Showing posts with label RAD. Show all posts
Showing posts with label RAD. Show all posts

Sunday, May 6, 2012

TMT Answers a Reader Question on “Borrowing”


“Dear TMT - I am wondering if you have any advice to give about dealing with one of our children who "borrows" things from siblings without asking.  The siblings are really becoming annoyed because the "taker" does not share her own things but feels that everyone should share with her.  We have talked about how she would not like it, how it is wrong, and she grudgingly admits this, but does not change behavior.   All four of our children were adopted at the same time, and are chronologically right on top of each other.   We have tried to use something "important" to the taker as the consequence for this behavior, but have not come up with anything that seems to work.  Hoping for any wisdom or insight you might have.   Many thanks, Sandy”

Wow Sandy, that’s rough.  We’ve been through some of that kind of thing around here.  You might want to read some of my earlier posts on stealing and lying.  We stopped allowing anyone to call taking someone else's property without permission  “borrowing” and called it what it was – stealing.  If you or I “borrowed” our next door neighbor’s car without asking them, and without them giving us permission to do so, they would have every right to report us to the police for grand theft auto – whether we returned the vehicle or not.  So, my first suggestion (since you asked – wink, wink) is to call the action what it is.  Your daughter is stealing.

As therapeutic parents, our first and foremost act of love, including discipline as love, is to CONNECT.  (See yesterday’s post on Dr. Michael Popkin’s FLAC method of dealing with behavior issues.)  Our traumatized kids often feel as though they are missing out somehow – on something.  My daughter, when she is dysregulated will tell us we do not love her because we have not given her some of the possessions her older brothers have.  Youngest Son went through some of the same kind of crud last year.  He was stealing iPods, his adult brother’s external hard drive, computer equipment, wires out of drawers in my office, flash drives, and pretty much anything else he thought he could use to rig up his hidden computer lab – while also stealing internet connection from a neighbor that used our street name as their network password.  (Youngest Son is quite cleaver.)

It was really, really hard.  I wanted to whomp him upside the head, but he needed connection.  He needed to feel safe, no matter what, before I could ever teach him anything, and before he could ever understand the restitution and restoration he had to do to make things right in the community and in our home. 

Some people teach parents of traumatized kids to hide any anger from their child while reassuring them they are loved.  After all, it is about them and not about us.  Ehh, I'm not so hip on that -- not in all cases, anyhow.

I don’t know how old your children are.  Mine were nine and 12 years old when they came home.  They are 13 and 16 now.  Their birthdays are in the summer, so they’ll be 14 and 17 all too soon for my liking.  Our fifth year anniversary home will be in August 2012.  

With Youngest Son, I felt as though I didn’t have a whole lot of time left to teach him that stealing was not only wrong, but that it could land him in heaps of trouble.  So while I reassured him I loved him no matter what – that he was my son no matter what, his behavior was not something I loved.  In fact, I hated it.  I would not accept it.  It embarrassed me and made me quite angry.  I would not allow him to continue on that path by “fixing” things for him and letting him be the victim, or the "poor little orphan boy who didn't know better."

When I found he'd stolen the iPods, he returned them to authority figures in the places he “found” them.  (He has never yet admitted to stealing them, but we still call it what it is.  He didn’t “find” them.)  We involved the school police officer in one case.  Youngest Son got a lecture about jail, and I told him I would not bail him out if he got arrested.  I meant it.  I still do.  As for the internet usage, I marched him across the street and had him tell the neighbor they needed to change their password to something a lot less easy to guess.  His relationship with his older brother suffered for quite a while.  This adult son is my most easy-going of the older children, but even easy-going people don’t like to have their stuff taken.  Thankfully, Youngest Son got it - eventually.  We didn’t let it go.  We talked about it again and again.  We took opportunity to discuss it when we saw "stupid criminals" on the evening news or when some other kid got in trouble at school.  We talked about choices.  We talked about consequences.  We talked about the real world – and that people in the world were not going to give him the benefit of the doubt he'd gotten in the past in therapy and at home.  We talked about how he’d missed out on a lot of things,that he could not live as “the victim” all his life and enjoy the success he wanted and have the THINGS he wanted.  We talked about responsibility and how freedom and “big kid” stuff like electronics come with maturity and respect for oneself and others.  Again, it wasn’t easy.  There were a lot of days I thought he’d end up in jail sooner or later.  

Today, I took him driving downtown for the first time.  He has his learner's permit.  He’s had a great school year.  He’s matured.  He’s straightened up his act.  He’s been responsible and has shown genuine care for others, their belongings, and their feelings.  He’s ready for big kid stuff because he’s grown up and has proven he is ready for them.

What we did with Youngest Son is not what a lot of therapeutic parents would tell most other parents to do.  Some kids with more severe RAD issues may not respond to the way we handled things as Youngest Son did.  However, if your child is older – a teenager who needs to grow up and take responsibility for her actions, perhaps, then my biggest suggestion would be to stop allowing her actions to be called “borrowing.”  She is stealing her siblings’ belongings.  Connect with her.  Tell her you can see by her actions she is feeling like she needs a better connection to you, or her siblings, and that you want to be that connection for her – material items won’t fill that need.

Figure out a way to limit her exposure to her siblings belongs.  Place limits on EVERYONE so that the entire amily understands what belongings are special things that should not be touched by anyone else.  Be clear about your expectations.  What can your family tolerate?  What limits do you want?  What limits can you live with?  If she steals someone else’s mp3 player, for example, can you live with stripping her room of all electronics?  Can you limit electronics (or whatever it is she keeps taking) to use only in common areas of the home, such as the family room?  (We don’t allow computers in bedrooms, for example – not even the parents have a computer in the bedroom.)

Come up with some alternatives as a family.  Are there some belongings the siblings CAN share?  Are there some personal items that are okay to use, even if someone isn’t around to ask or grant permission for their use?  If I want to spiral curl my hair and my sister owns a flat iron that she keeps in the bathroom that we share, is it okay for me to use that flat iron without asking her first?

Discuss consequences BEFORE the next temptation to steal.  Logically, I would think that would include returning the item, giving some kind of service to the person who was wronged, and paying for any time or costs involved in making things right.  Talk about how the other person feels and what they would like to see happen for restitution for taking the item, and most importantly, what is needed for restoration of the relationship.  The problem should be owned by the person who broke the relationship to begin with, but the one who was hurt needs to be willing to reconcile for restoration of the relationship to begin.  The person who is repentant can be completely remorseful, even do everything biblically required of them to restore the relationship, but if the other person is unwilling to move forward, to forgive and to love, then no one is going to heal.

Our pastor talked about justification and redemption this morning.  He gave an example of the story of the prodigal son.  When that young man returned home, his father did not say, “You wronged me.  You did me harm.”  He accepted the son’s apology and welcomed him home with open arms.  He even threw a party.

Celebrate when she “gets it.”  It’s a big deal.  Teach the other kids to celebrate her successes, but not to minimize her actions or accept unacceptable behavior.

I hope that helps you.  If you want to add more detail below about the ages of your children, please do.  I hope it is okay with you that I copied your comment and pasted it above as a new blog post.  I ask my readers to not include our family’s names in comments if they know who we are.  I want to be as open as possible to help my readers as I help myself sort through things when I write.  Thanks for understanding.  Just call me “TMT.”  
  

Wednesday, May 2, 2012

I Have PTSD


You will keep in perfect peace 
those whose minds are steadfast, because they trust in you. – Isaiah 26:3

 I do not rest in “perfect peace” for very long, or very often.  My mind whirls around “what if’s” more than it is ever steadfast.  I would like to believe I do indeed trust in God.  However, I’m sure there are some who would tell me the PTSD I’ve developed these last five years or so, and the hyper-vigilance in which I live much of my life, proves otherwise.  It is what it is.  I am who I am.  Some people love me.  Some aren’t so fond of me.  I am learning to be okay with that.

I wish so much that my hurt kids – your hurt kids – could learn to be okay with it, too.  I guess if I’m still learning to "be okay with it," then it is a bit much to expect it out of someone so much younger than I, who has been through so much more than I.

“Wait a minute, TMT.  You’re saying YOU have PTSD?  I thought it was your kids that were dealing with complex trauma and attachment issues.”

source
Yes, Grasshopper.  I have developed my own full-blown case of PTSD.  Going through what I went through in Eastern Europe to get my two youngest children home was enough to develop the disorder.  (Just ask my friend, Diana who had a similar experience.  Like her, “I’d rather shave my legs with a spoon than go through THAT again.”  However, it is the 4.5 years that have followed, parenting two hurt tweens into their teens, that have brought me to my own very real state of not-so-perfect peace. 

For anyone reading who may be a pre-adoptive parent or a newly adoptive parent, PLEASE understand this:  It is still worth it and I’d still do it all again if it meant having The Princess and Youngest Son as MY children.  Heck, I’d go through that and more.  Well, now I would.  (Being honest here.)  Now that I love them and they are fully mine.  But it took time.  We didn’t bond instantly.  I didn’t feel as though they were “mine” for a very long time after they were home, and even that came in stages and is still a process because attachment is a two-way street.  It is worth it.  But it’s not for everyone.  Don’t do it because adoption is the call of the Church, or because all your friends are doing it and are having an okay time through it.  Don’t do it because the kids are cute.  Don’t do it because you want to make a difference.  Do it because you are called and it is your life to do it.  Do it because you know these kids are yours, even if they don’t FEEL like they’re yours and it takes a long time.  It’s worth it.  But it’s not for everyone.  And it’s stinkin’ hard sometimes.  It’s frightening.  It’s not easy to dwell in perfect peace.  Trust is not a steadfast understanding here all the time.  Trust is sometimes hanging on by the fingernails for dear life because you’re completely spent and there’s nothing else to do but hang on.  Sometimes, trust is letting go. 
Trust in the Lord with all your heart
 and lean not on your own understanding; 
in all your ways submit to him,
 and he will make your paths straight.  – Proverbs 3:5-6

 Whenever I begin to try and understand what it really means to raise two teenagers from another culture who have been through the abuse and neglect my kids have been through and yet, are still standing, still thriving the best they know how, still trying hard – really, really HARD – to make it in this world, and that I get to be a part of that with all my faults and failures, I am blown away.  Words don’t come.  Still, the path is far from straight.  So I hang onto the promise that He will make it straight in His time.

“For my thoughts are not your thoughts,
 neither are your ways my ways,”
declares the Lord. 
As the heavens are higher than the earth,
 so are my ways higher than your ways 
and my thoughts than your thoughts. – Isaiah 55:8-9

 I definitely have PTSD.  I have been through things with my youngest children that I never really believed I’d be through when I was in the process of adopting them.  They have had reactions to things that have triggered them into post-trauma that took me a long time to understand.  Their actions and words, the fear of “what if,” and the times they did things like “disappear” on me leave me with my own sense of hyper-vigilance.  I am triggered by things I never imagined.  I know am not alone.  You are not alone.  People who parent hurt kids with RAD, PTSD, ADHD, etc. often end up with their own PTSD and even depression sometimes.  Here’s an article to read:  Post Traumatic Stress Disorder in Parents of Reactive Attachment Disordered Children.  If you really want to dig in, here is a Google link with several scholarly articles on the subject.

source

Back to PTSD and my own triggers.  I know of more than one girl with PTSD and RAD my daughter’s age that is expecting a baby.  We’re talking 13 and 14 year old girls.  Granted, I know that even girls raised from the womb in stable families sometimes get pregnant at very young ages.  However, I imagine kids from hurt backgrounds have a much higher chance of it.  The girls I know about who are pregnant are from hurt backgrounds.  Am I afraid The Princess could make me a Gramma before my adult sons ever do?  Yes!  I’m scared spitless.  I actually lose sleep over it.  I am not at perfect peace.  I don’t want to raise a baby at the age of 50+.

Am I afraid The Princess will go off with “a friend” and get into Lord-knows-what kinds of trouble?  Yes.  She was at an orchestra competition today and the teachers let the kids roam the school, unsupervised while they waited for their events.  She met some boys and “made friends” with them.  Oh, but don’t ask her their names.  She doesn’t know.  She has no clue how much this kind of behavior triggers my fear for her.  She really doesn't see why I'd be upset by knowing she did this.  

For those of you who’ve lived through this, or are living through it right now, know I am praying for you.  I admire you.  You are awesome. 

As for my purpose here with this blog, all I can do is share my own struggles.  I can let you know you're not alone.  I can encourage you to hang onto the promise that our paths will become straight.  I can suggest that, perhaps, "perfect peace" is manifested in the ability to just keep going -- to just keep loving -- to find people that can "be there" for you when things are the toughest, people who will not leave when you need them most -- and to hang on by the fingernails when there's nothing else you can do.  When those times do come, please let me know.  I'll pray for you and I'll be a loyal ear.  We trauma mamas need to stick together. 


Monday, January 23, 2012

Black & White Thinking


Riding in the car on the way to school this morning, my daughter asked, “Mom, what is human trafficking?”  Talk about a sucker punch. 

My daughter is processing SO MUCH lately.  Hard topics such as human trafficking are not something I was prepared to deal with today, alongside known trauma triggers such as bio-family stuff like I wrote about on Friday, bad dreams like I wrote about HERE recently, or acting out behaviors like at the zoo over the holidays.  Heck, I wasn’t even fully awake yet.  I am NOT a morning person.  So, what did I do?  I took a big breath.  I let it out.  Then, I answered her with a question of my own.  “Honey, were you talking about human trafficking in youth group last night?” 

Well, yes.  It was THE topic of discussion last night.

Another deep breath in.  Another deep breath out.

I kept driving.  I gave her a broad definition of what human trafficking meant.  She asked a few more questions.  She told me some more things her small group leader told her about the topic.  I told her that yes, those things were sadly true.  Then I said I wished the youth leaders told parents when they were going to be dealing with such hard topics.  She said, “Me, too.” 

Then she asked, “What about alcoholics?”  I asked in return, “What about them?”  She rolled her eyes and told me that she is probably going to be an alcoholic, as well as poor, when she grows up.  I asked her why she thought that and she said it was because they discussed it in Sunday School yesterday.  She said that “people who grow up with alcoholic parents become alcoholics, and people who grow up poor stay poor.”  Whether it was discussed QUITE that way or not, I don’t know, but I do know she was triggered by the discussion.  So was Youngest Son.  He confirmed that this was the discussion.

Unfortunately, not enough people working with traumatized kids know enough about them or their needs.  More training is needed – really needed – for anyone working with children.  This education should be part of any teacher training, youth & children’s ministry training, or sports/recreation training.  We trauma mamas need to figure out a way to make this happen!

Traumatized kids tend to see things as black and white.  There are no gray areas.  It doesn’t matter if they’re 6 or 16.  Something either is, or it isn’t.  They think, “If I had alcoholic parents, I will be an alcoholic.”  That’s a traumatized brain.  There are no gray areas that say, “I HAD alcoholic parents, but now I’m being raised in a safe, functional family and I can overcome my past.  I can learn skills that will help me navigate life in a more healthy way.”  Likewise, even though they’ve been told many times, there is no ability to remember that God is in the business of redemption when our kids are triggered.

Black and white, or “all or nothing” thinking, is tied to the most primitive of human responses:  flight or fight.  Kids dealing with complex trauma, when triggered, are transported back to that primitive state of being in flight or fight mode, just as they were when the trauma first occurred.  It is an automatic response on a very basic level.  There is no rationalization.  The brain in flight or fight mode cannot rationalize.  It reacts.  Because traumatized kids are triggered to believe their lives are in danger – that they may actually DIE -- there is no time for “if this” or “maybe that.”  There is no room for gray.  While a youth worker discussing social problems with the youth group may also discuss the redemption of God, or the ability to overcome hard beginnings with good nurturing, the brain of a traumatized kid already in flight or fight mode simply will not process this.  There is no time for uncertainty when your life is threatened.  You need to decide whether to run, or to stay and fight.

The amygdala, which is in the middle part of the brain, and the center for the fight/flight/freeze response, is fully functional at birth.  That means that even a tiny baby is capable of a full blown trauma response.  Even children who do not cognitively remember a traumatic event can still have that full blown trauma response stored in their amygdala.  It “rewires” the brain for life.  It does not go away with love and time.  It can be triggered by events, actions, discussions, sights, smells, touches, and sensory experiences in the future.

The hippocampuses, where the brain assesses stimuli and tells us whether or not it is threatening, is not fully functional until a child is about five years old.  The cortex – the front part of the brain where we can think and figure things out and rationalize -- is not fully mature until around age 12, sometimes even older. This means that when a baby or young child is hurt and frightened, they have no way of understanding what is going on around them. The front part of their brain can’t rationalize what’s happening, so the middle part of their brain simply stores the trauma.  That trauma causes black and white thinking (a flight or fight response), because they do not have the developmental capability to process levels of threat, nor the cognitive capability to even understand what’s happening.

Kids dealing with complex trauma CANNOT simply “get over it.”

The result of trauma triggers such as hearing, “people who grew up with alcoholic parents become alcoholics” is too often a self-fulfilling prophecy.  In traumatized kids’ all or nothing thinking, they believe they are doomed to repeat their biological parents mistakes.  They believe they are destined to BE their biological parents.  Their already too well-established sense of being “damaged goods” is reinforced.  In their black and white thinking, their beliefs about themselves are affirmed.  The instruction of a well-meaning teacher or youth worker is twisted to a belief that is exactly opposite of what any caring adult would intend.

In addition to education for people working with youth and children, parent notification is also essential when hard topics will be presented in the classroom or the youth meeting.  Youth leaders and teachers should notify parents IN ADVANCE that they will be discussing hard topics with youth.  Parents raising hurt children can then decide how best to prepare their child for the topic – or even whether or not to allow their child to participate in that discussion at all.  Some parents may decide to prepare their child and also attend the session with the child.  Still, the decision on how to best approach these topics with a traumatized child should be left up to the parent.  Communication is the key.  Teachers and youth workers should not depend upon children to communicate to parents that a hard topic is to be discussed, or that a documentary on a hard topic will be shown.  One of the greatest challenges for parents of traumatized children is getting them to tell us anything!  Adults need to communicate with adults.  As parents, we are the ones who need to take the initiative.

As parents, we need to be the ones talking to our kids’ teachers, youth leaders, and coaches.  We need to be proactive, and not reactive (often the “fight” of flight or fight response) ourselves.  Communicate with the adults in your child’s life.  Perhaps offer some training.  The FACT SHEETS I posted on this blog are a good tool and can be adjusted to help youth leaders outside the classroom as well as for teachers.  There are also some good resources posted HERE.  Feel free to share in the comments section additional resources or links to sites you have found helpful.



Tuesday, January 17, 2012

UPDATED! - Fact Sheets for the Classroom

Educating teachers about PTSD, RAD, ADHD/ADD, FASD/FAE, PDD, anxiety, depression, and even Aspergers is a chore each year for me.  It is a necessary chore, however.  Unfortunately, our teachers are overworked and underpaid and frankly, clueless about what it REALLY means to deal with all these things, or how to best educate a child with complex trauma.  (Let's face it, we were all clueless, too until we had to deal with it face-to-face ourselves.)

I wish I'd found these Fact Sheets back in 2007.  They are posted on the Kansas State Department of Education website and are designed to give teachers an overview of the challenges our kids face every single day.  They are not comprehensive, but they provide the basics.  (Besides, I've learned most teachers don't bother reading much of the information given to them even by their own administrators.  Even if they WANTED to, there just aren't enough hours in the day to read everything they're told is "essential.")  

I've developed a lot of presentations and materials of my own through the years and I promise to share more of those over time on the blog.  But my best piece of advice for communicating your child's needs to his or her teachers is to develop a relationship with them.  Be prepared to advocate (a.k.a. "fight") when you need to, but work with your child's teacher to show them you appreciate their professionalism.  Hopefully, they in turn will respect your expertise as a therapeutic parent, raising a hurt child.  

Do not expect a teacher to work like a therapist.  Their job is to educate your child.  Give them tools that support them in their job, even as you ask them to support your job as a therapeutic parent.  Hopefully, they'll appreciate your efforts to make their job easier, and thus make your job easier by avoiding those triggers which set your kids off on behaviors most teachers never get to see.




     *Anxiety

     *Depression



     *Asperger Syndrome

Additional resources for the classroom here:  Child Mental Health Resources

Friday, January 6, 2012

Dear Teacher: About My Child in Your Classroom


Dear Teacher,

Thank you for your willingness to spend your days inside a classroom with two to three dozen energetic children.  You must certainly be an exceptional person.  While each of your students is exceptional as well, a child who has suffered from significant, complex past traumatic stress (C-PTSD) and reactive attachment disorder issues (RAD) is enrolled in your class this year.  This child is indeed “exceptional.”

Children suffering from C-PTSD and RAD, or “RADish” issues, can come from various walks of life and live in different family structures.  My child was adopted in 2007 at the age of 12.  Until his adoption, my son lived in an orphanage for special needs children located in a former Soviet state.  His birth country is now its own independent and proud nation, but its child welfare system is still much as it was decades ago throughout Eastern Europe.  Specific details of my son’s story are private, but in order for you to understand what this child has been through, there are some specific things you need to know.  These things are to be discussed only with me, or with professionals you work with at school, and on a confidential basis only.  These things are never to be discussed in the classroom.  There is never a need to announce to your class that my child was adopted.  (Yes, there are teachers who’ve made that mistake.)  Don’t do it.  Not ever.  It’s common knowledge for many, but it is not a topic for classroom discussion.

In the orphanage, my son slept in a room with a few dozen other boys ages 7 to 16.  He saw things that boys do who are unsupervised during much of their time.  These things would put children into rehab programs for child predators here in the states.  Some of those things he may have seen – he probably did see – they may have happened to him, too.  We will never know the full story.  Our son was abused and neglected by orphanage workers.  He had belongings stolen from him.  He stole (and sometimes still steals) things, too.  He learned to lie and to act as well as any award winning movie actor.  He was beat often by both adults and other children.  The scars you see on his body were not put there because of normal childhood accidents.  Those scars are from things that happened to him both in the orphanage and in his first family, years before we ever knew him.

My son may seem pretty “normal” to you most of the time.  He wants very much to “just be normal.”  The fact is, the trauma of his past and the abuse and neglect he suffered during the first 12 years of his life have altered the way he thinks and the way he functions in the world.  These are not things that are healed with time or love.  C-PTSD and RAD are not curable.  They are not miracles just waiting for God to heal.  They are life-long challenges for which my son needs to learn skills in order to navigate this life and be productive in society.  He has the potential to lead a life far different than the life he knew as a young child, but please understand his brain is FOREVER changed because of those early years.

The Association for Treatment and Training in the Attachment of Children (www.ATTACh.org) defines attachment as a “reciprocal process by which an emotional connection develops between a baby and its parent.”  Attachment influences the child’s physical, neurological, cognitive, and psychological development.  It is the foundation of the development of basic trust and shapes how the child relates to the world, how he learns, and how he forms relationships throughout life.

When a child’s needs are not met, or if his needs are only met on a sporadic basis, his brain is forever changed.  He operates from a systemic need to fight or flee.  Fear and shame are his base emotions.  Survival is his base motivation.  He must gain control.  Otherwise, he feels, quite literally, like he will die.  This is the nuts and bolts of C-PTSD and RAD.

His reactions can appear in several ways.  Unless you know what to look for, you might even miss a reaction to something that has triggered his trauma and caused him to go into that “flight or fight” mode.  Kids who deal with C-PTSD and RAD are often either very inhibited (withdrawn, passive/aggressive, sneaky) or very dis-inhibited (hyper-active, talkative/argumentative, superficially charming).  And sometimes, a kid who is usually inhibited, can display himself as very disinhibited, or visa versa.

You can read about things to look for in traumatized and attachment disordered children at this blog post:  If It Walks Like a Duck

You probably learned in your Child Psychology class in college that babies learn to regulate themselves emotionally and behaviorally in the arms of loving parents.  When a baby cries, the attentive parent soothes the child through rocking, feeding, singing, touching, and lovingly gazing into that baby’s eyes.  This helps the child learn to self-sooth in an emotionally healthy way and to cope with strong emotions such as rage.  Children who are not held or comforted when distressed learn to self-sooth in other ways, some of them very destructive.  Rage is not something that they can cope with easily and for this reason, many children with RAD or C-PTSD have difficulty regulating their emotions and behavior.  They’ve learned to survive.  Some of the behaviors they employ to survive do not serve them well in society or at school.  However, hurt kids are not “bad.”  They are not acting out because they are “spoiled.” 

Another thing to understand as my child’s teacher is this:  I did not cause this hurt for my children.  My children came to me deeply hurt.  I need to parent my hurt children with methods that are very different than the traditional parenting methods I used to raise four healthy, well-adjusted and productive biological sons.  I am not coddling my hurt children.  I am not spoiling them.  They are not “getting away with murder.”  Any behaviors you see or report you may hear (true or false), you would see or hear no matter in what good family my child was placed.  My child is a resilient survivor.  His survivor instinct is well-ingrained into his very psyche and he continues to use strategies that enabled him to cope through multiple traumatic events including his mother’s abuse and prostitution, his father’s neglect and suicide, his parents’ and extended family’s drinking, and his placement into a very corrupt and abusive orphanage system.  There is no glossing over the trauma of his past.  I will not make it “pretty” to protect you because it will serve neither you nor him to do so.  Please don’t pity my child.  Understand he’s been through much more than we will ever fully imagine.  But, his survival strategies are no longer effective.  We are working hard as a family, together with our child’s therapist and other support services, to help our child learn how to have his best life now that he is safe.  We also need your help and cooperation.

I am one of those parents that teachers are always saying they wished there were more of, but then complain about as “helicopter parents” soon after.  It is true that I am intensely involved in my child’s therapy and healing.  My child is not – cannot – be parented by the traditional parenting methods that helped me before I adopted.  I have spent a graduate degree’s worth of time researching, learning, writing about, counseling, teaching, and practicing methods to help my child and other hurt children.  I am not naïve.  I know what you have to deal with in the classroom every single day.  I’ve been there.  I know now, however, I am not meant to be in a classroom every day.  But I also know my child is not your only student.  In fact, I know on average, you have five attachment disordered and traumatized children in your class, though you may not be fully aware of it, as they may be undiagnosed.  Helping a child who has suffered the kind of trauma my child has suffered is hard.  REALLY hard.  It’s hard as his teacher.  It’s many times more hard as his parent.

There are some VERY IMPORTANT things you can remember to do in your classroom in order to help my child:

1.  Remain calm.  Even when you feel like letting my child really have “it,” stay calm.  A child who manages to upset or anger you is in control of the situation.  Model and verbalize desired behaviors:  calm voice, open and relaxed arms and stance, attentive eye contact, friendly face.

2.       Stay in contact with us – the child’s parents/family.  We are excellent sources of information about our children’s strengths and current challenges.  Many of us are very well educated and can provide you with resources that will help you better understand our children, as well as other children with traumatic backgrounds.  And this is really IMPORTANT:  Remember children with RADish issues often attempt to maintain control by creating chaos with triangulation.  “Crazy” is what feels “normal” to them.  Triangulating all individuals – especially the adults – is a favored way to create chaos.  (For example a child trying to triangulate adults may tell his teacher, “My mom said I didn’t need to do my homework at all.” Or “My mom wouldn’t let me study for the test; she was too busy making me clean the bathroom/give her a backrub/cook her dinner/pick up dog poop in the yard.”)  CHECK WITH the child’s parents, other educators, youth ministers, coaches, etc. before believing what a traumatized child says.  Maintain a respectful and professional relationship with the child.  Remember you are not their primary caregiver.  Parents are to be where the child receives hugs, cuddles, food, and treats.  Don’t buy into the “poor me” or “poor orphan” mentality.

3.  Traditional methods of discipline do not work for traumatized children.  Avoid the use of punishment as a negative motivator for the behavior you’d like to see.  It produces resentment, retaliation, or retreat into sneakiness.  A week of missed recess or a missed activity is meaningless in terms of changing behavior.  It will escalate.  Make consequences natural results of choices.  STAY CALM.  Do not raise your voice.  Say, “Oh, how sad for you that you’ve not done your work on time.  You’re lucky to have an awesome teacher who will give you the chance to practice these skills while the rest of the class is doing computer time.”

4.      Avoid those behavior management plans that everyone at NEA tells you to use.  They’re based on consistency, and that makes them easy targets for manipulation for kids with C-PTSD and RADish behaviors.  These plans also let students know just how much you value certain behaviors.  My hurt kids love to “question” (a.k.a. ARGUE) and get into useless discussions about valued behaviors and rules.  It’s not that they don’t need to know the rules.  They do!  It’s just that children with RAD have difficulty figuring out cause and effect.  Remember, they need to feel in control in order to feel safe.  The “rewards” of behavior management plans (candy, prizes, etc.) mean little to attachment disordered kids.  In fact, little gifts and prizes that are often part of behavior management plans can set them off into really crazy triggers their parents wind up having to deal with at home later.  You may never see it, but your actions caused it.  So don’t go with this old standard when it comes to hurt kids.  It’s harmful, not helpful.

5.      Provide natural consequences the first time.  Do not give the child a second chance.  Keep consequences as logical outcomes to the behavior, but ensure the child “makes things right” the first time.  Otherwise, you give the message that the behavior is “okay.”  (Also, never say, “It’s okay” when it’s not.)  Attachment disordered children are black and white thinkers.  Second chances and warnings are perceived as threats and will force hurt kids into that fight or flight mode of thinking.

6.      Establish eye contact.  Attachment disordered kids – especially those who display inhibited attachment disorder – dissociate from others and from situations when they feel threatened.  Keep them in the here and now – in the moment.  Remind them they are safe.  Say it out loud to them!  “You are safe.  You are not going to be hurt.  You are in Mrs. Smith’s classroom and we work together here.”  Remember to stay calm.  Be matter-of-fact even as you are firm.

7.      Ask “what” questions such as “What are you feeling?”  or “What happened?”  Avoid “why” questions.  Our hurt children mean it when they say, “I don’t know” in answer to a why question.  Why questions are fruitless.  Ignore obvious lies in the heat of the moment.  Remember the child is in survival mode and confronting the lie will only escalate the situation.  If the child is unable to tell you what happened, give yourself and the child a “time in” where the child stays nearby until he is ready to talk.  Do not shame the child with a “time out.”  This will send him further into withdrawal and reinforce the feelings of neglect and worthlessness so ingrained in him due to early neglect and abuse.

8.      Use actions.  Not so much words.  If a child continually tips his chair, remove it.  Let him sit on the floor.  If a child refuses to wear a jacket, don’t force the issue.  Let them experience the natural consequence of being cold.

9.      Use one-liners when you do need to use words.  They make kids think, instead of tuning you out.  They place responsibility on the child.  They let the child know you will not be provoked and are effective tools for you to use to avoid power struggles and additional trauma triggers.  The fewer the words, the better.  Remember to use a CALM, matter-of-fact voice.  Sarcasm and anger counteract the good one-liner.  Some of my favorites:

a.       “Sucks for you.”  (Probably not appropriate in the classroom, but you can modify it.  Besides, I was going for the laugh.  Did you laugh?)
b.       “Bummer, Dude.”
c.      “What do you think about that?”
d.      “What are you going to do about that?”
e.      “How are you going to handle that?”
f.       “How would you handle that next time?”
g.      “Hmm, and how did that work for you?”
h.      “Thanks for your honesty.”
i.       “I respect you and myself too much to argue with you.”
j.       If he/she whines, “Why?”  Say, “If you don’t figure it out by [time], I’ll explain it to you.”
k.      “I listen to one person at a time. . . Thanks.”
l.       “I’ll be glad to listen when your voice is as soft and as calm as mine.”
m.    When a child tells you that “you never do” or that “you don’t do” like another teacher say, “That’s right!”
n.      When the child tries to argue say, “I know.”  (Student:  Math rots!  Teacher:  I know.)
o.     When a student degrades himself and says, “I can’t do this.” Or “I’m too stupid,” you say, “Aren’t you glad I don’t believe that.”  Then walk away.

For more information about post-institutionalized children, RAD, and C-PTSD visit websites such as www.ATTACh.org, www.bgcenter.com, and www.beyondconsequences.com.

Please feel free to contact me with any questions you may have about older child adoption, international adoption, post-institutionalized children, post traumatic stress disorder or attachment disorder.  I look forward to partnering with you this year so that my child learns all he can in your classroom.

Sincerely,
Your Student’s Parent

Wednesday, November 30, 2011

In Therapy

My son and I had family therapy this morning.  Usually, our therapist sees me for a few minutes, and then sees my son for the remainder of the 50 minute “hour.”  Usually, she asks me how it’s going, I tell her, and then I sit in the waiting room while my son has his session.  I’m lucky to have found a therapist that respects me, and that I can trust.  We’ve been with her for three years now.  I have no plans to stop seeing her with my son.  It works for us, and we’re blessed to have insurance that covers our need very well.  In the beginning, I was in the room for the entire session with my son (or daughter).  Traumatized kids can cause parents a lot of grief if they’re left alone with a professional who does not yet know the family or the kid.  They often tell tales of abuse, but those tales are often lies – or memories of past abuse.  Therapists have to report suspected abuse.  Parents of traumatized kids often experience their own trauma by having to go through “the system.”  This system most often suspects the parent first without taking into account the background of the child.  After all, there have been enough horror stories for caseworkers to be suspicious.  Who wouldn’t be?

Trust takes time to build.  So, I insisted I be part of the entire session while we were getting to know our therapist and she was getting to know us.  I took about a year doing things this way.  Eventually, after the therapist and I had both learned even more about older, internationally adopted kids, more about RAD, and more about trauma (PTSD), we understood it would be good for my son to spend at least SOME time alone with the therapist.  He was holding back, and was saying things he thought I wanted to hear rather than work through the hard stuff so he could start to heal.  Eventually, we were able to get to the point where the therapist knew what was “real,” versus what was our son was saying as part of his working through past trauma.  She knew when he was using us to personify the evil he’d experienced as a young child.  Because she “got it,” I knew I would not be investigated by children’s services due to my son's lies, or because he was processing something his biological family did.  However, it took time. 

None of that happened without the process of building trust.  In addition to spending time in the therapist’s office, we got children’s services involved.  My son has gotten into trouble more than a few times over the years.  He even “disappeared” on us the night before my oldest son’s wedding, leaving the rehearsal dinner with an aunt.  (He told her we said he should ride back to the hotel in her car.  Why she didn’t check with us to see if that was true, or why she thought we’d tell one of our kids to go with her without us asking her first if that was okay, I still don’t understand.)  When we realized we did not know where our son was, we called the police.  We frantically looked “everywhere” for him.  We were sure the stress of the wedding had triggered feelings of abandonment for him.

After what seemed like an eternity, I got a call on my cell phone, and we learned he was back at the hotel with my husband’s sisters.  We were in another state for the wedding, but when we got home, children’s services showed up at my front door.  The police in that community had reported the incident to authorities in our state.  It wasn’t the first time I’d been visited by children’s services, though.  The caseworker already knew me.  She’d visited with me many times before, as there was a period of time when our son was in trouble quite often.  I told her what happened.  She patted me on the back and told me to “hang in there.”  She said I should call if I needed anything.  It was like having a friend stop by.  Again, a relationship was already there.  Trust was already established.

I think one of THE most important things a parent of traumatized kids can do for their family is build relationships in advance of a crisis with people and agencies that may become a part of that family’s life eventually, anyway.  Some people think this is akin to “looking for trouble.”  My experience is different.  Being pro-active has saved me a lot of hassle.  Being honest about everything, including my own struggles with parenting my children, and reaching out to our therapist, to the school psychologists and principals, the student resource officers (police), and to our state children’s services department, has afforded me the support and the help I need to best parent my kids.  I’ve received services and aid I would not receive otherwise.  I’ve avoided messy investigations because people acting in good faith have reported me as not having control over my child.  I’ve gained respect from people working “on the ground” with hurt kids, and they’ve even called me for advice.  I think that’s more about looking OUT for trouble – stopping it before it ever starts – than it is about looking FOR trouble.

Things are going fairly well in therapy with my son.  There are days however, like today, when my son doesn’t want to cooperate.  He shuts down.  He pretends he’s not awake.  He stares and he withdraws.  There are also days when I am still part of the whole 50 minute hour, like today.  Most of the time, my son works well with the therapist.  He is conscious of the tools he’s worked to develop with her in order to help him navigate the world.  He’s matured – a lot – this school year.  I’m still looking OUT for trouble, though.  I’m still working to stop it before it ever starts.  Things are going well BECAUSE we are in therapy, and because we have a support system.  I never dreamed I’d need it before I adopted, or even during the first year or so of our adoption.  It was only when I’d gotten to the point of considering disruption that I knew I NEEDED this support, and so did my kids. 

Not everyone is lucky enough to have a good behavioral mental health facility in their community.  I totally lucked into ours.  I didn’t even know it existed when we moved here.  However, I highly encourage parents to look OUT for trouble and to seek out support BEFORE it’s needed.  Even if things seem to be going okay those first several months home, or that first year home, build relationships with people you may need in a crisis.  Our son did not steal anything until he’d been home nearly three years.  Apart from the expected adjustment period of having an older internationally adopted child enter the family, things went fairly well the first couple of years home.  Any problems were contained to outbursts at home, shutting down, or occasionally getting into a minor scuffle at school – all things seen as “normal” for a kid adjusting to a new family, new language, and new culture.  At three years home, things changed for both kids.  Suddenly, we had to figure a lot of things out we’d never had to deal with before.  Thankfully, I’d been building relationships with our therapist, the schools, and with children’s services before the poo-poo hit the fan.

Even if you do not have a mental health facility in your community, you can do the work to develop relationships with people you will need at some point, for some reason or another.  It’s not always easy.  I’ve had to educate educators.  I even had to teach our young family physician what “RAD” meant, and then guide him to resources where he could learn about it.  (They just don’t teach this stuff in medical school.)  You need to educate yourself before you can educate others, of course.  The good news is there are a lot of resources available that weren’t available even four years ago when I got home with my kids.  There are a lot of great blogs written by very wise (though sometimes very worn) therapeutic parents.  There are relationships you can build with people who have walked in your shoes.  Don’t be afraid to share with someone who’s already walking this road.  Don’t be afraid to try some things, even if those things seem “weird.”  And if you’re in therapy, don’t give up too quickly.  If things are going well, it might just be because of what you’re doing – not because you don’t need to do it anymore.

Tuesday, November 15, 2011

Lying, and Stealing, and Tears! Oh my!

Stealing and lying are not uncommon occurrences for kids who were adopted, especially for kids adopted out of orphanages.  Oh, how shocked and upset I was the first time I “caught” my son with stolen property!  Actually, I should have had an inkling I would deal with stealing (and the lying that follows) at some point.  After all, my daughter was caught stealing a pack of gum by our missionary friend when we were shopping together during our adoption.  I’m not exactly sure why I was shocked when it happened here at home with my son, too.  I knew it was quite common for orphans (and former orphans) to steal and lie.  They had to be resourceful.  It was often a matter of life and death.  I guess I wasn’t prepared.  Our kids were home more than three years and I was gobsmacked.  I thought we were not going to have any of “those” problems.  I hadn’t caught either of them blatantly stealing something since that one day in the market during their adoption.  Then, all of a sudden, we were dealing with the theft of not just one expensive electronic device, but several.  On top of that, our son even figured out how to steal bandwidth from the neighbor by hacking into their (poorly) secured wireless internet connection.

Strangely -- and I’m not saying this happened easily, nor quickly -- I began to look at the positive in all this. 

HUH?  What’s positive about a kid stealing and then lying his BRAINS out after the fact?  Even telling “crazy lies” about the most obvious of things? 

Okay, I hear you.  Remember, I was right there!  But take a breath and think about it.  What is GOOD about a kid that knows how to steal and how to make up stories?  They certainly are resourceful!  They certainly know how to assess a situation and figure out where all the players are located at any given time and in any given scenario.  They absolutely know where the things they want to steal, as well as the things they have already stolen, are located.  No lost or misplaced items on that account!  They also know how to distract other people and how to manipulate them to their advantage.  When I thought about the skill involved in knowing how to do all these things, I started to think about how we could apply those skills to things our son could use as assets.  I don’t have a lot of time left with him.  He’s getting older.  He’s going to need a job in the not-too-distant future.

A kid that is aware of his surroundings is a good person to have around when you’re a middle-aged mom who often forgets where she put her keys or her cell phone.  A kid that always knows where the important things are located can find just about anything that’s “hidden” or “lost.”  A kid who knows how to play up a situation, or work things to an advantage, can develop the skills necessary to become a used car salesman or even a politician!  (Don’t laugh.  The world would be a vastly different place without politics and cars.)

The thing I’ve learned about my PTSD/RADish IA kids is they just don’t learn from words.  Lectures about what’s right and wrong don’t change their behavior.  Tears shed by them after being caught are much more about shame (a HUGE issue for most IA kids) and about, “dang, I got caught!” feelings, than they are about remorse.  And don’t even tell me “‘home-grown’ kids sometimes steal, too.”  (I know.  I did.  I stole a little toy from a store near my house when I was a kid.  My mom made me take it back and pay for it.  I remember it like it was yesterday.)   It’s not the same.  The motivation is different.  The aftermath is for sure different.

All internationally –adopted kids from orphanages know property is a collective commodity.  There are no personal possessions in an orphanage.  Everything belongs to everybody.  “Taking” something doesn’t mean the same thing as “stealing” it to our kids.  Additionally, because our kids had no personal property, it is hard for them to fully grasp – even years home – the concept of ownership.  Entitlement is the concept they know, and the one that builds to epic proportions once they’re home in America and have “stuff.”  Just going into Wal-mart or Target can be a completly overwhelming experience.  Put yourself in their shoes.  What is it like to go from nothing to virtually EVERYTHING?  Imagine getting by on a $30,000/year income and winning a power ball lottery.  Why are people in that situation, broke and worse off than they ever were within just a few years?

When your internationally-adopted child steals, try to stay calm.  (Don’t go ballistic like I did.)  They are going to be stressed.  You are going to be stressed.  It won’t matter if it’s a pack of gum or an iPod Touch (or two iPod Touches, computer components, and the neighbor’s internet connection).  It’s about their response to stress.  Lectures aren’t going to change the behavior.  They’re just going to become even more “resourceful” the next time.  (The chance that there will be a next time is higher than the chance this is a one-time thing.)  Shame sure isn’t going to change the behavior.  The lies will just get more elaborate.

Another thing to think about is when our kids steal, they are self-soothing.  They are taking control to meet whatever need it is they think they have, whether that need is to be the electronic king at the middle school, or a baby who needs the oral stimulation of sucking (sweet mother’s milk).  (This is a topic for another post, but my kids often ask for a piece of sucking candy or gum when they are stressed.  The sweetness and the sucking sensation are soothing to them.  They are getting something they got far too little of as babies.)

So, what do we do?  Ever work with 2-year-olds?  You do things over and over and over again. 

Our kids need matter-of-fact, natural consequences – over and over and over again.  Remember the years of abuse and neglect have wired their brains so differently than those of us raised in relatively happy homes.  If your child steals a pack of gum, think “Double-Mint.”  In other words, double it up!  Have the child pay back double for what they’ve taken.  FACE the manager at the store.  Make your child FACE the manager at the store.  Stand BEHIND your child while they do it.  Have them pay for the item.  Follow through on whatever consequences the manager sees fit to impose.  (Most managers will not/cannot accept double payment, but the double can be given to a charity that matters to the store – most all of them do something in their communities.)  This isn’t about humiliation or degrading our children.  It’s about restitution and restoration.  If your child doesn’t have money of their own because they’re too little, then show them how you are using YOUR money to pay for it – that it takes a young person, working minimum wage, to work X amount of time to earn that amount of TAKE HOME (after tax) money, and that they will need to work to replace that money for your family.  Give them a job to do at home they wouldn’t normally have to do, and let them do it for whatever amount of time is needed to earn that “take home” pay.

The lying that accompanies stealing is also a reflex and a means to the end of protecting oneself (however irrational or “crazy”).  In the orphanage, if someone got into trouble, the goal was to find the kid who could be in even more trouble.  Pointing fingers and telling stories was just what you did to get by.  It’s a way of life – even a culture – and that way of life is hard to turn around, even if your kid has been home several years.  When I moved from the Northeast to the Midwest, it was hard!  I had to change some of the things I did or said regularly -- things that were a way of life in the Mid-Atlantic, but were seen as rude and completely unacceptable in the middle of the country.  It’s really no different for my kids when it comes to dealing with what is automatic for them – to lie.  This topic deserves its own post – maybe even several posts.  For now, let’s just say when it accompanies stealing, you really need to let the lies go – at least while you’re dealing with the muck of the theft.  “Making” a child tell the truth will usually just get you an even crazier lie.  Be silent.  If you must say anything, say, “I know you’re not telling me something.  I can wait for you to tell me the rest of what really happened.”  Then wait.  Don’t badger.

There’s no simple way to wrap all this up.  Stealing and lying are hard things for a good parent.  I’ll admit quite readily that being lied to is one of my own top triggers!  Still, when you talk with your child after the heat of the moment, and you want your questions answered, try using “what” questions.  (Don’t use “why.”  They don’t know WHY.)  Ask, “What did you want?”  “What were you thinking before you got the toy?”  “What do you think we should do now?”


There are many places on the internet to read much more on this topic.  I recommend the book, Parenting Your Internationally Adopted Child, which you can get from Amazon or read online at Google Books here.  Feel free to add links in the comment section below this post!