26
Oct 25

When to Call the Police on Your Mentally Ill Teen

Relapse“If your teen’s behavior is so erratic that you think there is a risk of a neighbor calling the police, seize control and call first.”

Parents with mentally ill teens find themselves calling the police for various emergencies, ranging from suicide attempts to threatening behavior. As distressing as it is to have to call the police, the possibility is worth preparing for. Every year, the police shoot to death people who are in the throes of a manic or psychotic episode and are judged to be dangerous. If your teen’s behavior is so erratic that you think there is a risk of a neighbor calling the police, seize control and call first. Many police forces now have personnel trained to deal with psychotic individuals. Do not wait for a neighbor or your landlord or someone else to call because they are unlikely to deliver the full story. If you are still hesitant, ask yourself this: if things escalate and the police do appear, would you rather they take your child to the hospital or to jail?

Let the police know that your teen is in a psychiatric emergency. If there is a weapon involved, tell them; they’ll know to keep their distance rather than walking in there and reacting after being taken by surprise. If your teen has been treated at a particular hospital before, provide the name of the hospital and the name of your teen’s psychiatrist. If your teen is taken to the hospital, call his psychiatrist and leave a message. I recommend that you carry either on your cell phone or on a credit card-sized piece of paper in your wallet, the contact numbers for anyone you might need, including:

  • Psychiatrist
  • Therapist
  • Hospital intake
  • Police psychiatric emergency number

If your teen is arrested, the courts may step in and force treatment. This can be a painful thing for a parent to watch, but it may be the best opportunity your teen ever gets. Your teen will be referred to a mental health professional, who will take over for you so you don’t have to fight with your teen anymore. The court may force medicine. If you do feel that your teen’s rights are being violated, you may choose to consult with a lawyer. Just be clear with the attorney that your goal is for your teen to be treated.

Let’s hope you never encounter such a situation, but an emergency plan is an important safeguard. Keep medicines locked up and absolutely no guns in the house. If you get new health insurance, call and make sure that it covers your treatment team and the local hospital you want to use in case of a psychiatric hospitalization. You don’t want your teen taken to a hospital that is not in your insurance network.

The best resource I have found for preparing for psychiatric emergencies is in a book by Francis Mark Mondimore MD titled, Adolescent Depression: A Guide for Parents. The suggestions in this chapter on handling emergencies helped me come up with my own plan and gave me a great deal of reassurance and comfort.

Recommended Books:
Adolescent Depression: A Guide for Parents, by Francis Mark Mondimore M.D.
When Someone You Love Has a Mental Illness, by Rebecca Woolis, M.F.T.


22
Oct 25

If You Cannot Accept Your Teen’s Mental Diagnosis

Teenager“Remember that parental love is the strongest and most resilient bond that exists in nature.”

If you cannot accept your teen’s diagnosis, know that you have company. It can be hard to see an illness that previously did not exist in your child. You wish you could go back in time and do whatever it would take to prevent it from taking hold. The popular theory today is that most of these illnesses are genetic and therefore become “unlocked” at a particular age. Maybe you feel like it would not have occurred if you had done things differently. For example, you may feel that the strain of your divorce pushed your teen over the edge, causing the illness to manifest. I suggest you remain open to the possibility that even if the divorce had not occurred, your teen’s illness may have still progressed in the very same way.

My son’s first depression was a brief but noticeable episode at age ten. I helped him work through it, but I did not take him to a therapist or a doctor. Later, I believed that if I’d gotten him professional help right away, his next episode would not have been so severe. I fantasized about being able to go back in time. I would have taken him to the pediatrician, who surely would have recommended therapy. Then he would have had someone to turn to when the depression returned. It is at this point in the fantasy that I realize things probably would have turned out similarly. Help would have started sooner, but we would not have let him take medicine until it seemed truly necessary. We were too afraid of the drugs in those days. We certainly would never have guessed that he had bipolar disorder.  I have accepted the fact that we did the best we could and now need to focus on the future.

There are stages in grief: denial, anger, bargaining, depression, and finally, acceptance.  They can occur out of order and one can subside only to recur later, even momentarily, after you have reached the point of acceptance. My fantasy of going back in time was a form of bargaining. I spent plenty of time on the other stages too, but I did eventually reach acceptance. If the diagnosis is something permanent, like schizophrenia, don’t assume that your teen will turn out to be like Uncle Harry who shuffled around the neighborhood talking to himself. Today’s medicine and therapy are far advanced from that of the past, and the medicines are getting better all the time. You have information on the Internet and books on the subject. There are support groups available for yourself and your teen. With time, you can expect more improvement, although it may not happen according to your timeline.

But perhaps I’ve missed the point. Maybe you really can’t accept this. It may be that you feel differently about your child now. This is not uncommon, and therapists are used to helping parents work through this state. If you don’t have a therapist for yourself, see if you can speak privately to someone who is working with your teen. Sometimes your teen’s own therapist will give you a one-on-one appointment. It is important that you resolve this issue, both for your sake and your teen’s. They need you more than ever now, and if you resent them for being ill, you will substantially reduce their odds of recovery. Look through old photographs of your child. They are still the same person and you still love them dearly; otherwise, you would not be so torn up about the diagnosis.

Remember that parental love is the strongest and most resilient bond that exists in nature. No, life isn’t turning out to be exactly the way you dreamed it would be, but it seldom does. I know this is the hardest thing you have ever had to face, but you can do it.