Showing posts with label Therapy for Kids. Show all posts
Showing posts with label Therapy for Kids. Show all posts

Saturday, March 7, 2015

Justin Harris Wouldn't Know Christian Values if They Hit Him in The Face

I will be the first to admit that I cannot quote scripture with any degree of reliability. But I will also say that because of a lot of time spent in church both growing up and as an adult, I have a pretty solid understanding of the Bible and the tenets that it promotes. As I understand it, as a Christian you are supposed to be kind, helpful, loving, supportive and to help take care of those who are unable to take care of themselves. Does that sound about right?

These Christian morals forged the foundation of my belief system and were one of the reasons I have always wanted to adopt from foster care. I wanted to give a home to a child who needed love and stability more than anyone. With my little guy here, I feel complete.

That's also why I find people like (R) State Rep. Justin Harris of Arkansas completely morally reprehensible. He and his wife Marsha claim to be Christians. They adopted two little girls from foster care but after six months found it all too hard to deal with, so gave the wee ones to a guy he had actually fired from his business because the guy was unreliable. Hey, I can't give you a severance because you're a terrible employee but here...take these innocent little girls instead. Seems logical, right? The girls were four and six years old and the guy ended up raping one of them. He plead guilty and sits in jail now, where I hope he rots for a very long time. If interested, you can read more about this sad tale here.

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But wait, it gets better. Justin Harris held a press conference proclaiming that HE was the victim, not the little girl who got raped because of of his callous disregard for her safety. He said that he and his wife were forced to abandon the girls because they had severe behavioral issues and DCFS wouldn't help them. He said that the child's pediatrician told them to do this. This is all hard to believe. I call shenanigans on the Harrises "Christian values" for multiple reasons:
  1. It doesn't happen a lot but adoptions do occasionally not work out and state social service agencies have protocols in place for taking back foster children whose adoptions failed, for whatever reason. He claims he was threatened by DCS but I don't buy that for a minute. FYI, good Christians don't lie to save their own hides.
  2. The Harrises claim that they didn't know what they were getting into but the little girls' foster mom says they were told exactly what to expect and said that they had resources in place to help. This is what Cheryl Hart says: "i am the foster mom of the kids he discarded. We all tried to tell Marsha and Justin of the difficulties they would endure with the girls. They would not listen. They kept bragging about their degrees in early childhood development and their experience with children. Plus they insisted they had all the therapists on hand at their preschool to help with their problems. Plus they said God called them to do this and he would get them through anything. We tried to not send the girls there and Cecile Blucker pulled strings and blackmailed DHS workers. I would love to correspond with you about this tragic preventable catastrophe." That is a comment on this Change.org petition, which I have signed.
  3. The Harrises continued to cash the subsidy given to them by the state even after they abandoned the girls. Um, fraud much?? I guess they forgot about that whole, "thou shalt not steal" Commandment when reading their Bible Cliff Notes.
  4. Justin Harris is a state representative in Arkansas. One would think that he would use his power and stature as an elected official to unlock doors and change laws, granting more support to families like his own. However, there is absolutely no evidence that he did anything. Instead he introduced legislation that would allow daycare centers and pre-schools not be forced to have sprinkler systems (FYI, he and his wife own a "Christian" pre-school).
  5. And most importantly, there is help available. Lots of it. For free. I know this because I've been there myself. Christopher came to me with some of the same history that these girls had and believe me, I get how difficult it is to raise kids with complex trauma history. I got called home from work one day because my son had threatened to kill his nanny that day. On multiple occasions, adults have had to intervene when Christopher started attacking other children with a stick. All this was very scary to me but you know what I didn't do? I didn't hand my child over to a pedophile. Instead I got him help. A lot of it. There was a point where he received therapeutic services three times a week and I also got him referred to the Boston Children's Hospital Developmental Medicine Center for even more intensive therapy. His behavioral pediatrician there specializes in foster and adoptive children with complex trauma histories and has been an incredible resource for us. The best thing of all is, these services are all free because foster children (in Massachusetts at least) get free healthcare until their 18th birthday. This is done to help incentivize an adoption because let's face it....healthcare is really expensive and these kids need a lot of it. But if you get the services, they really do work. Anyone who has ever met Christopher will tell you that he is a completely different child today, for the better. It doesn't happen overnight and requires hard work and patience. Too bad that the Harrises just couldn't be bothered.
I am so sorry for the two little girls that have had to repeatedly suffer at the hands of people who were supposed to be there and protect them. This story makes me both angry and sad. I can only hope that the media attention this story has generated helps save another child from potential harm. I posted this story to my Facebook page asking people to volunteer time and/or money to children's charities because we need more caring, loving people to ensure the safety of our nation's most at-risk children. I would also like to ask, dearest God, please watch over the foster children who need you and help to keep them safe from harm. Amen.

Wednesday, February 5, 2014

When Your Son Doesn't Believe This is his Forever Home

What do you do when your adopted son from foster care tells you that he doesn't believe this is his forever home?

Ever since Christopher's therapy services ended, the lack of consistency for him has caused him to doubt his stability here. Just this morning over breakfast, Christopher looked down and admitted, "I don't believe this is my forever home. I think you're going to send me back to foster care".

How freaking heartbreaking is it that my child believes this?

I tell him all the time...I mean ALL the time...that I love him and that this is his forever home. I ask him if he believes me though and he tells me no. I honestly don't know what else to do.

His teacher tells me he appears to be depressed at school. She said he often cries and that she and the two Paras will try to make him smile.

I also know that when I get upset with him, he thinks I'm going to give him away right then and there. I try to explain to him that sometimes little boys don't make good choices and that makes mommies upset. But as his momma I will always love him. He just doesn't believe me and that's what makes it so hard.

I do have Christopher signed up for new therapy services through the school so that will start soon. I think this will actually be a better fit for him and I'm highly optimistic for him. The therapist has been with the school for 16 years and told me that she's not going anywhere. This will provide Christopher with the consistency going forward that he desperately needs.

Also I think she's a little more seasoned than the previous ones I had (they were both in their 20) and I think understands how to really truly help. I think that the other therapists understood the issue but were more about solving for the immediate need than about long-term therapeutic care. When I would say Christopher struggles with believing that this is his forever home, I would get told that this is something that he'll have to work through his entire life because of his trauma history. Well, yeah...isn't that what we're in therapy for?

Also one last positive note for this therapist: She's in the school and right down the hall from Christopher's classroom. So she and the teacher will communicate (hopefully) and that information could be used to better provide the kiddo with the treatment he needs. Before the teacher was not speaking to the therapy team and everyone was operating in a vacuum. Better to have the team approach, me thinks.

So I'm happy and relieved to have new therapy services starting but how do I deal with Christopher's fear of being taken away again in the meantime? I try to be there for him. I hug him and cuddle with him and tell him that I love him. Sometimes it just doesn't seem to be enough for this little guy. Makes me sad.


Saturday, January 11, 2014

What a Rough Week!

I am so glad this week is over and I'm sure my kiddo is glad too.

Christopher came home from school with notes every single day this week. Here is a roundup of our less than stellar week:

Monday: Threw pencils at kids across the room
Tuesday: Hitting, biting, pushing and spitting on kids in the after school program
Wednesday: I didn't even read the note
Thursday: Kicked a girl in the head in the after-school program
Friday: Crying in class; Jumped on friend because he wanted the book she had in her hands

Aaahhh the joys of an ADHD former-foster kid.

What happened this week? We had been doing so well the last few months and now it seems almost like we're back at square one again. I do have some theories:

  1. Christopher's therapy is about to end and the therapy team told him on Monday that he was going to "graduate" next week. Christopher has lost two therapists before these two because they had left the practice to get new jobs. Each time Christopher transitioned away from the old therapist to a new therapist, he acted out in ways similar to the above. It makes sense that Tuesday was his worst day because that was the day after he was told he was losing Mary and Mike.

    I asked Christopher on Wednesday evening if losing Mike and Mary was upsetting him and he said yes. I also asked him if he thought he was going to be taken away again and he said yes to that as well. Ugh. So my child is acting out because he's afraid he's going to taken away and put into another stranger's foster home. What a heartbreaking thought. I can't imagine always being afraid that I was going to lose my home and my family but this is the reality for so many kids unfortunately. Thankfully that's not the reality for MY kid though and I reassured him that this was his forever home and that he was stuck with me.

    It's frustrating because clearly this kid needs some sort of help but what do you do when the services your child gets to help him with his trauma history is what is actually causing the problems? I can talk to the therapists but what can they do? They're "graduating" him next week. Then we're on our own. Not really what I need but it is what it is.

    I spoke with Christopher's teacher and she said he could see the therapist at the school if he has an IEP. We are scheduled for IEP testing later this month so hopefully he qualifies and can start receiving services through the school.

  2. After being off school for two weeks, Christopher is way off of his routine. Christopher does not do well at all when he's off his routine. He may need some time to re-adjust to his long days at school and the after-school program again. Lots of kids. Lots of stimulation. And lots of being tired by the end of the day. All those factors can be rough on a kid with ADHD. Hopefully he adjusts next week.

  3. I may have forgotten to give Christopher his ADHD medication on Tuesday. Oops on my part. I too am off my normal routine and with trying to remember so many different things in the morning, I think I forgot possibly one of the most important. After his tough day on Tuesday though, I will never let that mistake happen again.
We'll see if next week is better and I truly hope it is, or else I'll have to figure something out. We'll see. Wish us lots of luck. I think we may just need it.

Saturday, November 16, 2013

Parenting Tips for Raising an ADHD Child



I've seen that there are so many parents like myself struggling with how to provide the best care to our ADHD children for optimal results. I am blessed because I have worked hard to give my ADHD kid the assistance he needs and the results have been tremendous. My son went from being highly aggressive, disruptive and in constant time outs. He would complain that kids didn't want to play with him and parents would either glare or yell at me on the playground. My kiddo also had lots of trouble focusing in school.

Fast forward to today and now he has friends, he loves sports, rarely gets put into a time out anymore and does well in school. The difference in my child is actually pretty huge.

This journey wasn't quick or easy but it can be done and some of the results are immediate, which will make it worthwhile right out of the gate. My son is living proof. So that said, I thought I would share some of the tactics I've used to help the kiddo be a successful, meaningful, happy member of the community.

Medication

Some kids' ADHD symptoms can be managed without medication but my child is not one of those kids. I give him 10 mg of Metadate CD and it has made a world of difference. Before medication, he lacked impulse control which resulted in him hitting, pushing and scratching children, mostly when he was really excited. He also had trouble focusing in school. Now that he takes meds, he can control himself and focus better in school. I've seen the dramatic difference and so have my friends.

I only give my son enough medication to make it through the school day and just deal with the crazy child when he's home with me in the evening. That way he is able to sleep at night. I've heard that insomnia is a symptom of medication and I definitely want my child sleeping at night. Right now he sleeps like a ROCK so that's good.

Just so you know, the idea of medication initially scared me because I heard about all these terrible side effects. However if you can keep the dosage low, there are no side effects, at least with our meds. Also, you need a top-notch medication like Metadate. I'm lucky that our insurance covers its cost because I've heard that not all parents' insurance plans qualify. I'm sorry to hear that. I was lucky in that the first med we tried works wonders for my kiddo but I do understand that for some families, that is not the case. Please be patient and work with your doctor to get your child the help he/she needs. The child will thank you for it in the end.

Diet

We are gluten free, dye free and I limit the amount of processed sugar my child can have. We are heavy into the Paleo lifestyle (lots of protein, fruits and veggies and very organic). This has worked wonders for my kiddo and also allows us to keep the medication dosage low, so that we don't have any issues with side effects. Even before I started the medication, I noticed a difference in his behaviors. He was still impulsive but not nearly as aggressive. So the clean diet has eliminated about 60% of the problem and the low dosage of Metadate does the rest.

Just an FYI, if you're going for a clean diet, you'll need extra time at the grocery store because you are now going to be reading every. single. label. This takes times. Also, you'll need to know where all the truly healthy food is shelved and this also adds to the time you need. It's confusing and time consuming, but so worth it in the end.

Vitamins

I give my son a dye-free multi-vitamin called Yummi Gummy Bears. Yes I know that there is sugar in the gummies but it's such a small gummy and the kiddo thinks it's a treat because it tastes so yummy. I just have to make sure he brushes his teeth well after eating one.

Side note: I had tried out the Omega-3 and DHA gummy but discovered it made my son super sleepy. I noticed it but thought at first he was just fighting off a bug or something. But then it became so bad that his Kindergarten teacher actually emailed me to say he was "foggy" in school, so I immediately stopped giving it to him. I don't know why this happened but I just wanted to let people know in case you experience this for yourselves.

Magnesium vs. Melatonin

Some ADHD kids have trouble sleeping and I've discovered that Magnesium is a GREAT cure for insomnia. My son doesn't suffer from insomnia but I have all my life. I've started taking magnesium every evening and now sleep SO well. I've also discovered that it has cured my migraines, which I had been getting daily due to the changing seasons. I have read that 50% of migraine sufferers have a magnesium deficiency so there's apparently a known correlation. So if you have migraines, you might want to try magnesium as well.

Side note: Some parents choose to give their kids melatonin for sleeping but I've read you should not do this on a daily basis. It takes away the body's ability to naturally get tired on its own. Plus, kids will eventually build up a tolerance and will need a higher and higher dosage. I've read about kids getting nightmares from the higher dosages so I stay away from all that. Magnesium is definitely a much better way to go.

Regarding magnesium, you could give a supplement or give your child (or yourself) a lavender Epsom bath of no longer than 20 minutes (or else you start to sweat it back out). Epsom salts are full of magnesium and so a bath is a healthy, relaxing way to get the magnesium you or your child needs to sleep.

Exercise

My very active son needs tons of exercise. If he doesn't get exercise starting first thing in the morning, he often gets himself into trouble. Unfortunately, "first thing" to my child is often 6am so as a mom who is NOT a morning person, this has been rough. I've had to change my own ways in order to accommodate the needs of my child and I do it because that's what we moms do. So if you find your ADHD kiddo acting out in the morning, make sure they're getting the exercise they need to provide an outlet for all that energy. The saying, "idle hands are the devil's workshop" is SO very true for ADHD kids!

My son goes to the before-school program at 7:15 every morning. He LOVES it. Why? Because he gets to run around the gym for an hour before he has to sit for several hours at a time. It gets all that little boy hyper energy out so that he has the ability to sit still for the rest of the day.

Sports

My kiddo is active in the town's U6 soccer league and also takes swimming lessons at the YMCA. Side note: Soccer only worked well once we started medication because he needed that impulse control that medication provided. He stopped hitting and pushing the other kids, made friends, scored goals and felt great about himself. The fall session of soccer has ended but we are already signed up for the winter session, which starts in January.

Swimming was great even before we started medication. Quite honestly, my son cannot hit or push kids if he's swimming because he needs both of his hands just to keep himself afloat. Plus, it wears him out, which is pretty huge for a hyperactive kiddo. If you're having trouble with energy and impulse control for your ADHD kid, I highly recommend swimming as an activity.

Become an ally with your child's teacher

Your child spends a good chunk of his or her day at school and the teacher is a big component of whether your child will fail or succeed in life. You need a strong relationship with your child's teacher. You may not always agree with them but you do need to listen to them. And you need to know how to effectively communicate with them so your child's needs are met without creating any animosity. Too many parents go into school demanding to get their way and that is not the way to handle the situation.

Work with your school and don't fight them unless they are blatantly disregarding the needs of your child. This does happen of course and there are resources out there to help you if that does happen. However I think the first effort at working together needs to occur with open communication.

Setting your child up for success in the classroom

Also, remember that your child is only one of at least 15 kids that the teacher oversees. If your child is hitting other kids and can't be controlled in the classroom, it disrupts all the other kids and that certainly isn't fair to anyone. Do what you need to do to make sure that your child is calm and focused before entering the classroom. That includes ensuring they have enough sleep at night, have a healthy, protein-filled diet (no artificial dyes and processed sugar!) and medication, if necessary. You as a parent have a role to play in ensuring the success of your child in the classroom. Take that responsibility seriously.

The right school services

My son is in an integrated Kindergarten, which means the class size is smaller and there is more focused attention. This has worked wonders for my kiddo because he is getting the help he needs to succeed in his school work.

Individual Education Plans (IEPs) vs. 504s

We are also in the process of getting testing for my son for special education services. His doctor at Children's Hospital thinks he will qualify for an IEP because of his ADHD and so I've got a mountain of paperwork to fill out right now, sitting on my dresser. I will take care of that this weekend.

I honestly don't know anything about a 504 but have read that they exist. I know you can have an IEP or a 504 but not both. But that's really all I do know. If you want to learn more about this option, you will need to research that on your own.

Structure and routine

I have discovered that the structure and routine of school makes a huge difference in my son's behaviors. I actually paid a boat-load of money for a nanny over the summer, thinking that my son needed a break from all that routine but it turned out that this wasn't the best choice for him. It was crazy expensive for me and my son's behaviors actually got worse because he didn't have a strict routine anymore. Once school started again, he was so much better behaved and honestly, really quite happy. He tells me he loves school and that thrills me. And it's a lot cheaper for me too. So win-win all around.


Take care of basic needs first

Is your child hungry, tired or over-stimulated? Is he/she getting enough positive attention from you? Or is your child in need of exercise and thus acting out? Many times an outburst can be avoided if you realize what your child needs and act accordingly. Yes, sometimes that's very hard to do because hey, you want to focus on yourself occasionally. But if you do, just know that your kiddo will probably act out in reaction. No one said parenting an ADHD kid was easy.

Get help when you need it

There are times when your child's needs are bigger than you. That's when you need to get outside help. For example, my family receives weekly in-home therapy to help me manage my son's impulsive behaviors at home. My son also attends weekly play therapy to help him work through his issues and he also has a therapeutic mentor, which is kind of like a Big Brother but comes with a social worker degree. These services have been huge for us as a family and I can honestly say that Christopher is a much different, much better child today than he was when he came to live with me two years ago as a foster child. I am also a better parents because of it. I can't rave enough about the services we've received.

Discipline

ADHD is a diagnosis, not an excuse and you as a parent need to set firm boundaries and follow through on punishment, as appropriate. Your child needs to respect you as a parent and also needs to understand the consequences of their actions, if they break the rules. 

We follow the 1-2-3 Magic plan and it works well for us. If I start counting "mississippi's", my son knows to stop whatever he's doing before I get to "5 mississippi's", or else he will face the consequences. The consequences generally mean he loses out on something he loves so you may have to take away whatever that reward is a few times before your kid realizes, hey, mom isn't kidding. It's no fun to listen to your child scream and cry but once again, no one ever said parenting an ADHD kid was easy.

Time Outs

If my child is feeling over-stimulated and acting out he gets a time out in his room. I set the timer on the stove for 5 minutes (one minute per year of his age) and if he tries to come out early, I add a minute to the timer. That has worked well to calm him down but also give me a few minutes to calm down as well. Hey, sometimes we parents need as much of a break as the kids do!


Lots and lots of love, encouragement and patience

ADHD kids often lack self-esteem because of their behavioral issues and inability to focus in school. They want to be good but just don't always know how to be. So that's where patience and extra amounts of hugs and kisses come in, to make sure our kiddos know we still love them no matter what they do. My son feels insecure sometimes and he needs a lot of extra reassurance that I will always love him, forever and ever. Just this morning at 6am he starts jumping on my bed and I told him as calmly as I could, "if I get mad at you, I will yell and you don't want that. So please stop jumping on my bed before I get really angry". The kiddo immediately stopped jumping but started crying, saying I didn't love him anymore. I needed to reassure him that of course I still love him but that he needs to listen to mommy too. That worked and he went into the other room to watch Henry Hugglemonster on Disney Jr. I got another 30 minutes of sleep after that, so all was good. Win-win all around.

Get Time for yourself when you need it

Being a parent of an ADHD kid can certainly be exhausting and sometimes you need some fun time as well. That's why I love babysitters! I've got a weekly babysitter who comes every Monday night, who plays with my son and allows me to go shopping, out to dinner with friends or to the gym. Whatever it is I choose to do, it's always about ME. Sometimes we need that and you should never ever feel bad about looking out for your own needs. I think taking a break helps make me a better parent.

Remember...you're only human

Raising an ADHD kid is tough! In writing all the stuff above about how I'm able to help my son, I want you to know that it's not all sunshine and roses. Sometimes I'm tired or stressed or just running late and I will yell at my son. Nothing vicious...just more along the lines of, I TOLD you to put your shoes on! Do it NOW!!" Some days I feel overwhelmed by life and those are the days I just want to cry. And you know what? That's okay too. Something else I've been battling lately is that I'm just reeeallly tired. Like all the time. My little "alarm clock" wakes me up at 6am every day, regardless of the day of the week and unfortunately, he doesn't come with a snooze button. When he's ready to go, it's time to get up. And right now, I'm feeling so worn out because of it. So we're going to have a quiet afternoon today. The thing is, you do the best you can and try to be kind to yourself when you can't be Super Mom 24x7.

These are just a few of the ways I am able to best care for my ADHD kiddo but honestly, I could write a book on the subject. And maybe someday I will! In the meantime, I hope these tips were helpful and be sure to share any feedback on what works for you and your ADHD family.

Saturday, August 24, 2013

A Revolving Door of Therapists

Christopher has been living with my for less than two years but he is now officially onto his fifth therapist.

The upside to having a kid on MassHealth is that you get free health insurance. The downside is that you often get what you pay for.

For the record, Christopher still gets MassHealth because he was a very hard to place child (six foster homes two of which were intensive foster care placements and one disrupted pre-adoptive placement). He has behavioral issues that are difficult to manage and that require extensive and ongoing care. The state sweetened the pot, so to speak, by allowing me to keep him on MassHealth until his 18th birthday. As a single mom seeing my own healthcare costs going through the roof, this has been very helpful to me. And it also allows me to get services for Christopher that I might not have been able to afford otherwise.

However as I mentioned above, sometimes you get what you pay for and these therapists do not make a lot, so they move on to make more money elsewhere within (on average) two years. I can't say I blame them. Everyone deserves to make a decent salary. And this is not an easy job.

First Therapist
Christopher's first therapist was the most difficult for him to lose. We'll call her Kate (Not her real name as I don't like to use any identifiers without their permission.). Kate helped Christopher through his transition to me and through his adoption. He became very close to her and I leaned pretty heavily on her for support as well. When she left after just under a year, Christopher was devastated and I was depressed. She was great for him and a big help to me. Lots of acting out and way too many tears came out of that loss.

Second Therapist
Next up, Kate's supervisor Jane became Christopher's therapist. I didn't love hear nearly as much as Kate but Christopher became quite attached to her so I kept my mouth shut and stuck this one out. After eight months, she also left her job. She did eventually email me to say she'd landed in her new role and that she'd take Christopher back as a patient but he'd already suffered the trauma of another loss and was with another therapist so I stayed where we were.

Third and Fourth Therapists
All through this, Christopher has also received in-home therapy. He started off with a pair of therapists named Marla and Diane. Marla has been consistently there for over a year now but Diane left after only a month in. Next it was Marla and Elena but Elena has now also left. Marla's been partnered with a man named Matt and Christopher met him for the first time on Thursday. Christopher doesn't seem too affected by this change thankfully but I think that's because Marla is still consistently there. We'll see what happens when she moves on though. Apparently they all do eventually.

Was this list of therapists confusing? Yeah, for us too.

MassHealth or Private Health Insurance?
People tell me that I should consider putting Christopher on my health plan and getting him therapy using my insurance. Life is just so expensive right now though with the summer nanny and increased grocery costs (due to Christopher's new diet) that I can't afford to do that right now. I think having therapists work as a team is working for now though and I might just try sticking with that for a bit. If one therapist leaves, he still has the consistency of the other on the team. He seems okay with Marla and Matt and in my opinion, let's stick with what works for now. I don't know if others have the luxury of having a therapy team working with their kids but if you can do it, I recommend it.