Hells Bells

Hells Bells
Location
Heart of the Heart of the Country
Birthday
February 01
Bio
Book editor, parent, MFA in poetry from a land far, far, away--and a long, long time ago . . . I'm not a psychologist, but I play one on TV.

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JULY 27, 2009 8:56PM

Funny, They Don't LOOK Disabled: Invisible Disabilities

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My friend Beth went blind as a young adult, the result of complications of Type 1 diabetes. Her son, Gus, was born with a profound cognitive impairment and uses a wheelchair.  So it’s pretty clear when you see them coming what they’re up against.

The picture at the top of the page is of my son and daughter, ages four and seven. Cute, aren’t they? When they were born, I had no reason to think they were anything but perfectly normal. They rolled over, crawled, walked, and talked--all on schedule--and just generally grew happily, like weeds. But as they entered the world of preschool and public school, their problems began.

Both my son and my daughter have attention deficit hyperactivity disorder (ADHD). In addition, my daughter has bipolar disorder. (That’s another story.) Unlike Beth’s and Gus’s disabilities, these disabilities are invisible.

Nearly 10 percent of Americans have an invisible disability. Some people with visual or auditory impairments may not be obviously impaired. Those with chronic pain or chronic illnesses can be quite disabled, but if they don't use a mobility aid of some kind, you'd never know it. A large proportion of invisible disabilities are psychiatric or neurological disorders, like Asperger's syndrome, autism, epilepsy, ADHD, and bipolar.

My son, poor soul,  spent most of his kindergarten year sitting next to a filing cabinet in the principal’s office because, even medicated, he just wasn't under control. He’s now 16 and much less hyperactive, but his brain differences mean he has trouble paying attention to things, planning ahead, and being organized. He’s very bright, though, so if he doesn’t perform up to expectations, it's easy to think he's lazy or just doesn’t care.

Bipolar involves an inability to regulate emotions, and my daughter’s mood swings and outbursts made her basically unfriendable throughout her childhood years. She had a birthday party when only one other kid came—and many years, there were no birthday parties at all. For a while when she was in elementary school, I’d cringe whenever the phone rang. I was sure it would be someone from the office calling to tell me she’d had another meltdown and been suspended again.

Because my kids were never failing or chronic behavior problems in school, they didn’t qualify for special education services. Instead, they received “reasonable classroom accommodations,” which boils down to whatever the teacher knew and was able to do. I can sympathize--general education teachers often do NOT receive the training they need in school to understand all the disabilities of all the kids who are mainstreamed into their classrooms. And my kids' problems are small potatoes compared with other issues classroom teachers face every day. But when your daughter’s third-grade teacher tells you to your face that she doesn’t believe in ADHD, well, that’s tough.
 
It’s especially hard when the symptoms of a kid’s disorder take the form of behavior—in school or out in public. I’ve gotten my share of stares and dirty looks when one of my kids wouldn’t sit down in a restaurant or had a major tantrum in the middle of Wal-Mart. Some parents even go so far as to have cards printed up to explain to strangers that their child’s  behavior is the result of a neurological problem. What do they say, I wonder:  "My kid is not an asshole. He has ____________  (fill in the blank)”?
 
Sadly, often even family and close friends don’t really understand a kid's invisible neurological disorders, as much as you try to explain. These people love you, and they truly want to help, but the advice they give is usually some version of putting your foot down and not letting the kid get away with ____________ (once again, fill in the blank). People questioned my parenting so often I began to question it myself--regularly.  Generally, though, I just said thank you and asked them what time they wanted me to drop the kids off at THEIR house.

My daughter will  be 20 in August, and is by all accounts doing well. She’s on her meds and taking classes at the community college, working part-time at a grocery store. My son is 16, in marching band and running cross country—doing well academically, except when he’s not. Neither one of them self-identifies as being disabled, which is a perfectly normal response for adolescents, who are, after all, immortal. They still look great. They'd kill me if I posted a current photo, though.
 
In closing, I will say that my friend Beth, whom I used as an example in the opening of this post, is the author of two books, a frequent NPR commentator, and a public speaker on disability issues and other matters that happen to catch her interest. She describes herself as a shamelessly self-promoting media slut, so go and visit her at www.bethfinke.blog.

You can hear her on NPR describing what it was like for her when Gus was born and how it felt to put him in a group home. This audio is SO worthwhile. I do hope you'll take the time to listen to it.

Group Home

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Well, here's something new anyway. Please do listen to Beth's audio, if you can. She's been there and then some, and is incorrigibly honest.
Thank you says it all.
thank you for sharing this. I'll listen knowingly. rAted!
I thought of you when I included it, Mr. M.
Well, hm...I certainly sympathize with what you wnet through raising these two fine children, but...I can't seem to let go of the anger
I fel (I am training to be a mental helath advocate)
toward the System, Societ, whatever you want to call it. i have finally after many years of hard study of these "normals" decided that RD Laing was correct when he said 'what we call normal is a product of repression, deinial , splittin, projection, introjection, etc...theya e the 'normally alienate' person, who can find a niche in society & uplift themselves out of the morass of their subconsciuous or unconscious being
by getting a good paying job
w/ good benefits &
retirement plan,
like good little ants...

I am becoming awfully "dualistic", in a sense separating sheep from goats.. Allthe sheep are in terrible trouble because they have not yet relaized there is NO SHEPHERD anymore...He (God) died oh, 100 yrs ago...The goats go on about their goaty business, oblivious
as they have always been
down through the ages..

Solution? Do what i do...associate with people who understand you...unfortunately that doesnt
include my two dear sisters, who i effectively kicked outta my life today...associate with yr fellow sheep, find your way home,
together....
Hi, James--sorry to hear some aren't getting it at the moment. Good strategy to stick close to those who do. Yours, HB
I'll check it out later but wanted you to know I enjoyed the post about the invisible disorders. There have been days when I was jealous of parents of downs syndrome kids because they don't have to explain so much. What an awful thought! Yet it seemed perfectly reasonable at the time.
When we were struggling with our son's behavior at school, we heard all kinds of labels, and dealt with a number of well-intentioned educators who really just didn't know quite what to do. The Giant refuses to consider any of the labels which were applied accurate, and at the moment, is doing very well proving them all wrong. In Giant's case, we simply don't know with certainty, but he doesn't look disabled. And so, as parents, we watch, worried, just in case, questioning ourselves as well as those who have judged one way or another.

HB, thanks for another illuminating look at our kids, and ourselves.
This was very important information. You bring up the problems of not always being able to see what's wrong, and then assuming wrongly.

Thank you for sharing this, and yes, I will be happy to go listen to her.
Do you know of any existing transcript for that Group Home audio?
As I said before, it's so much easier to be judgmental than to try and actually understand the situation and reach out. And that teacher who doesn't believe in ADHD, you have my sympathies. It's not your job to educate the world. When I would take Fayard and Addie out in their double stroller, people would say things like "people with strollers!" and we were in the way. When I would go out with the wheelchair, much different reaction.
Hey, Jon: I'll bet Beth has one. I'll send her the link to this article--she owes me!
hb - i will listen to that link tomorrow - right now i am chasing off a heart attack. but this is a good post, and it is a true problem - the invisible cases. i often think, even tho i feel like a jerk for thinking it that it would be easier for boychild if you could tell by looking at him that there are issues.
ah i see i am not alone. jimmymac - i totally get that.
Thanks for your comments, everybody. I went to follow the "Group Home" link & it's there but to hear it you have to download Real Media Player if you don't have it. There's a link to that on the page.
Funny, they look adorable!

Thank you for this. It seems so odd to struggle with the idea invisibility, but it's real.

I can't claim to know how you feel as a mother, and would never try. I think parents of kids with visible or invisible disabilities have their own special pains and struggles that the rest of us should do our best to hear, see, honor, and trust.

My spouse's disease and disabilities are also invisible to most everyone. I think I have officially decided that it makes life harder for us.

Thank you, again, for your honesty and your lovely writing.
I teach Kindergarten. My ADHD students are some of the most challenging, intelligent, creative and interesting kids I work with. I know you struggle, and there are days when I do as a teacher, but I think of these children as gifts. Your kids are NOT assholes.
Thanks for bringing attention to invisible disabilities, from a late-deafie who's had ADD friends.
Thanks, sweetfeet. Many of my kids' teachers have been absolutely great--real pros in an often difficult situation. I wish they all shared your view!
I really resonate with the invisibility and how it allows others to make judgments because we look normal and we should act normal. Or those kids should. But my son doesn't always act normal, due to his brain injury his executive functioning is impaired, his social censor lacking... But he is really bright and very sociable, so many people think his deficits are really just because he has been 'spoiled' or that he would be a 'great kid if you just set your foot down'. AUGH! I know what he can and cannot yet do. Why do people always think they have a better solution than the parent(s)?

I will listen to your friend's audio. Thanks.
This SO needs to be said! Thank you for saying it well and honestly. In a perfect world, if there *were* disabilities, everyone would automatically be aware of them and then would have the capacity to just accept the folks as they are and love them anyway! I am the Eternal Optimist--AKA Pollyanna! And so I say.......maybe someday. In the meantime we all need to remember that we can't judge the behaviors of others, if only because our own behaviors don't always stand up under scrutiny. Rated. D
You writing is so clear, intelligent and honest. I appreciate so much how you articulate what a lot of parents, including me, have gone through with our special children. I just can't imagine WHY there are so many of us with children with Asbergers, bipolar disorder, depression, ADHD, allergies, autoimmune diseases...Why are we sicker both mentally and physically when we are supposed to be in an medically advanced, first-world society? Are we so much worse as parents than our parents and grandparents were? What is so different about modern life that it is killing us???

I suspect silent chemicals that pervade our lives, that did not exist before 1950. Minute amounts of certain chemicals will change our minds and attitudes...they call them prescriptions. Do the minute amounts of industrial chemicals found in everything from our food, our water, to our air and our homes cause these other changes? I have begun to make changes in our lives, going organic and green. Maybe it will help.
HB. It's kind of overwhelming to see so many responses to this open call, isn’t it?

I read a comment by Ralph Waldo Emerson on education some years ago. I can't remember where the comment was, but he was expressing his concerns over the "new education system" then being established, the system we're burdened with now.

His philosophy was that students should not be funneled through a mass-production style education, for it would soon be nothing more than a discipline machine, unfocused on educating the student.

I'm sure he had no idea what ADHD and the likes was, but he certainly was visionary, especially where invisible disabilities are concerned.

I'm glad to see your children made it as far as they have, as well as they have. ADHD can be incredibly frustrating for the victim.
Thanks, HB, for the valuable post.
I'm an adult with BPII., and my son had a heart condition which was also not obvious. In my darker moments, I get really irritated with the "bald-headed ones" because they get so much sympathy. Kids with heart conditions don't go bald or turn a weird color. Neither do those of us with mental illness. We are not as outwardly cute as a bald-headed baby or as outwardly courageous as a bald-headed breast cancer survivor.

Our internal agony isn't understood by the outside world. Too bad we don't have a pill that turns us purple.
Thanks Bells! I used to work in a Group Home and am looking forward to empathizing with your friend Beth.
thank you for this!!! i'm agoraphobic and also brain damaged from a benign pituitary tumor and i have two little service dogs. cocoa chanel alerts to seizures, ella fitzgerald to panic attacks. i do a lot of educating about service dogs for invisible disabilties. and it's a peak experience when i can help someone who didn't know that he/she was eligible for a loving canine companion!!!

if this resonates with anyone, please go to Deltasociety. org to learn all about service dogs and therapy dogs, which you train to help other people. i've did that work with my first SD, Good Willa Hunting, and there is little that i've done in life that compares to that. ella and cocoa keep failing the training because of Barking Issues. love lvoe lvoe
It sounds like you did an excellent job raising your children, in spite of the lack of support and understanding.
Your post touched my heart -
HB - one of my good friends raised a child with Tourette's and sensory integration issues. Once when he was four, we took them to the public pool, and the child took off all of his clothes because the wet suit was really bothering him. He was a tall four year old, pretty well developed, and rational adults were freaking out - Gasp! Nudity! Cover the children's eyes!!! As we tried to gather our things, wrap him in a towel, and evacuate to the car, we got all kinds of helpful comments: "Make that kid put some clothes on! What's wrong with you? Hey, your kid lost his suit!" Worse even than the words were the looks of disgust.

People are so quick to judge - until they've been there.
And Beth's story is lovely. Also - for other readers who may be pressed for time: it's a short piece, around a minute - one valuable minute!
I read this morning and then got sidetracked when I had to update my audio player and then I meandered off in the meantime. Even with all our challenges, you have managed to write about this with intelligence and humor (I actually like the idea of the cards to hand out). This just goes to show once again, we NEVER know what someone else is dealing with and the world would be a far better place if we all made fewer assumptions. Hugs to you.
Here's another link for you:
http://borntoexplore.org/hunter.htm

It explores the evolutionary reasons why some people have adhd and the positives.
This may sound callous, but reading this reminded me yet again how thankful I am to have normal, healthy children, and thank you for that!!
Watch out, Amy. The gods are listening.
Parents have to be strong advocates for their kids - no question. And often that flies full in the face of the interference from strangers and the "well-meaning" advice from educators, family members and sometimes even medical professionals.

We've been there. Our children have Aspergers and ADHD. We're pleased that they are under the care of a terrific child psych.

Well done on seeing to the needs of your family, HB. It is such a frustrating and worrisome job. Blessings on you and yours.
As a former teacher I sit on both sides of the fence, much like sweetfeet. Only because those 'hidden' disabilities come very close to home.

This is an excellent piece, HB -- Thank you and duly rated.
Thank you Hells Bells! I also have two kids with ADHD. I wish I had a buck for all the unsolicited advice I've received over the years. Everything from St. John's Wort to acupuncture to a good swat. I've been lucky to have mostly understanding teachers, great doctors, and supportive family.

One of my kids is also dyslexic, which is a condition in my state that the public schools won't even name. If they called it dyslexia, they'd have to provide appropriate teachers and they can't afford to. So it doesn't exist. We have a dyslexia tutor outside school who laughingly calls it "The D word."

I get so angry sometimes when I watch those charmed children, you know the ones, who are good at everything (sports, music, school, getting along socially), have a ton of friends, and have the world by the tail before they leave elementary school. They excel on all those blasted standardized tests, they get labeled as TAG and get to go to special classes with the other "smart" kids. You and I know that those kids are blessed with the kinds of brains that are perfectly suited to public school. My kids didn't get those brains... they got a different set entirely. But my job is to squoosh and squeeze the brains they do have into the mold that the public school system has given us, because it's the only mold I have.

Thank you again.
It seems like most disabilities are invisible. My husband has M.S. - invisible. Our friend has breast cancer - invisible. It seems like the minority of disabilities we can actually see.
Thanks, from all of us with ADD and other "invisible disorders."
I couldn't open Beth's audio - it seems to be missing. Maybe its just a temporary issue.

Thanks for another clear, concise, frank and touching piece, Ms. Bells. I can imagine it must be pretty annoying, with everybody's parental advice.

It might be slightly akin to dealing with depression and people telling you to "just think positive" or "snap out of it." Oh really - I never thought of that! Ugh.
This is just so well considered and beautifully written...alcoholism is an invisible disease...as I sit here sober, I have a fatal malady that is getting progessively worse...yet sitting here in the coffee place, writing here, I hardly look the part of the stereotypical drunk...xox
Hells Bells, thanks for the great story. Its amazing what human beings can do despite it all. If only some people would just get out of the way and let the children teach!
As a former teacher, I SO get ADHD.
Hey...clarification: I am a sober alcoholic...but this is a disease that continues to progress no matter how long we're sober...meaning that if I were to drink again, I would start where I left off...and my reaction would be worse than the last time I drank...which would mean a trip to the ER, and admission to the ICU...that's where I left off. The morgue is next. xox
I know someone with Aspergers, and everyone assumes he's a jerk. It is difficult for him, but he never had any treatment for it.

Also, with mental conditions, people are often afraid to even tell people they have it, let alone seek support.
This was so perfectly written. I understand in more ways than I'm up for telling right now. Thank you.
I remember the first time I saw a bipolar patient during a "manic attack." I was a third-year medical student on the psychiatry ward. It was dramatic. I couldn't keep up with the patient. I was worn out after just fifteen minutes. I can't imagine the difficulty of dealing with this routinely. Thank you for posting this. Millions of parents deal with these challenges every day. I hope some of them discover your excellent discussion.
Thank you, Kathy, Renaissance, Steve. I always wonder what sparks interest again in a post that's been up for a while . . .
Wonderful story Hells..I am going to go back now and read the rest. You say you wonder what sparks interest in posts that have been up for a while?I'm pretty new and have been writing about mental illness myself, so I searched for Bi-Polar, etc. Yours writing is wonderful.
I thank you, trilogy. Maybe this one will get a bump. I'm not above it!