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.


02
Feb 26

Preventing an Emotional Relapse in Your Teen

Teenager“Get your teen talking about recovery. Can you help them name five things they did right this time?

Once your teen recovers from an emotional illness, it can be scary to think about the possibility of a relapse. Sometimes as a teen improves, the parents’ concern diminishes and their expectations increase. This alone can trigger a setback or relapse. The teen may find it too difficult to be well. Ask your teen if they are feeling overwhelmed by their own recovery and if there is anything you can do to make it less stressful.

Is It Sadness or Depression?

Begin by helping your teen identify if there is a specific cause. Sometimes a teen who has been through a long depression is unable to discern between feeling depressed and feeling sad. They may think they are relapsing and becoming depressed again when, really, they are simply sad or disappointed due to a recent event. It can be a relief for your teen to realize that they can feel sad without it signaling a return of depression. Similarly, stress over an upcoming exam may be nothing more than what every other high school student is experiencing. They will come to learn that negative emotions are a part of normal life and are not necessarily a danger.

Relapse versus Setback

If, however, it seems that your teen is experiencing some of the symptoms they did when they were ill, contact the psychiatrist. Growing teens experience many physical and emotional changes and may need their medicine adjusted. Occasionally, a previously reliable medicine will stop working altogether. Watch closely while you wait for their psychiatry appointment. The early signs are often subtle and barely detectable to the patient or parent. If you think you are catching the symptoms early and it looks like your teen is relapsing, point out the difference between a setback and a relapse. With relapse, the patient ends up back where they were at their worst. With a setback, the patient regresses a little. Tell them that you and the therapist will help them to capitalize upon the skills they have learned so that they can quickly get back on track. Help them to maximize their odds of success by limiting any unnecessary stress in their life. Even postponing something like starting orthodontia treatment can provide the extra breathing room they currently need.

Get the School Involved

Notify the school immediately, even if your teen is not missing any school. Once alerted, the staff can work with the teachers. If it looks like your teen will miss a substantial amount of school, the counselor or caseworker may set up an individualized education plan (IEP) to form a plan of action for keeping them from getting too far behind. At home, remember to maintain your teen’s medicine log, recording as much detail as possible. It may help to review past episodes to remind yourself that setbacks eventually end.

Maintain Perspective

If your child does end up in full relapse, you have my sympathy. It is painful to relive the old feelings of confusion and fear, especially if your teen is back in the hospital. Although it can feel like failure, it is important to realize that a return to the hospital signals that serious healing has commenced. It may help to think of it as a booster shot, a necessary treatment to maintain wellness. It is not uncommon for someone with bipolar disorder or schizophrenia to require two or three days in the hospital once a year. If you think about it, it’s not much different from being laid up with a cold or a sinus infection.

Capitalize Upon Past Experience

Take heart, and point out to your teen all the things they have in their favor that they did not have last time. They know how the hospital treatment program works. They may have a working relationship with a good therapist. You have learned how to best help them. Encourage them by saying that you are more educated than you were before and that together they will get through it much quicker this time. There is an old saying that all good things must come to an end. All bad things must end too. There will be more good days soon.

Stay Positive

As your teen improves, remain watchful. Even though the worst of the symptoms are under control, your teen may be discouraged about their illness and contemplate suicide, especially if they have had more than one relapse. For example, a patient with chronic schizophrenia may recover from a hard relapse only to find themselves dreading the next. You may be feeling discouraged yourself, but for the moment, there is still work to do. Get your teen talking about recovery. Can you help them name five things they did right this time? The two of you might point out to each other new things you have learned, whether it is a feature of the illness or a strategy for taking their medicine at a more effective time. Acknowledging the fact that you made it through before and learned more about how to manage the illness should be encouraging for both of you.

Resume Activities

If your teen is free of symptoms but spends a lot of time complaining about having a mental illness and not being like other kids, it may be time to challenge them. Resuming a former activity such as music lessons or chores will take their mind off their anger and make them feel more in control of their life. Start off small and slowly build the expectations. Say encouraging things like, “You made it through your whole music lesson. Nice work.”  If your teen rebuffs your compliments, try the indirect approach, by describing the accomplishment to your spouse or a grandparent when your child is present. While I’m on the subject of motivating your teen, I highly recommend reading Bringing Out the Best in People, by Alan Loy McGinnis. This short book will give you quick insight into what to say to your teen to keep her feeling inspired and appreciated.

How You’ll Get Through It

Don’t forget to take care of yourself. If your boss is sympathetic, let her know that a relapse has occurred and that you expect things to go more smoothly this time. If your boss is not understanding and you have some vacation time, it might be a good idea to take a couple days off so you can meet with hospital staff, your family therapist, and the school. Try to do something nice for yourself during that time, whether it’s going to a movie or buying a magazine and a latte. It is often times like these that we most appreciate a close friend or relative who always knows the right thing to say. Indulge and unburden yourself, then remember to thank her the next day.

Recommended Books

Adolescent Depression: A Guide for Parents, by Francis Mark Mondimore MD
When Someone You Love Has a Mental Illness, by Rebecca Woolis, MFT
Bringing Out the Best in People, by Alan Loy McGinnis