Words of wisdom?

My daughter has been diagnosed with OCD/OCPD and potentially bipolar disorder, but that last diagnosis is not confirmed yet...right now she is unable to go to school - anxiety and panic attack when the morning comes. We are extremely hesitant to go the home-school route, because of the probability of the anxiety transferring to another area --especially if she has not developed the skills to tackle it when she experiences the anxiety/panic.

I saw on your website the concept of getting her to have going back to school become her idea...any magical ways of getting that to happen??? Her father and I are at the end of our creative strategies rope (her father is a clinical psychologist and also has OCD)...words of wisdom?

Hopefully,

M.P.

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Hi M.,

You've raised a lot of issues here. Each one should be addressed in detail. But given the constraints of time, I'll briefly touch on each one.

Let's first identify the individual issues:

1. OCD
2. Possibly bipolar
3. anxiety
4. panic
5. unable [unwilling] to go to school

Re: OCD

Is she on an antidepressant? If so, does it help? Another complicating factor is that when anti-depressants are given without mood stabilizers to people with bipolar disorder, the antidepressants may induce mania or hypomania. So her psychiatrist will need about a year of experimentation (the art side of pharmacotherapy) in order to get the right combinations and dosages of medication. It will be important that everyone in the family be patient with this process.

Re: bipolar

Bipolar disorder is difficult to recognize in young people because it does not fit precisely the symptom criteria established for adults, and symptoms can resemble or co-occur with those of other common childhood-onset mental disorders and may be mistaken for normal emotions and behaviors of children and adolescents.

As a result, Bipolar kids are often given any number of psychiatric labels (e.g., ADHD, Oppositional Defiant Disorder, Conduct Disorder, Obsessive Compulsive Disorder, Separation Anxiety Disorder, etc.).

Too often they are treated with stimulants or antidepressants -- medications which can actually worsen the bipolar condition.

Having said that, it has been my experience that when bipolar is suspected, it is eventually diagnosed (i.e., if her doctor believes she may be bipolar, she probably is). Is anyone else in the family bipolar (e.g., uncle, grandparent)? As you probably know, bipolar is highly genetic.

So my advice, based on my best guess (and it is only a guess at this point), would be to begin focusing on the bipolar issue because (a) she probably is bipolar and (b) once the bipolar symptoms are stabilized, the other symptoms (anxiety, panic, oc behavior, etc.) will get addressed by default (at least from a medical standpoint).

(Please read the section of the ebook on Dealing With a Bipolar Teen.)

Re: school

Going on the assumption that she is bipolar (and again, it is just an assumption): Bipolar children will not function well in a regular school setting - so that's out, period!

However, the bipolar kids I work with do very well in alternative school environments or GED programs where the classes are small and they get sufficient amounts of one-on-one attention.

They do miss a lot of class time (e.g., "I got a headache," "I'm sick to my stomach," bla bla bla), but most alternative schools are willing to deal with poor attendance within reasonable limits.

In any event, your task will be to have a relaxed attitude about all things -- model "having a relaxed attitude" throughout the day, everyday!!! Your daughter will pick up on it at an unconscious level. Then you'll be working your magic.

I CANNOT EMPHASIZE THIS ENOUGH...

The more you and your husband develop the "art of letting go," the less she will stress. The less she stresses, the fewer symptoms she will experience. The fewer symptoms she experiences, the more she can focus on the really important things in life (relationships, school, work, play, etc.).

It sounds like the whole family may be in "survival mode" (i.e., spending a lot of time and energy just trying to keep the boat from sinking). One can escape from this mode by practicing "having a relaxed attitude," a "grateful heart" and a "sense of humor." If you think you simply can't do this right now, then fake it anyway (i.e., "act as if" you are relaxed, grateful, and finding things to laugh about). With practice, this becomes habit.

In summary, the real issue here as I see it is "stress." Everybody is feeling pressure. And I can promise you that if everyone is uptight most of the waking hours -- you will have a long, hard road ahead.

I really have a lot more to say, but am out of time.

Please stay in touch,

Mark

www.MyOutOfControlTeen.com

When the Father Lets the Kids Get Away with Bad Behavior

Question: I have a 14 year old son, and we always seem to be angry with each other. I try to be patient, but whatever I do seems to annoy him and vice versa. My husband takes a different approach than me, and this also causes conflict between us as he lets our son get away with bad behaviour by ignoring it. If our son is rude to me, he doesn't say anything, he just says that I should deal with it. What can I do?

Click here for my response...

Our granddaughter is in more trouble...

"This morning I've discovered that our situation with our granddaughter is more troubled than my original thought of disrespect and disobedience….Lying has increased to almost a way of daily life for her. I discovered a flask containing alcohol under her mattress and a notebook with entries outlining making out with boys, sneaking out, smoking and the fact that she hates my husband and myself. She is nearly 14 and has lived with us for the past 8 years. Her parents divorced before she was a year with her Dad as custodian care taker. Once he remarried there was real trouble with step mother and step sisters. At age 5, she lived with her Mom & step-dad til she came to us at age 6…her mother is not in a position morally or financially to have her with her so we made the commitment to raise her. She has strong feelings of rejection from both parents which is only natural. She struggles with keeping more than one friend at a time. My question is that upon discovering this evidence which confirms our suspicions, should we confront her with our findings? Should her absentee parents be contacted before we confront her? Should we be contacting some outside intervention for her as well? Any advice you might offer would be appreciated. Our concern was not to 'corner' her into doing something drastic but to let her know that we know the truth and offer to help with solutions. Thank you, S.S."

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Hi S.,

Let's take each of your questions in turn:

...upon discovering this evidence which confirms our suspicions, should we confront her with our findings?

>>>>>>>>>>>>>> Yes ...the strategy you may want to use to go about this is in the Online Version of the eBook: http://www.myoutofcontrolteen.com/q-a

Should her absentee parents be contacted before we confront her?

>>>>>>>>>> Not necessarily, but it might be the polite thing to do to keep them in the loop. Maybe wait until after you confront your granddaughter to update them. Also, I think it would be better NOT to invite the absentee parents to the confrontation.

Should we be contacting some outside intervention for her as well?

>>>>>>>>>>>>> Not yet.

1. Re: possession of alcohol: use the strategy in the link above

2. Re: lying: this is covered here: http://www.myoutofcontrolteen.com/lying

3. Re: sneaking out: refer to the section "What to do when you want something from your kid" in this chapter: http://www.myoutofcontrolteen.com/am

4. Re: smoking: this is covered here: http://www.myoutofcontrolteen.com/q-a

under this headline --"I'm pretty sure my daughter is smoking cigarettes. I hate the thought that she is doing this to herself, especially at such a young age. Any ideas?"

5. Re: hates my husband & myself: She doesn't hate you, rather she loves you but is angry with you -- and this anger (which is really about her parents) gets misdirected toward you. Thus be patient with her and let her have her anger -- she will not be talked out of it. (Notice I said "be patient" rather than "you should feel sorry for her and over-indulge her to compensate for the bad cards she has been dealt").

Keep me posted.

Here's to a better home environment,

Mark

==> MyOutOfControlTeen.com