My father has been diagnosed with Alzheimer's disease and he seems to be getting worse. The family is petrified about his condition.
- Moya
Dear Moya:
Alzheimer's disease has become a common diagnosis and is a progressive disease. The elderly usually deteriorate to the point of being unable to help themselves. Initially, there is memory loss, which is progressive to the point where the individual is unable to recognise spouse, children, relatives or friends.
The family will need to pool resources so that your father is properly cared for. Family members may get disenchanted and discouraged about the situation. They will have to support each other and take turns in looking after your father. Sometimes family members are concerned that they might develop the condition. Alzheimer's disease is not contagious like measles but it has a genetic component, so other family members may be affected as they grow old.
Family counselling and spiritual involvement are necessary to help the family members cope with caregiving. Maybe the finances need to be put together to employ caregivers on a shift basis.
Autism distress

Sixteen-year-old Delano Douglas, who is autistic, hugs his older sister Donique Fearon. Therapist Yvonnie Bailey-Davidson says strong family support is critical to dealing with autism. - Ian Allen/Staff Photographer
Dear Counsellor:
My son is three years old and has been diagnosed with autism. I am very distressed about this. I don't know what to do.
- Angela
Dear Angela:
Autism has become a common diagnosis and many parents are in distress. It usually affects boys more than girls and some children have loss of function. Many children lose their speech and only gesture whenever they need something. They don't socialise with others and are in a world of their own.
Early diagnosis is important as these children require a lot of therapy. At this age, he will require intensive speech therapy to help him communicate with others. Therapy is expensive, so parents have to engage in financial planning and budgeting.
Many children will have to live with their parents all their lives. Parents will, therefore, have to grieve about their child's condition and adjust to the fact that their children will always be dependent on them. Parents have high hopes of their children doing well in school, getting a job, have a family and growing old together. Many parents go into shock when this diagnosis is given as they see their dreams shattered.
Helping your family
Take time to grieve privately as well as gather your resources to help your son. You may feel angry, sad, overwhelmed and frustrated. Many people question their religion at this time because they have been given a disaster to deal with.
Talking to other parents about this problem is quite helpful as individuals share coping strategies. You will need help to deal with the various issues. Your son may need to be taught by a special educator as his education may need to be specialised.
You will need to maintain hope in the face of adversity. Your family needs to get counselling and support. Autism affects all family members, not only the child.
Phone Dr Yvonnie Bailey-Davidson at 978-8602 or 791-1778; or email yvonniebd@hotmail.com.