An end to the silent suffering

Miss-Delectable

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An End To The Silent Suffering (from The Herald )

DREAMS can be powerful. For Michael Anderson, it was a dream that first triggered a breakdown that had been brewing for years. He believes his deafness, diagnosed as a toddler, combined with his parents' divorce, led him to feel inadequate and unwanted. In his teens, when he was also diagnosed as visually impaired, he felt isolated and struggled to make friends. His future initially looked bright at agricultural college. Then came the nightmare, triggering a crash from which it took him four years to recover.

"In the dream I was looking down on a pigsty, surrounded by a rickety fence. Inside was a pig, which was completely limp - and, I realised, visually impaired," he says. "Every time it took a breath it breathed out phlegm. Folks were looking in, wondering what to do with this sorrowful animal. And then I realised that the pig was me and I was so frightened that I would ultimately die alone - a deaf-blind person with asthma, limp and helpless."

Michael, from Larbert, is only able to communicate with the help of two hearing aids. Unable to share his fears, he internalised them and suffered in silence. Regardless, he got a good job, married and had a family. But life was not straightforward.

In his late twenties his symptoms were ascribed to Usher's syndrome - a rare condition that starts with deafness in childhood and leads to deaf-blindness - and in his thirties was told he would completely lose his sight within eight years.

"I reacted quite calmly," he says. "I was asked if I'd like to be registered as a blind person and I said I might as well. I went back to work, told my supervisor, then phoned my wife. I said a few words and burst into tears."

Mobility training and Braille lessons were offered, but not the support he needed to deal with the mental and emotional upheaval. Eventually, suffering from depression, he took early retirement. "Afterwards I was very depressed for about three years," he remembers.

His doctor gave him medication but not the talking therapy he needed. Now 67, he has since gone to several counsellors but believes even the best-intentioned are simply unable to understand the impact of his condition on his mental health.

Michael is far from alone. According to recent research, deaf people are four times more likely than the general population to experience mental health problems. Some 57,000 Scots are "severely or profoundly" deaf, while 5000 are deaf-blind.

Lilian Lawson, director of the Scottish Council on Deafness (SCoD), says there is a clear connection between deaf people's communication difficulties and their mental health. "Some deaf children suffer from isolation or are bullied or ignored. Other deaf people have suffered sexual abuse and are unable to communicate with their parents about what has happened, be believed or get support.

"A deafened person someone who goes deaf later in life may suffer mental health problems because she or he is suddenly unable to communicate with their partner, family and friends."

Yet mental health services for this group, says Lawson, are woeful. SCoD can list countless cases of deaf people who have gone for years without being diagnosed because of communication problems, others who are unable to access counselling because the service is not available in British Sign Language (BSL), and yet more who are isolated in mainstream hospitals, waiting weeks for an available interpreter.

Currently the only specialist mental health service in Scotland is a monthly clinic held by the Manchester-based John Denmark Unit, where the staff team are trained in BSL as well as deaf awareness and deaf culture. Those looking for an in-patient place in a specialist hospital also have to travel to the English centre.

This situation, according to Lawson, is simply not acceptable. In response SCoD is preparing its case in a paper to be launched on May 8, which will highlight the discrimination faced by deaf people attempting to access mental health services. After years of campaigning with little success, SCoD is also making a fresh call for the creation of a standalone mental health unit in Scotland, better outreach services and equal access to treatment for the deaf.

With a worrying high incidence of suicide in the deaf community, this is an issue campaigners insist cannot be ignored. In 2006, the Glasgow-based organisation Deaf Connections commissioned a small-scale study into the problem. Of the 18 deaf and deafened people interviewed, all knew other deaf people who had committed suicide, three had made an attempt on their own lives and 50% had felt suicidal.

Drena O'Malley, acting director of Deafblind Scotland, agrees that early intervention is key. She explains: "Many deaf-blind people are hanging on to their mental wellbeing by a thread. But we need to keep them clinging to the cliff. If they fall it's the devil's own work to get them back up again."

A Scottish centre of excellence' is also badly needed, she says. "It doesn't need to be large or costly."

There are glimmers of hope on the horizon. Lothian NHS is now running a pilot counselling service specifically for the deaf, and last month the John Denmark Unit launched a training course for mental health workers in Glasgow in deaf awareness. In June this year, NHS Lothian will launch Scotland's first specialist mental health service for the deaf. It will employ a community psychiatric nurse and an occupational therapist, who will be based at Deaf Action's Edinburgh offices, but will be available to those in the Lothian area for the foreseeable future.

Nic Goodwin, Deaf Action's Head of Services, says: "It is a very exciting development and a great start - but there is still a very long way to go."

The dream is that the service will act as a model for health boards across Scotland. And it is one that SCoD is determined to make a reality.

# For more information about SCoD's briefing paper, launched on May 8, see The Scottish Council on Deafness
 
This is exactly why I say the psychosocial impact of any disability needs to be addressed as well as the funtional issues such as accommodation!!!!! We have to start looking at people froma holistic perspective, and understanding that any area of their life impacts all of the other areas.
 
Stop expecting deaf people to function like hearing people and stop putting deaf people in restrictive environments! I needed therapy after my upbringing in a strictly oral-only environment. Turns out that several of my friends who grew up without sign language or support services needed to get therapy to deal with their low self-esteem issues. My best friend has issues with anxiety cuz she was treated so badly in high school by our hearing peers.
 
Stop expecting deaf people to function like hearing people and stop putting deaf people in restrictive environments! I needed therapy after my upbringing in a strictly oral-only environment. Turns out that several of my friends who grew up without sign language or support services needed to get therapy to deal with their low self-esteem issues. My best friend has issues with anxiety cuz she was treated so badly in high school by our hearing peers.

Exactly! We have to try to understand people from their perspective, from where they are, not from our own perspective. We have to pay attention to what they tell us.
 
Exactly! We have to try to understand people from their perspective, from where they are, not from our own perspective. We have to pay attention to what they tell us.

Unfortunately, from seeing some blogs and posts in this forum and other forums, that is not gonna happen anytime soon especially with the wave of cochlear implants.
 
Unfortunately, from seeing some blogs and posts in this forum and other forums, that is not gonna happen anytime soon especially with the wave of cochlear implants.

Yeah, it seems like a big mountain to climb. I keep preaching, though!:giggle: I think it is especially important for parents to understand, and counselors who may be unfamiliar with any kind of disability other than mental illness.
 
Exactly! We have to try to understand people from their perspective, from where they are, not from our own perspective. We have to pay attention to what they tell us.

So true! We need to start kicking asses!

Only if we could use stats to back up the evidence. Too many people dismiss the problems.
 
Stop expecting deaf people to function like hearing people and stop putting deaf people in restrictive environments! I needed therapy after my upbringing in a strictly oral-only environment. Turns out that several of my friends who grew up without sign language or support services needed to get therapy to deal with their low self-esteem issues. My best friend has issues with anxiety cuz she was treated so badly in high school by our hearing peers.

Shel,
If you don't mind me asking. You're welcome to tell me where to stick my nose if you don't wanna answer.

What did your family and your friends' families say when they realize the reason why you all went into therapy?
 
So true! We need to start kicking asses!

Only if we could use stats to back up the evidence. Too many people dismiss the problems.

Yes. And unfortunately, so many who dismiss the problems are those so called "professionals" who make reccomendations to parents based on a child's ears and their mouth without considering the rest of the child. They truly need to open their own eyes and ears!
 
Shel,
If you don't mind me asking. You're welcome to tell me where to stick my nose if you don't wanna answer.

What did your family and your friends' families say when they realize the reason why you all went into therapy?

My freind's family thinks she is being overdramatic.

My mom doesnt really know why I went to therapy. I dont think I ever really told her the real reason. She did say that everyone needs therapy from time to time so I dont think she really got it. It was 10 years ago so I dont remember what I said to my mom about going to therapy.
 
From Ms.D's article
"A deafened person someone who goes deaf later in life may suffer mental health problems because she or he is suddenly unable to communicate with their partner, family and friends."

I have not asked that specific Q to ran256.
I will have to do so.

I believe that it is not the deafened person who truly creates the problems.
I believe most problems arise from family and friends attempting to minimize the changes and ignoring the facts.
Venting is an important avenue for everyone. I can certainly see why some folks have needed help when they are ignored and/or their value diminished by unthinking or unfeeling family and friends.

For us, immersed in Deaf Culture, there has not been an inability to communicate.
 
From Ms.D's article


I have not asked that specific Q to ran256.
I will have to do so.

I believe that it is not the deafened person who truly creates the problems.
I believe most problems arise from family and friends attempting to minimize the changes and ignoring the facts.
Venting is an important avenue for everyone. I can certainly see why some folks have needed help when they are ignored and/or their value diminished by unthinking or unfeeling family and friends.

For us, immersed in Deaf Culture, there has not been an inability to communicate.


While those who are late deafened don't enter into therapy for exactly the same reasons that prelingually deafened adults or adoloescents do, many do seek therapy due to the life changes brought about by their changes in circumstance. They suffer adjustment difficulties...just of a different nature. That's not to say all, but many do. Of course, you are correct. Immersion in Deaf Culture acts as a buffer for both groups, as the community provides a much needed support system.
 
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