When you get admitted into a psychiatric hospital, they do bloodwork to determine if there are any health issues that could be causing mental health issues. Arabella’s vitamin D levels were really low and they also found a thyroid disorder. She has hypothyroidism which could explain some of her issues in losing weight and depression. In my mind, it was as easy as fixing those problems and she would be back to her normal self again. If only it were that easy!

They also put Arabella on a low dose of an anti-depressant and a mood stabilizer. The mood stabilizer was meant to be a temporary boost to increase the effectiveness of the anti-depressant. She stayed in the hospital for a week. I really thought this was going to be a one time thing. Once her health problems were fixed, her mental health problems would go away. Or so I thought. We weren’t dealing with complex trauma since she had a relatively normal upbringing. Why couldn’t she just go back to being how she was?

When it was time for Arabella to leave, Paul and I met with her treatment team. They thought it would be a good idea for Arabella to have goals to work towards. The first time around they had a reward based system. Once she reached those treatment goals, her dad bought her a pet frog. I was a little more hesitant about the idea since I ended up being the one that took care of her beta fish.

Arabella was going to be attending an outpatient program for at least a week. She didn’t like her current therapist outside of the hospital, so we were going to be switching to a third therapist. She was also on a waiting list for a psychiatrist. She received the diagnosis of Major Depression with Anxiety.

In the meantime, Arabella had a meeting with our family doctor. The hospital requires an appointment be set up a couple weeks after discharge. The doctor retested Arabella’s blood levels and refilled her psychiatric medication but didn’t want to change anything. We also set up a consultation with a plastic surgeon for breast reduction surgery. She was having back pain and was uncomfortable with her body in general.

I started working full-time and her dad was working a lot of hours as well. I worried about Arabella when we were at work. If anything, I was a little less reluctant when she wanted to go right back to Jordan’s house. Arabella started to feel fearful at our house and was afraid she was going to hurt herself when she was home alone. Jordan’s older brother moved out to go to college, so they had an extra bedroom and invited her to move in. The school was over a half an hour from our house and a couple blocks from theirs. It was comforting to know that she had somewhere to go if the roads were bad in the winter, but we didn’t want her to live there.

Arabella couldn’t stand us anymore, but we still wanted her here.