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Worried about my 8yo's mental health (depression? bi-polar?)  

post #1 of 15
Thread Starter 
My DS is 8. I am really really concerned about him, and have racked my brain up one side and down the other but I'm at my wits end and don't know what to do for him. I would really like to take him to a counselor of some kind but we live in an extremely remote area and we don't even have a general health aid right now, let alone any kind of mental health support.

A brief background--he was 5m when his bio mom walked out, leaving him with DH. DH was a single dad until we married in 2003--DS was 3. He's always had a very loving daddy, but obviously there was some upheval in his early years...I have often thought that he probably has residual effects from that, in spite of the solidarity we've tried to provide since then.
Neither DH nor I is perfect--we have gentle discipline as our ideal, but neither of us was raised with it, and we both raise our voices sometimes and there have been a few spankings over the years. : In general though I know that DS knows he is loved. We had a baby 21 months ago (after several years of trying and miscarriages) and I know that change was hard on him. We moved a few months after that, and I know that change was hard too. Through it all we have tried really hard to make sure DS feels loved. He's a very smart kid and can be such a joy.

Unfortunately, he also can be his own personal thunder storm. He often tells me that he's having a bad day (even when I know he's had happy times during that day). Several times a week he tells me he's having the worst day of his life. Perhaps this is just childhood hyperbole, but he seems to truly feel this way. When he's grouchy he is mean as can be--smacking the dog, harrassing his toddler brother, punching parents... He yells and throws things and throws himself against the wall over and over. We try to talk with him, hold him, comfort him but he fights it tooth and nail (literally--I have marks). The other day in PE he didn't feel like participating, and when his teacher asked him to do so anyway he shoved her pretty hard.
DH and I both make a real effort to not be bossy--to not ask something of him unless it's actually important. And yet even a simple thing like bedtime (which we have the same routine every night) turns into a massive fight almost every night because first he won't take a shower and then he dances around his room naked and won't get dressed and then he won't go brush his teeth even though we've asked/reminded a dozen times...I don't mind someone who likes to take his time about things, but this isn't a matter of doing it slowly, this is a matter of going out of his way to avoid doing what was asked.
He regularly refuses to respond to us--we'll talk to him or ask a question and he will just be silent, won't answer, won't nod/shake his head. He might push us away or kick or punch or yell, but he won't respond to a simple question like "do you want another helping of dinner?"
A couple of times he has announced that he tried to kill himself by trying to drink water into his lungs (from a cup). On the one hand I realize that that's not going to work, but on the other hand, what reason could an 8yo have that's so bad they are thinking suicidal??? DH and I talked about that several times, and felt that he was probably at least partly looking for a reaction, so we tried to just show love but be as unreactive as possible to the actual announcement (thus discouraging repetition). It hasn't happened within the last month or so and hopefully it won't again, but it did get the wheels in my head turning and they haven't stopped...

The agression is very troubling to me--it's the utterly uncontrolled behavior I might expect from a toddler, but not from an 8yo. Like I said before, I know we have not been perfect examples to him in this arena, but we're not bruising people or destroying household goods either... When he was 3 and 4 he used to have tantrums, and we talked a lot about how we all have feelings, and it's ok to have feelings but it's not ok to hurt people or things, so we need to find acceptable ways to express the feelings...at that age he rarely had a problem with just punching his pillow or going outside and yelling at the sky or kicking the back step...he would sit on a chair and spin and spin and spin and it always calmed him down. Now when we talk about those same kinds of coping skills he a brick wall. It's like he's regressed.

A couple of other behaviors: he fights sleep like no one I've ever seen (seriously he'll keep himself awake for hours almost every night). DH remembers having trouble sleeping as a kid, so maybe that's not related...but the sheer stubbornness of keeping himself awake when I can TELL he's exhausted...
Also he seems totally oblivious--and thoroughly ambivalent--about his bowel movements. We have established routines that have him sitting on the toilet for a while before school and after school, and he takes a probiotic and a fiber supplement, so full blown 'accidents' are not that common anymore, but he regularly has little bits of poo in his underwear. It's not a wiping issue, it's a didn't-bother-to-go-to-the-toilet-in-time-and-started-in-his-pants issue. (This has happened ever since potty training--he learned how, but within months made it clear that he didn't really care...by age 4 I started asking him to rinse out his own underwear, but aside from that we've tried to not make too big a deal about it...but I can't help but think that somehow that connects back in with the agression and depression...a lack of control thing...)


I have suffered with depression, and so has DH (I think there's a genetic link, isn't there?) I know he's not mine biologically, but I can relate to the feeling. I appreciate that he's still a child and doesn't have the maturity to work through things as well as I did/would, but I feel like there has to be something we can do to help him. Like I said, I'd really like a counselor, but I can't get one out here. I am trying to get cod liver oil into him regularly and feed him good foods and keep sugar to a minimum...but I am really at my wits end. I did try taking him off all artificial colors for a couple of weeks and saw no difference whatsoever.

I remember when I was depressed I had happy moments but at the end of the day if I thought back over it I couldn't remember them--I definitely see that happening with DS. He seems a happy outgoing kid to most of the out side world, but it's almost like a second personality emerges... Maybe bi-polar would be more accurate than depressed? Regardless, I'm just so worried about him, and I want to help but I don't know what else to do.
I'm not opposed to medications if that's what it takes...although that would be my last resort I think. But I want my kid to be able to thrive, not just function, you know?

any help, suggestions, thoughts, or just sympathy would be appreciated.
post #2 of 15
Thread Starter 
whoa, sorry that's so long. I just started typing and didn't realize how long it was!!
If you made it through the whole thing, thanks!
post #3 of 15
Our families have a lot of similarities!

We have a dd, born in 02/01 (biological to both of us). She has always been intense, and we did the huge tantrum thing all throughout toddlerhood and preschool-ages.

In 01/07, we had a second child (my toddler and your todder share the same smilie in our siggies . When the baby was 7 mo, we moved our family across 4 states.

That year, with the new baby and the big move, was just too much for dd to handle. She completely lost her mind (at least, that was my feeling at the time). She was raging and violent and nasty and miserable at home. She was anxious about leaving home/us, so she was pretty much always around us--and, therefore, always miserable. I had never hit her, or even felt tempted to do so, before that year.....but that year I hit her at least twice . It pretty much sucked.

I was worried about a lot of things, including bipolar (although my dd never made any suicidal comments, I did hold my breath a couple times when I went to find her hiding in her closet after a particularly bad episode. She just seemed so volatile that I didn't know what to expect). I, too, have a history of depression, so I also worried about that.

We sought counseling, and it has been hugely successful for dd and our family. It turns out that dd has anxiety and needs a ton of structure and stability. We've been seeing our counselor for a year now (and "graduate" out next friday! , so I couldn't really put everything that we got out of it in one post. But, most importantly for our dd (I think), dd learned techniques to manage her anxiety, and also methods to thoughtfully examine her behavior choices in response to strong emotions (thus making better ones!), and we tweaked our parenting methods a bit to better define "adult decisions" and "child decisions" (not that we ever expected dd to handle adult issues....but having a more "democratic/consensual" family was problematic for dd).

Anyway, that is our story. I don't know if any of that would help your ds or not, but I do strongly recommend finding a counselor if at all possible. Maybe phone consultations are a possibility? And I am sending a huge , because I know how incredibly difficult it is to live with a violent older child. Good luck!
post #4 of 15
Does he have someone he can talk to, even if they are not a mental health professional? I'm thinking of a trusted grownup, such as an aunt or neighbor. At 8 years old kids have thoughts and worries that they may not want to share with their parents, but need to get off their chest. Also, getting feedback from another adult (in a non-angry moment) can be very important to a child if it's someone he knows truly likes him.

You haven't mentioned which of his behaviors he wants to change? This is the best place to start. Ask him if he does something he would like to change- then work on that one thing. If he doesn't want to change a behavior, nothing you and hubby do will make it change. The key is to make small goals, and give time for changes to come.

Have you tried tying his privledges into good bedtimes? I would.

Your boy probably feels like he's always in trouble with a dark cloud above his head. Dont try to talk him out of being depressed, if he is, he is. If he talks about killing himself, help him talk about what he's feeling. Even if he's just looking for a reaction I would take this seriously. Ask him why he tried to do that. Kids feelings are not always logical, but are as intense as adults'.

Hugs to all of you!
post #5 of 15
If it were me, I would consult a mental health practitioner. Many of the things you've written about your ds can be signs of depression in children. In particular, the expression of a wish, intent or attempt to die is very serious. If it were my child, I would err on the side of caution and seek a psychological evaluation. Untreated or unrecognized anxiety can also lead to depression, and to some of the symptoms you've mentioned. IMO, you have cause for concern and your child needs help--some problems are not the result of parenting style and can't be fixed by parents alone.

Signs of childhood depression
from the link:
Quote:
Suicide is the third leading cause of death for 15 to 24 year olds (approximately 5,000 young people) and the sixth leading cause of death for five to 15 year olds. The rate of suicide for five to 24 year olds has nearly tripled since 1960.
Yes, he probably is trying get your attention to tell you something when he tells you that he tried to kill himself by drinking water into his lungs-he's trying to tell you how badly he feels. Take this very seriously.

Additionally, as the mother of an aggressive older child with mental health issues, I think that seeking family counseling can be good for parents too. You need support. You need someone to help you work toward having a more peaceful home. You need someone to confirm that while you can play a huge role in helping, what's going on isn't your fault.
post #6 of 15
Does the school have a counsellor?
post #7 of 15
We are having similar issues with our 8 (almost 9) year old. We are seeing aggressive, uncontrollable, inflexible behavior. She is having toddler-like tantrums and has hurt dh and me in the middle of them. She is also very bright but struggling in school right now b/c she refuses to do her work/homework and/or leaves things at home after several reminders to pack her bag.
We started counseling last week and are very hopeful that we can help her find some peace in her life. The counselor thinks this is probably a control issue and is going to help her find ways to deal with it.
I really do urge you to seek professional help b/c of the mention of suicide. That's scary and needs to be dealt with immediately, IMO.
It's so hard to know something is not right, but not know exactly what to do to help. Feel free to PM me if you want to chat.
post #8 of 15
My DSD was dx'ed as BP a couple years ago. A lot of your DS's behavior resonates with me in what we dealt with before she was treated. The suicidal talk, inability to sleep, raging, and agressive behavior towards others.

I would really look to get your DS evaluated by a professional, especially given the suicide talk. A child psychiatrist would probably be my first stop. A psychologist that works with children doing play therapy could also be very beneficial.

There is a great book called The Bipolar Child by Demitri Papolos, M.D. and Janice Papolos that you should read if you are thinking it could be BP. I know many parents that have been able to determine whether or not this really sounds like their child from it. Most I have talked to discover that it helped steer them away from it to determine something completely different. So, it is very helpful to read either way.

This is the website for the book:
http://www.bipolarchild.com/

I have been where you are right now. It is a difficult place as a parent to see your child suffering in this way and be of very little help to them. Trust your gut to help you seek answers.
post #9 of 15
Thread Starter 
Thanks for the encouragement everyone. It's so hard to see him like this, and to know that I'm a good mommy (not perfect of course, but pretty good) and to try to accept that there's nothing I could have done to prevent this...and yet to see him struggle so much. I'm glad to know I'm not the only one

I VERY much want to get him in to see a counselor. DH is not convinced of this need yet...I would love counseling for me/us too, but again, don't know if I can get DH on board. I'll keep working on it.
The problem is that we live in a remote part of Alaska. Seeing a counselor even on, say, a monthly basis would involve flying into Juneau on a seaplane ($165 per person each way). My DH is a school teacher, and that is absolutely not affordable. Insurance up here often will help offset those costs though (since we have no choice in the matter), so I will call them on monday and see what I can find out. If they'll help us travel, I'm gonna take him in.

Quote:
Originally Posted by seastar311 View Post
Does he have someone he can talk to, even if they are not a mental health professional? I'm thinking of a trusted grownup, such as an aunt or neighbor. At 8 years old kids have thoughts and worries that they may not want to share with their parents, but need to get off their chest. Also, getting feedback from another adult (in a non-angry moment) can be very important to a child if it's someone he knows truly likes him.
Honestly I'm not sure who there is in town that he might have that kind of trust with...it's a VERY small town (70ppl), and a lot of the folks here are crusty old commercial fishermen who spend all their in-town time getting drunk...not good friends/role-models you know? There is one guy who is the wrestling coach that DS does look up to...perhaps I'll talk with DS about talking to him if he is upset...
Quote:
Originally Posted by CarrieMF View Post
Does the school have a counsellor?
Nope. The school has 2 teachers (DH is one, and the other is a total space case...) There are a couple of staff that do paperwork and stuff, but nobody with any kind of psych background. I probably have more psych background than anybody there--maybe more than all of them combined...and I only took 4 psych classes in college!

Quote:
Originally Posted by seastar311 View Post
You haven't mentioned which of his behaviors he wants to change?
We've talked with him about how he has the power over himself to change behaviors...trust me we've talked about that MANY times (particularly over the pooping thing) and he always seems interested in change...but then after it's obvious that he hasn't made any effort, he says it was too hard. Classic case of learned helplessness... We try to support by reminding him of times he has succeeded, but he focuses on the failures.

Quote:
Originally Posted by seastar311 View Post
Have you tried tying his privledges into good bedtimes? I would.
yes. He whines and moans and says we don't love him and are mean and that he's having the worst day of his life (again)... and also, once he's more or less ruined the 'good' for the night, he'll be all the worse for the remainder of the night, gettingup and coming out numerous times, disrupting me as I'm trying to put the baby down, getting the dog riled up (waking the baby) and preventing DH and me from having any time to ourselves.

Quote:
Originally Posted by seastar311 View Post
Your boy probably feels like he's always in trouble with a dark cloud above his head. Dont try to talk him out of being depressed, if he is, he is. If he talks about killing himself, help him talk about what he's feeling. Even if he's just looking for a reaction I would take this seriously. Ask him why he tried to do that. Kids feelings are not always logical, but are as intense as adults'.
I'm trying, but this is a good reminder. I'll try to do more of this.

Obviously our remoteness is a problem in this situation...we plan to move next year but we have to stick it out until June because DH is under contract. I don't want to wait 8 months to get help for my kiddo though...we probably should have sought it some time ago but I just didn't know where to turn...and I kept thinking we could give him what he needed, and we could help him...but I'm now realizing that we just can't do enough.

Thanks again for all your suggestions and sympathies.
post #10 of 15


You know, I sometimes regret not getting help for my dd sooner. But, we were doing the best we could at the time (as we are now) and making the best decisions we could with the knowledge we had, and it isn't always easy to figure out if we need outside help or not--or where to get that help. What's past is past. Now we move forward.

I'm sorry that it will be difficult to access a counselor. That stinks, and it's all too often the case.

I hope things get better for you and for your son soon.
post #11 of 15
You might want to look into telephone counseling, given the difficulty and expense of seeing someone in person. I can't vouch for this service personally, but a mama on a Spirited Kids Yahoo! group recommended RADconsultancy, www.radconsultancy.com .

You will see from their website that they help parents of children with attachment issues as well as other behavioral disorders. You talk to them weekly on the phone, and they advise you how to change your communication with your child to ease tension in the home and work on one issue at a time. The emphasis is on helping the child feel good about him/herself so that he/she *wants* to cooperate with the parent.

Obviously, this approach wouldn't work if your ds truly were bipolar, but if the behavior you are seeing is attachment based (which I think it might be given the fact that bio-mom left your ds at 5 mos.) it could help. According to the website, the initial phone consutation is free, with no obligation. I don't know what the fees are after that.

If this service doesn't seem quite right for you, maybe you could find another way to get counseling over the phone. I recently met a psychologist who says she does phone consultations with people in other countries where counseling is not available, or not widely accepted.

I hope you find the help you need soon. It must be hard to feel so isolated.
post #12 of 15
From what I read in your post, it sounds like he could have an attachment disorder. Even though he may not have shown it at 5 months old, his mother rejecting him, and the break of that attachment, was a traumatic event. I suggest posting at www.adsg.org. There is a forum there for attachment disorder.
post #13 of 15
Thread Starter 
thank you. I've wondered about attachment issues...he's always had Daddy, and is VERY attached to him, so DH won't consider that there might be issues there...but I've had lots of struggles with him in that regard (rejecting me and so on) So I'll look into that
post #14 of 15
Some of the things he does it sounds like he does for attention but it's hard to tell. I believe that mental disorders can be hereditary. Perhaps something passed down from his mother's side of the family. Does your DH knows his mother's family history? I'm sure that's possible. Is he in school? Has the teacher complained about his behavior or does he have problems there? If he is just doing it at home then it sounds a little bit like control issues or attention-getting behavior. I'd still be worried though.
post #15 of 15
Thread Starter 
I know DH had depression right after his ex left...but i don't know that that would be chemical I get it but of course I'm not DS's bio mom...(the whole nature/nurture thing comes into question though...) I don't really know his bio moms medical history, although DH has said she had post-partum depression (part of why she left)--I don't know how much of ppd is hormones and how much is hardwired, you know? But mental issues may be a larger part of the family...I've met her and some of her family and they all seem a little off kilter to me, but that may be because I have the skewed view because of what she did to my beloved DH and DS...

He is in school, yes. He struggles with not doing his work sometimes (from what I see it's more of a focus/stubbornness issue than anything...he doens't want to put forth the effort...writing especially). His teacher has not complained/commented in general, but I've seen it when doing homework with him (he has VERY little). And there was the episode the other day with shoving her...
Quote:
The other day in PE he didn't feel like participating, and when his teacher asked him to do so anyway he shoved her pretty hard.
as I mentioned DH is the other teacher there at the school, so when DS did that she just got DH and he came and talked to him. I guess they spent like 30 min talking about what he'd done/why he'd done it, and DS was pretty unresponsive (he'll just sit there, refuse to talk/respond) but DH finally got him to apologize to the teacher. DS later told me that he just didn't want to participate and he was mad that the teacher got between him and the pull-up bar (which was where he wanted to play rather than joining the other students).

DS has always been a bit of an attention hound...any little picture, lego creation, etc he wants to show it to me. And it's not a 'hey look what I made' so much as a 'hey, look what I made, isn't it cool?' and then he wants to show me all the ins and outs. I usually try to give him good attention and show him that I care (because I care about him, even if I don't care about the lego, and he does this so consistently that I know it's important to him). Anyway, he seems to constantly seek ego-boosts like that...one of the reasons I think he has self-esteem issues...but I think the attention/self-esteem is part of a bigger issue.

Last night we established that any bedtime shennanigans would result in tomorrow's bedtime getting bumped 5 min earlier for each one (getting out of bed, being loud, turning on his light, etc). We often get 20 things in a night, so that's why the 5 min...I honestly wouldn't mind if he just got up once or twice to go potty or get a drink, but he gets up over and over, coming out to see what we're doing, choosing a new place/way to sleep (he likes to sleep on his floor, I don't know why, but lately he's been doing this thing where he opens his door and puts his pillow in the doorway--I know THAT is so he can see out into the room and see what we're doing. His bedroom unfortunately opens righ toff the living room. Our apartment is tiny so there's no way around that at this point.) Anyway, I'm thinking if he bumps his bedtime up an hour for a few nights he might think more carefully about his behavior at bedtime.


Oh, and thanks for the suggestion about counseling via phone--that is an excellent idea, I don't know why I didn't think of it. : (nice to have a reason to use that smilie on this thread, eh?!)
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