Yesterday I sent an email to the Selective Mutism Center in Philadelphia, PA, requesting information on getting an in-person, comprehensive evaluation done for our daughter. I have done a lot of reading on their website, and I'm finding even more reasons to be convinced of this diagnosis for her. The site mentioned such behaviors as bladder problems, (my daughter, when anxious, becomes absolutely fixated on needing to use the bathroom) defiance, (if she feels out of control of a situation she becomes defiant and stubborn, especial with DH,) all sorts of physical symptoms such as headaches, belly aches, and so on. Anyhow, it spurs me on.
Today has been a day! My daughter, after being out of school for two days with a genuine stomach bug, put on such a show this morning that she actually convinced me that she was still sick with it. This was after her being much better the second day out of school, and one day back at school. She was completely fine. But the lengths this little girl goes to to prove that she is not is truly heartbreaking to me. I told my husband on the phone that even though this morning's physical symptoms were due to anxiety and not physical illness, they are still there, and they are real! That doesn't mean that staying home from school is justified - just the opposite. But she had me fooled. The job of making the decision in the morning as to whether she's really feeling awful, or just very nervous, is very, very hard! It sucks, to be quite frank. My husband felt that she had manipulated me. Is it manipulation? I'm not entirely convinced of that. Did she want the day off? Yes indeed. Did she play things up to get that? Yes. But was it manipulative? Maybe. But maybe her anxieties are intense enough that she dupes herself, too. In any event, I do hope the center gets back to me soon!
So the day continued. A long phone conversation with hubby gave me the opportunity to vent, then to feel better about my decision. Even though it was not the right one, darn it, I make the right one most of the time, and this little girl is upping the ante, improving her act, and works awfully darn hard to be convincing. What she has convinced me of is that what we are doing to help her through this is not nearly enough. I am a person who would rather do most anything than resort to medication, and I think medication might be in order for her. Just long enough to allow us to put some other coping mechanisms into place. In the meantime, I have a hard time blaming her for how she behaves, or the lengths she goes to to protect herself from her fears. How can I?
So then I had to decide what to do with her while I took DS to his music class. Do I take her, and give the message that she simply needs to go with me to wherever I need to go today? Or do I keep DS home because DD is "sick"? Or do I ask hubby to come home and stay with her while I take him? In the end, DH came home and stayed with DD. She does not like to stay with him, especially if DS is not here. So it was basically a "natural consequence" of her deciding to stay home today. It also allowed me the 40 minutes of peace that I get while he's in class. She put up an argument that she was going with me!! And she would NOT stay with Papa!! And so forth, but finally the idea sunk in. She finds these situations easier if she's allowed to call me on the phone, which I always allow. She called me a couple of times, but was completely calm throughout my absence. For the remainder of the afternoon I just kept reminding her that she needed to keep quiet since she was home sick. This was almost comical, because she was not sick in the slightest, and did not want to remain on the couch! Again, natural consequence. She asked for all sorts of things, in particular a popsicle, which she has wanted for several days. I told her that it was not a good idea to fill her dodgy, healing belly with garbage, and that she would have to wait until she was feeling better. Well, that put her in a spot! She also asked to play outside, and started to run around the house with her brother. No, no, no! said Mama. Funny. Anyhow, she has already started to make protests about going tomorrow, but this woman is prepared to play it tough! Not that I like to be that way, I truly don't. But that's the position I'm in. Alas! So after returning from a trip to the store with both kids, and another reminder that she shouldn't be running around the house if she's sick, I gently pointed out to her (again) that she was experiencing anxiety this morning, and that once the pressure of school was taken away, she was fine. I asked if she understood that. She replied, "Sort of." Well, that's something.
Today has been a day! My daughter, after being out of school for two days with a genuine stomach bug, put on such a show this morning that she actually convinced me that she was still sick with it. This was after her being much better the second day out of school, and one day back at school. She was completely fine. But the lengths this little girl goes to to prove that she is not is truly heartbreaking to me. I told my husband on the phone that even though this morning's physical symptoms were due to anxiety and not physical illness, they are still there, and they are real! That doesn't mean that staying home from school is justified - just the opposite. But she had me fooled. The job of making the decision in the morning as to whether she's really feeling awful, or just very nervous, is very, very hard! It sucks, to be quite frank. My husband felt that she had manipulated me. Is it manipulation? I'm not entirely convinced of that. Did she want the day off? Yes indeed. Did she play things up to get that? Yes. But was it manipulative? Maybe. But maybe her anxieties are intense enough that she dupes herself, too. In any event, I do hope the center gets back to me soon!
So the day continued. A long phone conversation with hubby gave me the opportunity to vent, then to feel better about my decision. Even though it was not the right one, darn it, I make the right one most of the time, and this little girl is upping the ante, improving her act, and works awfully darn hard to be convincing. What she has convinced me of is that what we are doing to help her through this is not nearly enough. I am a person who would rather do most anything than resort to medication, and I think medication might be in order for her. Just long enough to allow us to put some other coping mechanisms into place. In the meantime, I have a hard time blaming her for how she behaves, or the lengths she goes to to protect herself from her fears. How can I?
So then I had to decide what to do with her while I took DS to his music class. Do I take her, and give the message that she simply needs to go with me to wherever I need to go today? Or do I keep DS home because DD is "sick"? Or do I ask hubby to come home and stay with her while I take him? In the end, DH came home and stayed with DD. She does not like to stay with him, especially if DS is not here. So it was basically a "natural consequence" of her deciding to stay home today. It also allowed me the 40 minutes of peace that I get while he's in class. She put up an argument that she was going with me!! And she would NOT stay with Papa!! And so forth, but finally the idea sunk in. She finds these situations easier if she's allowed to call me on the phone, which I always allow. She called me a couple of times, but was completely calm throughout my absence. For the remainder of the afternoon I just kept reminding her that she needed to keep quiet since she was home sick. This was almost comical, because she was not sick in the slightest, and did not want to remain on the couch! Again, natural consequence. She asked for all sorts of things, in particular a popsicle, which she has wanted for several days. I told her that it was not a good idea to fill her dodgy, healing belly with garbage, and that she would have to wait until she was feeling better. Well, that put her in a spot! She also asked to play outside, and started to run around the house with her brother. No, no, no! said Mama. Funny. Anyhow, she has already started to make protests about going tomorrow, but this woman is prepared to play it tough! Not that I like to be that way, I truly don't. But that's the position I'm in. Alas! So after returning from a trip to the store with both kids, and another reminder that she shouldn't be running around the house if she's sick, I gently pointed out to her (again) that she was experiencing anxiety this morning, and that once the pressure of school was taken away, she was fine. I asked if she understood that. She replied, "Sort of." Well, that's something.
Stay strong!!! She truly needs to know that you are in charge (all kids need to know that mom and dad are in charge, not the kids)and that you have her best interests (going to school) at heart. Ultimately, does having, what I like to call, a "well" day at home hurt in the long run? No. Everyone deserves a "well" day now and then.
ReplyDeleteI'm glad you made her play "sick" today. You could also point out how she must be feeling better if she feels up to playing outside, going out with you, etc... and that if she is better enough to go to school tomorrow, she would be OK to have a popsicle tomorrow, too. I admit, I do bribe my children very occasionally- my 5 yr. old didn't want to walk to school with big sister (we live right next to the school & a police officer can watch my children leave my house and enter the school), so I bribed her with a new toy if she went to school with big sister for 3 days. She simply needed incentive to give it a try. Today was day 4 and off the kids went to school without me, tear-free. I have waited 5 andf 1/2 years for this moment & it was awesome!
I hope you hear from the SMC soon.
Thanks for your comment! I definitely did point out to DD that she seemed to be feeling much better. She actually said to me that she wasn't feeling well enough to go to school, but was feeling well enough for (popsicles, playing outside, going out places, etc.) I told her that the worst thing she could do to a sick stomach would be to fill it with sugar, and if she's sick, she needs to be home and quiet. I tired to use the situation to point out the difference between feeling sick due to an illness and feeling sick due to anxiety.
ReplyDeleteSo glad to hear that things are going well with your kids walking to school! Woot! =)