Category Archives: irrational children

Take this parenting test if you have a troubled teenager

Take this parenting test if you have a troubled teenager
1 votes

So how are you doing in this parenting job you have?  Score your parenting skills on a test designed for parents of children ages 11-15 with serious behavior problems.  (If you are brave, have someone else score you too and compare notes.)

Always: 5    Generally: 4    Sometimes: 3    Rarely: 2    Never: 1 Your
score
1.    My child’s other parent (or caregiver) and I agree on how to discipline our child.  


2.    My child can depend on me to do what I say I will.
3.    When I say “no”, I stick to it.
4.    I treat my child with respect, even when I’m angry.
5.    I let natural consequences do the teaching whenever feasible.
6.    I am confident my child has everything she/he needs to make
good decisions.

7.    I allow my child to do his/her chores without my reminding.
8.    I allow my child to voice her/his opinions when done in a
respectful way.

9.    I am able to stay out of arguments by disengaging before they
escalate.

10: When I make a mistake in judgment, I’m quick to admit it.
TOTAL

SCORE

45 – 50   Good job!  You are on the right track.
30 – 45   Not bad, just a little more work in those challenging areas.
Less than 30  Keep trying!  Find a support group; a therapist for you and a co-parent; or books (recommendation).

Don’t be hard on yourself if you score low.
Teenagers are difficult.

You might be thinking:  “I agree these are good parenting skills, but practicing them is impossible with my child.  They hate/defy/scream at me constantly.”  Advice: Work on one at a time, and check back in few weeks to see if you’ve improved your score.

This test is drawn from a parenting guide created in 2007 by StandUp Parenting (www.standup.org)
to help parents understand what is needed to maintain authority and model maturity.  

Please add a comment if you have found other skills to be effective,

Margaret

 

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Filed under ADHD, bipolar disorder, borderline personality disorder, defiant children, discipline, irrational children, mental illness, oppositional defiant disorder, parenting, Screaming, stress, teenagers, teens, therapy, troubled children, troubled children

Outlook for schizoaffective disorder and schizophrenia

Outlook for schizoaffective disorder and schizophrenia
7 votes

How Schizoaffective Disorder compares to other disorders

There is little information about schizoaffective disorder in children, which usually starts around puberty.  As a parent, you know how seriously it affects your child, but how does it compare to depression and bipolar (manic and depressive states) and schizophrenia?  What is the course of schizoaffective disorder, and how can you help your child’s future?

Schizoaffective disorder is not as serious as schizophrenia,
but more serious than bipolar/depression.

Research conducted in Britain* studied young people who received typical treatment for schizoaffective disorder, schizophrenia, and bipolar/depression who were between the ages of 17 and 30 (average age was 22).  Over a 10 year period, those with schizoaffective disorder improved slightly, better than those with schizophrenia.

Outlook for schizoaffective disorderBehavioral functioning over time for schizoaffective disorder, schizophrenia and affective disorders (depression, bipolar) at four consecutive follow-ups.  (This scale goes from 2 (good) to 6 (poor). A “1” would be the level of a person with no symptoms and who is considered normal.)
*M. Harrow, L. Grossman, Herbener, E. Davies; The British Journal of PsychiatryNov 2000, 177 (5) 421-426

Behavioral functioning is measured by how well a person does in five areas:Russian brain diagram

  1. Work and social functioning
  2. Adjustment to typical life situations
  3. Capacity for self-care
  4. Appearance of major symptoms
  5. Number of relapses and re-hospitalizations.

Your child will struggle with these, but there’s good news according to a recent landmark study:
Family support improves a patient’s outcome.

Life with a schizoaffective teen,” tells my story, and what steps I discovered which worked to improve my daughter’s functioning and behavior.  This article also provides insights into how children with schizoaffective disorder think.

A new treatment program was developed that altered some well-established practices.  A set of schizophrenia patients received the following support and were later compared with those who had the usual medication approach.

  1. Dosages of antipsychotic medication were kept as low as possible
  2. Help with work or school such as assistance in deciding which classes or opportunities are most appropriate, given a person’s symptoms;
  3. Education for family members to increase their understanding of the disorder;
    (“Efforts to engage and collaborate with family members are often successful during an acute psychotic episode, whether it is the first episode or a relapse, and are strongly recommended.
    Family Involvement Strongly Recommended by the American Psychiatric Association)
  4. One-on-one talk therapy in which the person with the diagnosis learns tools to build social relationships, reduce substance use and help manage the symptoms.”

Patients who went through this for of treatment made greater strides in recovery over the first two years of treatment than patients who got the usual drug-focused care.  More here.
New Approach Advised to Treat Schizophrenia, Benedict Carey, New York Times, Oct. 20, 2015

“..if you look at the people who did the best—those we caught earliest after their first break with reality—their improvement by the end was easily noticeable by friends and family.”

beautifulbrainThe longer psychotic symptoms stay in an extreme phase,” in which patients become afraid and deeply suspicious,” the more likely the person will be vulnerable to recurring psychosis, and the more difficulty they will have coming out of it and adjusting to normal life.

How to help your child

Be very realistic about what your child can handle in school.  They may be extremely intelligent–but maybe can’t handle too much homework; or class disruptions; or lack of empathy from the teacher.  A parent or school counselor should help your child find low-stress classes or activities, and consider limiting the number of classes per day.  They can only hold it together for so long!  I found it helped my schizoaffective child to take later classes, starting at 10 or 11 am.

Get the whole family on board to make his or her life easier.  Your child might be stressful and a source of irritation for everyone, but family members can help reduce this by taking on the chores your troubled child would ordinarily do; avoid pressuring them about something, or anything; and allow your child to say oddball things without confronting them about how irrational they are or arguing with them.

DIY talk therapy – Here are some ways to guide your child out of their troubled states.

Anxiety

  •  psychosisSchizoaffective kids may express anxiety in a tangled web of seemingly unrelated things, and spike them with paranoia about what they mean. Listen carefully, and conduct a gentle interview to explore what truly is bothering them.  It may be as simple as the room being too cold.
  • Give them plenty of time (if you can). A venting session is sometimes all they need.
  • Diplomatically redirect a negative monologue with a comment about something pleasant. This is where it’s useful to hand them a cat or call over a dog, offer tea or juice, or briefly check email.  The point is to break the spell.

Run-on obsessive thoughts

  • Voices and thoughts can be angry, mean, and relentless. Your child may not tell you this is happening, or may simply assume you already know what’s in their head.  Ask him or her if thoughts or voices are pestering them.  If so, show indignation at how wrong it is for them to mistreat your child, “that’s not right that this is happening to you; this is so unfair to you; you deserve better; I want to help if I can…”
  • Encourage your child to ignore the voices/thoughts and they may go away, or encourage them to tell the voices/thoughts to leave them alone. “I refuse to listen to you anymore!  Quit pestering me!  Obsessive thoughts and voices are just bullies.

Help your child stand up to thought/voice bullies the same as
as you would help any child dealing with a bully.  This works.

Life with a schizoaffective teen,” tells my story, and what I discovered that worked to improve my daughter’s functioning and behavior.  It also provides insight into how people with this disorder think.

Take care and have hope.  You can do this.

Margaret

 

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Filed under irrational children, mental illness, mental illness, schizoaffective disorder, schizoaffective disorder, schizophrenia, schizophrenia, therapy, troubled children, troubled children

Are you trying to reason with an irrational child?

Are you trying to reason with an irrational child?
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I regularly talk with parents with children with a brain disorder and a history of serious behavior problems.  Sometimes I meet a parent who is truly at the end of their rope and has to talk to someone.  The parent is exasperated by their child’s relentless acting out, and utterly exhausted by trying to contain their behaviors.

They plead for answers: “Why does he keep doing this?, or, ” Why doesn’t she stop after I’ve explained things over and over.”  Then they answer their own questions:  “It’s because he always wants his way,” or, “She’s doing this to get back at me.”

The parent then lists all the ways they’ve tried reasoning with their child, and/or disciplining with consequences.  As they tell their story, they continue to ask questions and provide answers, going around and around and around:  “He does this just to make me mad;”  “She manipulates the situation because she wants more (something) and I won’t give it to her.”  What’s interesting to me is that these children can be quite young (4 or 5), too young to expect reasoning in the first place, or they can be young adults (early 20′s) who have a long track record of doing things that don’t make sense.

If saying something a 1000 times hasn’t worked, why would 1001 times?

A lot of parents’ stress and frustration can quickly vanish the moment they realize and accept that their child is not ready to consistently reason nor consistently control their behaviors.  They are irrational, but it’s not their fault or the parent’s fault. Irrationality is the hallmark of brain-based problems, and chronically challenging behaviors are the evidence.  If you feel you have run into brick walls over and over again, and your child is not learning what you’re teaching, do both of yourselves a favor and stop trying the same things that still don’t work.  Stop assuming that if you say something a thousand times they’ll finally get it, and stop the paranoid assumptions that your child or teen has some evil plan to get back at you.

When you find yourself trying to reason with the unreasoning, step back and calm yourself, and ask what your child needs in the moment.  Then change your whole approach.  Try different ways of communicating, such as softening your tone of voice.  Pay attention to whether they respond best to words or images, and use what works most naturally for them.  Try using touch to communicate, or withdrawing touch if that’s threatening to them.  Post polite signs in the house as reminders for things they need remember every day.  Show your child or teen how to do something instead of telling them how.  Avoid explaining how their behavior will hurt them in the future.  Children and teens often cannot track how pushing one domino leads to all the dominos falling.

If you’ve nagged and harped and chided your child, forgive yourself.  It’s normal.  You are still a good parent who wants the best for your son or daughter.  Over the many years I’ve facilitated parent support groups, I’ve heard so many regret how they’ve treated their child once they begin to understand that it won’t work.  You are not alone.  Raising a child like yours is tough, but you’ll move on and figure things out.  Keep trying.

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