25
Feb 26

Progress can Fool You

Teenager“Mental illness can be so subtle at times. We find ourselves getting impatient or confused by our teen’s behavior, not realizing that it is a remnant of the illness.”

We all want to see our teen make as much progress as possible, and if we’re lucky, we will see just that. In fact, your teen may improve at such a steady rate that theyseem almost cured–until you get jolted back into reality. For example, one morning, I was cleaning in the kitchen and my daughter brought her empty cup to the dishwasher. The top rack was full. I waited for her to make a decision, but none came. After a moment or two, I said, “Just set it on the counter, honey.” I admit that I was annoyed and I’m sure my tone conveyed my impatience. I thought nothing more about it until an hour later when I asked her about an article her psychiatrist had given us to read. It explained that people with schizophrenia sometimes have difficulty solving problems and using strategy, including remembering the sequencing of actions. She said, “Yes, like this morning when I didn’t know what to do with the cup.”

I was stunned. And I felt terrible. My daughter had made phenomenal progress; so much that I’d forgotten she has schizophrenia. It was an important wake-up call for me. I need to watch out for these little moments of confusion and hesitation so that I understand what I’m seeing. That way I can remember to use my gentle voice and suggest choices (rearrange the dishwasher contents to make room for the glass or leave it on the counter) or simply step back and give her the extra time she needs to figure things out. Incidentally, the article emphasized that people with schizophrenia need to master these kinds of skill through practice, so once again I’m reminded of the merits of just keeping quiet!

If we hadn’t had that follow-up conversation, I don’t know if I would have realized that I was seeing a symptom. Mental illness can be so subtle at times. We find ourselves getting impatient or confused by our teen’s behavior, not realizing that it is a remnant of the illness. It can also be confusing to see progress that is suddenly limited. In her senior year of high school, my daughter felt so well that she auditioned for her high school play and was fortunate enough to get a small part. She loved every minute of the rehearsals and performances. I attended all of the performances, thrilled to see my daughter who had been so ill onstage. Even better, she enjoyed getting to know the other actors. This had me excited to no end because she hadn’t had a friend since her illness began. When I asked her if she wanted to host a cast party, she said no. In fact, she did not want to have even one or two friends over. She wasn’t ready. Again I had been fooled by her phenomenal progress. I needed to pause and just be grateful for how far she has come.


16
Feb 26

Your Teen’s Bitterness and Frustration

Dad-and-son.jpg“Tiny compliments throughout the day will go a long way in boosting your teen’s self-image and sense of still having some control over their life.”

Teens are generally used to recovering quickly from illnesses like colds and ear infections. Mental illness is different. It is slow and unsteady in terms of its course, often getting worse before it responds to medicine. Prolonged symptoms and the trial-and-error of finding the right medicine can frustrate a teen. They may begin to believe that they will never get well, frustration leading to anger, then hopelessness, and finally, bitterness. Understandably, you may come to feel the same way. Suddenly, you aren’t happy for your friends when their teen wins a contest, not in view of what is happening to your own child. Trust me, it won’t always be this way.

As cliche as it may sound, you can best help yourself and your teen by looking for the positive. Make it a habit to comment on anything good you can find. For example, your teen made it through another morning of outpatient treatment, or the two of you managed to not get lost this time when you went to find the new psychiatrist’s office. Try to build in little rewards for yourselves. If you and your teen have to be out of the house at six a.m. to get to an appointment, go to your favorite breakfast spot on the way home and say something positive like, “Well, we survived that.”

Tiny compliments throughout the day will go a long way in boosting your teen’s self-image and sense of still having some control over their life. Avoid bringing up the successes of other teens you know. For example, if your nephew, who is the same age as your teen, gets into his dream college while your son is repeating his senior year, send the family your congratulations, but don’t mention it to your son. You needn’t hide it; just don’t go out of your way to say anything. If he asks about his cousin, tell him the news very simply and then leave it at that. Your son is your focus right now; he is the one you get excited about, even if his latest accomplishment is making it through a full day at high school.

Another strong tactic is to occasionally remind your teen how far they have come. If they grumble about the fact that they are taking only a partial class load at school, point out how much easier it is for them to handle it now than it was at the start of the school year. Use words like “progress,” and “improvement.” If all else fails, don’t be afraid to spend a little time commiserating with your teen. It’s okay to say, “Yes, this sucks. But we’ll get through it. We always do.” You may also want to mention that people who live perfect lives often can’t handle rough spots when they inevitably arrive. Point out how well-equipped they will be for the future with all of this great experience! Dark humor never hurts; if nothing else, at least you can get a momentary laugh out of the situation.