Could he be bipolar?

Hi T.,

== > I’ve commented throughout your email below:

Hi Mark,

A couple of weeks ago I bought your program. Well things are getting worse …my seventeen year old son is out of control.

== > As you may recall from watching the first few Instructional Videos, things do tend to get worse before they get better. This is not uncommon and should be viewed as “progress.”

On June 25 one of his co-workers committed suicide (my son worked with him and knew him well) my son worked with him that day. Since then my son has started drinking while on medication for anger - anxiety …two weeks ago the rage hit with his 23-year-old brother home from out west on vocation. It was really bad as he raged for three hours. Smashing stuff fighting with whoever would be in his way. A full-blown rage of no other kind. I told him in a calm state that the next time this happened I would call the police.

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Today it happened again... he had been at the beach drinking and became agitated this carried home to a full blown rage where kitchen table was upset, coffee tables etc.... you get the picture. I called the police as he would not settle down. The officer with the help of friends was finally able to arrest him. He smashed the side window out of my truck as I tried to leave the gateway shattering glass all over me. Tonight my worst nightmare is true my son is in a youth centre.

== > Good for you for calling the police. He may benefit from both a grief counselor as well as a drug/alcohol program.

Since he required stitches he was taken to the hospital by the police. The officer asked if he should be admitted and given an evaluation but was told by the doctor that was not necessary.

== > Uh Oh! He definitely needs a comprehensive psychiatric evaluation.

Tomorrow my son will be released with no repercussions only a bruised ego about being arrested (which he blames me for)… my son is a good kid except that he has always had anger issues. I have begged him to go to a counselor to no avail. What next and how do I deal with this… could he be bipolar?

== > This is why he needs an evaluation. A psychiatrist will need to rule out certain things before a proper diagnosis is found.

Tonight he told me after being arrested that it was my fault because I got him to take this medication and that He hates me because I called the police. As you know I love my son dearly and only want help for him. Please advise as soon as possible.

== > I’m guessing that he has been over-indulged for his entire life – and now that you are shifting to a more assertive parenting style, he is having difficulty adapting.

PS you said to find humour in the worst situations, well I did when the officer and my son were wrestling around on the pool deck. The officer was trying to get a grip on my son to hand cuff him when both of them ended up in the pool... imagine the scene. I figured that america's home video would have loved it. Other than that humour I need direction immediately.

== > You should be in week #2 of the program. You’ve got 2 more weeks to go. Watch ALL of the Instructional Videos – and keep up the tough love. Oh …and make sure your son gets an evaluation.

Mark Hutten, M.A.

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Would it be better to let him learn rather than forcing my beliefs on him?

Mark,

My 14-year-old son found himself a job in June. He works very long hours some days, usually in the hot sun. He gets up on his own, packs his own lunch and is very responsible. This is someone who has been and can still be quite defient.

He has spent nearly all the money he has made. There is a small amount in savings for expenses he must pay soon. He loves to spend and buys a lot of his own meals and snacks. He has also bought things his friends already have. I buy him very little except for birthday and Christmas.

The problem is saving. I originally thought he should save more, but am giving up on the notion. It has caused too many quarrels and doesn't seem to be worth it. He says it is his money and he should get to determine where it goes. He will be paying for basketball shoes and driver's training and anything else coming up soon but will probably run out well before Christmas. He will not be working again until June.

Is he right? It is his money and he works hard for it. I want him to have good habits, but would it be better to let him learn rather than forcing my beliefs on him?

Loving, but frugal Mom

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Hi Frugal Mom,

Re: Is he right? It is his money and he works hard for it. I want him to have good habits, but would it be better to let him learn rather than forcing my beliefs on him?

Great question! And the answer is an unequivocal 'YES'. He's right.

You seem to be doing very well with him overall. Congratulations.

Pick your battles carefully. He will learn how to budget and manage money much better from first-hand experience rather than from motherly lectures.

Mark

Online Parent Support

Conduct Disorder & The "Safety" Issue

Factsheet: Conduct Disorder (CD)

What is CD?

CD is a repetitive and persistent pattern of behavior in kids and adolescents in which the rights of others or basic social rules are violated. The youngster or adolescent usually exhibits these behavior patterns in a variety of settings—at home, at school, and in social situations—and they cause significant impairment in his or her social, academic, and family functioning.

What are the signs and symptoms of CD?

Behaviors characteristic of CD include:

• Serious rule violations, such as staying out at night when prohibited, running away from home overnight, or often being truant from school.
• Non-aggressive conduct that causes property loss or damage, such as fire-setting or the deliberate destruction of others’ property.
• Deceitfulness or theft, such as breaking into someone’s house or car, or lying or “conning” others.
• Aggressive behavior that causes or threatens harm to other people or animals, such as bullying or intimidating others, often initiating physical fights, or being physically cruel to animals.

Many youth with CD may have trouble feeling and expressing empathy or remorse and reading social cues. These youth often misinterpret the actions of others as being hostile or aggressive and respond by escalating the situation into conflict. CD may also be associated with other difficulties such as substance use, risk-taking behavior, school problems, and physical injury from accidents or fights.

How common is CD?

CD is more common among boys than girls, with studies indicating that the rate among boys in the general population ranges from 6% to 16% while the rate among girls ranges from 2% to 9%. CD can have its onset early, before age 10, or in adolescence. Kids who display early-onset CD are at greater risk for persistent difficulties, however, and they are also more likely to have troubled peer relationships and academic problems. Among both boys and girls, CD is one of the disorders most frequently diagnosed in mental health settings.

What does the research say about CD?

Recent research on CD has been very promising. For example, research has shown that most kids and adolescents with CD do not grow up to have behavioral problems or problems with the law as adults; most of these youth do well as adults, both socially and occupationally. Researchers are also gaining a better understanding of the causes of CD, as well as aggressive behavior more generally. CD has both genetic and environmental components. That is, although the disorder is more common among the kids of adults who themselves exhibited conduct problems when they were young, there are many other factors which researchers believe contribute to the development of the disorder. For example, youth with CD appear to have deficits in processing social information or social cues, and some may have been rejected by peers as young kids.

Despite early reports that treatment for this disorder is ineffective, several recent reviews of the literature have identified promising approaches treating kids and adolescents with CD. The most successful approaches intervene as early as possible, are structured and intensive, and address the multiple contexts in which kids exhibit problem behavior, including the family, school, and community. Examples of effective treatment approaches include functional family therapy, multi-systemic therapy, and cognitive behavioral approaches, which focus on building skills such as anger management. Pharmacological intervention alone is not sufficient for the treatment of CD.

CD tends to co-occur with a number of other emotional and behavioral disorders of childhood, particularly Attention Deficit Hyperactivity Disorder (ADHD) and Mood Disorders (such as depression). Co-occurring CD and substance abuse problems must be treated in an integrated, holistic fashion.

Why are assessment and treatment important?

Assessment and diagnosis of CD—or any emotional or behavioral disorder of childhood—should be done by a mental health professional, preferably one who is trained in children’s mental health. Any diagnosis must be made in consultation with the youngster’s family. The assessment process should include observation of the youngster, discussion with the youngster and family, the use of standardized instruments or structured diagnostic interviews, and history-taking, including a complete medical and family / social history. When assessing and diagnosing any childhood emotional or behavioral disorder, the mental health professional should consider the social and economic context in which a youngster’s behavior occurs.

Accurate assessment and appropriate, individualized treatment will assure that all kids are equipped to navigate the developmental milestones of childhood and adolescence and make a successful adaptation to adulthood. Treatment must be provided in the least restrictive setting possible.

What can I do if I’m concerned about a youngster?

• Consult with a mental health professional, preferably one who is trained in children’s mental health.
• Explore the treatment options available. Treatment must be individualized to meet the needs of each youngster and should be family-centered and developmentally and culturally appropriate.
• Find a family support group or organization in your community.

Online Parent Support

To Snoop or Not To Snoop?

"Should you secretly snoop on your teenage child? I am not talking about where you're open with them about your surveillance. I am talking about clandestine snooping: Reading their e-mail …checking their text messages …reading their diaries …eavesdropping on their conversations with friends …searching their room …searching their jeans -- all in secret."

Click here for the answer...

I am heartened by the progress so far...

Hi Mark,

It is pleasing to see that K is modifying his behaviour - nothing else worked, but this program certainly does! He chose to test whether the consequences would be enforced, and when he lost his phone for 48 hrs for the second time in a week, instead of punching the wall, he ended up crying. And I could remain calm, and acknowledge it was distressing, but that the good news was, it never had to happen again, if he followed the few basic rules that were set.

I know it has to get worse before it gets better, and I am heartened by the progress so far.

Online Parent Support

He can’t seem to handle anything not going his way...

Hi Mark

Thank you for all that information re school – it’s enormously helpful.

I have to ask if you might be able to help with a question about public ‘meltdowns’. I don’t know how to handle this situation and it seems to be getting worse. He can’t seem to handle anything not going his way or anyone daring to do something other than what suits him or benefits him. We had another one on the weekend where at football he was put into a position he didn’t like for the first quarter. At the end of the quarter he yelled rudely at the coach to move him. The coach then quite rightly and calmly put him on the bench for the next quarter. He sat there crying and fuming and carrying on about how unfair, everyone’s got it in for him, why me, coach hates me etc. etc. Tried to explain it was only about everyone taking their turn in all positions etc. but then he just became aggressive and insulting to me. It’s a typical scenario. Do I just implement the ‘when I want something from my child’ strategy? (Ie I want him to calm down and be sensible.) Then do I just ignore him if he doesn’t? Or punish him after? I really need guidance on this one.

Thanks again,

L.

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Hi L.,

Re: Do I just implement the 'when I want something from my child' strategy?
 

Yes.

Re: (Ie I want him to calm down and be sensible.)
 

No. "If you choose to ________ (be specific here, for example: hit, push, yell, etc.) ...then you'll choose the consequence, which is ____ (pick the least restrictive consequence first).”

Re: Then do I just ignore him if he doesn't?
 

No. Follow through with the consequence.

Re: Or punish him after?
 

Yes (actually you’ll be disciplining rather than punishing).

You may be making this more difficult than it needs to be. Do you get upset when your son gets upset? If so, this is adding fuel to the fire (remember to use your poker face). Simply use the strategy entitled "When You Want Something From Your Kid" exactly as it is laid out.

Keep up the good work,

Mark

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That’s clear thanks Mark.

And I apologise, I should have mentioned our successes. Last week, our son received a merit award at school assembly for his ‘amazing improvements’ in class. He was also sent to the headmaster to show him a piece of creative writing he’d done, which was beautiful, detailed and above all way beyond what he was asked to do (he had been doing absolute minimum, and nowhere near what he is capable of). The headmaster wrote him a note of congratulations, which he proudly brought home. Mark, I just want you to know this is completely unprecedented. I believe it is entirely due to the changes we’ve made at home by following the program . As you mentioned, it is going to take some time to turn around behaviour that has become habit over 11 years, and I’m sure there are continuing challenges ahead, but we really want to thank you this program, and the insight and support it provides.

Best regards,

L.

My Out-of-Control Child

Manipulating Parents After Divorce

Question

Dear Mr. Hutton, I just finished reading session 1. I know my daughter has been over-indulged and she possesses most of the personality characteristics you describe as a result of this style of parenting. I definitely want to stop the "free handouts" and foster self-reliance in my daughter as well as my other two children. The problem is I am recently divorced and my ex-husband does everything you describe in the permissive, self-indulgent parenting style. I think he is doing this to be "popular" , "win our daughter over" and to make up for feelings of "guilt" he must have for committing adultery. He is currently taking me to court to gain full physical and legal custody of this 12-year-old daughter only. I believe this is too reduce his financial support to me. We have two other younger children together ages 9 and 5 years old. I also have a restraining order against him. My point in telling you this is that I cannot discuss parenting issues with my ex-husband.
 

My question is when I refuse to buy "handouts" for my daughter she does not care or have a need to earn money because she can receive the "handout" from her father on her next visitation day. For example, I offered to buy her basic jeans (she needed new pants to wear) at Walmart but she wanted "designer jeans" from Macy's. Her father bought her the "designer jeans" at Macy's on his next visitation day with her. This daughter also wants to live with her father. I feel this is because she can "run free" and have minimal rules as well as have all the material things she wants. I really need your program because she has become a "nightmare" for me to parent. She is using the divorce to manipulate what she wants from everyone. Is there any way I can foster self-reliance in my children? My counselor told me that no parenting program I use will work because my ex-husband undermines it with his permissive style of parenting. I want to have "hope"! Thanks for your time.
 

Answer

When parents disagree about discipline, the underlying issue is often a conflict in parenting styles. Parenting styles develop in a complex process from childhood history to adult knowledge and experience. Because parenting styles are rooted in individual belief systems, polarization and conflict are common when parents' styles differ. 

The most common conflict occurs between parenting couples who have authoritarian and indulgent styles. The authoritarian parent is adult-centered and high in control efforts. The indulgent parent is child-centered and low in control efforts. 

While these two styles are opposites at their core, they can find common ground. The way to resolve this conflict is for both parents to take one step to the more balanced and healthy authoritative parenting style. 

The authoritarian parent can move toward authoritativeness by becoming more child-centered. This parent should take time to listen to the child and invite the child's input into family activities and decision-making. He or she should seek out knowledge of normal child development to better understand the child's abilities and needs. Finally, this parent should spend more time with the child in mutually pleasurable pastimes, finding ways to enter the child's world and understand the child's point of view. 

The indulgent parent can move toward authoritativeness by becoming more demanding of the child. The indulgent parent should practice saying 'no' to the child. He or she should seek out knowledge of effective child discipline strategies and use them to address misbehavior. Finally, this parent should focus on helping the child build skills of self-control and adult and peer interactions. Teach the child to respect the authority of adults in his world; to understand consequences and control impulses; and, to develop good relationships with peers. 

Conflict between authoritarian and indulgent parents will not subside without effort from both parents. It's not so much about compromise as it is about learning from each other. Belief systems about parenting can remain intact while both parents learn new skills.
 

Kids learn to manipulate their parents following a divorce, gaining more control of their situation in a two-household family. 

The majority of adolescents actively interpret their parents' behaviors in order to manage relationships to their perceived advantage. The kids gather and interpret info about parents, dodge questions, engineer images of themselves, parry parents' probes, maneuver between households, and cut ties with parents to exert their own authority.
 

Several strategies are used:

• Cutting one parent completely out of their life; the process allows the child to control when and where they have contact with one of the parents.
• Moving from one home to another. Children will often move into the home of the parent who is less controlling in order to punish the other parent or to escape a situation they do not like.
• Withholding info from one parent to avoid punishment or solidify a relationship. Since there is less communication between parents following divorce, the child can gain upper hand by controlling the info flow. 

None of these options would be available to a child in a single household with two parents.
 

It’s surprising how many children learn to manipulate their parents after a divorce. Some parents have the attitude that their children would never do so, but it is common. They may see it as a viable avenue to get their own way. Young children do it as well as older children. The difference is the way they go about it and what they are attempting to get out of the deal.

It is understandable why parents would fall for this though. After all, they don't want their children to be traumatized by what has taken place. They want to see their children happy and thriving in their environment. Make sure you are consistent with the rules you have set for your children though. They may come to you and say a later curfew or hanging out with friends without adult supervision makes them feel better. This is just a ploy to get you to let them do what they want to do.

You should expect your child to attempt to test the limits though. They may tell you they want to go live with their other parent when you don't give in to them. This is going to hurt you and they know it. Stand firm and tell them you are sorry they feel that way but that you are sticking by your decision. If you can work out similar rules at both homes with your ex this issue will be eliminated for both of you.

It is true that children can have conflicts in life that are a direct result of the divorce. For example your child may have drop in their grades or changes in their attitude. While you need to understand this, they need to know that the divorce isn't an excuse for letting things go. They still need to be doing their homework and they still need to be respecting you. They need to help out at home and do what is asked of them without problems.

Make sure you understand the difference between what your children need and when they are attempting to get one over on you. They may find your defenses are down after a divorce and use it to their benefit. Don't be too hard on your children if you find out this is what is going on. Let them know you are disappointed though and that they aren't going to be allowed to continue doing it.

One of the reasons why children are able to successfully manipulate their parents after a divorce is due to the parents feeling inadequate. They don't want to let their children down any more than they feel they already have. They also have a fear that their children won't love them as much as the other parent if they don't give in to their desires. That isn't the reality of it though.

Mark Hutten, M.A.

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