02
Oct 24

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.


01
May 24

Grieving a Teen’s Mental Diagnosis

Relapse.jpg“If you find you cannot stop grieving, try to choose a time of day to release your feelings.”

Many parents grieve after the shock of hearing that their teen has a mental diagnosis. It’s hard to accept that our dreams and expectations for our child may have changed. In our modern society, we are used to planning everything from our vacations to our retirement. It lowers our anxiety level to know what to expect. But the prognosis for our son or daughter may be impossible to guess.

When we grieve, we experience denial and isolation, bargaining, depression, and anger before we reach acceptance. These stages occur out of order and may recur, even after we have achieved acceptance.

Denial

For many parents, denial is the first reaction. We cannot believe that our bright, outgoing, creative, or otherwise wonderful child will never be the same again. When my daughter was diagnosed with schizophrenia at age fourteen, my husband and I briefly convinced ourselves that she was faking it. The fantasy lasted only a day, but I’ll never forget the desperate lengths our minds went to in order to cope with the news at that moment. If you find yourself struggling with denial, have compassion for yourself and let it run its course. In time, your mind will find it easier to accept.

Isolation

Complicating the grief process is the fact that many of our peers do not understand what we are going through. Friends will not walk up to us and say, “I’m sorry for your loss,” the way they would under normal mourning circumstances. They may be afraid of saying the wrong thing, making it difficult for us to find someone to talk to and leaving us feeling isolated. At such times, our spouse can be a great comfort. All we have to hear, or say, during tough moments is, “I know, honey.” We all need to feel understood. A support group can be helpful, especially if you get to know someone in a similar situation. The NAMI Family to Family class will not only give you information about mental illness, but it will introduce you to other families who understand. Look for one in your area.

Bargaining

When my son was diagnosed with bipolar disorder, also at age fourteen, I deeply regretted all of the opportunities I had missed to help him sooner. I mentally negotiated, picturing all the things I would do if I could go back in time. Eventually, I came to understand that these desires were myths that I had more control over the illness than I did. It still comes up now and then, but I ignore it and focus on the far more productive task of looking to the future and enjoying the good parts of the present. As your teen’s symptoms begin to stabilize, look for positive moments, even if its just watching a favorite family movie one night. Good things lie ahead even when there is an illness to be dealt with.

Frustration and Anger

No matter how hard we try to be positive, most of us wish our child could be at a better level of recovery. We do our best, but we may become frustrated and angry. Anger is a primitive emotion that can soothe us because it refocuses our attention. Unfortunately, we may lash out at the wrong person, whether it be our spouse or the grocery store clerk. Without a target, anger cannot thrive, so we may look for one, even if our logic is far-reaching. The real source of our anger is, of course, the disease. There is an old cliche that goes, “Living well is the best revenge.” Sometimes, when I feel depression or anger rise, I make a list of all the positive things my son or daughter still has, including a loving family.

If you find you cannot stop grieving, try to choose a time of day to release your feelings. You may cry, write in a journal, talk to your spouse, or just sit and shake your head in disbelief. It is okay to let your feelings surface and to acknowledge them. After that, try to set them aside for the next part of your day. If it resurfaces, set it aside again. You will get better at it with practice. This method is not for everyone, but for some people it allows them to grieve while getting on with those parts of the day that can still be positive for them and their families.

Most of us eventually realize that all is not lost. In time, we learn to alter our expectations in order to cope with the new reality. We feel grateful that our child is still alive. In the stunning moment in which I learned that my son had tried to commit suicide, I experienced three thoughts in the flash of a second. First was disbelief, followed by the sense that it explained his recent withdrawal. Finally, I realized that I had been granted an amazing privilege: the opportunity to save my son. Whenever I feel angry or depressed about my children’s illnesses, I remember this gift I was given, and I never take it for granted.