Tool
Kit for Families Living with Chronic Medical Illness
Before Chronic Illness moved into your world, how did you
and your family deal with crisis? Typically one member goes into Fix-It-Mode,
and others take roles that feel most comfortable to them. The ideal, yet
least common approach to problems is honest problem solving that includes
talking about emotions and feelings. Families that have worked through the
more difficult aspects of having an ill member may invite the help of a trained
professional such as a psychotherapist, pastoral counselor, priest or rabbi.
Other families schedule regular family meetings to help "clear the air" and
make sure that there are as few misunderstandings as possible. The more coping
techniques the better.
There are several common areas that are challenges for families
with chronic illness: Comfort, trust, and respect are basic ingredients that
strengthen connections. Other relationship issues that must be negotiated
are: dealing with emotions: denial, depression and disappointments; planning,
preparation, concerns and fears about the future; teamwork, fighting for
your rights, dealing with doctors and medical systems; care and support for
care-partner, sharing of information about the illness when "protecting"
the ill person and others; what amounts of information are most helpful and
when; and reducing the burden on the children and family members.
At the core of any strong relationship is good communication.
Communication is one of the biggest challenges for families with chronic
illness. The big question is how to find ways to let your partner, family
or friends know how you feel without feeling like you are being a burden.
Learning to do this takes time, patience and compassion for yourself and
others. (Yes, this goes both ways - the ill person AND the care partners.)
Healthy communication depends on several factors:
- Your comfort knowing and sharing your emotions and needs with others
- Your comfort level dealing with conflict, can you agree to disagree?
- The severity of the disease and
- How well you worked
as a team before the diagnosis.
If you can work out disagreements about where to eat when you go out, you
are likely to have fewer problems talking about more difficult topics, such
as changes in levels of independence. Being able to talk openly about loss,
changes in what each of you are able to do, are all skills. These are skills
that most people never learned. Knowing how to discuss and make your needs
known can make it easier to cope with the ups and downs of chronic illness.
These same tools will enrich other aspects of your relationships.
What is most important in your relationships and life in general?
Most of us want to feel close to those we love, to be heard, valued and understood,
to be able to communicate, work as a team, be able to be friends, and handle
the ups and downs that come with illness. A tall order for any couple, and
even taller when illness is stirred into the mix. One exercise you might
want to try is having each person jot down their thoughts about what is most
important in their relationships and life in general and then read them aloud
to each other. You may be surprised what you learn about your priorities
and your loved ones. (Who knows, you might learn that your loved one has
a secret desire to go to Legoland.)
How you cope as a family depends on many
factors
Tension, unresolved anger, financial stresses and
being stuck in "survival
mode" can aggravate or cause problems. For example, when was the last time
you planned something Fun? Is there room for playfulness in your relationship?
When was the last time you spent time doing something just for relaxation
or pleasure? If your answer is: "Too
long ago!" talk
with your family or close friends about scheduling a short get-away within
the next month. Or at least schedule a time to do something outside of your
normal routine that you can enjoy, like going out to see a movie or making
a picnic in the living room.
During times of crisis or exacerbations, your focus may
be on survival. This is normal. Nevertheless, it is important to find ways
to inject comfort and joy, even in small doses. These are times when each
Team Member needs an extra dose of compassion, for everyone, especially themselves.
The challenge is to balance the arts of Patience, Creativity and Flexibility.
In short,
making room for support from others is a gift that helps everyone. One of
the many gifts that illness foundations such as the Arthritis Foundation,
Diabetes Foundation, Cystic Fibrosis Research Inc., Aplasic Anemia and MDS
Foundation, Inc. and the Lyme Disease Association, offer their members is
the variety of ways they connect members to each other throughout the year.
The richness of the support I have seen with members of these organizations
is one of the greatest gifts I have witnessed.
About the Author
Ann Steiner, Ph.D., M.F.T., CGP, is a licensed marriage
family therapist, professional speaker and author who specializes in work
with the medically ill and relationship issues. She is in private practice
45 minutes from San Francisco, CA, is an Associate Clinical Professor, Department
of Psychiatry, University of California Medical School, San Francisco, and
has been leading psychotherapy groups for 26 years. You can download
a free copy of her Medical Information Form, a way to keep a current
list of your medications and emergency contact information.
This article is based on sections of her forthcoming self-help book.
Please do not use this material without the author's written consent.

© Copyright 2001-2008 Ann Steiner,
Ph.D. All rights reserved.
Reproduction without the author's written consent is prohibited.
Last Updated: August 5, 2008
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