Let's talk life : Should I place my bipolar brother in a home?

Dear Counsellor:

My brother has bipolar disorder and gets aggressive sometimes. I am thinking of placing him in a nursing home. I think he will remain well under close supervision.

- Angela

Dear Angela:

It is a good idea to place your brother in a nursing home as he will receive close supervision. Many times, patients are non-compliant with medication and office visits and so need to be supervised closely. There are many nursing homes or group homes.

People who live in group homes receive medication regularly. These individuals have chores and some have jobs outside the home.

The major benefit of group homes is that individuals can live a normal life. Family can visit often and maintain the linkages. Compliance is a major issue with patients. This causes great stress for the family. Families need to be part of support groups so that they can get the help they need. It is very stressful for family members who run the risk of burnout and early demise. Gather the family to discuss the issue. Relatives have to work, so having the individual in a secure place is very helpful and convenient. Your brother can visit on weekends or public holidays. Telephone and Internet services are readily available and so communication can take place.

teen lacking interest in schoolwork

Dear Counsellor:

My 16-year-old daughter is not interested in her schoolwork. She likes to watch television and is always on the Internet. Her grades are low and she is not focused. She has many friends and I think she may be sexually active. I need help to deal with her.

- Margaret

Dear Margaret:

The teenage years can be challenging. Your daughter needs help. Does she talk with you? Discuss with her the issues that are of concern. Find out what are her career plans.

Talk about the need to have goals and plans. She may be demotivated or smoking ganja. Take her to a doctor to be assessed. She may have physical reasons for some of her behaviour. However, the doctor may refer her to a therapist for counselling.

You will need to restrict television watching and Internet use. Tie the use of technology to good grades. Go to school and speak with her teachers. The teachers may tell you about her behaviour in the classroom.

Restrict her activities outside the home and speak to her about sex and family planning. Teenagers generally see sex as something for enjoyment without any responsibilities.

The therapist will discuss these issues with her.

Email questions and comments for Dr Yvonnie Bailey-Davidson to yvonniebd@hotmail.com or call her at 978-8602.

Yvonnie Bailey- Davidson

Healthy

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