28
Feb 25

If You are Angry at Your Teen

Teenager“As hurt as you feel, your teen is also deeply pained at disappointing you.”

One of the most uncomfortable circumstances for parents is to be angry at the person they love the most–their teen. Perhaps your teen has let you down, maybe stolen from you or been abusive to you. You are hurt and angry and wonder if you will ever be able to forgive them. One of the toughest concepts to grasp regarding mental illness is that the symptoms are behavior-based. Most of us feel that our behavior reflects our beliefs, and it can be difficult to accept that your teen’s behavior may have been beyond their control.

If you and your teen are working with a therapist, it will be important to listen carefully to the therapist when he tries to work through the circumstances that led to your teen’s behavior. Your teen may say that they were angry and could not control their temper. Or maybe they showed poor judgment and behaved recklessly. Try to look for clues that may point to a diagnosis, such as depression or bipolar disorder. Depression can actually be expressed as anger, especially in boys. Reckless behavior may hint at bipolar disorder. Unfortunately, a clear diagnosis may not emerge for some time. While you are waiting to better understand your teen’s behavior, participate in therapy as much as you can and begin collecting clues. If you can afford to hire a family therapist just for yourself, you will be able to reconcile your mixed feelings over your teen sooner.

If your teen has been given a diagnosis, you have a helpful starting point. Read all you can about the illness. In time, you are likely to have an epiphany or two. Slowly, you will come to understand that the pain that your teen has caused you has an explanation. That does not mean that they should not take responsibility for their actions.Your teen’s therapist can teach them new skills for managing their anger or other feelings. Be patient during this time. As hurt as you feel, your teen is also deeply pained at disappointing you. Try to let the past go and look to the future. If you do need to discuss any disturbing behavior, speak in terms of the behavior and not your teen. For example, avoid saying, “You’re a bully for hitting your younger brother.” This labels the teen and they may take on that identity. Instead say, “When you hit your younger brother, it hurts him and upsets me.”

Let your teen know that forgiveness is a possibility. If they think that there is no hope of winning back your approval, they will have no reason to try. Praise them when they do something you like. Compliment them on a positive feature, even if it is just that they are completing their weekly laundry.

During this delicate healing time, try to continue some pleasant family traditions that are not likely to cause stress. It can be something as simple as Friday night pizza with a favorite family movie. If you are wondering where your sweet child went, pull out some old family albums or videos. This will help you to get back in touch with your loving feelings for your child. They may sit down and join you. If you have other children, be sure that they feel included too. It is tempting to put all of your energy into the “sick” child (after all, we have limited energy!), but you do not want to penalize your “good” child. Above all, remember that your teen wants reconciliation as badly as you do.


27
Jan 25

How Long Will My Teen’s Mental Break Last?

HowLongWillItLast.jpg“Think of your teen’s recovery in three phases: crisis phase, healing phase, and recovery phase.”

Mental illness tends to emerge slowly in teens. It can be difficult to pinpoint exactly when it started and even more difficult to estimate when it will resolve. Nevertheless, it is important for parents to have an idea of what to expect so that they can plan in terms of their job, their other children, and their teen’s school year.

First, keep in mind that your child has probably been ill for a while already. Mental illness is insidious in the sense that it comes on so slowly that the victim barely notices, and the changes in the patient are so gradual that it can take a while for loved ones to notice. Recovery is equally slow and gradual.

Think of your teen’s recovery in three phases: crisis phase, healing phase, and recovery phase.

Crisis Phase: Your teen may be in a state of crisis This can be a confusing time because parents have to figure out what is going on and how to find help. It helps if everybody can remain patient and hopeful. Remember, if you cross a therapist off your list, you’ve gotten closer to finding the right person. It usually takes a month or two to find the right therapist and psychiatrist and to notify the school.

Healing Phase: Your teen will begin the process of improving, regressing, and then improving some more. Medicine trials can take weeks to months. Take comfort in the fact that your teen is receiving good care and everyone is doing the best they can. This phase of learning about the illness and stabilizing the symptoms is likely to take six months to a year. This may seem like a long time, but it may be comforting to know that your teen’s rate of progress is rather typical.

Recovery Phase: Your teen will continue to improve but may not be able to handle as much schoolwork or as many activities as in the past. They may also still be trying to deal with medicine side effects. In addition, this final recovery phase may include changes in friends, interests, and activities. This phase is likely to last a year.

Remember that these are estimates. Your child’s timeline may be different, but hopefully it will help you to plan. Don’t hold back on alerting the school about what is going on with your teen. They can be your best ally, possibly providing on-campus support and assistance with classes and scheduling. Depending upon your work situation, you may find it helpful to let your boss know what is going on. This is a decision that must be carefully weighed. It is likely that you will need to be available to your teen more in the early part of recovery than later.

Keep a weekly record of what is going on with your teen. Progress can be so slow that it feels like none is occurring. With a record, you can occasionally look back and realize how far your teen has come. In the case of something like depression, it can be useful to rate the severity of the depression on a daily basis using a scale of 1 to 5, with 1 being barely depressed and 5 suicidal. Often, the patient believes he is still depressed when, really, he is considerably improved. Watch for significant changes that indicate improvement and praise your teen for making strides. Something as simple as being willing to resume walking to school again instead of being driven is cause for celebration.