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Celexa (Generic)

Celexa (Citalopram) is a selective Serotonin Reuptake Inhibitor used to treat depression. It may also be used to treat other conditions as determined by your doctor.

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PARENTING AN ADULT CHILD WITH SPINAL CORD INJURY

Parents of an adult child with spinal cord injury are often exposed to the same social stigma that their child experiences.
Parents face difficulties maintaining confidence in themselves and their choices in the face of social disapproval or even ridicule.
Steve was a single man who had always lived with his parents. In his thirties he was shot in a robbery attempt and sustained C4 quadriplegia. His mother, a youthful and extremely energetic woman, eagerly welcomed him back to the family home after his rehabilitation and happily assumed all of his attendant care. Steve's father took him out every weekend and the family enjoyed a close relationship with many mutual interests.
But Steve's mother faced disapproval on two fronts. The rehabilitation staff thought she should "get a life." And some of her friends implied that her providing Steve's personal care was "perverse" and that she was letting Steve take advantage of her by caring for him at home. In fact, Steve's family was simply continuing the kind of relationship they had before his injury. He had always lived at home and had never intended to marry or move out. He had always gone out with Dad on weekends, and Mom had always taken care of him by fixing his meals, cleaning his room, and so forth. Steve's parents valued him and the relationship as much after his injury as before. As their lives at home resumed a stable routine, Steve's mother felt sure she was doing the right thing. When her friends and Steve's doctors saw how well he was doing after several months at home, they developed a new respect for his mother's exceptional competence as a caregiver and for the easy rapport between mother and son. The critical remarks soon disappeared.
Not all parents choose this role, however. When an adult child has been living independently for some time before the spinal cord injury, parents may not want to care for her in their home.
As a twenty-two-year-old graduate student, Sonia was injured in a motorcycle accident, resulting in C6 quadriplegia. Her parents lived in another state, but temporarily moved to the city where she was hospitalized. After returning home, they decided that they did not want Sonia to live with them. Since starting college at seventeen, Sonia had lived away from her parents. During that time her mother had resumed a career and her father had been promoted to a demanding job in his company. Sonia had always been an independent person and her parents did not want to make her "feel like a baby" by assuming her care. Nor did they wish to give up their own independence and career advancement to care for her. Soma's parents decided not to bring her home temporarily after her discharge, only to uproot her again later. Instead, they asked Sonia to begin looking for an independent living situation in the city where she'd been in school.
Sonia's parents, whose decision was the opposite of Steve's parents, also faced social disapproval. Many of their friends thought their decision was heartless and cold and the rehabilitation staff saw them as rigid and uncooperative. The couple lost many nights of sleep in soul-searching and second-guessing themselves, but they stuck by their decision despite social pressure.
The social worker at the rehabilitation center helped Sonia find an accessible apartment and apply for Social Security Disability income. Her parents offered to help pay for her attendant care expenses while she finished graduate school. They kept in touch with her by phone and visited periodically, sometimes offering advice or helping manage a problem with the personal care attendant. When their friends learned that Sonia was successfully living on her own and nearing graduation, their criticisms turned to congratulations. Sonia's parents, far from lacking compassion, had done what was right for their family - fostering Sonia's independence and academic success.
As these examples clearly illustrate, there is no universal road map for parenting an adult child with spinal cord injury. And no matter what choices you make, at times you'll hear criticisms and doubts. For a child with a severe disability and without a spouse or committed partner, parents have to make choices about their role based on financial resources, the accessibility or adaptability of their home, whether they are employed or retired, their own physical health, and so forth. But perhaps the most important factor is choosing a role that is consistent with the relationship you've shared in the past. Compromises may be required, as in any time of crisis, but maintaining the emotional integrity of your relationship with your child is more important than trying to fit into social expectations of self-sacrifice and devotion or rugged independence.
The parent of an adult child with spinal cord injury is affected emotionally, socially, financially, and spiritually. In some cases, the family as a whole will come together to support the parent(s) and injured child. In other cases, family or social bonds are severed, and parents must make difficult choices and decisions without much support.
The parents of an injured person come and go from the hospital or rehabilitation center - they are not physically damaged. But they do not escape the emotional and social consequences of spinal cord injury.

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