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First Counseling session... What to expect?

post #1 of 8
Thread Starter 
After talking with a social worker for the last 3 weeks, we were referred to the behavioral counselor for my 8 year old son. I have always known things weren't quite "right" with him but always just tried to deal with it on our own... but after the last few months, we realized that we just aren't dealing with it the way he needs and the older he gets, the less in control we are feeling. Today is his first appointment and I am both nervous and hopeful for some kind of help, resolution, SOMETHING.

A little background on my son... From birth he was always incredibly ahead with all of his gross motor skills. Was rolling over, sitting up, walking, etc before all of the other babies his age... He never showed any signs of anything that I can remember other than just being very quick to grow up.

When he turned 3, my daughter was born. I don't know how much of it was caused by having a baby sibling or if there was something else there but age three was almost impossible for us. I was constantly yelling and screaming (despite my better judgement), I had to bear hold him in the middle of his CONSTANT fits just to get him to settle down enough to speak to him. He threw dangerous, out of control fits where he would not only hurt himself but other people. I was diagnosed with depression during all of this. How much of it was just the inability to cope with all of DS's fits/outbursts, I'm not sure.

In the last 5 years since, things haven't really gotten any better.... they are just different issues all together and the older my daughter gets, the more I realize how he acts/reacts is not normal. He is angry most of the time. He screams, throws himself on the floor, throws/breaks things (both his own and other peoples), he snuck one of my husband's hunting knives outside one day and threatened a child (to his credit, this child threatened him with a metal baseball bat), he threw a chair at school when he was reprimanded, he often shows extreme aggression towards both of the girls (5 and 16). He makes friends easily but cannot keep them because he is constantly yelling/screaming/fighting/calling them names. He shows very little respect to me, his father or his 16 year old sister when we are telling him what to do, etc. He has no problems with calling us names, telling us no or screaming back at us (when we unfortunately lose our cool). Within the last 6 months, when he gets angry he has been telling us that he wishes he was dead, that he hates being alive and that he is going to jump out of the window. The social worker didn't see this as that big of a deal and that it was just something he said that got our attention. I agreed. However, when the counselor called to make an appointment, they believed it made him this a high-risk situation and put in for an immediate appointment.

That being said, my son is also extremely bright. He is gifted in reading and math. His handwriting, however, is atrocious. I don't know how much of that is being left-handed or something else but he CONSTANTLY fights us on writing homework and actually complains of pain while writing. He is also incredibly sweet and sensitive. He can be the most thoughtful, loving child I have ever met and then turn around and be completely cruel. He has minimal issues at school and is actually, what seems to us, a completely different child while at school. He listens, he's respectful and never treats his teacher like us (despite the one chair throwing issue) and she constantly tells us what a great student and child he is. I wish he would act like that at home. greensad.gif He is also extremely protective of his little sister and constantly worries about her. He also has a lot of fear of being alone. He doesn't like to be on a separate floor of our home than us (but is okay even if it's just his little sister who is with him) and he has problems sleeping on his own and usually ends most nights on the floor in our room.

I am honestly at my wit's end and am hoping SO much that we are doing the right thing and this will be the first step into helping our family heal.... but I am scared to death on what to expect. I have no real experience with any of this and I don't know what's going to happen and where this will go from here. My step-daughter was recently diagnosed with mood disorder, anxiety and depression and was in and out of the psych ward three times (by her mother's admission, not our's) and I am completely terrified of that happening to my son. I watched my step-daughter actually get WORSE in the hospital rather than better. She picked up habits (cutting, saying she heard voices, etc) from other kids in there that simply were not there before she went in. It was, without a doubt, a horrible experience for all involved so needless to say, I am nervous to possibly go through it again.

Anyway, sorry this got so long-winded. I am at my wit's end but so scared. I was just hoping someone could give me some insight on what to expect and what might happen from here.

Thanks in advance. smile.gif
Edited by Attached2Elijah - 10/3/11 at 9:34am
post #2 of 8

We've seen 3 behavioral therapists over the years for my DD1. One was a play therapist where I stayed in the room and would be sometimes called into join into the session. Another one was through a local mental health center. The intake appointment for that one was unnerving, I had to be buzzed into a locked unit with my then 2 week old. The actual therapy sessions took place in another facility. After the first session, we would sit in the waiting room, he could come and get DD1, I would wait in the waiting room and they would come and get me at the end to chat. I walked back the first time and talked to the therapist for a few minutes before he started talking to DD1. We had the best success with our last one. I'd walk in with DD1, I'd go over anything that had changed in our family since the last session, anything that might be bothering DD1 that week, and then excuse myself to sit in the waiting room and she would bring DD1 out at the end. DD1 was 8 by then and I was never told what they talked about exactly in their sessions. The therapist would go over things we could do at home, DD1 was present for minor topics like that, other subjects we would discuss over the phone or email when she wasn't around. We did that for a year and then took a break this summer because she was doing so well. We have an open door to resume therapy when DD1 needs it. DD1 really liked this last therapist, it was an excellent fit, and when she would have one of her meltdowns she would ask when she would get to see her again. Honestly, we would still probably be doing if insurance covered it but she was doing so well , her other therapies seemed more important so a break it is for now. I don't doubt that one day we will have to resume. 

 

 

ETA: I went and reread your post again. Mama, you didn't do this. I hear the guilt in your thread, about how your son started having problems around the time your DD was born. It was the same with us. DD1 also is an entirely different child at school then what she is with us. We are her safe zone. She holds it together all day long there and it feels like the second the car door closes, she lets it all out and we get the brunt of her behavior. We have the worrying and the fear of being alone as well, the therapy really helped with that. It is still there but more tolerable now. 

post #3 of 8
Thread Starter 
Quote:
Originally Posted by Peony View Post

We've seen 3 behavioral therapists over the years for my DD1. One was a play therapist where I stayed in the room and would be sometimes called into join into the session. Another one was through a local mental health center. The intake appointment for that one was unnerving, I had to be buzzed into a locked unit with my then 2 week old. The actual therapy sessions took place in another facility. After the first session, we would sit in the waiting room, he could come and get DD1, I would wait in the waiting room and they would come and get me at the end to chat. I walked back the first time and talked to the therapist for a few minutes before he started talking to DD1. We had the best success with our last one. I'd walk in with DD1, I'd go over anything that had changed in our family since the last session, anything that might be bothering DD1 that week, and then excuse myself to sit in the waiting room and she would bring DD1 out at the end. DD1 was 8 by then and I was never told what they talked about exactly in their sessions. The therapist would go over things we could do at home, DD1 was present for minor topics like that, other subjects we would discuss over the phone or email when she wasn't around. We did that for a year and then took a break this summer because she was doing so well. We have an open door to resume therapy when DD1 needs it. DD1 really liked this last therapist, it was an excellent fit, and when she would have one of her meltdowns she would ask when she would get to see her again. Honestly, we would still probably be doing if insurance covered it but she was doing so well , her other therapies seemed more important so a break it is for now. I don't doubt that one day we will have to resume. 

 

 

ETA: I went and reread your post again. Mama, you didn't do this. I hear the guilt in your thread, about how your son started having problems around the time your DD was born. It was the same with us. DD1 also is an entirely different child at school then what she is with us. We are her safe zone. She holds it together all day long there and it feels like the second the car door closes, she lets it all out and we get the brunt of her behavior. We have the worrying and the fear of being alone as well, the therapy really helped with that. It is still there but more tolerable now. 


Thank you for that... I really needed to hear that. I often wonder if we would have done something differently if we would still be dealing with these issues but I know that's not helpful and we just need to deal with this and get him the help he needs. Thank you for your response. We just got back from the first session and it went pretty well. We're going to be doing both family counseling (with my step-daughter's therapist since she's already established) plus was referred to a pediatric therapist as well. It went so much better than I had hoped and am now excited to get him (and us) the help we need. smile.gif
post #4 of 8
Quote:
Originally Posted by Attached2Elijah View Post

Thank you for that... I really needed to hear that. I often wonder if we would have done something differently if we would still be dealing with these issues but I know that's not helpful and we just need to deal with this and get him the help he needs. Thank you for your response. We just got back from the first session and it went pretty well. We're going to be doing both family counseling (with my step-daughter's therapist since she's already established) plus was referred to a pediatric therapist as well. It went so much better than I had hoped and am now excited to get him (and us) the help we need. smile.gif

 

Good--though I wouldn't stop at a therapist; I would also get an eval through a place like this:

Nationwide Children's - Developmental and Behavioral Pediatrics

 

because he isn't like this because you had a second child or didn't SuperNanny his tantrums.

 

My ds was on the latter end of average for just about everything but rolling over, though he was an early reader and a bit advance in other things--but once he could walk he turned into spiderman--climbing the cabinet/pantry shelves/windows. Ds is also a lefty but doesn't have any pain when writing; pain can be a symptom of dysgraphia. Ds also had those monster tantrums, was destructive, argumentative, defiant, aggressive, doesn't like sleeping alone, frequently lacking in empathy (but also could be thoughtful and loving)...though his behavior wasn't much different at school in K and actually became better at home but worse at school as the year progressed.

 

Quote:
Within the last 6 months, when he gets angry he has been telling us that he wishes he was dead, that he hates being alive and that he is going to jump out of the window. The social worker didn't see this as that big of a deal and that it was just something he said that got our attention.

 

It seems unlikely to me that a social worker was qualified to make that judgement, particularly since each therapist/Psych/ped I've talked to about ds asks this ("has he ever said he wished he were dead? has he ever threatened to kill himself") as their first questions. Sometimes we forget, probably because we feel that they are putting us through so much, that acting like that doesn't feel good to them either--what must be going on in their heads/bodies to output that behavior?

post #5 of 8
Quote:
Originally Posted by Attached2Elijah View Post

I often wonder if we would have done something differently if we would still be dealing with these issues but I know that's not helpful and we just need to deal with this and get him the help he needs. Thank you for your response. We just got back from the first session and it went pretty well. We're going to be doing both family counseling (with my step-daughter's therapist since she's already established) plus was referred to a pediatric therapist as well. It went so much better than I had hoped and am now excited to get him (and us) the help we need. smile.gif


Good luck!  Seeing a counselor was a GREAT thing for my DD, though her issues were very different.

 

I often wondered the same things as you -- if I had done a better job, would she be doing better? May be it's just part of the raising a SN child thing. Seeing a counselor really helped with that. I still sometimes wonder the same thing, but now it's a very small wondering that isn't a stuck feeling, a judgment of myself, or beating myself up at all. I've gotten a lot of things right, I've gotten outside help when I was lost. DD would have had challenges no matter what I did.

 

When I'm in my happy place, I'm sure that we get the kids we do for a reason, and that we really are the best of all possible moms for them -- even though we aren't perfect, even though we are muddling through doing the best we know how each day.

 

Peace

 

 

post #6 of 8
Thread Starter 
Quote:
Originally Posted by Emmeline II View Post

 

Good--though I wouldn't stop at a therapist; I would also get an eval through a place like this:

Nationwide Children's - Developmental and Behavioral Pediatrics

 

because he isn't like this because you had a second child or didn't SuperNanny his tantrums.

 

My ds was on the latter end of average for just about everything but rolling over, though he was an early reader and a bit advance in other things--but once he could walk he turned into spiderman--climbing the cabinet/pantry shelves/windows. Ds is also a lefty but doesn't have any pain when writing; pain can be a symptom of dysgraphia. Ds also had those monster tantrums, was destructive, argumentative, defiant, aggressive, doesn't like sleeping alone, frequently lacking in empathy (but also could be thoughtful and loving)...though his behavior wasn't much different at school in K and actually became better at home but worse at school as the year progressed.

 

 

It seems unlikely to me that a social worker was qualified to make that judgement, particularly since each therapist/Psych/ped I've talked to about ds asks this ("has he ever said he wished he were dead? has he ever threatened to kill himself") as their first questions. Sometimes we forget, probably because we feel that they are putting us through so much, that acting like that doesn't feel good to them either--what must be going on in their heads/bodies to output that behavior?


That's actually where is he is going... well, the one in Columbus, not Cinci. smile.gif

The dysgraphia is definitely something I have looked into and was thinking it sounds about right for him. The social worker only made the referral to the above mentioned Behavioral center.

She didn't really say that it wasn't something she was worried about but that it sounded to HER like it was out of anger and even asked me if *I* thought it was something that he would seriously do (It's not).... she still made the referral because it's standard procedure and he was put on a high risk/emergency list for the behavioral clinic. Yesterday the therapist actually asked him the same questions you mentioned and in the end, came to the conclusion that it was NOT a situation where we were at immediate risk of him trying it but that it's still something we should always be cautious of.
post #7 of 8
Thread Starter 
Quote:
Originally Posted by Linda on the move View Post

Good luck!  Seeing a counselor was a GREAT thing for my DD, though her issues were very different.

 

I often wondered the same things as you -- if I had done a better job, would she be doing better? May be it's just part of the raising a SN child thing. Seeing a counselor really helped with that. I still sometimes wonder the same thing, but now it's a very small wondering that isn't a stuck feeling, a judgment of myself, or beating myself up at all. I've gotten a lot of things right, I've gotten outside help when I was lost. DD would have had challenges no matter what I did.

 

When I'm in my happy place, I'm sure that we get the kids we do for a reason, and that we really are the best of all possible moms for them -- even though we aren't perfect, even though we are muddling through doing the best we know how each day.

 

Peace

 

 


Thank you... it helps so much to hear stories of BTDT and that it really did help. smile.gif
post #8 of 8
Quote:
Originally Posted by Attached2Elijah View Post


That's actually where is he is going... well, the one in Columbus, not Cinci. smile.gif
The dysgraphia is definitely something I have looked into and was thinking it sounds about right for him. The social worker only made the referral to the above mentioned Behavioral center.
She didn't really say that it wasn't something she was worried about but that it sounded to HER like it was out of anger and even asked me if *I* thought it was something that he would seriously do (It's not).... she still made the referral because it's standard procedure and he was put on a high risk/emergency list for the behavioral clinic. Yesterday the therapist actually asked him the same questions you mentioned and in the end, came to the conclusion that it was NOT a situation where we were at immediate risk of him trying it but that it's still something we should always be cautious of.



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