Social and Psychological aspects of Diabetes
The emotional and social aspects of diabetes affect every people. Patients of diabetes may face some new problems within their family and social surroundings. The diagnosis of diabetes and the patient’s attitudes about diabetes may generate emotional ripples throughout the supporting system including family and social circle. The patients may experience complex emotional distress at certain times. Sometimes patients may feel exhausted with intense feelings such as loneliness, anger, fear, depression and frustration. The self realisation of having diabetes and the efforts to adjust or cope with the sensations and changes in life causes complex psychological problems among patients with chronic illness. Patients of diabetes require sufficient self participation than almost any other disease. They may have to hone communication skills to overcome certain feelings and issues that occur since diabetes. Self confidence, an appreciation of inherent capabilities, an affirmative attitude, and the self belief are advantageous to diabetic patients to empower themselves. Interaction with people around family and community is fundamental in maintaining a healthy life. Patients connect with others live longer healthier lives than those who exist in a lonely or isolated environment. Emotional and social support from every corner of the family and community is central to every patient after a diagnosis of diabetes.
Overinvolvement of the family members with the daily affairs of the diabetic affected person causes certain emotional problems in the family. Family members may treat the person with diabetes as someone suffering from a serious or dangerous threat. They approach the person as so vulnerable that he or she can’t care for him or herself. This overinvolvement creates extremely complicated feelings and resentments on both sides. The patient may feel a guardian kind of approach from the family members. They act as the ‘diabetes police’, controlling, interfering and interrogating the food and lifestyle choices to an extent that is humiliating one’s integrity and individual freedom. Patients may have the feel that being lectured everywhere they turn. The overinvolvement of the family members in the self management causes both anger management issues and depression among diabetic patients. This excessive nature of care destroys the familial bonds and causes the occurrence of complications such as hostility, guilt, anger, resentment, and other strong emotional outcomes that are not easily resolved.
The lack of proper care of diabetic patients from the family members also causes certain emotional conflicts in the family. This inadequate involvement of family members and community on the affairs of diabetic patient is called underinvolvement. There are multiple reasons for underinvolvement including emotional and financial reasons. The misconceptions about the disease prevent family members and society from providing sufficient assistance to the patient. The inability to control the various emotional factors and feelings associated with diabetes also causes abundance or unwillingness of family members. The financial difficulties lead to feelings of resentment, isolation, or depression. The self aggressive of nature of the diabetic patient also generates underinvolvement. The professional involvement, hobbies and recreational activities temporally solve the conflicts associated with underinvolvement.
Effective communication skills are central to the normal functioning of a family. Most people are only partially skilled in the area of communication. Better communication skills are very crucial in handling diabetes since this chronic illness itself is associated with complex emotional feelings. Truthful and sincere communication is necessary for the effective management of diabetes. Family members should improve their listening ability. They should approach the diabetes affected member in a nonjudgmental manner. Appropriate behaviour or actions and positive words express love, care, and concern soothe the mental conditions of the patient. The emotional factors of the family members also cause feeling of isolation or loneliness among diabetes patients. Emotional displacement also occurs in social circles outside the family. The psychological changes and sensations associated with diabetes causes emotional imbalances in your social relationships including friendship and professional relationships. The self understanding of the emotional oscillations is very important for a diabetic patient to cope with the disease. An optimistic approach and the sharing of experience with most supportive people also provide healthy changes. The proper understanding and dealing of the disease by the patient are fundamental in shaping the attitude of the others in family and social community.
Depression is very common in diabetic patients. Diabetes apparently stimulates the complication of depression. Depression is more severe and persists in diabetics patients than normal people. The patients of depression are engaged in destructive or self-defeating thoughts. They exhibit unhealthy behaviours such as overeating, reluctance to exercising, and carelessness or disinterest in diabetic treatment. Psychological counseling, antidepressant medications and cognitive therapy are effectively improved the mental health of diabetic patients. Meditation and exercise also play a vital role in the self management or control of stress. The controlling of blood sugar also reduces the psychological complications including depression and anxiety.
Personal support and family support are inadequate to deal with the emotional complications of diabetes in certain conditions. The patient may feel exhausted owing to the various physical and mental changes of diabetes. The persistence of depression affects the self managing ability of the patient. A psychotherapy is vital in such moments since the negative thoughts and destructive action obstruct the patients self managing abilities. The support from an expert mental health professional helps to improve the mental health during such conditions. Personal counseling received from mental health professionals such as psychiatrist, psychologist, or social worker act as a source of comfort. Professional Counseling improves the self management ability of the patients. The patients received a professional counseling deals the complications with confidence than those without seek the assistance of mental health professionals.
Support groups provide a platform to share and understand the unique feelings. Support groups operate in the same way of group therapies where several people gather at a particular time to discuss the various issues and feelings associated the disease. Disease becomes the common bond between them in a support group. Support groups extend and strengthen the emotional support system of both the patient and their family. Participating in a support group of people with diabetes can be beneficial in many ways. Support groups provide a chance to manage diabetes collectively. The forum in which group members can hear how others deal with problems, pick up practical tips, and receive encouragement in their own lives. Support Groups are more resourceful and effective in certain cases.