13
Jan 25

Are You Blaming Yourself for Your Teen’s Problems?

Self-BlamingMom“Let’s say you have some hard evidence to prove that you’re at least partially the cause of your child’s problems. Where will that get you now?”

Was it the divorce that put your daughter over the edge? Maybe you think you worked too much or too little, or lost your temper too many mornings when your daughter couldn’t find her bus pass. As parents, we are used to having a great deal of control over what happens to our children. When serious emotional problems erupt, it can be tempting to blame ourselves.Consider the likelihood that your teen’s break would have occurred even under the most ideal circumstances.

Let’s say you have some hard evidence to prove that you’re at least partially the cause of your child’s problems. Where will that get you now? Guilt has its purpose–it alerts us to the fact that we’re doing something wrong and inspires us to change. Beyond that, it is useless. It can erode our self-confidence, keeping us locked into negative behaviors in a vicious cycle of lashing out followed by remorse. So once you think you’ve identified your “sins” (and let’s remember, we parents are human and thereby, by our nature, imperfect), try to set them aside. They will aid you no further, and there is work to be done. Don’t let guilt get in the way.

If you think it will help, you can explain your regrets to your teen. You may be surprised at how forgiving they are. You can’t do anything about the past, but the future is full of opportunities to do things differently. Put your energy there, and I think you’ll find the guilt slowly diminishes.


10
Jan 25

If Your Teen Refuses Treatment

I am not Sick by Dr Amador“In his book, Dr. Amador recommends a method called LEAP.”

It can be frustrating to try and convince a teen with a serious mental illness to accept treatment. Some teens find the idea of taking medicine unnatural and some hope that the symptoms will go away without medicine. Often, the teen is unconvinced that he or she is sick. Forty percent of individuals with bipolar disorder and sixty percent of individuals with schizophrenia have an accompanying symptom called anosognosia. It means that they do not recognize that they are ill. It looks like denial, but it is actually a part of the disease.This can be extremely disheartening and frustrating for a parent because it greatly impairs treatment. Not surprisingly, family members often focus on trying to convince their relative that they have the illness, which only makes the patient feel misunderstood.

Fortunately, being on medicine removes this symptom. But how to get there? You can work around your teen’s disbelief, using a strategy described in the excellent book, I am Not Sick I Don’t Need Help, by Dr. Xavier Amador. This book has helped many families with recalcitrant loved ones, using a method called LEAP. I summarize Dr. Amador’s LEAP method below:

L is for listen:  Listen to your teen’s concerns about medicine. Don’t interrupt, but feel free to ask for clarification if you think you are misunderstanding them. Don’t argue or try to dispute what they say.

E is for empathize:  Forget about your own frustrations and fears for the moment and let your teen know that you understand how they feel. Offer sympathy for what they are going through.

A is for agree:  Try to agree upon something, even if it’s something as simple as the fact that your teen is depressed and wants to feel better.

P is for partner:  Tell your teen you want to help them achieve their goal. If they don’t want to take medicine, what will they agree to do? If the two of you can agree to a plan—any plan—at least you’re working together.

LEAP won’t give you the immediate outcome you’re looking for, but it’s a start. It’s also an improvement over arguing. Sometimes a first step leads to another. The book explains the steps in detail and will give you ideas for how to be effective with each one. It has helped many families get their loved ones into treatment.