Parents of Disabled Children Can Develop PTSD

I know because it happened to me.

Nov 3, 2017 | By Carol Glazer, President, National Organization on Disability

Carol Glazer hugging her son Jacob
Carol Glazer hugging her son Jacob

Twenty-five years ago my first son, Jacob, was born with hydrocephalus, or water on the brain. Doctors told us Jacob would grow up with both physical and intellectual disabilities. What those doctors didn’t tell me at the time was the emotional toll his illness would take on me.

It’s a story all too familiar for parents of children with severe disabilities, yet many of us struggle in silence. This week I decided to share my story publicly for the first time at a mental health forum in New York hosted by the National Organization on Disability, the nonprofit I am privileged to lead. As someone who encourages companies to create inclusive workplaces that invite employees to disclose their disabilities, the time had come for me to disclose mine.

I was diagnosed four years ago with Post Traumatic Stress Disorder, or PTSD. PTSD is most commonly associated with military veterans returning from service. Yet parental PTSD is more common than you might think — nearly 30 percent of U.S. children live with chronic health conditions. Many of them might not have survived in previous generations, but because of advances in pediatric and therapeutic techniques and a changing spectrum of disease, they do live — but often with a lifetime spent in and out of the hospital. Nearly half of their mothers exhibit symptoms of anxiety and PTSD. Count me as one of them.

All these years later I can still feel the way my face tingled when the doctor told me the news about Jacob. It was the start of a year in which Jacob underwent 12 brain surgeries, two experimental surgeries, and suffered from three brain infections – the first of which, acquired in the hospital at birth and undiagnosed for six weeks, had caused considerable brain damage, particularly to his visual cortex. At the end of this ordeal, we were told that Jacob would likely be blind, he might not walk, and that his level of cognitive functioning would only become clear in the next three to five years.

In an instant, all of the excitement and anticipation of the arrival of our first child suddenly turned to mass confusion and terror. I tried to wrap my mind around the painful reality of what Jacob had been through, the massive uncertainty surrounding his long-term prognosis, and a life we knew would now entail regular trips to the hospital.

I didn’t realize it at the time, but something profound happened to me in those early years of Jacob’s life. I became a different person. More cautious. More prone to worry. Impatient or angry with the wrong people. I wasn’t happy with the person I’d become.

Clearly and unmistakably, I’d experienced trauma. Not the kind soldiers experience on the battlefield, but similar. When you think about it, repeated hospitalizations are not unlike multiple deployments.

I hate talking about myself, and usually don’t. But I chose to share my story in the hope that it will bring to life many of the questions we seek to shed light on as it relates to mental illness in America, as it’s fraught with stigma, misconceptions, fears, and myths.

Why for so long did I dismiss the feelings of terror, the insomnia, flashbacks, and sheer exhaustion, believing I had to just get over it?

Why did I not seek a diagnosis until only four years ago and then reject it as nothing compared with combat trauma?

Why am I only now telling this story?

The answers, of course, lie in the stigma and misconceptions surrounding mental health issues in the workplace. At NOD, we work every day to reduce the stigma around disabilities, both seen and unseen. We have amazing companies in our Corporate Leadership Council who are making this a priority so that their employees are less reluctant to share their stories, thus allowing their managers to create more inclusive workspaces, and benefit from their diverse talents and perspectives.

As for Jacob, I am happy to report that through a persistent regimen of early intervention treatments and multiple therapies, and with New York’s unparalleled special education system, he has thrived, with each victory bringing pure joy as he’s turned out to be a happy, clever, busy and loving young man.

And while the trauma of those early experiences crushed me to the core then, a new self has also emerged. Determined, skilled at dealing with adversity and solving problems. Resilient, vulnerable, and more compassionate. These are all skills a talented therapist has helped me recognize in myself.

Perhaps most of all, I have learned a workplace-leading practice that we all can use when facing coworkers, bosses, or team members who are dealing with mental health issues. It’s just one simple word: Empathy.

My colleagues have consistently been willing to put themselves in my position, not just feel for me, but put themselves in my place and think about how they’d want to be treated. That has engendered my loyalty, productivity, and ability to turn my life experiences into positives for my employers. In the case of NOD, I’d venture it’s had a direct impact on our mission.

As humans we’re built to be empathetic — but that empathy has to be activated. Once you find your way to that as a coworker or friend of someone who’s experiencing a mental health issue, or any disability for that matter, much of what you need to do will follow.

That is my story. I wish I’d told it sooner.

Read the full story at RedbookMag.com

Revisiting the Pain of Mental Illness in America

The Huffington Post, August 25, 2014 | Carol Glazer, President, National Organization on Disability

As an actor, comic and humanitarian, Robin Williams touched millions of lives. His untimely death by suicide linked to serious depression has deprived all of us of years more of his extraordinary gifts. More importantly, his family lost a husband and father. The media has been abuzz about the profound pain wrought by depression on its victims and their families. But before we move on to the next important news story, let’s first tally up what Robin Williams’ death tells us about the stigmatization of mental illness and the cost of investing in its early detection and treatment vs. the cost of not doing so.

Throughout history, as a society we’ve treated mental illness in short bursts, separated by large periods of benign or active neglect. From the purges and bloodletting in the Middle Ages, to later “madhouses” that housed inhabitants in cages, to reforms creating more humane state hospitals in the late 1800s, public policy has come full circle. In the 1960s we learned that state institutions were no better than incarceration of previous centuries. That recognition led to deinstitutionalization in the mid-1960s, codified by President Kennedy’s funding for treatment facilities through the Community Mental Health Act of 1963. (President Kennedy’s sister Rosemary had famously undergone a lobotomy, which left her inert and unable to speak more than a few words).

But while the number of institutionalized mentally ill people in the United States dropped from a peak of 560,000 to just over 130,000 in 1980, only half of the proposed community mental health centers intended to support individuals who transitioned back to communities were ever built, and many of those that remained were dismantled in the 1970s and ’80s due to lack of funding. Sadly, the promise of deinstitutionalization — helping vast numbers of people with mental health disabilities lead normal and productive lives through treatment in their communities — was never fulfilled.

From Deinstitutionalization to Transinstitutionalization

Today, inadequate treatment options in communities have forced people with serious mental health problems into homelessness and, once again, to prison. Across the country, individuals with severe mental illness are three times more likely to be in a prison than in a mental health facility, and 40 percent will spend some time in their lives in jail. In fact, the three largest mental health providers in the nation are jails: Cook County in Illinois, Los Angeles County and Rikers Island in New York. Collectively, jails and prisons now house an estimated 400,000 people with serious mental illness.

The consistent theme in the cycle has been a lack of a political will to fund appropriate mental health facilities and treatments. But with suicide rates among Baby Boomers, e.g., those in Williams’ generation, increasing by nearly 30 percent since 1999 and depression rates, closely correlated with suicides, likewise skyrocketing for people in this age group, it’s a public health crisis of tsunami proportion.

We pay dearly for our failure to invest in adequate early detection and treatment in communities. The cost of housing an inmate in prison is around $25,000 annually, not including the cost of social and medical services and education. (Ironically, getting these services upfront could keep many out of prison in the first place.)

In the workforce, stigmatization and inadequate treatment imposes similarly high costs to workers and employers alike. According to the National Alliance on Mental Illness, mental illness accounts for $193.2 billion in lost earnings and 217 million lost workdays annually, as well as dramatic reductions in on-the-job productivity.

Call to Action

We can figure this out. Advances in neuroscience and psychiatry have led to new therapeutic approaches that allow people with mental illness to live and work productively in their communities, at fractions of the cost of incarceration and homelessness. Failure to fund these treatments upfront is penny wise and pound-foolish.

Can we use Robin Williams’ death as a catalyst to resume an important national conversation about the stigmatization of mental illness, the inadequate treatment for those experiencing it, and the huge and unnecessary cost society bears as a result?

It’s time to bring the issue back full circle. We need a national commitment to community supports, both for early diagnosis and treatment. And humane inpatient psychiatric care is necessary for some individuals in need of a more structured care environment. We need better training for mental health care providers. And we need to educate families and employers about the prospects for a productive life, together with the cost-effective supports needed to get there. In short, we need a national commitment to alleviating the devastating costs of inadequately treating mental illness.

As a first step, we need to show all of America’s nearly 43 million people with mental illness the same compassion and empathy we’ve shown Robin Williams. They all deserve to live a full life, all of us need to benefit from what they have to give, and it can be done at a fraction of the cost of the alternatives.

Read all of Carol Glazer’s The Huffington Post blogs


We invite you to read our 6 Key Tips to Address Mental Health in your Workplace and learn how Kaiser Permanente, a leading healthcare provider, is tackling the problem with a ‘total health’ perspective from its Chief Diversity & Inclusion Officer Dr. Ronald Copeland to discover strategies that can help boost inclusion and understanding in your company.