Guest guest Posted February 25, 2003 Report Share Posted February 25, 2003 Meaghan-Oh yes-sounds like my daughter-she's total therapy resistant and makes a rare effort to work on probs. You are right-they can not be forced to do anything. Only has one friend off and on too-as of yet can't even keep job. I'm just happy if she can get to school and pass. You are not alone! Ellen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2003 Report Share Posted February 25, 2003 this is my first post. My 17 year old daughter was diagnosed with OCD two months ago after a suicide attempt. She has been put on 150 mg of Zoloft three weeks ago - she has been on lower doses of Zoloft since November but we think she was erratic in taking them. She has been accepted for CBT but - the diagnosis of OCD has not made her feel better and I doubt that she'll do the homework. The diagnosis has made her feel worse. she's been an extreme perfectionist her whole life and I think she feels she's gone from " perfect straight A over achiever " to something she perceives as freakish. She doesn't want the support of other OCD teens for the same reason. She understands logically the biological nature of this but she's so deep into self- hatred, it doesn't matter. She is extremely isolated - has only kept one friend. She had been accepted for college as a high school junior but is now only in one class at night and won't go back to high school or an alternative school. I don't know whether to leave it alone until we see how the OCD is going - I can't really push her to do anything anyways - she doesn't push. She does work three nights a week as a restaurant hostess and functions well there. She is mostly purely obsessional with morbid thoughts - although she is very slow, hates transitions. When she first got the diagnosis, she was relieved and wanted to work on it, but her therapist at the time told her it wasn't the only thing going on, she had to work on her depression etc - all of which might be true - but I think it made my daughter feel there was no point. She recognizes that her make- up/shower/clothes ritual is making her a prisoner because she doesn't have the energy to do it and she won't go out of the house without looking " perfect " so she mostly sits in the house. We have tried everything - but now she will lie to us about things she hasn't done, for example, Monday she was supposed to go to a pottery class she had signed up for that she thought might help her relax - she loves ceramics. We know she didn't go but she made up an elaborate story to her dad about her class experience. I think it's tied into her perfectionism. She's not lying about what she's doing - which would be normal adolescence - she's lying about what she's unable to do even though she " knows logically " we don't care. The lying is pretty hard to take - sometimes I just feel conned. She really hasn't changed one bit since we started down the therapy road a year ago - except to get less and less able to function. I know how isolated and sad she feels and it's breaking my heart. Anybody ever deal with a similar teen? Thanks. Meaghan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2003 Report Share Posted February 25, 2003 This sounds pretty similar to my 14 yr old dd. She began symptoms in 7th grade but has refused to work with a therapist. So I worked with a therapist and we assigned a tentative diagnosis of OCD and BDD. My daughter is well aware of how ER & P works from my discussion and literature I have given her, but not too willing to put it to use. She complains of feeling hated and like a freak, often feels that she is bad herself, and does not fit in with our family or her school (a small private and accomodating school) though her classmates are not mean to her. She has spells every few weeks of depression/withdrawal with aches and pains, misses 1 to 2 days of school and then returns (9th grade). Obvious OCD symptoms were more primary in the beginning, but maybe are compensated for or 'underground' now? I guess we have been in a sort of holding pattern for quite sometime now. She still functions, has seemingly good days or week(s) where she at least attempts to be sociable, and at home is animated and creative (she draws and writes- maybe a bit manic?) gets good grades (except in math where I believe she has a learning disability) but obviously not active at expected levels for her age. She has no extracurricular activities, and cannot fullfill the volunteer hours her school requires, though they are lenient in her case. She does not help out much at home (with 5 younger siblings) which makes her and her dad constantly at odds, she avoids him as much as possible. She uses home as a retreat and to crash b/c school exhausts her. She is also a slave to the make-up and clothing routine (uniforms at school solve some of this) not going out if not looking right, and gets tired of needing to prepare to leave the house. She will stay home if it is too much effort, but will feel badly. She missed a field trip to a great museum which she would have loved to see, b/c it was free dress day and too stressful for her to find clothes and contemplate sitting in a car with classmates for a long drive. Her face has broken out which makes things worse. She has one friend too, who is the only person who will get her out on the weekends (except for also attending mass, which I am relieved she still attends, though not with the family). She states frequently that she will not make it through 4 years of highschool, it is driving her crazy, she will get herself expelled etc, so last week she in a spell/staying home I got her to agree to see the doctor, which is somewhat of a breakthrough. (In past I have forced and/or bribed her to therapy and appointments but she does not cooperate and gets resentful and more withdrawn-one of her tricks is to be in the shower when it is close to time to go, she too, is angered by talk of diagnoses and refuses to consider meds). I really wanted to " strike while the iron was hot " and get her right in, since she agreed, but our pediatrician who agreed to call us back was overwhelmed with a local flu epidemic. Though I called 4 times, he did not return my call until the end of the day, and then asked me to take her out of school for an evaluation and referral on Monday, which I will not do b/c missing school exacerabtes her anxiety and could snowball into school refusal while she is in a flare of anxiety, as she is currently. So I am waiting until she is in one of her more stable spells, so as not to rock the boat, and either will take her after school (difficult b/c she is so dragged out at day's end) or take her out of school if needed. It is a balancing act to keep her on top of homework and deal with attendance issues, so I am willing to wait for a day off or half day to get her seen and referred (since she is now seeming more willing- perhaps the prospect of 4 years of feeling this way is getting to her?). She has wished she could go to work instead of school-I think this actually makes some sense, and that it is not a bad thing that your daughter works part time. School is such a socially artificial and stressful place. Work would be like an eascape into reality, imo. Others here can give you more therapeutic type answers, I am just symapthizing, but with no concrete anwswers since my daughter has not been open to therapy so far. She has been much worse in the past, has missed an entire week of school before, and had longer spells of withdrawal, so in ways she " seems " better, but definitely not where I would wish her to be, and Idon't know what the full story is since she is uncommunicative about that aspect of her life. I am thankful she still attends school and hoping with time she may accept help (and seems she might be headed that direction). Hope to hear that you and your daughter find help. nancy grace > this is my first post. My 17 year old daughter was diagnosed with OCD > two months ago after a suicide attempt. She has been put on 150 mg of > Zoloft three weeks ago - she has been on lower doses of Zoloft since > November but we think she was erratic in taking them. She has been > accepted for CBT but - the diagnosis of OCD has not made her feel > better and I doubt that she'll do the homework. The diagnosis has > made her feel worse. she's been an extreme perfectionist her whole > life and I think she feels she's gone from " perfect straight A over > achiever " to something she perceives as freakish. She doesn't want > the support of other OCD teens for the same reason. She understands > logically the biological nature of this but she's so deep into self- > hatred, it doesn't matter. She is extremely isolated - has only kept > one friend. She had been accepted for college as a high school junior > but is now only in one class at night and won't go back to high > school or an alternative school. I don't know whether to leave it > alone until we see how the OCD is going - I can't really push her to > do anything anyways - she doesn't push. She does work three nights a > week as a restaurant hostess and functions well there. She is mostly > purely obsessional with morbid thoughts - although she is very slow, > hates transitions. When she first got the diagnosis, she was relieved > and wanted to work on it, but her therapist at the time told her it > wasn't the only thing going on, she had to work on her depression > etc - all of which might be true - but I think it made my daughter > feel there was no point. She recognizes that her make- > up/shower/clothes ritual is making her a prisoner because she doesn't > have the energy to do it and she won't go out of the house without > looking " perfect " so she mostly sits in the house. We have tried > everything - but now she will lie to us about things she hasn't done, > for example, Monday she was supposed to go to a pottery class she had > signed up for that she thought might help her relax - she loves > ceramics. We know she didn't go but she made up an elaborate story to > her dad about her class experience. I think it's tied into her > perfectionism. She's not lying about what she's doing - which would > be normal adolescence - she's lying about what she's unable to do > even though she " knows logically " we don't care. The lying is pretty > hard to take - sometimes I just feel conned. She really hasn't > changed one bit since we started down the therapy road a year ago - > except to get less and less able to function. I know how isolated and > sad she feels and it's breaking my heart. Anybody ever deal with a > similar teen? Thanks. Meaghan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2003 Report Share Posted February 25, 2003 Wow! I just finished reading this thread and am amazed at the similarities between your stories and my own. My daughter is a bit younger (age 12 going on 16). She was first diagnosed with OCD 2 years ago but is currently having increased symptoms. She is also attending a small private school and she too has attendance problems. But she manages to keep up with the school work and is even in the top end of her class. This is the third straight week of missing school for her. Before that she was missing pretty consistently on a monthly basis (1-2 days). I never thought of the getting dressed routine as OCD behavior but I now realize that you are absolutely right. My daughter is obsessed with her clothes. She constantly wants to go shopping, organize her clothes in her closet, and can't go out unless she is perfectly coordinated. I guess I was thinking of it as typical teenage behavior but it really does seem to be more than that. Therapy has not been that useful for her because she is so reluctant to participate. Anyway, I spoke with her psychiatrist today and I sort of felt that I got a guilt trip for not " setting firmer limits " with her. It actually ruined my day. Maybe it is an issue for me but I guess I feel that if her anxiety level is so high, then school is not the first priority. We need to get the meds working again. This is all so very confusing . . . all I can do at this point is take one day at a time. I'm not sure who is supporting who in this post but thanks for sharing and you're not alone. > This sounds pretty similar to my 14 yr old dd. She began symptoms in > 7th grade but has refused to work with a therapist. So I worked with > a therapist and we assigned a tentative diagnosis of OCD and BDD. My > daughter is well aware of how ER & P works from my discussion and > literature I have given her, but not too willing to put it to use. > > She complains of feeling hated and like a freak, often feels that > she is bad herself, and does not fit in with our family or her school > (a small private and accomodating school) though her classmates are > not mean to her. > > She has spells every few weeks of depression/withdrawal with aches > and pains, misses 1 to 2 days of school and then returns (9th grade). > Obvious OCD symptoms were more primary in the beginning, but maybe > are compensated for or 'underground' now? > > I guess we have been in a sort of holding pattern for quite sometime > now. She still functions, has seemingly good days or week(s) where > she at least attempts to be sociable, and at home is animated and > creative (she draws and writes- maybe a bit manic?) gets good grades > (except in math where I believe she has a learning disability) but > obviously not active at expected levels for her age. She has no > extracurricular activities, and cannot fullfill the volunteer hours > her school requires, though they are lenient in her case. > > She does not help out much at home (with 5 younger siblings) which > makes her and her dad constantly at odds, she avoids him as much as > possible. She uses home as a retreat and to crash b/c school > exhausts her. She is also a slave to the make-up and clothing routine > (uniforms at school solve some of this) not going out if not looking > right, and gets tired of needing to prepare to leave the house. She > will stay home if it is too much effort, but will feel badly. She > missed a field trip to a great museum which she would have loved to > see, b/c it was free dress day and too stressful for her to find > clothes and contemplate sitting in a car with classmates for a long > drive. Her face has broken out which makes things worse. > > She has one friend too, who is the only person who will get her out > on the weekends (except for also attending mass, which I am relieved > she still attends, though not with the family). > > She states frequently that she will not make it through 4 years of > highschool, it is driving her crazy, she will get herself expelled > etc, so last week she in a spell/staying home I got her to agree to > see the doctor, which is somewhat of a breakthrough. (In past I have > forced and/or bribed her to therapy and appointments but she does not > cooperate and gets resentful and more withdrawn-one of her tricks is > to be in the shower when it is close to time to go, she too, is > angered by talk of diagnoses and refuses to consider meds). > > I really wanted to " strike while the iron was hot " and get her right > in, since she agreed, but our pediatrician who agreed to call us back > was overwhelmed with a local flu epidemic. Though I called 4 times, > he did not return my call until the end of the day, and then asked me > to take her out of school for an evaluation and referral on Monday, > which I will not do b/c missing school exacerabtes her anxiety and > could snowball into school refusal while she is in a flare of > anxiety, as she is currently. So I am waiting until she is in one of > her more stable spells, so as not to rock the boat, and either will > take her after school (difficult b/c she is so dragged out at day's > end) or take her out of school if needed. > > It is a balancing act to keep her on top of homework and deal with > attendance issues, so I am willing to wait for a day off or half day > to get her seen and referred (since she is now seeming more willing- > perhaps the prospect of 4 years of feeling this way is getting to > her?). > > She has wished she could go to work instead of school-I think this > actually makes some sense, and that it is not a bad thing that your > daughter works part time. School is such a socially artificial and > stressful place. Work would be like an eascape into reality, imo. > > Others here can give you more therapeutic type answers, I am just > symapthizing, but with no concrete anwswers since my daughter has not > been open to therapy so far. She has been much worse in the past, has > missed an entire week of school before, and had longer spells of > withdrawal, so in ways she " seems " better, but definitely not where > I would wish her to be, and Idon't know what the full story is since > she is uncommunicative about that aspect of her life. I am thankful > she still attends school and hoping with time she may accept help > (and seems she might be headed that direction). > > Hope to hear that you and your daughter find help. > > nancy grace > > > > > > > this is my first post. My 17 year old daughter was diagnosed with > OCD > > two months ago after a suicide attempt. She has been put on 150 mg > of > > Zoloft three weeks ago - she has been on lower doses of Zoloft > since > > November but we think she was erratic in taking them. She has been > > accepted for CBT but - the diagnosis of OCD has not made her feel > > better and I doubt that she'll do the homework. The diagnosis has > > made her feel worse. she's been an extreme perfectionist her whole > > life and I think she feels she's gone from " perfect straight A over > > achiever " to something she perceives as freakish. She doesn't want > > the support of other OCD teens for the same reason. She understands > > logically the biological nature of this but she's so deep into self- > > hatred, it doesn't matter. She is extremely isolated - has only > kept > > one friend. She had been accepted for college as a high school > junior > > but is now only in one class at night and won't go back to high > > school or an alternative school. I don't know whether to leave it > > alone until we see how the OCD is going - I can't really push her > to > > do anything anyways - she doesn't push. She does work three nights > a > > week as a restaurant hostess and functions well there. She is > mostly > > purely obsessional with morbid thoughts - although she is very > slow, > > hates transitions. When she first got the diagnosis, she was > relieved > > and wanted to work on it, but her therapist at the time told her it > > wasn't the only thing going on, she had to work on her depression > > etc - all of which might be true - but I think it made my daughter > > feel there was no point. She recognizes that her make- > > up/shower/clothes ritual is making her a prisoner because she > doesn't > > have the energy to do it and she won't go out of the house without > > looking " perfect " so she mostly sits in the house. We have tried > > everything - but now she will lie to us about things she hasn't > done, > > for example, Monday she was supposed to go to a pottery class she > had > > signed up for that she thought might help her relax - she loves > > ceramics. We know she didn't go but she made up an elaborate story > to > > her dad about her class experience. I think it's tied into her > > perfectionism. She's not lying about what she's doing - which would > > be normal adolescence - she's lying about what she's unable to do > > even though she " knows logically " we don't care. The lying is > pretty > > hard to take - sometimes I just feel conned. She really hasn't > > changed one bit since we started down the therapy road a year ago - > > except to get less and less able to function. I know how isolated > and > > sad she feels and it's breaking my heart. Anybody ever deal with a > > similar teen? Thanks. Meaghan Quote Link to comment Share on other sites More sharing options...
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