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.

 


26
Dec 25

Your Teen’s Dark Poetry, Music, or Art

Teenager“Teens tend to think in extremes, and their art shows it.”

You are cleaning out the car when you find a sheet of crumpled, lined notebook paper. Smoothing it out, you see that your teen has written a poem about suicide. A bolt of fear shoots through you.

Take a deep breath. This could mean that your teen is suicidal or it could mean that they had a bad day. Teens tend to think in extremes, and their art shows it. Having recently left childhood behind, they are new to many of the painful facts of life. The realization can be overwhelming.

Meanwhile, there is you, worrying about whether to be concerned. If the art merely hints at depression or anxiety, do not mention that you found it. Instead, say that you notice that they seem blue lately. Tell your teen that you would like to help, and that you promise not to over-react or judge. They may not open up to you right away, but at least they know someone is looking out for them. Also, you have opened the door a crack. If more evidence appears, you can press further.

If the art scares you, it is time to take action. For example, in the case of the poem about suicide, if your teen refuses to open up, explain what you found. It is worth the risk of their resentment. Express that you respect their discomfort but that you would be a poor parent if you didn’t follow up. It is important for them to know that somebody cares enough to do something about their situation.

Tell your teen that you have made an appointment to go together to see a therapist or the school counselor. Be assured, by the way, that the school counselor or school psychologist is well-equipped and experienced with this issue. If your teen objects, remain firm. Explain that you love them and that you need to check this out in order to know that they are safe. Say that sometimes teens do not realize just how depressed they are if they’ve been coping for a while.

Be sensitive to the fact that they may be embarrassed by the content of the item you found. Do not bring it along (in fact, if you still have it, return it). Tell the therapist or counselor, in general terms, the message you interpreted from the item and then let her take it from there. Afterward, thank your teen for accompanying you to the appointment. Never mention the poem again. Your teen will appreciate your sensitivity.