Related to: Put on Your Armor, Part 1 and Part 2
Several times, now, I’ve “diagnosed” our children in the face of therapists who disagree…only to have a psychological evaluation support my assertion six months (or more) later.
This is not because I’m more intelligent or have higher qualifications.
I don’t point this out to brag.
There is a reason it happened:
NO ONE can be an expert on EVERYTHING.
Every therapist has specialties.
If you’ve been part of the Hypervigilant community for more than a year, you may have wondered why I sometimes write yet another “we have a diagnosis!” post. Since he came to live with us, I’ve asserted our boy is on the Autism spectrum. And every time a professional confirms Autism, a different therapist disagrees the following year.
Some people don’t want their kids “labeled,” but in our case, what I call a diagnosis-in-writing helps us obtain needed services. (A number of therapists agree, “yes, I see those traits, but I’m not ready to put the diagnosis in writing”)
In search of someone who could finally help him, we bounced through the counseling community for six years. When the yearly psych came due, his counselor du jour completed the process.
At the time, utilizing the counselor most familiar with his current behaviors seemed logical, but not all of them were adept. In some cases, he refused to complete questions or gave answers he thought they wanted to hear.
His fluctuations in participation, combined with the wide array of specific spheres of knowledge, created anomalies in his diagnoses.
In January, a psychologist at the residential center completed a psychological for our son. Her field of expertise is ADHD. Almost all of her recommendations centered around mitigating ADHD symptoms. She did not address any of our concerns about Autism, ODD or social behavior, nor did she delve into factors impacting his aggression level.
I requested (okay, demanded) the center pay for a new psych evaluation with a different individual (since insurance wouldn’t pay for another). They declined to provide a full workup but agreed to a specialist performing certain specific testing.
Here’s what I never realized until now: we needed a TESTING expert.
The individual who performed the second battery does not provide counseling, therapy or psychological services of any kind. He only handles TESTING.
Our son’s session with the tester ended up fielding even better results than I’d hoped and I learned a valuable lesson in the process:
For therapy, turn to a licensed therapist or counselor. For medication, seek a psychiatrist. For accurate test results, consult a testing specialist.
But I digress. My point here is that no professional will ever have full command of every possible issue. Have you seen the DSM-V? It’s a chunky little book. And some of the diagnoses it contains are the sole focus of entire Ph.D. degrees.
When it comes to the kids in our homes, it is OUR responsibility to be the expert.
Children who’ve experienced trauma are each unique, but parallels appear in symptoms and behaviors across the group.
Unless your counselor is well-versed in results of a traumatic beginning, you will likely be your child’s best advocate.
If you live with a child, you know the child better than the “professional” ever could.
Don’t allow fear of being wrong or less qualified stop you from speaking up about concerns.
The most important part of being a child’s advocate is preparation. We need to put in the time to learn and to research.
With this in mind, in the next few weeks I’ll be posting resources to help kids who’ve had tough beginnings.
2 Timothy 3:16-17 encourages study of the Bible, so that we can be “thoroughly equipped for every good work.” While not specific to kids who’ve experienced trauma, it’s a great resource for finding hope and fighting fear, both integral to healing.
The idea also applies to studying on behalf of our kids. The more we know about needs and behaviors related to trauma, the better equipped we are to help them and to fight for them.
Let’s get out there and do GOOD WORK.
Luckily, today was an in-home-counselor day for the girl, so she had several hours to explore the situation with her therapist. After dinner, the counselor suggested my daughter could share with me what they’d discussed.
She was obviously uncomfortable, so we pulled out a game of Uno and talked while we played. I always try to remain level-headed and objective when she talks about how she sees the world, but sometimes…
My daughter shared that she is jealous of her brother because he gets all the attention and she feels she is entitled to more of the attention because she is older. As the therapist helped her share her feelings (she provokes her brother to get him in trouble because she is jealous of him), it became evident that she’d colored a picture of herself as neglected and ignored, while Hubby and I showered our son with attention.
Photo by Adam Koford
First off, he’s been in hot water for the last several weeks due to trouble at school and ongoing infractions at home. The attention he’s getting is the kind I’m sure he’d prefer to skip.
Second, while he’s had early bedtime almost every night in the last three weeks, she’s had Hubby and me to herself for almost an hour every night. We ask her what she’d like to do and the answer is always, “Watch Girl Meets World.”
I shared this information with the counselor, then advised my girl, “if you’d prefer to play a game or just talk after your brother goes to bed, Daddy and I would be happy to do that. We only watch TV because that’s what you’ve been saying you’d like to do.”
She backpedaled quickly. “No, no, it’s okay, I like Girl Meets World. We can still watch.”
“So…” I say, “in what way do we give your brother more attention?”
She couldn’t answer.
“I think you’re right; he’s definitely had a lot of attention the last few weeks; we can start giving you the same attention. We’ll put you to bed early and make sure to get on your case as soon as you step a hair out of line.” (We’ve been on that boy like grease on a teen’s face: everywhere and all day long.)
And then I went for it.
“Let me tell you about one of my earliest memories. I was probably about two and a half, and my parents had some friends over for dinner. They put me to bed and went to the living room to play games or talk or whatever it was that adults did before HD cable.
I woke up maybe an hour later to hear them all laughing. I hopped out of bed and wandered into the living room to see my mother bouncing
my baby brother
on her knee. He was grinning and drooling all over his blue onesie. I couldn’t believe it. Obviously I was older. Why should HE get to stay up later than I did? I didn’t even drool.
Of course, I didn’t realize that babies need to eat every few hours. He probably woke up and needed a diaper change or something, then feeding, then had to be jostled back to sleep.
they had the nerve to put me
BACK TO BED.
I stayed mad at that drooly little bugger for years. He ruined my fun, got all the attention and nobody put him back to bed early.
All because I didn’t understand the way the world truly works…or that babies can’t wait.
So, here’s what I think. You’re mad at your brother for showing up and ruining your fun.”
Her face stretched in shock. “How could you KNOW that?!?”
“Because I was a 12 year old girl with a younger brother. And also, when you arrived, you told me some stories about things you enjoyed with your birth family.”
She wrinkled her nose. “I don’t remember.”
“Well, you might not have the memory anymore, but you certainly had it when you got here.”
“Sometimes little kids just make stuff up and think they remembered it,” she shrugged.
“Based on the amount of anger you had about it, I don’t think so. I think you are really angry at him and you take it out on him, but it’s not even real. He doesn’t ruin your fun and he doesn’t take your attention. You get just as much and maybe more attention. What’s making you so angry?”
She frowned. “My feelings.”
“Nope. Remember, Counselor Bob talked with you about how your thoughts create feelings and feelings create actions. You THINK you’re getting less than your brother. You THINK you deserve more because you’re the oldest. You THINK Daddy and I are being unfair. Are those thoughts true?”
Shrugging again, she said, “Maybe not.”
“I guarantee you, they’re not true thoughts. Another way to say that is
So what do you need to change so that your feelings will be different?”
I can tell she’s getting it. Reluctant, she sighs, “my…thoughts.”
We finish the game of UNO as she dissolves into hysterical giggles, throwing herself around and almost banging her face on the table’s edge several times. I admonish her to be careful, worried she might end up with a bloody nose. The therapist looks at me, eyes questioning.
“This is what we get when she has to discuss something uncomfortable.”
Or when her worldview lens gets cracked yet again.
One of these days, she’ll knock that spiderwebbed lens right out and see the world the way it really is.
I just know it.