Psychiatrist

"So how long have you had this unhealthy aversion to drinking from the toilet..."

I don't know how I feel about this psychiatrist. Bear was in an extremely surly mood after being forced to sit in ISS all day (in school suspension). The pdoc asked how things were going, and of course Bear said, "Fine." Smart pdoc dug a little and asked how school was going.

At first Bear just said, "Boring," but the pdoc specifically asked about referrals so Bear mentioned the one he got for "sharing an apple." (Dropped it to another student from a second story balcony into a hallway full of people). I hintingly cleared my throat. Bear chose to ignore me. I suggested he might want to mention the current issue. Bear said it was irrelevant (not his word) and had nothing to do with meds. I suggested we leave it up to the pdoc, since it suggested a lack of impulse control that his meds can address. The pdoc wanted to know too so he could decide for himself. Bear refused to tell, but finally said I could if I had to.

The pdoc said it had nothing to do with impulse control (which is BS! The initial event was obviously impulsive and all the rest happened to cover it up), and there were no meds he could recommend, then he promptly made a change to one of Bear's meds.

While he was entering stuff into the computer we all chatted a bit. The pdoc brought up the author Tobias Wolff who wrote his memoirs in This Boy's Life (later made into a movie with Leonardo DiCaprio as Wolff). More specifically the pdoc brought up the time when as a young teen Tobias Wolff and his friends would take the parking brake off parked cars at the top of big hills and watch the cars go crashing to the bottom of the hills, hitting other cars. Even Bear's caseworker protested the pdoc "giving Bear ideas," but the pdoc just said, "Bear already has ideas." Apparently his point was that this misguided, abused teen became an excellent writer, and that Bear had this capability.

The pdoc told another story with a good idea for mischief in it, but I don't remember what it was.

All Bear wanted to talk about was how he didn't want the school to help him get a job (they're talking about getting him life skills classes) and he didn't even want them to teach him anything. He wanted to drop out of school and get his GED. What he really wanted was to go back to the way things used to be (100-200 years ago!) so he wouldn't have to go to school and could hunt and fish in his "butt-flap" all day (Bear is part Native American).

I had to listen to Bear rant all the way home. It triggered my PTSD pretty badly.

Bear is refusing to go to the IEP (ARD) meeting today, because he's "already missed too much class (English)" and this is a hard class for him. We'll see if he shows up. I've found if you just ignore his protests he tends to go anyway. He's defiant, but not that defiant most of the time.

This should be an interesting ARD. We're supposed to be talking about:

• Bear's transition to life after high school (what he's going to be when he grows up)



• Bear's IEP - including one for Behavior



• His placement for the next semester (does he continue at the special school and for how much of the day?)



• We plan to ask for a parent/teacher conference with his regular high school teachers to talk about how best to help Bear (not letting him leave the classroom without an escort, reporting when he doesn't return, tardies, manipulations, breaking projects into smaller components...).

I'll keep y'all posted.