11
Feb 26

How Do you Live with the Risk of a Suicide?

Teenager“I found that developing a philosophical attitude toward suicide was necessary for my own peace of mind.”

You may have never thought of suicide as a coping skill, but for the teen who feels alone or who has never been treated for depression, suicide ideation may be the only response they know. Treatment changes that. Once they are in therapy and begin to learn better coping skills, the threat will lessen. For many teens, discovering that there are alternatives to suicide is a tremendous relief.

Meanwhile, it is scary to live with the knowledge that your child has been vulnerable to suicide. Long after the immediate threat was resolved, I still fretted that one day one of my children would commit suicide. I found that developing a philosophical attitude toward suicide was necessary for my own peace of mind.

We all want our children to live long, happy lives, and hopefully, they will. But no matter what we do, we cannot avoid every possible danger that could threaten our offspring. Cancer, a car wreck, or alcohol poisoning at a fraternity party are only a few of the possibilities that we, as parents, learn to coexist with. The reality of death is a risk we take when we become parents. In the meantime, we do everything we can to prevent the possibility of a suicide occurring. We keep the line of communication open with our children by never judging them or making them regret sharing their feelings with us. We help them get the medical care they require. We help them learn how to manage their illness. We encourage them to find a balance between stress and wellness. After that, we accept that our role as parents has limits, and we get on with our own lives. What else can we do?


04
Feb 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.