This blog is my place to vent and share resources with other parents of children of trauma. I try to be open and honest about my feelings in order to help others know they are not alone. Therapeutic parenting of adopted teenagers with RAD and other severe mental illnesses and issues (plus "neurotypical" teens) , is not easy, and there are time when I say what I feel... at the moment. We're all human!
Showing posts with label med change. Show all posts
Showing posts with label med change. Show all posts

Monday, December 29, 2008

It's beginning to look a lot (less) like Christmas


Meltdown city again with Kitty. Saturday nights all the kids go to Grandma's for the night (yes, I know we are blessed and Grandma is masochistic!). Kitty came downstairs with a HUGE suitcase. We argued for 10 minutes that she didn't need to take ALL her stuffed animals with her for an overnight visit. She finally switched to a smaller case. Bob told us the next day that Kitty had been planning to run away. *sigh*


Turns out that one of Kitty's biggest complaints was that Kitty was not happy with what she got for Christmas. She got many things on her list, but she wanted what her sister got - highlights for her hair. Kitty has always wanted to be blonde (which of course would not go with her coloring), and no matter how many times I tell her others would kill for her naturally wavy black hair, she of course hates it. The private school has a policy against unnatural colors and highlights so I was very resistant against doing anything to Kitty's dark hair because anything I did would show dramatically.

Bob on the other hand with her light brown hair could have subtle highlights without looking noticeable different. I was hoping it would give her a confidence boost (she's my introvert and I know she's going to have a tough time going to public school). I have always tried to emphasize that my kids are different, and therefore I never give them the same presents, but I guess in this case it didn't work.

I asked Bob nicely if she would share (I knew there would be plenty in the bottle). Bob very sweetly said yes. Kitty asked if I'd had to bribe Bob to share, and I think she was impressed that Bob hadn't needed incentive.

Kitty has been fighting doing schoolwork and I told her yesterday that because she hadn't been doing the full amount each day that she would have to work this weekend. This did not make her a happy camper. I asked her to do 3 pages in every subject (total of 18 pages) while I went shopping with my mom (to vent and get her opinion on the biomom issue). Kitty was very proud of the fact that she'd finished the pages in less than an hour.

So when I told Kitty she could have highlights if she finished 2 more pages in every subject she was ecstatic at first. She begged me to stay in the room and keep her company. All the other kids were enthusiastically playing PS2 (got a new game for Cmas) so I hung out with Kitty. I helped her with her word building PACE, and read a book while she did math and science (I did discover that she's been working the workbooks out of order and made her go back and finish one before she started the next).

Kitty required a lot of assistance to stay on task. She could hardly tolerate the noise the other kids made on the other side of the house. If she didn't understand something, her first instinct was to write anything, and fix it when she did corrections. Having something to look forward to, while an amazing motivator, actually made things more difficult for Kitty because she had to wait. She kept saying she was never going to be able to finish. I pointed out she'd done more work in less than an hour, but that didn't help. I got to the point that I ignored her and that seemed to help. (I was laying right next to her so it's not as bad as it sounds).

She did eventually finish and I gave her a few face framing highlights. They were noticeable enough for her to be happy, but I don't think the school will notice. Both girls look great.

In an attempt to better medicate Kitty’s bipolar disorder, her psychiatrist upped her Trileptal and Geodon and began weaning her off of Zoloft (anti-depressants can trigger mania). Kitty did better on the increase in meds, but as we’ve reduced the Zoloft we saw more and more meltdowns and issues. As of late last week we completely removed the Zoloft (looking back the holidays might not have been the best time to do this!) We were informed by our other daughter that Kitty has not only been threatening to jump off a bridge (suicidal statements to us have been on the increase as well), but that Saturday night she actually packed her suitcase intending to run away. She tried to take the suitcase to Grandma’s (to run away from there I assume), but I refused to let her take that large a bag to Grandma’s. She did not end up running away. Bob did not tell us of Kitty’s plan until Sunday afternoon.

Kitty’s psychiatrist is out of town until January 5th (yes, she already has an appointment for that day). I talked to the on call psychiatrist and Kitty started back on 50 mg of Zoloft today (she’d been dropped to 25 mg for the last week and a half and has been off of it for a few days).

It’s the holidays, Kitty was pre-menstrual until yesterday, we’re mucking with her meds, she felt Bob got a better Christmas gift than she did, she’s being forced to do schoolwork during the holidays, and I’ve been so stressed that I’ve been spending a lot of time in my computer cubby (of course my teenage children don’t want me bugging them either so this isn’t entirely a big deal), and did I mention it was the holidays?! I'd say I can't wait for them to go back to school, but that's full of pitfalls for Kitty too.

Wednesday, November 19, 2008

Spiraling Down


So one of Kitty's therapists suggested that Kitty's latest issues could be due to mania from adolescent-onset bipolar disorder. We can't afford to get her tested by a psychologist though (and they're not sure they could "tease" it out from her many other diagnoses.

We did find out in a recent meeting that Kitty was diagnosed with bipolar disorder in 3rd grade. Apparently many doctors will not diagnose bipolar in children so that may be why it was rescinded. We also found out that at age 9 and 10 her IQ was assessed at 106! Pretty big drop to the 76 she was more recently diagnosed with! Could be the 76 assessment was on a bad day, or the earlier assessment was from a less comprehensive test that wasn't as influenced by her learning disabilites.

We do plan on getting her assessed by the public school system (although we do not plan on putting her back in public school at this time - assuming we can afford next semester's tuition). So hopefully we'll get a more accurate IQ then.

I did talk to the psychiatrist about the therapist's concerns and he decided to cut her anti-depressant in half (can trigger mania), and quadruple the mood stabilizer (Geodon) that we'd been working on removing completely due to joint difficulties (TMJ). She immediately started wetting the bed again (she hates this) and has been complaining about body pains (although that could have been from ice skating last Saturday).

She went to a birthday party on Saturday and came home totally activated. If I wasn't already sure she couldn't handle public school with 30-40 kids per classroom, this would have been a major wake-up call.

She's continuing to spiral downward and I don't know how to stop it!

She's missed so much schoolwork (slow, taking breaks when she's "ill," refusing to do homework, faking being finished so she could play, out sick...). The school assessed how many workbook pages she'd have to do a day to get caught up by Christmas break - 38 a day! 50+ if she wants to catch up on the books she missed by starting school a month late. Last year she was finishing 26 easily, but 38?! I don't know what to do. I think she's overwhelmed by the work, and it makes her feel ill, which puts her further behind, which is overwhelming her more...

Bob on the other hand is easily finishing 36 pages a day - sometimes before lunch. She was just as behind as Kitty, but is now completely caught up and has even started taking pre-Algebra. The school assessed how many workbook pages she'd have to do a day to finish her work by Christmas break - 18! The child reads fast, focuses, and is super smart. At this rate she'll be graduating early and Kitty will be lucky to graduate by 21.

We've talked to the school about Kitty - a lot! We're asking them to back off and let her do fewer pages a day - we'll try to make up the difference over Christmas and Summer break. We've also asked them to let her drop Latin. To me this is asking too much of Kitty and she could be using the time to work on other things.

I've set up a homework folder for Kitty. She was "losing" her homework slips and using that as an excuse not to do her work. We had no idea that she even had homework (last year the girls rarely did). The homework folder has a page for each week. It has a spot the teacher can circle if Kitty left the classroom because she was "ill", and of course spots for how many pages in each subject she is supposed to do - and a place to check them off when she's done.

We're going to have to work at making sure she shows us this the minute we get home so she has time to do the work if she hasn't already done it. I admit it didn't occur to me until after bedtime tonight, and she took it into her room putting it on the floor by her bed so she would trip over it when she woke up and not forget it. Ok, now that I've typed that it looks suspicious. *sigh* Wonder what she's hiding.