Showing posts with label RAD. Show all posts
Showing posts with label RAD. Show all posts

Wednesday, June 12, 2013

RAD

So now we all know the backstory.. the history. What exactly was the point of dragging all of that out in the open? The point was so that I could get from there to here....

RAD.

Reactive Attachment Disorder. It still leaves a bitter taste in my mouth. RAD (http://www.attachmentandintegrationmethods.com/disorders/rad/) frequently affects children who were adopted or in foster care. Nope, I don't have any of those, but I do have a child diagnosed with RAD.

Symptoms:
  • Speech: Constant chatter; nonsense questions, abnormal speech patterns
  • Eating: hordes, gorges, refuses to eat, eats strange things, hides food
  • Lying: Lying for no apparent reason; Lying when the truth is obvious; false allegations of abuse
  • Stealing: Sneaks things w/o permission that could have been obtained by asking; stealing from family, school, others; theft of items with no apparent value or use
  • Affection: Indiscriminate affection, often to strangers; demanding or clingy, often at inappropriate times; not affectionate on parent’s terms
  • Regulation: Tantrums and rages may go on for hours; something apparently minor may provoke World War III; difficulties tend to escalate into major events; cannot self-regulate
  • Control, Triangulation, and Manipulation: Ultimate need for control; manipulative; need for structure and schedules; often trinagulates adults; Superficially charming and engaging, especially with outsiders
  • Friends: Poor peer relationships; shallow relationships; relationships don’t last; friends frequently don’t meet parents’ approval or are a bad influence
  • Problems making eye contact (but may make eye contact when angry or lying)
  • Oppositional: Argumentative, often over apparently insignificant things; differences escalate; non-compliant with family rules
  • Destructive to property of others, especially those most closely related; may be aggressive or violent, especially during rages
  • Self-destructive: Behaviors may be risky or directly self-harming
  • Impulsivity: Impulsive, does not appear able to learn from consequences or mistakes; does not appear to understand cause and effect
  • Hygiene: May refuse to wash, shower, groom hair, use deodorant
  • Attitude of entitlement and self-importance
  • Developmental / Learning delays
  • Pain Tolerance: May have a high threshold for big hurts, but pitch a fit over minor ones
  • Nit-picky over details, but ignores the main point
  • May appear to lack empathy and a conscience
  • Hyper vigilant
  • Fascination with fire and blood and gore
  • Cruelty to animals
  • Parents appear hostile and angry
  • I know, its a lot to read. But if you read the last post and then come here you're going to see that a LOT describe Jolie. If you had the pleasure of knowing her a few years ago you will be literally stunned by how many describe Jolie. Even today, quite a few still affect her.

    But how? I never left her alone. Aside from the relatives in the house I never used a babysitter. I was with her every single night unless I was in the hospital. I was devoted to my children. 

    But I wasn't there emotionally. If you remember I told you that I checked out when she was barely a year old. I reached the threshold of what I could handle and I emotionally checked out. 

    Really, I don't think anything hurts as bad as knowing that I caused this. 

    I didn't know anything about RAD until about 3 months ago. We tried every form of therapy and parenting we could find with Jolie. She didn't care at all about punishments, sticker charts, marble jars, rules, or other people's emotions. Hell, this child put my kitten in the dryer and turned it on at the age of 3.5. (Kitty lived... barely). It wasn't until I switched to Collaborative Problem Solving that we started making any headway. The meltdowns decreased and she started engaging. Her teacher was reporting problems in school with emotional regulation and she worked of not engaging in manipulation attempts (yes, a child CAN be manipulative) but she had no idea what we were facing either. We slowly started to rule things out but our focus was still Beth. Beth required a HUGE amount of focus and attention. Jolie could not get along with any of her peers. It was baffling. I had Jolie evaluated by the same psychologist who ultimately decided on schizophrenia for Beth and she said Jolie is incredibly intelligent and is unfortunately suffering from having a significantly mentally ill sister and a moderately severe autistic brother. I didn't buy into that at all but was able to see that Jolie had pulled the wool over this doctor's eyes.

    (I apologize now if I'm out of order or scattered. This is much harder to write than I anticipated it would be... still, it needs to be done.)

    About 3 months ago her therapist told me she believes Jolie has RAD. I googled it.. and immediately texted her with my intense protestations. This can't be possible, can it? I didn't abuse her... no one ever abused her. She wasn't adopted or in foster care. I would never hurt her... how??

    At the time our therapist let me run through every reason why this couldn't be possible. She assured me that she didn't believe for a second that I had abused any of my children. She knew they had never been abused, that I had protected them as fiercely as I knew how from any danger (too fiercely, in fact). She knew they had never gone with aunts or uncles, knew no cousins, had never been exposed to anything I didn't know about. And then she stopped talking about it. She would answer questions when I asked but she didn't engage in conversation. This woman, as irritating as it is, understands how to let me get to where I need to be. 

    I continued with my psychology classes for my Human Services degree. I read about RAD, I knew that was the most accurate description of Jolie's behavior I had ever seen but I was still very stuck about the "caused by abuse/neglect" part.

    I talked, a LOT, with besties B and H. They understand RAD (or are learning with me). I bounced ideas off of other therapists and licensed counselors. 

    And here comes my realization.

    I caused her RAD by being emotionally unavailable. My focus was on Beth because that's where it needed to be. If I had it to do over, I could do it differently because I know better now. I'm educated and experienced now. I understand how to provide for one while still tending to the urgent needs of the others. I was not emotionally unavailable enough for DCF to decide I was a danger (remember, they knew me well  by that point) but I wasn't prepared and my cries for help went unanswered.  In all fairness I don't think the help was there. 

    And here's my point. There are a ton of us. Mothers and fathers raising multiple children with mental/physical/psychological challenges. When one of our children gets diagnosed RAD we end up being labeled bad parents. The RAD support groups insist that our children are misdiagnosed because they are our biological children. The other support groups don't want us because they don't know anything about RAD and those children are "bad". Plus, RAD is caused by neglect, remember? If you're the biological parent then you're the "abuser", remember? 

    Little secret for you... those of us who have children with multiple diagnoses or complicated ones... we still need our kids to belong. We need to belong. We need to, especially when we don't think so. We need to especially when we're most afraid to. We need family, friends, peers, even just a smile. And if you think I should speak for myself, then you need to belong too. 

    Jolie is doing significantly better. There are environments she doesn't do well in (karate, very large groups, etc). She doesn't get personal space or personal boundaries and if she's allowed to she will be highly inappropriate. Since we moved to the Collaborative Problem Solving and natural consequences instead of the traditional time outs and punishments she's finally making progress. With natural consequences she can't find a way to blame it on anything but her own actions. I am working on personal responsibility and accountability with her. It doesn't always work out very well, but we will keep trying. She still has classic sociopathic behaviors, chronic lying, and blatant manipulation techniques but they are less frequent right now. While we're in this down time cycle I'm studying RAD, following a phenomenal YouTube blogger who deals with this in her own children and has wonderful parenting techniques, and picking the brains of a few professionals. The changes I made in parenting have helped move Xander from an obviously developing RAD case to a more typical 3 year old with a few sensory issues. 

    So.

    Yes, my daughter has RAD. Yes, I'm her biological parent and she has never been to foster care. There are more like me. Imagine what we could accomplish if we banded together and helped each other through this. This is why I'm writing (I know I'm not very good at it lol) and this is what I will do with my life.

    If you need help, if you need me, if you need anything.... I will help you or find you help. Try me.





    Monday, June 3, 2013

    Waiting...

    I've been waiting to post. I have a big huge idea for a post that I need to do, more for me than anything else. Really I write for me. When I do write.

    This last week or two has been kinda rough for me. I'm 7 days away from a full month of not smoking and I ditched the horrible Chantix. I hit a point with the Chantix where dying was starting to sound like a beautiful and wonderful idea. That day I knew I had to stop. My girls are incredibly proud of me for not smoking anymore. I didn't realize how much THEY wanted me to quit. Their excitement over me putting down the cigarettes is reason enough to stick with it. I don't want to disappoint my kids if I can at all avoid it.

    See, I haven't always been a great parent. I don't even know that I'm a great parent now. What I do know is that I have improved exponentially since the early years. In the early years I was overworked, overtired, and overwhelmed. My girls had their needs met. I worked long and hard hours, but emotionally I just wasn't invested or present. I couldn't be, I couldn't find time to be. I worked 45-60 hours a week and was lucky to get 4 hours of sleep a night. I wasn't taking care of myself physically, mentally, or even emotionally. I merely existed. I followed every step given to me by every therapist and doctor, faithfully, no questions asked. I truly believed I was being a great parent.

    Fast forward a few years... it really wasn't until 2010 that I started to realize that I was doing things all wrong. That I really liked the Xanax prescription my doctor gave me a little too much (okay a LOT too much but that was a secret). I truly believe in many ways that Xander saved me. Saved all of us. I loved Xanax, but I loved Xander more. The night pregnancy test came back positive I stopped. I couldn't have done it without the support I was blessed with (and hours long phone calls) by two people who have never ever given up on me even in my worst moments. A lot more happened... we're just going to fast forward again.

    So now we have this baby and we're desperately fighting to get services. Beth is over 3 so EI is out of the picture and there's NO ONE willing to help. She's too young for everywhere we try and the few people that will see her tell me they are pretty sure she's schizophrenic and they can't handle that in a 4 year old. Joelene is busy destroying everything she can get her hands on, Peter won't talk. Hell, he'll only scream. For hours. Every day. We start evals for Peter and my job says "Sorry, this isn't working out."

    THAT is where I started to realize that I wasn't a good mother.

    And this is a good place to stop because this is going to lead into where I'm headed next.


    Tuesday, May 21, 2013

    Change

    Change is hard. Growing is harder. Growing and changing at the same time... well that's just painful.

    Yet that's exactly what I'm doing.

    It wasn't really my intention. Anyone who's every truly known me knows I traditionally resist change. I don't like my routine altered, even a little. I have never seen the point in growing because, well, that's a change. Change alters routines. I don't like my routines altered. See where this is headed? Rinse, lather, repeat....

    When I was younger I made it work with my ninja like cunning manipulation skills that I didn't even realize I had. I found (and married) a man who didn't require me to change or grow at all. I lived in childish ignorance and was quite happy there.

    But, see... life doesn't really work like that.

    Each baby changed me just a little bit. Maybe it wasn't really noticeable at first, but it was happening. Had I noticed it was happening I probably would have fought it. I didn't do change.

    Regardless, it was happening. And the behaviors started. Followed by the diagnoses. One child after another, like a row of dominoes being knocked down. The more dominoes fell the more I insisted that I could do this alone and that I still wasn't going to grow. I wasn't going to change.

    Did I mention I've been accused of being stubborn?

    Where am I going with this? Hell if I know... I'm rambling again.

    Around March I woke up one day (almost literally) and realized how incredibly lonely it was not to have a solid extended family. My children were missing out on so much. You know why? Because that's exactly how I designed it. Not really consciously, but I did. I wrapped us in a cocoon and kept us safe from the possibility of rejection. Its one of the same reasons I make sure to minimize my interactions with the general public. I take online classes at the local community college. Why? Because social interaction is seriously exhausting. Really, this post is becoming exhausting.

    Then I ended up forced into taking a class in person. Trust me, this was NOT my idea and I was not okay with it, but I really had no choice. Low and behold, I did just fine. It was uncomfortable and it was exhausting. It was beyond challenging and I missed a few days, but I made it through and got an A.

    During the weeks that class was in session I got a phone call inviting my husband, children, and myself to a social event. The call was completely unexpected, just a few days notice. The polite decline was on the tip of my tongue when I suddenly decided that we could, and should, try. More than that, that I WANTED to try. That I wanted to try for ME. Not just for my beloveds, but for me too.

    We went, we did well, and we were invited to visit again. And we have received another invitation. I'll admit this one seems a bit bigger and has me a little more nervous, but we were invited again. The rejected I feared hasn't come yet. Know why? Probably because the rejection was only in my head to start with.

    Step by step, day by day, sometimes simply hour by hour.... that's how we're making it through. Today marks 12 days smoke free for me. I have two semesters left of my Associates degree and then its on to my Bachelors degree and I think I decided today that there is a Master's degree in my future. I spent a few hours today locked in fascinating research on Reactive Attachment Disorder and that is an area that needs FAR more attention.

    Life is good, friends.

    How are you making it through?

    Saturday, December 22, 2012

    2012

    2012 has been an intense year. A year I haven't really kept much, if any, written log of.

    I wanted to. I knew I should... but I held back everytime I thought about it. I came up with a thousand different reasons why I shouldn't share our story. I still have some of those concerns but mostly I think I was just afraid of opening up. Going forward I want to combat that fear. I want to be open and keep a journal of our experiences.

    I follow some blogs with some regularity. Some of people I communicate with, others because their story touches me. Some of them are careful to hide their children's names, or their locations... others share their locations and names with no issues. I probably should take more care to mask my children's identities but the truth is that this is the internet. Anyone who really wants to find out who they are is going to. And why someone would want to go through all that work really baffles me. Most of my readers already know that anyways... ya know, all 10 of you...lol.

    So 2012....

    We danced with child onset schizophrenia, anxiety, emerging personality disorders, autism, and ADHD. We struggled through speech delays, sensory issues, cognitive delays, and ongoing destructive behaviors. We struggled with self harm, aggression, and pathological lies.

    But.... that didn't define us. That was not all we did.

    We crochet owl hats, other hats, scarves, santa hats, and many failed projects...





    We went to the beach.



    We had play dates and formed bonds with friends who understood that we weren't going to be "typical".




    We started to form bonds with each other in meaningful ways (we still have our moments, but I'll take the good when I can get it.)




    We learned to ride bikes.



    We got kittens!!




    We sang with the school chorus.



    We did so much more, as a family and separately. I went back to school, took an advocacy class, learned a lot from a few of the best friends a girl could possibly ask for, and learned not to expect anything more from someone than they are capable of giving. I know who will be there for me no matter what time, day or night, that I need them. Now I just need to learn how to ask for that help when I need it.

    So wrapping up 2012 I find myself encouraged. The road will be rocky and hard but there is so much left to learn and that is really exciting!