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View Full Version : Could Use Encourage/Advice/Freedom to Vent



Indianamom2
04-15-2013, 02:19 PM
Where to begin? Dd (8) has had a number of challenges since birth. Most we've worked through with therapy and time, but a few remain. She has always had a terrible time with anxiety and lately it has just been more out of control than usual. She dreads going to school even though she does like school and is in a very loving/nurturing/and understanding class/school (it's truly an irrational thing). Her anxiety and the fall-out from it (not eating/constant stomach aches/much crying and anger and lashing out) have affected us all and we've just got to get her some help.

Of course, we've been trying to figure out exactly what was in play since she was an infant, but we started in earnest at 3 and have had MULTIPLE tests or all sorts, we've ruled out a TON of stuff and seen multiple well-regarded specialists and two previous counselors. We are on phychologist number 3 right now and will be starting cognitive behavioral therapy this week, once every two weeks for 6-8 sessions. After another $1000 battery of tests (TOVA/Woodcock-Johnson/etc) she has been formaly diagnosed with generalized anxiety disorder (absolutely agree with this) and very likely ADHD, which we've also heard theorized before, except that she cannot be formerly diagnosed because her teacher says it does not affect her work (she's a straight A student). Except that all the tests we've done except her teacher's form clearly indicate the presence of ADHD. She also has a somatization disorder (basically feeling sick because of all the anxiety).

With all this in mind, we feel like we've truly tried everything anyone has suggested and things are not better. It's honestly affecting everyone in our household and we are just exhausted. The one thing we haven't tried is anxiety medication in addition to counseling. Dh and I both are on anti-anxiety meds. It runs EXTREMELY strongly in his family and I have panic attacks. After a lot of soul-searching and researching and consulting with drs., we feel like a trial of something (probably Zoloft) would be appropriate. Her current phychologist agrees, but obviously can't prescribe (feel like I got the bait and switch there too, but that's water under the bridge at this point). He told us that DD's pedi (whom we love and trust) would be able to prescribe the Zoloft. However, she won't, not because she thinks it's wrong in this case, but because she doesn't feel comfortable monitoring children on pyschiatric meds. She doesn't prescribe them at all. I can respect that, but now we have to find a pyschiatrist, which apparently is next to impossible in our area....or at least one that deals with children and isn't booked into JUNE.

I know, June isn't technically that far off, but for a family that has been struggling and a child who is truly miserable at least half of her time and who is literally begging for help...it feels like an eternity. On top of that, we will not actually be seeing a pychiatrist in person. Oh no, she's going to be teleconferencing with us. And for that distinct privilege, we get to pay an extra $46 (probably per session, I just didn't have the heart to ask, because the nurse said insurance probably won't pay it and the bills just keep coming....)

I just feel defeated and frustrated and sad. All I want is to help my child. My 8 year old girl who has fooled nearly everyone into thinking that she's just fine, except that her brave face mask falls apart the moment she gets home from school and her dad, brother and I have to try to pick up the pieces and help her carry on. Why is it so hard to get help?

Sorry this is so long, but I needed to write it out somewhere. I should add that Dh is also struggling with med changes and on-going anxiety/depression and Ds is 3.5 and has overnight turned into a little terror, partly I think because of all the stress here. Something has to give somewhere. I feel like I'm trying to hold two people together and keep a little guy from getting tangled up in the fall-out and I don't have any help. We don't have family nearby and no extra money for outside help. I'm ok (no worries there...I'll probably get everybody else stable and then fall apart myself, and I am and will continue to take care of myself) but we need help and just keep hitting a brick wall.

Thanks for letting me vent.

anonomom
04-15-2013, 02:22 PM
First, :hug:. I'm sorry you're going through such a rough time right now, and I'm glad you can at least vent here.

Second, good for your for fighting for your daughter. She is so very lucky to have you in her corner.

larig
04-15-2013, 02:23 PM
:grouphug: It's so hard to deal with our kids' struggles sometimes. Kudos to you for all of the work you're doing for your girl. It takes strength and resolve. Hang in there.

inmypjs
04-15-2013, 02:23 PM
I'm sorry you are going through all of this. It sounds like you are doing all the right things to help your DD. If you are ready to try medication, I might look for another ped that would be more comfortable with this. I would call around and explain. It sounds like you have documented diagnoses that you can provide.

Also, you might look for psychiatry practices that have a psychiatric nurse, or Nurse Practitioner. You can often get in to see them a lot faster than the psychiatrist. If you could see them, they could get her started on something until and then you could follow up with the psychiatrist. Not every practice will do this, as some require the initial meds to be prescribed by the psychiatrist, but you might give it a try.

Melaine
04-15-2013, 02:25 PM
Oh Christina! I haven't BTDT with a DC but I have GAD myself and we have definitely had some anxiety-like things with both DDs. It's such a difficult, deep issue that people don't understand. I'm so sorry to hear how hard it has been for you! I would definitely be ready to try meds under those circumstances! Is there anything else you can do to be seen faster? No way you could drive to another city for a quicker diagnosis? That is so frustrating. I think I would even consider changing peds. I hope things turn around soon!

abh5e8
04-15-2013, 02:28 PM
another option would be a general psychiatrist (not child psych) that also sees children...there are some like this.

hugs....its so tough! hope you all get some rest/peace/help soon.

georgiegirl
04-15-2013, 02:31 PM
Many hugs. I hope you are able to find a solution that works for your family soon.

I often feel like my DD (7) is headed in that direction. She has stomach aches (from anxiety) and worries about random crap to the point she has trouble falling asleep and needs me to hold her hand (because her friend's neighbor had a big, scary dog or she saw a bee on the playground or she saw something mildly scary in a movie 6 months ago she just cannot forget.)

sste
04-15-2013, 02:36 PM
Cr*p, Indiana, that is a lot for your whole family to deal with!

The thing that should give you great hope though is that you have not yet tried the two things that should be most effective for a kid with anxiety: 1) c-b therapy; and 2) medication.

On the C-B, have you read "freeing your child from anxiety" or any of the kids CBT workbooks? You probably already have but I thought I would mention it. Your CBT is going to be even more effective when you are integrating aspects into your interactions with your daughter.

On meds, I understand hesitating and I agree with conservatism. But here the risk-risk tradeoff is clearly starting to favor the meds. Are you in Indiana? Is there no one at Riley that can help? Can you ask your ped if she knows someone and can try to get you in sooner? Also put yourself on the office list to call if there is a cancellation.

I hesitate to rec. this because I don't know about pediatric populations etc and there is in general less research on non-prescription drugs. I have mild anxiety and have a mild positive response to l-theanine (I use now brand, melbel has posted about using source naturals, I believe we both used 200mg). It is an extract of green tea, I believe as safe as you can get, and pilot work being done on kids with ADHD. It also works, if it is going to work, very quickly -- no two week wait. It might be an interim measure. 5-htp is another option but I believe there are some side effects and occasional reports of suspected contamination. I don't think it is unsafe per se but when I was BFing I was less comfortable using it based on the warnings.

pinkmomagain
04-15-2013, 02:46 PM
Sorry you are dealing with this. 2 of my girls have GAD and one also has adhd-inattentive type.

Sorry to say, I am glad your ped does not want to prescribe because, honestly, a child psychiatrist (or psychopharmacologist) is someone who really knows the ins and outs of medications/dosages. It really makes a lot of sense to start with a trained professional and have your child monitored on a regular basis. My kids see their prescribing drs ever 6-8 weeks. But my goodness....it sounds ridiculous that you have to wait so long to consult with a psychiatrist in your area!!!!!! Maybe the school psychologist has a recommendation!!!! Another option is, perhaps, a neurologist? A neurologist was the first one to actually prescribe anxiety medication for dd2.

bisous
04-15-2013, 03:38 PM
Oh Christina! I haven't BTDT with a DC but I have GAD myself and we have definitely had some anxiety-like things with both DDs. It's such a difficult, deep issue that people don't understand. I'm so sorry to hear how hard it has been for you! I would definitely be ready to try meds under those circumstances! Is there anything else you can do to be seen faster? No way you could drive to another city for a quicker diagnosis? That is so frustrating. I think I would even consider changing peds. I hope things turn around soon!

I would drive FAR to see someone and get started if I thought that would make things better.

I'm sorry you're struggling. I know the feeling, for sure. DS1 has had issues forever. As much as I struggle with his diabetes diagnosis (and it is the most "serious" of his concerns because it is life-threatening) the ADHD and resultant adjustment issues in school have caused me much more heartache and pain. Be kind to yourself!

mommyoftwo
04-15-2013, 03:59 PM
i don't really have any advice for you but I really feel for you. To a MUCH smaller degree we have having similar issues with both of the older girls. I think it's fallout from my extremely difficult pregnancy and six months of bedrest. The anger, anxiety, tears and acting out are incredibly stressful for DH and I and we are a bit at a loss of what to do about it. All that to say that I have no answers but do understand in a small way what you are dealing with.

I agree with others that I would look into other options for getting help before June even if that meant driving a long distance to get it. If you can find a doctor to treat her now, then you could transfer to a new doctor closer to home when an opening becomes available. Unfortunately it can be very difficult to get into a specialist in a timely manner even with a referral. (((HUGS)))

crl
04-15-2013, 04:13 PM
Appointments are so hard to get with specialists for special needs kids. :hug:

I am so sorry and I hope things get better soon.

Catherine

Kindra178
04-15-2013, 04:29 PM
Hugs. DS1 deals with anxiety as well; it is hard on the whole family. I will say that based on recs here, CBT worked amazing wonders. Could you travel to get into a child psych quicker (like Lurie, Comer or Rush Children's in Chicago or some of the suburban ones like Elmhurst, or the big hospitals in Naperville here) or in Indy? Because psychs just do med checks, you may be able to see the person infrequently. I hope one of the many mental health professionals on this board can give you additional advice.

Indianamom2
04-15-2013, 09:17 PM
Thank you all for letting me get that off my chest. I have a wonderfully supportive husband, but he's been dealing with his own health and so I try not to add too much to his plate. All the rest of our family sort of understands what we're facing, but with them not being physically close enough to provide much help or to see DD in action very often, they don't totally get it. Sometimes I just need to vent.

I will look into seeing if there are any general psychiatrists who also treat children...that might be a viable option for us. Like Pinkmomagain (I think) said, I am actually ok with DD's pedi not prescribing it if she's truly not comfortable with monitoring. The decision to medicate has been a really hard one because the risks are terrifying, but at the same time, the risks of NOT medicating are also very high. I guess I would rather experiment with the medication while she is young and unaware of how to harm herself (if it would ever get that severe) and while we can very closely monitor her before all the hormones hit and she's out of our house. But still....it's just hard to imagine medicating our 8 year old, so I want the best possible person to help monitor her.

I am thinking that a neurologist probably isn't going to be any easier to get an appointment with either, but it's something to keep in mind. We live about 3 hours away from Riley or Chicago, so while we can use those facilities, it's a major day long trip and then DD misses even more school (she has missed so much already for therapy and appointments) and so if we can find someone remotely local at all, it would definitely be a lot easier for us. But we'll do what we have to do.

I really appreciate all the kind words and thoughts and support. I know I'm not alone in this and I'm sorry that so many others here are somewhere on this journey with their children as well. It is so much more than "just" anxiety. Mental health services are so difficult to obtain for children. That can't be a good thing.

KpbS
04-15-2013, 10:50 PM
I am so sorry to hear things have gotten progressively worse. I remember your posts from the last few years because my DS1 has struggled a lot with stomach pain which is hard to tease out what for him is some of his many, many food allergies or anxiety/depression manifestations--he does have both.

I like a lot of the ideas of PP about finding a psych NP, general psych who would prescribe AND monitor for kids, or even traveling a couple of hours to get in to a good facility with competent physicians. I know it is so hard to see them suffer! I hate it. You are a great mom! I will be praying she will receive great care ASAP. :hug::hug:

Tondi G
04-16-2013, 01:13 AM
I'm sure you have already done it but I would ask that your number be kept close in case the child psych has a cancellation and can see your DD sooner.

Do you think there is another pediatrician in the area that would be willing to take on your DD and monitor her on the meds?