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.


28
Dec 25

Working With Your Teen’s Therapist

PartialRecovery“Therapists are often surprised to hear a parent mention details that the teen didn’t happen to share with her. A good therapist will invite you in periodically to describe what is going on at home.”

Do you trust your teen’s therapist? It’s an important question to ask because sometimes parents find it hard to turn so much responsibility over to a stranger. But if you can honestly say that you trust the therapist, try to back away and let her and your teen work alone. She will alert you if they are in danger. This may not give you much comfort. Till now, you’re used to knowing everything that goes on with your child. But let’s face it: did you really? It’s natural for everyone to keep some things private. At least now, your teen is confiding in someone.

I remember a few years ago when my son asked me to increase his appointments from every three weeks to weekly for a while. Somehow, I managed to just nod and not ask why. It was one of the hardest things I’ve ever done, but I reminded myself that at least he was confiding in a qualified professional. It was a major step forward for me as a parent.

The caveat to giving your child and the therapist privacy, of course, is that if you never participate, the therapist won’t have the whole story. Therapists are often surprised to hear a parent mention details that the teen didn’t happen to share with her. A good therapist will invite you in periodically to describe what is going on at home. If you feel like the next appointment would be a good time to fill her in, simply call ahead and ask for a few minutes at the beginning or the end of the session, or ask her for some time at the appointment. Once you’ve done your bit, excuse yourself by saying something like, “I’ll let you two take it from here.” The therapist needs to help your teen process the meeting.

Try not to put the therapist in the position of settling an argument between you and your teen. She may be able to clarify things for both of you, but she’s unlikely to act as arbiter. If she does point out to you the merits of your teen’s thinking, try not to be offended. Yes, you’re the mom, but it may pay to consider what she has said. Consider too, the fact that she wants to maintain your child’s trust in her. Be assured that her training enables her to incorporate your viewpoint into her treatment approach. So when you come in, try to present your concerns in a specific, factual manner without looking to blame anyone. Your teen will feel so much more comfortable.

After the session, it can be tempting to ask your teen, “What did you and Sally talk about?” A therapy session can be exhausting and your teen may just want to set it aside afterward. You may interpret a grunt to mean that something serious is going on. Try to let it go. Better yet, try not to ask the question at all. If your teen knows that a question-and-answer session will follow the appointment, they may decide it’s easier to withhold information from the therapist than to try and cover up an uncomfortable topic later with mom.