11
Dec 24

Making Peace with Partial Recovery

PartialRecovery“It can take years to reach a state of true recovery, so give it time.”

Sometimes recovery is not as complete as we had hoped. There is the teen who has more or less recovered from depression, but who can’t seem to get motivated to find a job. The girl with schizophrenia who no longer hallucinates but still seems disorganized and confused. The boy with bipolar disorder whose symptoms are gone but who is no longer the outgoing, popular person you remember. Once mental illness sets in, it can change the patient. That’s why early treatment is important and why it’s critical to shut down the symptoms as quickly as possible. Still, even after treatment, you may find that your child has changed. You may even suspect that the medicine itself, which is necessary to control the symptoms, subtly affects your loved one’s personality.

We dream big for our children and we want to see them have as many advantages as possible. It’s okay to grieve the loss of the person you thought your teen would become. Meanwhile, try to focus on the assets your son or daughter currently possesses. You may even find that a new strength emerges. My son used to love reading and it was a challenge for us to find enough books for him. That changed when he became ill. He could no longer read as fast and his comprehension weakened. Even after he was in recovery, he found that he read slower. The odd thing is that he became better at math. He had never enjoyed math because he felt that it lacked room for creativity. But he came to enjoy it and became curious about it. His math grades went up even though he labored through For Whom the Bell Tolls. Think about something your teen does now that they did not do before. They may be motivated by this new ability, and that is something to nurture.

Also, keep in mind that recovery from mental illness is notoriously slow. How long has it been since the medicine and therapy began to make a dent in the symptoms? Six months? Two years? Four? It can take years to reach a state of true recovery, so give it time. I can tell you right now that six months is nothing. Your teen is on the right path and you’re doing all you can. Keep in mind, too, that teens change dramatically even when they aren’t faced with mental illness.

If you suspect that your teen or adult child has stopped taking the medicine, gently ask what is going on with the medicine. Have they run into side effects? Sometimes we suspect a patient of going off of their medicine when, in fact the medicine has stopped working or the dosage needs to be adjusted. If it seems like they have gone off of their medicine but insist they haven’t, go with them the next time they see the psychiatrist. When illness creeps back in due to medicine problems, the patient is often unaware of the changes that have occurred.


09
Dec 24

When Your Mentally Ill Teen Reaches Adulthood

Teenager“Encourage your young adult to start managing their own medicine, as well as ordering medicine refills.”

Till now, as the parent, you’ve been in the driver’s seat. Much changes after your teen turns eighteen. With the patient privacy laws, you will no longer be able to make therapy or psychiatry appointments for your teen. You can’t even cancel appointments. Ask your teen to sign a form at the doctor’s office, giving you permission to do these things as well as permission to speak to the doctor about their care.

If you do find yourself in a position where you don’t have permission forms signed, you can still give information to the doctor. For example, let’s say your teen is at college and has been referred to a new psychiatrist but has not signed the permission forms. You can call the doctor’s office and leave a message saying that you realize he cannot call you back, but that you are faxing over a copy of your child’s medicine log. The psychiatrist can listen to your message and look at the information you’ve faxed over without violating any privacy laws. He just can’t acknowledge receipt of them or give you information.

Your young adult will likely choose to remain with the same therapist and psychiatrist. If they are still on your health insurance, order an insurance card for them to keep in their wallet. Have them start making their own appointments. Encourage your young adult to start managing their own medicine, as well as ordering medicine refills. There are a couple different ways to handle medicine refills. They can fill prescriptions at a nearby pharmacy or your health insurance plan may offer a mail order option, whereby they get a 90-day supply of medicine and pay a lower co-payment. This can be helpful to the young person who doesn’t want to deal with monthly refills.  Some of the mail order pharmacies offer the convenience of an automatic refill, faxing the doctor on their own when refills run out.  This can keep a steady supply of medicine coming their way.

Try to help your teen establish an emergency supply of medicine in case they are caught off guard and run out of medicine. If you live nearby, you can keep an emergency supply at home as well. Some college students keep a small safe in their dormitory, in which they keep their medicine and money.