06
Feb 26

Recovery From Mental Illness Requires Patience

Teenager“In many ways, teens who have suffered are better equipped to handle setbacks than people who have never struggled.”

I am constantly reminded of how long the process of healing from a mental illness takes. If that sounds discouraging, it is not meant to. It is simply an important reality. Some illnesses clear up more quickly; others never improve. Mental illness is in-between. With treatment, things will improve, in fact, so steadily that it can be quite astonishing. My son has been in treatment for seven years; my daughter for five. Even after all of this time, I continue to see improvement.

In my son’s case, he has been able to cut back on his dosage of medicine. Early on in his treatment when the medicine was addressing his depression, I noticed that he did not make jokes any longer. After a couple of years, though, his humor returned. At age fourteen, I felt like his deep depression had soured him toward life, and this attitude continued for many years. He is still not the cheeriest of people, and a lot of his cynicism has remained, but he is more relaxed about life and the waythe world is.

My daughter was initially miserable with the awful symptoms of schizophrenia. Somehow, at the time, I had it in my head that all we needed to do was get the symptoms under control. I wasn’t prepared for the residual challenges of the illness, including depression, fatigue, lack of motivation, and mental slowing. Although she has not been able to cut back on her dosage, she is now energetic and excited to start each day and seems fulfilled in many ways. She has resolved the early stigma she dealt with regarding the name of her disease. Feeling better has made the illness a smaller part of her life. Slowly, she is building a social life, something that for a long time I thought I would never see again.

One thing that helped my teens’ progress has been staying steady with the medicine. Most of these drugs take two weeks or more to begin working, and improvement is so subtle and slow it can be barely noticeable. If you see any improvement at all, you are likely on the right track. But it will probably take months and possibly years for your teen to really recover, depending upon the severity of the illness.

Another thing that helped was the fact that neither of my kids had used street drugs. Drugs like marijuana or alcohol can cause serious delays and setbacks in treatment. Still, even when drugs are involved, if the addiction is resolved, the teen can make progress. One thing that all kids with mental illness go through, whether addiction is involved or not, is an early realization that life can be tough. As painful as this is for them, young people are resilient and the early challenges they have with depression, drugs, and more can actually help them mature more quickly. Learning how to get something like a drug addiction or a deep depression under control can help them to cope with future obstacles. In many ways, teens who have suffered are better equipped to handle setbacks than people who have never struggled.

Time is a big healer. Every year that your teen recovers is also an additional year of maturation. Simply growing older can help a teen heal and recover. With both of my teens, I found it helpful to encourage them to take on more responsibility. I am talking about little things like filling out their own medical forms at the doctor’s office and big things like learning how to drive. We cannot let our teen’s illness keep them from growing up, even if we feel bad about what they have been through.

Your teen will be able to forget and move on more easily if you encourage them to do all of the things that other teens do: learn to cook, do laundry, start a part-time job. If it seems like these skills are beyond your teen right now, don’t worry. Have them tackle one thing at a time and stick with it until it has become comfortable, then move on to the next thing. My daughter took five years to finish high school. We could have pushed hard and gotten her out in four years, but she was much better prepared for college this way. The important thing is seeing progress and remaining patient while it continues.


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.