What to say to the parents of special needs children

I was born and raised in a country with a warm climate, and as fate would have it, the beautiful woman who became my wife didn’t. To speed this along, I found myself moving pretty much to the other side of the planet to a new country, with a new climate and a new language to learn. Nurses Announcements Archive Article

The only job I could get before I could converse in this new language was to go and work with violent, self destructive autistics. It was the best job in the world- I was lucky enough to work for one of the most charming and spiritual people I have ever, and possibly will ever, meet. Of course there were bad times (when over a period of a few months he bit his tongue off) as well as good times (when he some how managed to communicate his appreciation for the help and assistance we gave him over and above his sever autistic limitations) and it was during these good periods of his life that I began to have these dreams.

I remember that I dreamt the same dream seven or eight times. I could never remember the specifics, but the theme was always unmistakable. I was working with the guy as some sort of training as I was going to have an autistic child of my own.

During this time of the re-occurring dreams my wife fell pregnant with our first born son, who I refer to as Hurricane One with the masses. Normal birth followed by a normal upbringing until we took him for his two year health check up. I asked the nurse about his speech- or lack of it- and was told that the delay was quite normal due to the fact that I spoke one language to him and his mother another. It wasn't until we were back in my home country, seeing a doctor within the health system there, that the penny dropped. Two months later he had his diagnosis- he was autistic.

Not long after Hurricane One became an elder brother to, naturally enough, Hurricane Two. Another routine birth and upbringing. After experiencing the same lack of speech development we took him to the specialist, and not long before his second birthday he also received his autism diagnosis. Two Hurricanes, two autistics. Why is that?

The question why is that is very different to the question why me. Academia says that autism is a hereditary condition, which has some merit as my wife has an acutely autistic brother. Online forums suggest that autism is a result of immunization, which also has some merit as Hurricane One's autistic behaviours increased markedly after his year two shots. But was this an evidence-in-fact or was it just a co-incidence? I don't now. Nor do I really care. Maybe the spiritual explanation is the best- that the souls of both my sons performed unimaginable acts of service in their pre-life experiences together, and that in order for them to remain brothers in this life they were given bodies requiring special needs...

I am very fortunate that I have never been angry enough to ask the why me question. That's because such a question is futile. The unfortunate thing is that I have met many other parents of specials needs children who, even after five years, still torment themselves with this question. Is this some sort of punishment? No, you didn't. Did I smoke too much weed and drop one too many acid trips in university? Well, you probably did but that's not why you now have special needs children. So what did I do wrong?

In my experiences it is the spiritual answer that has had the most lasting effects. Maybe it's not a case of what you did wrong but what right was done to you. Maybe you were the principle recipient of the unimaginable good works that you special needs child performed for you in your previous lives. Maybe you chose to be their parent in this life as a return act of selfless gratitude. Or maybe I am wrong, but in my experience it has the most powerful effect in explaining why we have special needs children to parents overwhelmed by their situation.. And unless you are a neuroscientist, it is definitely the easiest.

So how can this apply to nurses, or health care workers who through their occupations are sometimes in contact with special needs children? As one of those parents, you provide us a great disservice if you show us pity. Of course it is easiest to say what we want to hear- that you are very sorry for our situations- but in the long term it is more of a hindrance than a help. What we want to hear is different to what we need to hear.

The best thing to say if you ever find yourself in a situation where a parent is coming to terms with the fact that they have a special needs child is to say something like this: 'Wow, you must be a very strong person on the inside...' When they look at you with that puzzled look on their faces, continue with something like, 'special needs children aren't given to just anyone...'

Variations of these two sentences have the power to change the very attitudes of parents with special needs children, especially if they are told this soon after diagnosis. It creates strength where pity and guilt once stood, and provides a totally new and positive direction for parents to focus on, right when they need it the most.

Specializes in LTC Rehab Med/Surg.

I have a daughter with Down Syndrome. I read somewhere that people who say I have a disabled daughter because I'm special, are also saying I'mnotspecialI'mnotspecialI'mnotspecial...........

As a parent of an 18 yr old special needs son, I've heard so many statements from medical personnel. Everything from being special to "going to have a jewel in my crown". I was never offended, however, I was perplexed. My son was medically-fragile for his first five years and we spent the majority of that time in the hospital. He's now like a six year old, so we've had our challenges.

I'm a nursing student now and I don't plan on telling anyone that they are special. I am a Christian, I am special, my son is special, but sometimes things just happen. Yes, I believe, as a Christian, that God will work good through it, but I will not tell that to a patient unless they firmly express their Christian beliefs.

I plan on being honest and giving them specific help in dealing with the diagnosis. I never received direction for therapies, research, Special Olympics, support groups, or other practical information. I had to either ask them for it or seek it out. If I don't have the information embedded in my brain, then I will locate info and get back to them. Practical advice is imperative!

If asked, I will be honest that my son has been the greatest teacher and blessing to our family. Caring for him has also been the most difficult challenge and roller coaster ride of my life. My personal info won't be brought up unless it has a definite place.

Each family is different, each reaction is different, and the response of others needs to be flexible...it's tough.

Enjoying the viewpoints.

This is dedicated to Zach a little angel now in the loving arms of God. He had Hurlers and was not expected to survive beyond the age of 2. He was with his loving parents for 12 years which in my opinion is an indication that God had a purpose for his short life. He touched so many by simply smiling and he taught us that life is more than seeking wealth and prestige. He drew together a family and he basked in the warmth of their adoration. He taught us to not take a sunset for granted or complain when the wind blows cold. He taught us that with love all things are possible even in the saddest of circumstances. His life will be celebrated when we say our final farewell to him here on this earthly plane. We know that Zach will be in our hearts always and that because of him our life was so much richer. We love you Zachary...Nurse Dee will miss holding you but I know your resting safe in the arms of our heavenly Father.

Specializes in Med/Surg; aged care; OH&S.

Yeah I have to agree with some of the other posters here. The OP wrote an excellent, well thought out, realistic article but in response to the 'special children born to special parents' argument from a couple of people -

I have an uncle (Dad's brother) who was born intellectually impaired. Lovely man but very difficult to raise - my grandmother never got over having to raise him and never let anybody forget how difficult her life was and was a bitter woman for a large part of her life. Without having any children myself, my opinions are that raising special needs children can be just plain challenging and frustrating sometimes. Obviously parents, most anyway, love their children, but that doesn't mean they don't wonder 'why me' sometimes. Sometimes life just sucks and it's ok to think that.

And honestly - as the child of dysfunctional parents myself, I can honestly say that God doesn't have much of a hand in who has which type of children. Some parents just shouldn't be parents.

So yeah, leave religion out of science please, with all due respect.

rph3664, when I read something like that, I think, dear God, we got off easy. And it has been hard taking care of a child with Asperger's, and the damage goes out in ripples, but we got off easy.

There is no one thing to say to the parents of special needs children, just as there is no one thing to say to someone dying or someone grieving.

Listen close, feel your way, don't think you have the answers. The things to say can range: "It must be hard." "How are you coping?" "You're doing a fantastic job." "You sound like you're at the end of your rope."

Specializes in OB/GYN, Peds, School Nurse, DD.
The best thing to say if you ever find yourself in a situation where a parent is coming to terms with the fact that they have a special needs child is to say something like this: ‘Wow, you must be a very strong person on the inside…’ When they look at you with that puzzled look on their faces, continue with something like, ‘special needs children aren’t given to just anyone…’

Variations of these two sentences have the power to change the very attitudes of parents with special needs children, especially if they are told this soon after diagnosis. It creates strength where pity and guilt once stood, and provides a totally new and positive direction for parents to focus on, right when they need it the most.

Hmm...I have mixed feelings about this one. As the mother of a profoundly mentally handicapped and autistic young man it makes me very uncomfortable when people say things like "Oh, you're such a strong, noble person to raise such a child." I want to say, "What did you think I was gonna do, put him in a dumpster?" I believe most parents rise to the occasion when they have a child with disabilities. I am very well aware of the fact that I am doing the job of three people, I don't need a gold star for doing it. Parents don't need to be patronized, they need some assistance. Instead of patting them on the head with a word or two about "how wonderful you are", how about someone pitch in and offer to come babysit for an hour so I can have 60 minutes to concentrate on paying the bills? How about you offer to take my two normal children to church this week, or the movies, or the park? How about you give me 4hrs off so i can go to my daughter's senior dance show?

These children, especially the very small percentage who end up in the very lowest functional range, have an infinite capacity for love. They tend to be happy and they give freely of their best affection. They are lovely children without an ounce of guile in their poor broken bodies.

How about you talk about my boy like he MATTERS. That's the thing that I crave as a parent, not vapid platitudes.

Hi as a grandparent of a special needs child I felt your answer was perfect. I don't think his parents feel they are "special" nor that their child has been given to them as some special gift. I guess I'm just too practical. He is just a messed up kid and his parents lives have been badly, sadly, affected forever.

Hi as a grandparent of a special needs child I felt your answer was perfect. I don't think his parents feel they are "special" nor that their child has been given to them as some special gift. I guess I'm just too practical. He is just a messed up kid and his parents lives have been badly, sadly, affected forever.

No child is "messed up". Perfection is non exsistant in this world .We all have our challenges and practicality has nothing to do with human life. A child deserves to have parents and GRANDPARENTS who love and nuture them. Can you imagine Grandparent how a child would feel if he knew a parent or grandparent felt that their lives "had been badly ,sadly, affected forever"?

Hmm...I have mixed feelings about this one. As the mother of a profoundly mentally handicapped and autistic young man it makes me very uncomfortable when people say things like "Oh, you're such a strong, noble person to raise such a child." I want to say, "What did you think I was gonna do, put him in a dumpster?" I believe most parents rise to the occasion when they have a child with disabilities. I am very well aware of the fact that I am doing the job of three people, I don't need a gold star for doing it. Parents don't need to be patronized, they need some assistance. Instead of patting them on the head with a word or two about "how wonderful you are", how about someone pitch in and offer to come babysit for an hour so I can have 60 minutes to concentrate on paying the bills? How about you offer to take my two normal children to church this week, or the movies, or the park? How about you give me 4hrs off so i can go to my daughter's senior dance show?

These children, especially the very small percentage who end up in the very lowest functional range, have an infinite capacity for love. They tend to be happy and they give freely of their best affection. They are lovely children without an ounce of guile in their poor broken bodies.

How about you talk about my boy like he MATTERS. That's the thing that I crave as a parent, not vapid platitudes.

The GRANDPARENT who commented that a grandchild was "messed up" and that his parents were "badly and sadly affected forever" ...needs to PAY ATTENTION TO WHAT YOU HAVE WRITTEN HERE!

Hi, if my grandson has the mental ability to comprehend what I feel I will be estatic. Yet I understand my feelings sound very harsh. I do wonder how I can balance that I have an acute physical ache in my heart 24/7 for my first born daughter, son-in-law, and even the "other" grandparents (he is their only grand son) and yet have the audacity to admit that I feel their first and only child is a loss to them, to their future, hopes, dreams, etc. I will never forget her saying, "I thought we'd have a son who would ask why does fire burn orange instead of black." I wonder if my being physically far from them, only being able to see them a few days 3 - 4 times a year, makes my imagination work overtime wondering how their day to day lives are? I wonder who to blame for the ache in my heart every time I see normal everyday parents interacting with their normal everyday children???? When a person hurts inside they want to lash out at someone, something, yet who can I lash out at?????

Hi, if my grandson has the mental ability to comprehend what I feel I will be estatic. Yet I understand my feelings sound very harsh. I do wonder how I can balance that I have an acute physical ache in my heart 24/7 for my first born daughter, son-in-law, and even the "other" grandparents (he is their only grand son) and yet have the audacity to admit that I feel their first and only child is a loss to them, to their future, hopes, dreams, etc. I will never forget her saying, "I thought we'd have a son who would ask why does fire burn orange instead of black." I wonder if my being physically far from them, only being able to see them a few days 3 - 4 times a year, makes my imagination work overtime wondering how their day to day lives are? I wonder who to blame for the ache in my heart every time I see normal everyday parents interacting with their normal everyday children???? When a person hurts inside they want to lash out at someone, something, yet who can I lash out at?????

Grandma/Grandpa it is not unusual to grieve over not having a "normal" or "healthy" child. Your right when you say they and you have suffered a "loss" . We all have hopes for our children, we don't want to think that they won't realize their (or our) dreams for the future. Your daughter is this child's mother , she needs your love and support . I will tell you an experience I had as a nurse for a little boy born with Hurlers . At birth he was perfect at least in appearance. It wasn't until he was 2 years old that his parents world began to unravel and they were told their beautiful little boy had this genetic disorder. In addition one of his parents had passed this gene to him. Mom and dad were also told not to expect their son to live much beyond 2. They had him in their lives 13 years. He had a stroke after a bone marrow transplant failed, he was blind, he did not speak, he did not walk. He was tube fed up to his 13th year. Yet despite the harrowing journey with their son , through illnesses and struggling day to day to keep him cared for and comfortable while working and managing their lives, these parents showered their little boy with love and affection. They held him, they took him to a camp for children with challenges, they took him with them on family vacations, carried him to church every Sunday. They provided their son with a loving family. Just a few weeks ago their son passed away peacefully in his sleep with his parents and grandmother holding him in their arms. I did not think this child "had the mental capacity" to "feel" love either and I will tell you I was very wrong. If this little guy (who weighed a mere 17 lbs and was the size of an infant at 13) had pain, his face would show it. He cried tears, he smiled. If I held him and spoke gently to him his face would relax, his body would relax and his tears stop. He felt the touch of those who loved him and through that he was comforted. I understand your grieving and am so sorry for your pain. I hope that you will turn your anger around and put that energy into supporting your daughter and get to know your grandchild. Look beyond what you see as "imperfect" because within that little child is a human being who needs your love.

Specializes in OB/GYN, Peds, School Nurse, DD.
Hi, if my grandson has the mental ability to comprehend what I feel I will be estatic. Yet I understand my feelings sound very harsh. I do wonder how I can balance that I have an acute physical ache in my heart 24/7 for my first born daughter, son-in-law, and even the "other" grandparents (he is their only grand son) and yet have the audacity to admit that I feel their first and only child is a loss to them, to their future, hopes, dreams, etc. I will never forget her saying, "I thought we'd have a son who would ask why does fire burn orange instead of black." I wonder if my being physically far from them, only being able to see them a few days 3 - 4 times a year, makes my imagination work overtime wondering how their day to day lives are? I wonder who to blame for the ache in my heart every time I see normal everyday parents interacting with their normal everyday children???? When a person hurts inside they want to lash out at someone, something, yet who can I lash out at?????

I totally understand this. I have felt the same way. Parents (and grandparents) do go through a period of mourning for the life they thought they would have with the child they had dreamed of. I promise you, none of us goes through pregnancy saying "I just hope my baby has an IQ

When my Christian was under 2 he was medically fragile. He required special feedings and special attentions. He aspirated more times than I can count. DH & I were physically exhausted, but that was nothing compared with the mental fatigue that comes with raising a very sick, handicapped child. Thankfully we have made it through, but I am well aware of the stress on our family brought on by raising this child. His brother and sister have made many, many sacrifices for his sake. Their lives have not been normal in the least.No that it has been completely bad-- my kids have learned compassion for those less fortunate and they have tremendous patience with their brother.

Grandparent, it sounds like you need to have a place to vent. No one can tell you that your feelings aren't "the right kind" of feelings. Feelings are just feelings. But feelings can change with time. It might not always be so intense, especially when you can get to the point that you reach acceptance of the situation. I never thought I would be able to "be okay" with it, but over the years I have learned to look at Christian just like I would any other child. And really, that's what every child needs, someone who loves them spots and all, who values their life no matter how broken and different. It took me about 7 years to get to that place; Christian is 14 now.. Everybody handles it differently.