapy but his aggression is a problem. He is restless at times and is quite disruptive. I am sending him to a special school to enhance his education.

- Marjorie

Dear Marjorie,

Autism is a condition that is gaining prominence because of its increasing frequency. It affects boys more than girls and interferes with the individual's relationships and behaviour. Some children are diagnosed in toddler-hood while others present at a later stage. It is a difficult condition for parents to cope with. Parents often wonder what condition has caused their children to have this disorder. The exact etiology is unknown and research is ongoing to try to determine the cause or causes.

The condition is usually detected early by the doctor and therapy is started. Treatment however usually involves speech therapy and behaviour therapy. There needs to be family education about the condition. Children who are aggressive may need medication to control the aggression. The medications works very well and also helps those who are hyperactive.

Education about Autism is very important. The Internet and various medical associations have a range of information available about autism. It is important to network with individuals who have children with autism or who work with children with Autism. It is helpful to be able to discuss with another parent about tactics and tips to cope. Some parents find it helpful to have relatives who can assist them to care for their child. Educating family members and enlisting the help of others are vital to successful living.

Some autistic individuals are highly intelligent while others are mentally retarded. Some individuals have normal education, get jobs, marry and have a family. Others live very dependent lives and are cared for by family members or caregivers.

Dr. Yvonnie Bailey-Davidson; 9274824; yvonniebd@hotmail.com