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 med/surg.
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"?

Thank you, you said it better than I can. As the parent of a child with Aspberger's and a therapeutic foster parent, I could never imagine thinking my children were "messed up". Who "messed" them up then?? Our life may have more challenges than other families but it certainly has many blessings and victories as well.Imagine being able to feel absolute joy just because your 11 year old has made a friend at school or is able to have a conversation on the telephone. Things many take for granted feel like huge accomplishments to us. Please try to find the positives during difficult situations the parents need positive support not negative attitudes

Specializes in Peds.

OMG I had to laugh and immediately wanted to get home to post what happened today at Walmart..........I went to get some things...and because my daughter has seizures, we use those noodle thingys you use in the pool for swimming..(.those styrofoam long tubes) We cut them down the side and put them on the bed rails to protect her arms just in case she has a seizure.......so an elderly man was behind me and he mentioned something about swimming, so not thinking I casually mentioned well we use them for bedrails for our daughter because she has seizures.....and yes we do use them for swimming too....so he says " Well you've got you're hands full, don't you, and you've handled it quite well by the looks of you":uhoh3:......I thought...oh if you only knew the 1/2 of it....lol he said this only knowing what I said about the seizures......never mentioned anything else at all.....she could be a normal healthy kid that has seizures........he didn't have any idea........so the remark of "having my hands full" was soooooo classic of the patronizing remarks people do make.............

Lol...it figures...... I know he didn't mean anything bad but gosh I swear sometimes people sound like you're doing you're child a huge favor by taking care of them.......what ever happened to plain old love:redbeathe????? Just because a child is disabled doesn't make us love them any less than a normal healthy child, sure it stinks but that is life., like it or not .................what should we do, throw them to a pack of wolves and let the wolves raise them????? lol ! ;)

Hi, it is me the evil disabled child hating witch, ha ha. Don't any of you get it???? This blog is a place I can say I hate my grandson's disablility, it sucks. I do think his parents lives are going to be messed up. I know EVERYBODY has problems, needs, every child comes with problems. A "perfect" child can give a parent more problems than any disabled child. Don't you get it, I can VENT, here. Say that things do suck and hurt. Does that mean I don't love him??? Oh yeah, of course, I forgot I'm the disabled child hating witch. Of course I love him, of course I help and support them. I've sent them over $15,000 in the last year as "just do with what you want money." I've joined the national organization for his disability and am on the fund raising committee for this years conference. What do you think I do when they visit, say, "get that devil child out of my house!!!!!" You guys just don't get it! Why can't I ventilate here!!!!!!

Specializes in med/surg.

I'm very sorry for your heartache Grandparent, but a lot of us nurses have big soft spots for special needs children. I know I tend to get very defensive over the subject.maybe because my mother has made some awful commments to me about my autistic son and knowing how she feels about it truly hurts. Maybe an online support group would be better suited for you to vent about this particular topic. I wish you and your family the best and I hope in time you are able to find some peace in your heart over this.

I've read through these pages and the question in the title only seems to have a couple of answers. One is to offer verbal support to the parent; the other is to offer to spell the parent with the contribution of time.

Unsolicited verbal support makes no sense to me. I don't understand the comparison of giving birth to taking a trip to Rome while the reality of actually parenting a special needs child is like settling for Holland. I understand that it was a line from a movie. It seems like not only do you have to cope, you have to appear to cope well. I think that that is asking too much. Venting is a real need. If not here, where?

Honest comments of any sort are okay if you believe, as Eleanor Roosevelt said, no one can make you feel inferior without your consent. But how much of the motivation for those comments is the speaker trying to square the reality with their own idea of how the world works?

I guess what I really want to get across here is that being overwhelmed, and knocked for a loop and devastated at first makes sense to me. It's what happens day in and day out that really counts. It's the love in action.

I am of the old school notion that pent up emotions lie right below the surface . Despite best efforts to submerge those negative emotions, we tend to be affected by them and as a result they affect our behaviours. If grandmother thinks her underlying anger and resentment of her perceived effects her disabled grandchild has on her daughter's life is not apparent she is deluding herself. Perhaps therapy for grandmother would be an appropriate suggestion. I worked with a child challenged by spinal bifida. The mother was a bitter and vengeful individual who also attempted to submerge her "anger" at the " disability" that affected her son. Despite her carrying a Bible around and pretending to be a mild and gentle spirited mom she turned out to be a very angry and bitter individual. Perhaps venting here helps...but I suggest a therapeutic mileu where you can openly voice your anger would be more beneficial.

I am of the old school notion that pent up emotions lie right below the surface . Despite best efforts to submerge those negative emotions, we tend to be affected by them and as a result they affect our behaviours. If grandmother thinks her underlying anger and resentment of her perceived effects her disabled grandchild has on her daughter's life is not apparent she is deluding herself. Perhaps therapy for grandmother would be an appropriate suggestion. I worked with a child challenged by spinal bifida. The mother was a bitter and vengeful individual who also attempted to submerge her "anger" at the " disability" that affected her son. Despite her carrying a Bible around and pretending to be a mild and gentle spirited mom she turned out to be a very angry and bitter individual. Perhaps venting here helps...but I suggest a therapeutic mileu where you can openly voice your anger would be more beneficial.

I believe that bitterness and denial are more likely to destroy marriages and other relationships than the disability itself. This also applies to people who become disabled as adults.

Specializes in Pediatrics.

Brownbook- I don't think anyone is saying it's not ok for you to express and vent your feelings about your grandchild and the effects of parenting a disabled child has on your daughter. I certainly am not. Most of us who have posted about our children with special needs have parents that are adjusting along with us with the changes in our expections of the rest of our lives. I DO think that it is unrealistic of you NOT to expect some people to get upset with what you are saying and what you are venting about.

Please keep in mind that I am not upset, but then, I have spent the last 3.5 years learning on how to cope and appreciate my son with autism, and how to help my extended family cope and appreciate him as well. It's not easy, but it's something we work thru everyday. however, if I had read your original post 3 years ago, I would have been very upset because to a parent dealing w/ a new diagnosis it is a very discouraging viewpoint. I needed my parents and inlaws to be strong for me, or at least pretend to be during those first few months...like you they were angry. for me, they were also in denial too (I don't think you are)...that made our adjustment to our new way of life really hard.

I think it's wonderful that you are so involved with groups and fundraising, and I DON'T think you are a witch, or horrible. but understand, it's hard for parents to hear those kinds of things from a grandparent, especially when it makes them wonder how closely those feelings are to what their own parents and inlaws are thinking.

In my experience, most support groups are populated by people who have been newly diagnosed, as most parents who have "been there done that" are "tired" of hearing the same themes over and over and stop coming...so unfortunately that leaves you surrounded by the new parents who are VERY sensitive and will be angry with you for making those kinds of comments.

I don't want to discourage you from being able to vent your feelings, but I would like you to understand what it is like for those parents who are on the other side and listening w/ raw emotions.

I don't have a solid answer of where you can go to vent w/o having someone get angry and "attack" your feelings, my support group dissolved over a year ago because of this kind of issue. I am lucky in that I made a few friends before it dissolved that I can talk to honestly and who understand my experiences and are roughly in the same stage/phase as I am. I would suggest that you talk w/ the people in your organizations that you work with to find others who are in similar situations that you can vent your feelings with as well..it has been a lifesaver to me to have those friends who understand.

I wish you well, and hope that the hurt you have for your daughter fades a bit, it is hard to live with pain in your heart over your child.

God Bless.

Nina

gfcfnina, Hi, I understand how a parent would feel if they heard my thoughts, proabaly angry and hateful towards me. I don't think my thoughts show?? If our thoughts showed yikes what a world. I've always felt comfortable thinking it is ok to think horrible thoughts as long as we don't carry out the horrible thought. I have a pretty active imaginary life! It relieves a lot of my frustration and anger to think really bad thoughts! Doesn't everybody (I'm thinking about husbands now not my grandson!) Anyway I always support patients of disabled children and support my family. When we drop a hammer on our toe, our "instinctive" reaction to the pain is to strike out at someone, something, whatever caused the pain. I read once it helps to punch a pillow when something like this happens. So I think my pain over my grandson is like that, I have acute pain in my heart yet who or what can I strike out at.

Specializes in LTC Rehab Med/Surg.

I have read most of the posts here and have not seen anyone mention "chronic sorrow". When my daughter was born, I cried every day for six weeks, only stopped crying everyday 'cause I had to go back to work. I kept waiting for the pain of her disability to lessen. I'd tell myself, "this won't hurt so bad next year" because time does heal pain. It didn't. That was >20 yrs ago, and where I came from you didn't see a counselor just because your were "sad". I started to scour books trying to figure out why I couldn't get over the pain. I read about chronic sorrow in an old nursing textbook my neighbor had. That was before I was a nurse. Bad news was, the pain never goes away. The good news was it gets balanced by the love a parent naturally feels for their child. My daughter is 25 years old and I can tell you the pain of OUR loss is so great that sometimes I want to bend over with the agony. It has never become easier. On the other hand, nothing in my life has ever come close to providing me the pure joy that she has.