29
Jun 26

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.


25
Jun 26

Why do Teens Cut?

Teenager“Your teen must learn new coping skills to replace the self-injury behavior until it is no longer needed.”

Do you know why teens cut or perform other forms of self-injury? I didn’t. A social worker explained to me that sometimes the pain of anger or anxiety or depression becomes so severe that the only way to cope is to inflict pain. It is a dangerous coping skill and understandably aggrieving for the parent, especially if it seems as though your teen is addicted to the behavior. I want to reassure you that therapy can help tremendously by teaching better coping skills and eradicating the old habit by infusing new, healthier behavior.

Talking to Your Teen About Self-Injury

If you think you are seeing signs of self-injury in your teen, such as burns or cuts, bring it up to your teen in a calm and gentle manner. This is an extremely sensitive subject and it is likely that your teen is embarrassed and ashamed. Remember that your opinion of your teen means the world to them. Promise not to over-react or judge them.

If your teen does not want to talk, say that you just want to share what little you know about the subject. Explain that it is actually very common among teens who are going through tough emotional times, and that it is often linked to depression, anxiety, and frustration. Say that it is a medical condition and that there is treatment for it. If your teen clams up, say that you are going to give them a few days to think about it. Once the shock wears off that you know their secret, they may come to you. If not, go to them and say that you want to make an appointment with a therapist or school counselor.

Working with a Therapist

When the two of you meet with the therapist or counselor, describe the signs you have seen. This may include signs of self-injury, but it may also include things like loss of appetite, excessive worry, not completing homework, or leaving the dinner table in tears over the tiniest remark.

Do not be surprised if this evidence is an epiphany for your teen. They may have been trying to cope for so long that they never recognized how much pain they were experiencing. If your teen isn’t talking or otherwise seems uncomfortable, ask if they would prefer to speak to the therapist alone. If your teen asks you to stay, it means they need your support and protection because they haven’t yet trusted the therapist. If your teen still won’t talk, bring them into the conversation during a less threatening point in the conversation. For example: “We had just come home from a concert and she and her dad were arguing–” turn to your teen “–help me out here, honey. What was the argument about again?” Once your teen starts talking, they often get into the swing of it.

The “Cure” for Teen Self-Injury

In time, your teen will come to understand that there is a name for what they are feeling. They will learns new ways to cope with their feelings. That is the cure, of course. Your teen must learn new coping skills to replace the self-injury behavior until it is no longer needed. Check out Top 12 Coping Skills for Teens to get started.

Meanwhile, there is you, wanting the situation to end now. It can be helpful to lower your expectations and anticipate that the behavior may occur again before it is fully resolved. If your teen does hurt themselves, try to remain calm and say as little as possible. If you shame them, they may be distressed enough to self-injure again. Express confidence that they will be able to stop. If you notice marks on her arms, call the therapist and let her know what you have seen. She will be able to gently question your teen. Because your teen cannot bear to disappoint you, it may be easier to discuss it with a professional.

Seldom does recovery commence in a straight line. There will be slip-ups along the way, but that does not mean that there is no progress. I highly recommend When Your Child is Cutting, by Merry E. McVey-Noble, Sony Khemlani-Patel, and Fugen Neziroglu. It is a quick, easy read and simply the best I have found for giving parents the insight and courage to get their teen past this troubling behavior.