Residential waiting list

We received the call that Arabella’s name came up on the waiting list for the DBT residential program for adolescent girls. We had less than a week to get everything together. She had to be there within a certain time period or she would lose her place. This was her last opportunity since they said she could not be there after turning 18. She was less than 3 months until 18 which meant by the time she came up on the waiting list again, she would be too old for the program.

She abruptly ended her time with the outpatient program that she was in for 2 months. I had to switch a dentist appointment around last minute. Thankfully they were able to sneak her in earlier with short notice. The residential program needed her dental records. We ended up getting all of the paperwork together and appointments done as soon as we possibly could. It was months of wait, wait, wait then boom hurry as fast as you could to get everything together. Plus I had to work with the insurance company which was pretty much a waste of my time. We ended up paying for everything out of pocket which wasn’t cheap. We emptied Arabella’s college fund. She wasn’t interested in college anyway. Without residential we honestly didn’t know if she would live that long anyway. This was our last ditch effort to save her life.

To make matters far more stressful, we also had a COVID scare within that time period. My daughter Angel’s boyfriend Dan tested positive then my daughter got sick with COVID as well. Once we found out he was sick, my daughter stayed with him at his parent’s house and didn’t come back home until she was better. It was a matter of life and death. If Arabella couldn’t go into the program because of a positive test I feared she would die. It was horrible and terrifying. FYI admitting your child into an inpatient, outpatient, or residential program is stressful and crappy as it is without the extra stress.

They ask questions such as how many suicide attempts have you made and when was the last one. My daughter answered that many times she cut herself so deeply that she was hoping not to wake up in the morning. They ask so many disturbing personal questions that no parent wants to hear the answer to. I suffered greatly the first time I saw the cutting on her arm. I had nightmares for days when I could sleep that is. It was very traumatic for me.

Thankfully Arabella’s COVID test came back negative and we all remained healthy at our house. I do think that the residential program has helped Arabella tremendously learn the skills that are needed to live a healthy and productive emotionally regulated life. We, as her parents, worked very closely with her therapist and the psychiatrist. We received a DBT parent workbook and listened to podcasts. It didn’t cure her. She is still taking plenty of medications. It was a very rewarding experience except for the cost. But as the saying goes…you get what you pay for.

Arabella was in the residential program for a little over 2 months. I’ve noticed a lot of improvements since she got back. It was worth it to give her a second chance at life. Now it is up to her what happens next. We did everything we could.

Making amends

A couple of weeks before Arabella made it on the waiting list for residential, she started to make amends with friends and family.

I received a text from Jordan’s mom saying that she wanted us to come pick up a big box of Arabella’s stuff from when she was living there. Jordan and Arabella were no longer friends. When we went there to pick up her things, Arabella wanted to sit down and have a conversation with Jordan’s mom. She wanted to know how she could make things right and be friends with Jordan again. It really was uncomfortable.

Arabella also wanted to get along with her brother. She bought him a monster and some candy and asked if they could talk sometime. It was really touching that she wanted to make an effort to renew most of her troubled relationships. But it was also scary. Was she saying good-bye because she was going to be leaving soon to go to residential? Or was she once again planning on ending her life?

I can’t really remember but I think she gave away some of her things. That struck a resounding chord of fear in me. What kind of good-bye was this going to be? I couldn’t help be feel anxious about it.

But then I remembered that she gave me back her pills that she was stockpiling. She also put a lot of effort into finishing her high school diploma. Would she do that if she was planning on ending her life. I justified her actions to quiet my fears.

She did work really hard to make amends with family and friends before she left. I’m really not even sure why. I guess she just wanted to leave on a good note. Maybe she just didn’t want us to forget about her while she was gone. More than anything, I’m glad it wasn’t anything I was worried it could be.

Waiting in the uncertainty

One day Arabella handed me a baggie full of pills. Inside was a month’s supply of sleeping pills. I didn’t understand. How did this happen when I watched her take her medication every morning and every night? I couldn’t imagine it would be that easy to stockpile pills while under supervision.

She gave me the pills because she said she was no longer planning on using them to kill herself. She said she was surprised that I never found them after outpatient said I should search her room. I also remember the late night text from Jordan’s mom saying that she had pills and was planning on using them.

Arabella said that on some nights she wouldn’t take her sleeping pills but instead would drink energy drinks so she could stay up all night. That is what she did to finish high school. I don’t understand why she would even want to do that. At the time she seemed rather manic and didn’t feel the need for sleep. But she didn’t feel like killing herself either. I would almost prefer mania to suicidal depression.

But was she really bipolar then? She told the doctor she couldn’t sleep at night even with the sleeping pills. But she didn’t tell him that she wasn’t always taking them.

I’m glad she handed over the sleeping pills. I finally felt some peace after hearing that my daughter was going to OD on pills but never being able to find anything.

The hard part was that her psychiatrist thought she could be bipolar but said he was retiring and just left us. He never put her on medication that would manage bipolar. At residential, they didn’t think she was bipolar. At home right now, she seems manic.

Over the past year, my daughter has had 6 different possible psychiatric diagnoses. It seems to me that the experts don’t agree. She still needs my help to manage her medications because she is not taking them properly. I still don’t have the answers that I need. I’m not sure what the future holds as far as her care goes. She is having a hard time finding a job because it is obvious that she has some serious mental health issues if you have a conversation with her. I don’t know where to turn.

But as for now, she gave me the pills back. She seems manic which presents itself with other safety concerns. At least she isn’t suicidal at the moment.

But now what? She wants me to butt out because she is an adult now. I can’t in good conscience walk away. I really would like her to have psychological testing for a firm diagnosis. The jury is still out whether or not she is going to be able to live independently and take care of herself someday. The uncertainty and lack of control over the situation is hard to deal with. I guess I’ll just have to wait and see and hope she doesn’t do something to destroy herself in the meantime.

I gotta let that go

I’ve been feeling a bit off the last couple of days. I’ve been trying really hard to let go. I’ve been trying to stop policing. I’ve been trying hard not to get involved in other people’s problems. I’ve been trying to turn the sirens off for every little offense. But honestly, it’s not working out that well for me. I feel rather miserable.

I’ve been trying hard to let go of Arabella since she is 18 now. I went with her to her appointment to meet the new psychiatric nurse today since her doctor retired. After I was in the appointment for about 10 minutes, she got frustrated with me and kicked me out. I feel frustrated because she is not taking her medication like she should and because of that the nurse said it wasn’t working as effectively. But Arabella said she is a teenager that wants to live her life and not worry about taking medication. I really wish she didn’t have to take pills either.

She didn’t take her morning pills yet today. It’s almost suppertime. It is upsetting to me. Just because she is 18 doesn’t mean I can just turn off the worry switch. She is not totally capable of taking care of herself but gets really angry with me when I try to help.

She has another job interview tomorrow. She didn’t get the other jobs she wanted. She decided that she wants to tell all of her potential employers about her mental health issues during the interview. I told her that was a sure way not to get the job. I’ve interviewed people before. But what do I know? I got to let that one go.

My son turns 21 next week. He’s never been much of a drinker but now he is starting to drink. I realize that it’s not unusual for young folks to want to party and have fun. I’m trying not to blame my husband who modeled drinking too much. He cut back on his drinking, but he did start drinking again. I’m trying not to police it and nag him about it but it is hard. Sometimes I’m of the opinion to let them have fun and enjoy their lives and the next minute I want to yell at them to knock it off. Who am I to tell other people how to live their lives? But I will say something if I feel like they are being unsafe or taking things too far. But then again that makes me responsible to monitor them and frankly I just want to be responsible for me.

It’s hard to let go. My mom left to go back to her house for a couple days because she has doctor appointments with Matt. She is struggling taking care of both my dad and Matt. There is nothing I can do about it.

I watch as Angel struggles with anxiety. There is nothing I can do about it and I am probably the one that caused it. Today Angel told me she might not want to have children someday because of our family history of mental health struggles. It’s sad.

I am having problems letting go of my old pets. My dog is almost 14 and he has a hard time getting around. My cat is 15 with a lot of health issues. He pretty much stopped using the cat box. The vet said he is probably having arthritis pain and gave me pain medicine for him on top of his thyroid and arthritis pills. He is a very gentle and loving cat. I hate to put him down if I don’t have to. His favorite thing to do is snuggle on my lap every opportunity he gets. It’s really hard because he needs three different medications twice a day. I feel guilty leaving the house because he is hard to care for. When is it time to let him go? There is nothing I can do about aging and it makes me sad.

When can I let this all go and move on with my own life? I’ve been holding it for so long I don’t know if I can. That is really what I am struggling with right now.

She graduated!

I’m really grateful my daughter earned her high school diploma. There was a time when I might have taken it for granted that she was graduating. I had her ideal future all planned out after all. Her high school graduation was going to be her first but not last. You see, she is a very smart girl. She was an honor student. Surprisingly she still graduated with honors.

Things went downhill with the pandemic. Maybe we would’ve been able to manage her mental health issues better if COVID never happened. I guess we will never know.

Online schooling is not for the smart but unorganized extrovert. It was hard for her to stay focused. Even when school went back to in person she had problems. She missed so much school because of her hospitalizations that she had to go back to online school again. It was December right before Christmas break when she finally got set up to do schooling online. She didn’t want to start school when every one else was on break so she didn’t. Right after the new year started, she went to outpatient full-time. They didn’t give the kids the opportunity to do schoolwork at the time because it was a privacy violation.

That left Arabella with weekends and evening to finish school and that wasn’t going to happen. The outpatient program cut Arabella back to part-time so she could work on school. She was months away from graduation and hadn’t even started yet. I was afraid she wouldn’t graduate. Hopefully she could get done before she made the waiting list for residential.

Then one day she decided to finish her online schooling. She literally worked on it all day and stayed up all night to complete classes. I did want her to finish but didn’t think her obsession was healthy. I even told her several times that it was okay to take breaks. At that pace, she finished it in no time. It was one less worry I had about her future.

Later we found out in residential that she has ADHD. She was finally able to focus once it was treated. She also got into some new hobbies such as painting. For a long time she felt like she wasn’t good at anything because of her inability to concentrate. Plus both of her siblings have a raw talent for music that she doesn’t have. She didn’t feel like she had a place or purpose compared to them.

I felt terribly sad that a lot of the issues she was having with school and concentrating were fixable but we just didn’t know. Honestly, I also thought before that ADHD was kind of a cop out diagnosis. Sometimes I thought it was just a matter of being more disciplined. But now after I’ve seen how focused she is, I think I was wrong.

Now I also see that I missed the same symptoms in my son. For boys the doctor said it presented differently. The boys would rather be defiant saying they hate school instead of feeling like they are stupid. I wish I would’ve known some things sooner. Maybe I still could’ve changed things.

I have the same thoughts about Arabella going to residential and learning DBT. I wish I had known what I know now sooner. But you can only do the best you can with what you have. I have to let that go.

I am excited that Arabella graduated. She had a lot of obstacles with her mental health over the last year and a half. Paul and I are planning a trip to Maine with her this fall to celebrate. Hopefully it will make up for some of the things she lost along the way. She was supposed to be a foreign exchange student this year. That didn’t happen.

She is a high school graduate now. It is the first step into her future, a future she decides. It may not be what I choose, but it is a step in the right direction. I am happy for that.

Current craziness

I didn’t sleep well the last two nights. Both nights I had nightmares. This morning I woke up crying.

The worst nightmare had to do with my dad. I was at his house but it looked like a cluttered maze outdoors. The worst part of the dream was when I passed by a small fish tank filled with beautiful fully grown aquatic animals. The sting ray really caught my eye. There wasn’t any water in the tank. I watched the beautiful creatures suffocate. Some had already turned to bones but were still gasping for air. It was very upsetting to me but I had to pretend I didn’t notice their suffering. I couldn’t do anything to save the creatures. If I gave them water they would still be crammed in a tank that was too small for them.

I usually have insomnia and intense nightmares where I wake up crying when I do sleep when I am under an extreme amount of emotional distress. But I feel relatively fine. It’s rather troubling because of the disconnect. Does my body/mind know something I don’t?

This week went okay, better than last. My husband and I went to therapy together. It went really well. I have been frustrated because my husband is constantly barraging me to share my feelings with him. I don’t always want to so he pressures me more to the point where I get really angry with him and tell him a whole lot of stuff that he doesn’t want to hear. It doesn’t work well. The therapist made the discovery that when I don’t talk about how I feel, it triggers Paul’s fear of abandonment. I thought he was just trying to be controlling. Once I understood his struggle, I felt more compassion for him because there are times I do totally withdraw into myself. I put up my walls then I hide behind them.

I struggle with Paul because he started drinking again a couple weeks back. He didn’t make it the full year like he promised. He is under the impression that he can control it now and it is not going to control him. I also feel a similar fear that when he hides there I am not going to find him and our relationship will eventually end. So I constantly police him and everyone else. It’s not that I am controlling either, it’s that I am afraid.

It’s been hard not to police Arabella since she got back from residential. For the first week things were great. So great I got my hopes up. Since turning 18, Arabella doesn’t really want me to manage her anymore. I can’t really blame her. But the problem is that she can’t manage herself. Without any structure she has been sleeping strange hours. Sometimes she doesn’t get up until mid-afternoon and takes her morning pills then. Then she takes her night time pills at the wee hours of the morning. One morning she was taking her bedtime pills when I was waking up. Then she complains that her meds are out of whack. I told her she needs to take her morning pills and evening pills at the same time every day roughly 12 hours apart. But she doesn’t listen because she is an adult and knows better than I do. It’s frustrating.

She also over drafted her bank account. She started gambling once she turned 18. She bought $70 worth of scratch offs and now she is in the negative. Then the next day she wanted to borrow some money and got angry when I told her no. She argued with me about a graduation party. She wanted to send out an open invite to everyone we know and have them bring a dish to pass. I told her that is not how it works. On her graduation she refused to take a lot of pictures, so I don’t have any pictures of her and I alone at all.

It’s been hard to let go because she can’t manage things without me and then hates me for it. But things haven’t been all bad. She has kept her room pretty clean since coming home. She also hasn’t been self-harming or suicidal which is great. Quite the opposite in fact. She has been talking almost non-stop about how wonderful and beautiful she is. So many people want her that she doesn’t know which one to choose. Everyone stares at her and talks about how beautiful she is. It is extreme, disconcerting, and a bit delusional. I’ll take it over self-hatred though.

Meanwhile, my mom came back early from her trip with my brother Luke. Apparently they are not getting along now either. My mom freaked out because she didn’t sleep well and asked my dad to come pick her up. She was supposed to stay for my niece’s dance recital but left. Then my mom took too many of her anxiety pills because she thought it would help her sleep then ended up going to the ER because her blood pressure went through the roof. On her paperwork, it says she went to the ER for an OD. I really don’t know what she was thinking. But that is the problem, when she doesn’t sleep she gets very anxious and irrational.

The good thing was that my mom was able to go to my daughter’s graduation. Originally the graduation was only open to parents and guardians, but then they changed it last minute to include up to 4 family members. Since my mom already made plans around not being able to go I encouraged her to keep the plans with my brother and his family. Maybe now I am in trouble too since my mom went to the graduation instead of the dance recital. She asked me not to post any pictures with her in them at the graduation and I said no.

Apparently Luke and his wife said some harsh words to my mom. My mom said that Luke said she shouldn’t be staying with me because she wasn’t my responsibility. He said I couldn’t handle it or something. I know he was trying to protect me, but it made me angry because he didn’t call me one time since my mom moved in to check up on me. So his opinion about how I feel doesn’t really matter. I’m capable of taking care of myself.

Okay, maybe my life has been stressful lately and that is why I am having nightmares again. I don’t feel more stressed than usual though. Although tonight I am going up north for a few days. My mom will be there with my dad and Matt so I’m not sure how relaxing that will truly be.

Who knows, maybe I’m having a nervous breakdown and I don’t even know it. Wouldn’t that be funny? I always had this fantasy that when I finally snap I’ll do something really crazy. But compared to everyone else, perhaps I am the boring one.

A gasp of fresh air

The day Arabella left us to move in with Jordan’s family is the day I started planning a vacation. Not only did all my vacation plans for 2020 fall through but I lost my daughter as well. She started calling another woman her mom. It didn’t matter what I said or did, I felt like my daughter hated me. On rare occasion, I was the best mom in the world but it had nothing to do with any effort on my part. Again, what I did or didn’t do didn’t seem to make a difference in how she felt about me.

It was hard to handle and I felt very depressed. So I started planning a trip. At that point, I didn’t even care if I had to cancel it. It was the planning and thinking about it that was the most therapeutic at the time because it allowed me to focus on something other than my problems. I had something on the calendar to look forward to. Besides my daughter was gone and I wasn’t sure if she was going to be coming back.

But she did come back home and burnt the bridge with Jordan’s family. After her most recent diagnosis I battled with myself about whether or not to go. My mom wasn’t going to help by staying at our house because she was terrified of COVID. My oldest daughter didn’t really want the responsibility either although she was already living at home. I felt guilty for wanting to get away.

I also felt like I was suffocating. Taking care of a suicidal teen with serious mental health issues was burning me out. I thought if I didn’t get away I would be sitting in a padded room myself or worse. At times it was so painful and grueling that I really didn’t want to live anymore myself. I wasn’t taking care of myself. The stress was so high that it seemed like all my husband and I did was fight and blame ourselves and each other for the problems we were having with our daughter. I seriously thought if I didn’t get a break and take care of myself and our marriage that I would not be able to handle it anymore.

We offered to pay for our oldest daughter’s therapy if she would keep an eye on things. I wish I was kidding. Plus my best friend was willing to do whatever it took to help if needed. We were not flying out of the country and were accessible by phone 24/7. So we went. Thankfully Arabella managed to get herself up for outpatient, took her pills, and didn’t have any emergencies while we were gone. Oddly enough, it was my other two adult children (Angel and Alex) that fought. Their relationship has been strained ever since. Sometimes you just can’t win.

But it was wonderful to get away. It was a breath of fresh air before the drowning started yet again.

I’m done!

And just like that, I am finished.

My baby turns 18 today. I am no longer a parent of children. I mean, I don’t think that fact is going to change much. But I am officially done with the active parenting years.

Yesterday we picked Arabella up from residential. All day I felt very anxious. It was a mixture of the negative emotion of fear and the positive of excitement. I found there really is a fine line between the two. This isn’t an emotion I frequently experience together (it’s usually only negative anxiety).

I felt the same way when I got my first tattoo. I was terrified and utterly exhilarated at the same time. Afterwards, the terror of getting a tattoo was replaced with this feeling of complete peace and calm which is also something I rarely experience. My body and mind for the most part fails to relax together.

Or maybe if you can’t relate to anything I am saying, it might be similar to waiting in line for a roller coaster ride. That is like the whole experience on steroids.

Everything went pretty good yesterday. But I still feel anxious today. Some of it has burned off. Yesterday before we picked up Arabella I just felt off. It was a weird anxiety. I felt like something was wrong like a loved one was going to die. I felt like I forgot something really important. I felt rather jumpy and hyper-vigilant. That is how my anxiety manifested itself. But in all reality, I feel a tremendous amount of fear. Placing Arabella in residential was our last ditch effort to saving her life. We used our trump card. Now the rest is really up to her and that is scary.

I feel excited to start this new chapter with Arabella. It is what it is. I am excited to have all of my children close to home. I am a little apprehensive about their ability to live in harmony. The peace I long for alludes me like a poor man’s chase of the dollar. I will keep working on it. But as for now, I am happy that at least I am in touch with how I feel about everything going on.

I am anxious, and mysteriously that can be both a positive and negative experience at the same time.

Finding hope

Tomorrow we are picking Arabella up from the residential behavioral health facility. I feel excited to see her tomorrow. It’s been over two months since I saw my daughter last.

I would be lying if I didn’t tell you that I was feeling a little apprehension as well. I wonder what things will be like when she gets back home. The past year has been very difficult with my daughter’s mental health struggles. To be completely honest, I feel a lot of guilt over writing about this. But the whole purpose of this blog for me is to write about the personal things I struggle with. Right now I’m struggling with parenting a teenager with mental health struggles. Believe me, I wish it wasn’t that way.

I think placing her in a residential facility was our last ditch effort to save her life. Her level of impulsiveness, self-harm, and suicidality was so high that I don’t think she would’ve had a chance out in the real world as a newly minted adult. I don’t know what things will be like when she gets back. I know there is going to be an adjustment period for all of us.

I don’t expect Arabella to be cured. But I do know we did the best we could to try to support her through her struggles. She did make a lot of progress over the last couple months. I hope she continues to grow when she gets home. I think it’s important to keep an account of the way things were to be able to chart her healing and growth on her journey. We’ve also learned a lot in the process and are waiting for the new post residential adventure to begin. I think it has been a very positive experience and I’ve found hope in the fact that Arabella is doing significantly better.

Living in the real world

Right after Arabella started outpatient, I spoke to her case manager there and she told me of a safety concern. The case manager mentioned that Arabella talked about wanting to overdose again. She suggested that I search her room before she got home that day.

I have never been the room searching type of parent. It reminded me of that one time as a teenager my mom went into my room when I wasn’t home, found my diaries, and read them. Then she got angry at me for the things I wrote, some of it from many years before. I will never forget feeling upset over my privacy being violated for no particular reason. Even my innermost private thoughts were not safe. So I was totally against violating the privacy of my teenagers unless I thought maybe my children were unsafe.

I did a sweep of Arabella’s room that afternoon. I found some contraband, but I didn’t find a stockpile of pills. Granted my daughter is a bit of a hoarder. It made it harder to search every nook and cranny amongst the clutter.

But I did make sure that the pills in my house were hidden away out of reach. Nary a bottle of Tylenol could be found in my medicine cabinet at the time. This was problematic at times. Around that time, my son had his wisdom teeth removed. I had to keep his pain medicine locked up along with the Tylenol. It was a royal pain because it made it hard for him to manage his medication himself.

It’s hard to live in a world where I had to keep hyper-vigilant of every little pill and sharp objects. It wasn’t convenient for other family members. It was a lot of hassle and work. As if she couldn’t find a way around it if she wanted to. But that is the advice that every doctor gave me. Lock everything up. It wasn’t practical. I couldn’t lock up every knife and have my family ask for permission to unlock them if they wanted to make themselves something to eat. I felt guilty that I didn’t lock up every knife.

But sometime, somewhere my daughter was going to have to live in the real world.