31
Aug 26

Your Teen’s Anger at the Illness

Teenager“Hope can replace anger.”

Anger is a natural emotion when we are suffering and lack the resources to figure out our next step. The next time your teen is venting, ask them if they are angry at the illness.This may get a conversation going about their feelings. Try these tips to help guide your teen toward acceptance and resolution of the illness.

Be Understanding

If we can remember that our teen is fresh out of childhood where life was simple and fairness was emphasized, their anger is understandable. This may be the first traumatic, life-changing event they have ever encountered. They may not feel equipped to deal with the harsh reality facing them. With therapy and improvement of the symptoms, this will change. They will come to see that they can cope and that strategies make a difference. Meanwhile, it can be tremendously soothing for them to hear you say, “I’m sorry you’re going through this, honey. You don’t deserve it.” We all want to feel understood.

Offer Perspective

If your teen is bemoaning their bad luck, gentlyremind them that every day, people deal with everything from sickness to divorce to death. It is a part of life, but they get through it. Tell them that they will get through the crisis just like everybody else gets through theirs, and that they won’t be going through it alone. Just as all good things must come to an end, so must all bad things.

Assemble Support

Your teen may be so distressed about their sickness that it seems like they are refusing to do anything to help themselves. Now is the time to teach them the value of trust, or, if your family is religious, faith. Remind them of the things that they have going for them. It may be their church, a close friend, a neighbor, or a grandparent. Perhaps they are lucky enough to have a loving and stable family. Ask them who they trust to help get through this. If they are refusing to take medicine, ask if they trust the doctor; similarly, ask if they think their therapist is trustworthy. They may be surprised to realize that they actually can trust these individuals.

Help Assess

If your teen refuses medicine, won’t speak to a therapist, and is making life miserable for themselves and everyone around them, ask them to consider their options. They have an illness that doesn’t appear to be going away on its own, so what does that leave them with? List her options (kick the dog, throw away her homework, snap at a sibling, slam the door, tell a friend to leave them alone). Ask if any of these things will help them with their problem. If not, then what might help? Don’t suggest anything. Let them identify some things. If they say there is nothing, tell them that you think they can probably come up with some things if they think about it. Then give them time to think.

Back off a Little

If you have been closely involved with your teen’s illness, trying everything imaginable, and they don’t seem to appreciate your help (perhaps that is a painful understatement!), you may need to quietly step back for a while. Sometimes, the more work you do, the less your teen needs to try.

Break Down Problems

Your teen may feel overwhelmed, particularly if their problem involves not only mental symptoms but also consequences such as trouble at school or with the law. It may be all too much for them to deal with. It may help them to number their problems in order of severity. Their list may look something like this:

  1. I’m really depressed
  2. My medicine isn’t working and I’m frustrated
  3. I have no friends
  4. I’m failing in school

Ask your teen to tackle the first problem or two first. Using our example, the two of you might admit that neither of you have done a good job of remembering when they should take their medicine. Tomorrow you will buy a seven-day pill pack to help keep track of doses. You can even set up alarms on your cell phone. This way, both of you will know that you have given the medicine a fair chance.

Your teen may also remember that they wanted to do some physical activity each day. Help them work this into their schedule. Rate their depression each day to see if there is any improvement. Bringing your teen’s attention to something they can do right now will make them feel less overwhelmed.

Address Their Darkest Fears

It’s possible that your teen has not yet shared with you just how frightened they are. They may have a classmate who committed suicide or they may be afraid that they will end up like their aunt who has the same diagnosis. Once they have voiced these fears, explain that things will be better for them. Suggest that they withhold judging the situation until they have more information about the illness. Point out all of the helpthey are getting and name the people who are trying to help. Hope can replace anger.

 


31
Aug 26

Should we Call the Therapist or the Psychiatrist?

PsychoticEpisode.jpg“Pay attention to your teen’s current appearance and habits, observing posture, hygiene, and level of awareness.”

When your teen’s symptoms spike, it can be difficult to tell whether it is an emotional issue or a medicine issue. Many times I found myself wondering whether to call the therapist or the psychiatrist. Along the way, I found it useful to ask myself a few questions.

Has There Been a Change in my Teen’s Medicine?

Begin by asking yourself whether your teen has missed any doses. This is where a seven-day pill dispenser comes in handy. If your teen is symptomatic, you can easily check to see if any medicine was forgotten. Next, ask yourself whether your teen has been getting their medicine at the same time every day, since regularity is important. Any of these issues are easy to correct at home.

On the other hand, if the doctor has changed your teen’s medicine  or dosage within the past two weeks, suspect the medicine and call the psychiatrist.

Has There Been a Change in my Teen’s Routine?

If your teen has been on summer break for several weeks, the lack of structure may be affecting their mood. Think about your teen’s days and whether there have been significant changes, such as the end of a sports season. Lack of exercise can lower a teen’s mood or make them sleepy. Travel, or even having a guest come stay at the house, can unsettle a teen’s sense of well-being. This is especially the case with bipolar disorder–irregularity is the enemy here. Teens with schizophrenia need some alone time each day, so if your family is vacationing in hotel rooms and your teen does not have a quiet, private place to de-stress, anxiety and other symptoms may become more prominent.

Is My Teen Under New Stress?

Teens will by more symptomatic when experiencing a conflict at school or with a friend. Also, times of transition can bring on stress, including the start of a new school year or semester, exams, or graduation.

Conclusion A: It’s Time to Call the Therapist

If you ask your teen whether there is something the therapist needs to know about, and the answer is yes, call immediately. If your teen won’t talk at all, call the therapist. When you get there, go in for the first few minutes and explain what you’ve observed at home. Let the therapist take it from there.

Conclusion B: It’s Time to Call the Psychiatrist

If you conclude that your teen isn’t experiencing any new stressors or changes, suspect the medicine. Pay attention to your teen’s current appearance and habits, observing posture, hygiene, and level of awareness. Think back to the time before treatment with medicine began. For example, if your teen walked with a slump and seemed confused before treatment and you are seeing this again, call the psychiatrist.

While you’re sorting things out, ask your teen’s opinion about whether this is an issue for the therapist or the psychiatrist. Often, their instincts will provide the correct answer. It’s also a good idea to involve your teen in the decision so they can figure it out on their own in the future.