Help me find an inpatient treatment center for my son

My son is 30. I are looking for a 30 day inpatient treatment program that will help him gain better control. He has had a number of seizures and is regressing.

Pat: I am not for certain I understand the question. Are we discussing an eating disorder? A substance abuse issue? Perhaps it is an issue of taking care of himself as a person with diabetes?

I will guess diabetes, and I am assuming he is an adult? In short, the truth is if he is a person with diabetes and out of control, there is not much to be done unless he wants to be helped. If he does wish help then he needs to see his doctor and tell them exactly what is going on. They will likely suggest a course of action. However it is unlikely to include long term hospitalization.

Assuming this is not the best place to start, there are therapists out there who deal with diabetes. The specialists are usually associated with bigger medical centers but frankly that may not be needed.

A few years ago I found myself in dire need of therapy related to diabetes. I sought out a family therapist and she helped me reengage with the medical system. Finding a therapist who understood my issues helped me over come my own depression and my terrible feelings about being a person with diabetes. She made the a great deal of difference in my life.

I hope your son finds help as well.

rick

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Years ago, I ended up having a 2 week stay in the psych-ward of my local hospital. It was for reasons other than my diabetes, but they helped me get on track with my glucose control, also. There were two other patients there with different chronic diseases that had come in just to get their meds adjusted and not for mental help. This may be something to look into, but only if your son is willing to get the help. When just starting to get control, I can see why it would be beneficial to not have to worry about the rest of life and also have someone available 24/7 to help. However, your son needs to want to get better control. I suggest seeing an endocrinologist and certified diabetes educator first and foremost, if you aren’t already.

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If this is just about how to technically manage diabetes then something like the Joslin “Do It” program might be good. It is a full four day outpatient program where you work with a team; an endocrinologist, an exercise physiologist, a registered dietitian, nurse educators and a social worker. But I’ll repeat what others have said. While there are a number of programs that will help your son with the technical aspects of taking care of himself, unless he chooses to take care of himself those programs are useless. And unfortunately the healthcare profession often “medicalizes” diabetes and fails to consider the psychological aspect of it. Many of us suffer from depression and burnout. We deny that we have diabetes. And we can make really irrational decisions. If you son understands how to manage his diabetes but isn’t getting his head around doing it, then most “education” programs won’t help. Your son is by no means alone, but it sounds like he could really use some help.

I would urge you to perhaps consider this a psychological issue. One really good resource is the Behavioral Diabetes Institute (BDI). While BDI isn’t necessarily a treatment option they may have some really specific and useful recommendations of resources. There are also people like Dr. Mark Heyman who specialized in diabetes and mental health. Some of this will really depend on where you are, whether your son will be willing to ask for help and what you can afford to do. And you may even want to consider this not really a diabetes issue and more of a psychological issue in which case there may be a lot more treatment options.

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Pat- Not sure exactly what your son may need but there is help out there. After many many years with my current insurance company, they have now developed programs for people with diabetes. I got the call a few weeks ago and after talking with the therapist discovered their program wasn’t a fit for me as I don’t have issues with the day to day handling of the disease but we have adapted it to help with stress of the disease. So I suggest starting with your insurance company or your son’s employer. As mine also has multiple programs to help their employees. Programs are out there even if not in your area as my current “stress management” is done over the phone. Good luck and hope he finds what he needs.