Advice and Insight from Dr. Varghese
Dr. Varghese, Psychologist at BC Children’s Hospital
Dr. Varghese is a Registered Psychologist who completed her doctoral training in clinical psychology at the University of Waterloo in Ontario. Since moving to Vancouver for her residency training at BC Children’s Hospital, she has worked at a number of clinics and areas, which has included developmental disabilities, mental health, and medical psychology.
Dr. Varghese has a particular passion for medical psychology. She enjoys working alongside youth with a wide array of chronic health conditions and their families in both inpatient and outpatient settings. She uses evidence-based strategies (cognitive behavioural, emotion focused, acceptance and commitment) to help build upon inherent strengths and resiliencies. Source: MOT-Program-Page
In our conversation with Dr. Varghese, we talked about invaluable insights for families navigating the complexities of organ transplants. Dr. Varghese offered guidance and wisdom for parents and children alike.
"Parent and child autonomy is crucial," Dr. Varghese emphasized. "Children need to feel in control of their bodies and lives, especially during medical challenges." This highlights the importance of empowering children to actively participate in decisions regarding their treatment, fostering a sense of ownership and confidence that can positively impact their emotional well-being.
Dr. Varghese also stressed the significance of managing emotions for both parents and children amid the transplant journey. "It's normal to feel a range of emotions during this process," she explained. "Allowing yourself to express these feelings while using healthy coping strategies can help reduce stress and build resilience."
Moreover, Dr. Varghese underscored the importance of self-care for parents and caregivers. "Caring for a child undergoing a transplant can be tough," she acknowledged. "Parents need to prioritize their well-being, seeking support from friends, family, and community resources. Taking breaks, doing things that bring joy, and showing themselves compassion can prevent burnout and promote resilience."
Dr. Varghese emphasized the importance of recognizing and addressing the needs of siblings during the transplant process. "Siblings may experience a range of emotions, from worry to jealousy to guilt," she explained. "Providing them with age-appropriate information, involving them in the process when possible, and offering support and reassurance can help mitigate any negative impacts and strengthen family bonds."
Dr. Varghese highlighted the significance of supporting children's social and academic development during and after the transplant. "Returning to school and engaging in social activities are crucial aspects of a child's recovery and overall well-being," she emphasized. "Educating teachers and classmates about the child's condition, ensuring accommodations are in place, and facilitating a smooth transition back to school can help promote a sense of normalcy and belonging."
Dr. Varghese stressed the importance of addressing the long-term emotional wellness of both children and parents post-transplant. "While the focus may initially be on medical recovery, it's essential to recognize that emotional healing is an ongoing process," she noted. "Providing continued support, monitoring for signs of distress, and fostering open communication within the family can help promote resilience and overall well-being in the years following transplantation."
In addition to these insights, Dr. Varghese spoke about the importance of resilience in coping with the challenges of pediatric organ transplantation. "Resilience is not about avoiding difficult emotions, but rather, it's about bouncing back from adversity," she explained. "Encouraging children to develop resilience through positive coping strategies and supportive relationships can empower them to navigate the transplant journey with strength and courage."
Furthermore, Dr. Varghese discussed the role of psychological preparation in easing children's anxieties about the transplant process. "Providing age-appropriate information and engaging in play therapy can help demystify medical procedures and alleviate fears," she suggested. "By addressing children's concerns in a supportive and understanding manner, we can help them feel more confident and prepared for the challenges ahead."
Dr. Varghese also touched upon the importance of cultural competence in providing holistic care to diverse families undergoing organ transplantation. "Understanding and respecting the cultural beliefs and practices of families is essential in building trust and promoting effective communication," she emphasized. "By incorporating cultural considerations into our care approach, we can ensure that families feel valued and supported throughout their transplant journey."
In reflecting on Dr. Varghese’s insights, it becomes evident that navigating the pediatric organ transplantation journey is multifaceted, and encompasses not only medical considerations but also psychological, emotional, and social dimensions. Dr. Varghese’s expertise emphasizes the importance of empowering children to participate in their care decisions, managing emotions with resilience and self-care, and fostering supportive environments for the entire family unit. Additionally, Dr. Varghese's emphasis on the significance of sibling support, social integration, and long-term emotional wellness highlights the comprehensive approach needed to address the diverse needs of transplant families. By recognizing and addressing these various aspects of the transplant experience, healthcare providers, families, and communities can work together to facilitate healing, resilience, and holistic well-being.
Dr. Varghese's insights provide practical guidance and compassionate support for families facing the complexities of pediatric organ transplantation. Let's embrace her wisdom with courage, strength, and hope as we stand by these families, offering support through every step of their journey.
Thank you, Dr. Varghese!