Antidepressants Are a Beautiful Thing

Our boy has done a complete 180 degree turn during the past week. He has gone an entire week without a single tantrum (by which I mean no hitting, punching, throwing things, threatening to hurt himself). That is probably the longest he's ever gone since being with us. He's been happy, smiling a lot, telling us he loves us a lot (unsolicited statements like "I love you, Ima..." or "I love spending time with you, Mama..."), and totally fun to be around. He's earned new privileges, he's talked about his feelings instead of acting out, and he's been pretty much like a "normal" kid with fairly severe ADHD. He's had no aggression or violence or angry outbursts. It's pretty incredible.

Family life has been a total joy lately, which is such a relief from the constant struggling of the last 4 months. There have been difficult moments, things are far from perfect... but they are so, so much better. I think the Prozac is working, and allowing the therapy to be more effective... which is giving credence to our belief that Big Guy's violent tantrums were not just behavioral but instead were due to a combination of anxiety, depression and PTSD. He's only been on Prozac a few weeks, and just this week we upped the dose, so it's possible things will get even better from here. I can't help feeling like I'm waiting for the other shoe to drop - How can this be real? How long can it last? But I'm also starting to let go and just enjoy these times... and giving him loads of positive feedback about how awesome his behavior is and how much fun he is to be around.

Big Guy told us last night that he's being good so the judge will let him go home. It broke my heart to hear him say that, because it means he really still thinks he was removed because he was bad and he can go home when he's good. But it was a good opportunity to let  him know that being happy and being well-behaved will help him in every aspect of life, no matter where he lives. Whether he goes home or is adopted, he will have a better life and more privileges if he can behave respectfully and he feels good inside. We reminded him he isn't in foster care because he is bad, that he's in foster care because mommy has problems parenting (problems she is working on right now), and that we can't promise that good behavior will mean he gets to go home.

At first I was worried that raining on his parade like this might make him start acting out again, but my dad reminded me that there's no way that Big Guy was able to keep up such amazing behavior for an entire week purely out of willpower so he could go home. If that was the case, he'd have been on perfect behavior from the beginning of his time here. I think he just had an easier time behaving the way he'd like to behave because he's less depressed and anxious, plus he's been working in therapy on internalizing that hurting us isn't going to make him be able to go home. When he saw his behavior being so positive, it may have renewed his hope that now he can have enough self-control that he can behave well at home so that mommy will want him back and the judge will send him back. So I don't think he's going to regress simply because we are giving him reality checks about his power to make the judge send him home to mommy. He looked so deflated after I corrected him, I wanted to cry.

We knew from the beginning that "Oppositional-Defiance Disorder" and "ADHD" didn't fully encapsulate what was going on with this child. I'm so glad we finally found professionals who agreed that we needed to dig deeper into the psychiatric issues. Big Guy is happier, calmer and so much more focused. I feel like a weight has been lifted off of me. Even if it's temporary, it's a huge gift. Times like this remind me that all this hard work is worth it. And you know what? In the (unlikely) change that he does go back home to mommy, who is so limited in so many ways, I think it would be great to send him back as a happier, less aggressive, more well-adjusted kid who is easier for a cognitively limited mom to parent. I finally understand what foster parents mean when they say that they get satisfaction out of reuniting with their families a healthier kid who's done a lot of healing and learned new coping skills.

The word says it all.

Allegation.

Yes, that's right. It's what you think it is. After all this time, all the days when we felt like we couldn't do it any more but still held on, all the times we got kicked, hit, peed on, or cursed at... Going on four months of hanging in there with this amazing child in hopes he can begin to heal...  After all this time, at a time when we're finally feeling like we can do this... like we are no longer in crisis mode and we're actually holding our heads well above the water... when Big Guy is finally making some progress...

...We could lose him.

We haven't gotten any clear answers but we don't think Big Guy made the allegation, we think it's the school reporting that he had visible injuries (which he sustained when we tried to keep him from throwing things at us and hurting us... and which we immediately reported to the school social worker and to CPS). If that's true, then they probably did the right thing by reporting it - It should have been a red flag for them. But that doesn't make this less scary. Our family hangs in the balance, its destiny decided by an investigator who doesn't know our family (and doesn't know a lot about Big Guy's case). We are lucky enough to have our caseworker, therapist, etc in our corner. They have all seen his tantrums, seen how violent he can get, and seen how we handle them. They all think we're doing a great job. Our caseworker seems to think her opinion will weigh heavily on the final outcome. I hope she's right.

We could lose him. But it's not us that I'm worried about. It's him. It's Big Guy who has everything to lose, because CPS says the next step for him is Residential Treatment.

I have no idea what to expect of the investigation. I know they already tried to talk to him at school but he says he didn't talk to them because he didn't want to miss class (!)

Pardon my language, but screw this. The last thing we needed was this anxiety and fear, when we were finally feeling some semblance of calm at times in our home and our hearts.


Please pray for this sweet boy, who deserves to stay with a stable family who doesn't give up on him, not an institution.

NOTE: This entry may self-destruct if I decide it was stupid to post about this.

What's goin' on.... and a plea for help.

Oh dear, it's been a while since I've updated, huh?

Did you think maybe I stopped posting because we threw in the towel and our boy got placed in a therapeutic foster home? Rest assured, we're still hanging in there with Big Guy and don't have any intent to stop.

It's partly the Jewish holidays - Rosh Hashanah, Yom Kippur, Sukkos, Simchas Torah... They have taken up a huge part of my time for the last month. It's also partly that there's so much to say and I know I'll never be able to update you on everything that's going on.

Here is a bullet list of just a few of the many things that have happened since I last posted:

• His team (case workers, etc) decided if this placement fails he will be placed not in a therapeutic foster home but in a Residential Treatment Center. Holy crap, talk about pressure on us! We feel so strongly, as does his therapist, that at this point he does not need an RTC, he needs a family. It's one thing if we adopt him and then he needs RTC, because he'd have a family to visit him all the time and then to eventually come home to. If he went to RTC right now we'd have no rights to even visit him and at most he might get a weekly visit with mom and an occasional visit from a social worker. 

• His therapist asked me "So, how does it feel living in a residential treatment center?" Because he acknowledged what everyone else is coming to realize, which is that we are basically providing a residential treatment center and therapeutic foster home without the training or compensation.

• Big Guy's therapist is excellent and Big Guy is starting to talk about his anger, why he takes it out on us, his sadness, etc.

• Big Guy has been revealing more abuse history. I'm feeling so angry I just want to kill everyone who hurt him. I have to laugh that I told people when he was first placed with us, "He doesn't seem to have any kind of major abuse history, at most maybe a little emotional neglect." Warning to first-time foster parents like us: Never, ever believe that the story you think you know during the first month or when a kid's placed is anything near what the full truth is.

• We found a great psychiatrist who is starting him on an anti-depressant! Hallelujah! She actually gets that it's not just ADHD and Oppositional Defiance Disorder that are happening here, and she diagnosed him with PTSD after we had been increasingly feeling that some of his behaviors are trauma reactions.

• We have been talking to Patty (Big Guy's mom) a lot and learned from her more about her own and her mom's mental health history which has helped us understand the situation better and also helped us inform the psychiatrist. We have an awesome relationship with her...

• ...Which makes it so frustrating that CPS has decided we shouldn't be allowed to supervise visits. Because an outside agency that CPS contracts with is now doing visits at their offices and doesn't allow any contact between birth families and foster families, we cannot see her, and Little Guy (Big Guy's baby brother who we had for the first week that Big Guy was with us), at all. She literally enters through a different door than us, we think, so we can't even "run into her" in the waiting room. It's awful. So much for our dream that we could help mentor and support her. Basically CPS has made it clear they want to build a case to terminate her parental rights, even though she is parenting her baby and her older kid has only been in foster care 3 months with us. They have a foster family who is very competent and has a good relationship with the birth mom, a birth mom who never hurt her child directly, and a foster child who isn't traumatized by contact with his birth mom... The perfect situation to allow a mentoring relationship between foster and birth family or at least to allow more casual visits outside a clinical setting. Yet they don't want to make more work for themselves or risk her actually getting help from us, so they're screwing everyone in the process. Nice.

• School started and life became much more manageable because of everyone having a set schedule, so we no longer feel we're living in constant crisis mode...

• ...However, around the time school started Big Guy stopped sleeping through the night. He woke us up no less than seven times last night. He simply cannot and will not sleep without a grown-up in bed with him (please, spare me the lectures and horror stories about how foster parents should protect themselves from abuse allegations by never ever laying down with a child. It's the only way to keep from multiple violent meltdowns at night right now, and if those meltdowns are hard to deal with during the day they are impossible to deal with when half-asleep). His anxiety is so out of control. Usually I go lay down with him when he wakes us up, but end up falling asleep and waking up hours later in horrible pain because his bed sucks and I have a bad back. If anything is making my life feel unmanageable right now, it's not his tantrums or violence... it's the lack of continuous sleep and how we're held hostage by him at night because he wakes up multiple times and is terrified to go back to sleep without us with him. Have I mentioned I have idiopathic hypersomnolence, and am therefore supposed to get 9 hours of sleep a night in order to safely drive? Haha.

Any suggestions on how to deal with the sleep issue, experienced mamas and papas? He's already on 3mg of Melatonin and is taking his Risperdal at night as well. He has nightmares but frequently he wakes up without having nightmares. I hope the SSRI will help. I feel like the parent of a colicky infant, who feels ready to kill someone due to weeks and weeks of interrupted sleep.

When foster kids threaten false abuse allegations

This one's to throw out there to the foster-blogosphere: What do you do when your foster kids threaten to make false abuse allegations against you? It seems to come with the territory with older foster kids, from what I hear. I want to hear how you deal with this.

I have to say that it really freaks me out when, during tantrums, Big Guy threatens to tell CPS we're abusing him. This only happens when he gets mad at us and has a massive tantrum (he becomes like a totally different kid during these tantrums). He learned some time before he entered foster care that you could theaten someone by saying you'd report them for abuse. He seems to understand that CPS is who you should tell. He's so naive and immature, and didn't come into care due to an abuse allegation, so it's pretty clear to us that someone must have told him that he could get grownups in trouble this way. Being a foster parent to an older kid is scary. It's scary partly because you hear warning stories about how it's a matter of when you'll get an allegation made against you, not if.

As much as I know that Big Guy's therapist, caseworker, etc. think we're doing a great job and respect us and don't suspect us of abusing him... if he made an allegation they'd be obligated to investigate, and that investigation alone could be very traumatic for all of us. I know people it's happened to, and even when they discover that the allegation was BS, it turns peoples' lives upside down. We had to have a conversation tonight with Big Guy about how lying is not okay, and I finally let him know that if he lied and told someone we were hurting him, he might be removed and never allowed to see us again... and reminded him he wouldn't be sent back to mommy, which when he's mad at us is probably what he'd like. I had tried for so long to not say anything like that, but I think it's time he understand how serious it is for him to lie about something like this. He is not a liar. This kid really can't seem to lie. But you never know what he might say when he gets mad enough at us, and it's just so scary to think that not only we would pay the price... he would pay the price. We reiterated the importance of honesty. We emphasized that we would never hurt him and we don't believe in hitting children (and reminded him of our anger that he was beaten by relatives) and told him if we ever did hit him he should tell somebody, so that he'd understand that we're serious about kids being safe. I hope we dealt with this the right way. I can't ignore it any more. As usual, we are writing e-mails to caseworkers and therapists to let them know what he said - I make sure to constantly have them document his threats.

By the way, when did Big Guy make the most recent and by far the most serious threat of making a false allegation? Mere hours after he told us for the first time, out of the blue, "I want to stay with y'all forever. I don't want to have to leave."

Yup, that just about sums things up

After Big Guy calmed down from a horrific tantrum this evening during which I got kicked in the shin and both Sarah and I had various items thrown at us, he sweetly pointed out "But I didn't break anything during my tantrum. I tried really hard not to break anything." He clearly wanted a pat on the back, which Sarah had to give him because my shin still hurt too much for me to feel charitable. We suggested that maybe now that he's had a tantrum that didn't involve breaking furniture or lamps, we could try stopping hurting people during tantrums.

That basically encapsulates how things are right now. Tantrums are still intense and violent, but progress is being made with the help of a wonderful behavioral therapist. We have adopted a zero tolerance policy towards whining, which is helping us get him to use his words (and a non-whiny tone of voice) to ask for what he wants and teaching him that when he asks nicely, he often gets what he desires. We have been much more "tough love" (not in a mean way, but in a boundary-setting way where we don't give him attention if he's doing undesirable behaviors and we don't try to over-explain why we're saying no when we say no). It seems like a little progress may be happening. Then again maybe I'm being overly optimistic because he's only been home for a few days so I'm not exhausted from his constant tantrums yet.