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SD15 Therapist disappoints. Opinions please.

ChiefGrownup's picture

We've been married 1 1/2 years. He and BM divorced in 2007, I believe. We met 4 years later. SD was 12 when I met her. She is turning 15 tomorrow.

Long before I came along, my DH's family (now my in laws) had pressed him to get her into counseling. She has bad, aggressive behavior. She had never had any friends of her own. She and I did fine for the first few months of our romance, but around the 6 month mark, she really let her hair down and showed me her unguarded personality.

She made my life hell for quite some time. I finally told DH if he couldn't control her behavior, it would be best if I lived at my own house on the weekends. That got his attention and he has been diligently working on her ever since. It has been hard going for all of us. I have told him many times that my concerns for her were not just about ME, but my worry over her future and what kind of person she becomes. He tried to take that to heart, but in his very masculine head, he seems to have a hard time really grasping it.

So when her grades went about as far low as they could go, it was no surprise to me but definitely a shock to him.

Because of this grades crisis, he and BM finally agreed to put her in therapy.

We were guardedly optimistic after the first therapy session. But several weeks later the therapist has now given DH and BM the "treatment plan" and it is thinner than parchment paper. "Therapy session every other week, goal to speak respectfully to Mom and Dad."

DH had to pipe up and say, "not just us, but to All adults--and what about her grades?" What he felt he could not bring up was that the therapist had not addressed the Social Anxiety diagnosis that she'd already come up with -- because SD was right there in the session with them!

Well, it wasn't really a session. Just about 10 minutes carved out from SD's regular session.

When my first husband and I went to marriage counseling, we had way way way more material from the counselor. Exercises to do at home together and individually. It really did help. Not only is SD's therapist not giving any of that to the parents, can't see any evidence that she's giving anything like that to SD either. (and parents have not been informed of anything)

Sooooooo....just go to counselor and talk about yourself for an hour every other week? Really? That's it?

I need to hear how this sounds to others experienced with therapy. It was such a colossal effort to get her in in the first place, I don't see how we'll get cooperation from BM and SD to move to someone new. I think we are stuck with this chick, but I feel disappointed we may not have got a good one? Also, how do you pick a good one on the front end? Looked good on paper!

What say you all? Thanks!

Comments

moeilijk's picture

There are all kinds of theories that underly a therapy plan. Ask the therapist for his/her theoretical approach. Then look up what he/she says online.

From my own experience, talk therapy (just talking) has not been particularly practical. It was an effective way for me to understand specific events in context and also how I developed empathy and compassion. Which were useful, but not practical.

Now I am dealing with some stuff with a therapist using ACT (Acceptance Commitment Therapy). This is VERY practical. But ofc requires much more commitment from me.

I wonder if the therapist is keeping it 'fun' for SD just to get her to show up consistently? Obviously what a teen is able to process is way different from an adult in a marriage, so I can see how the approach would be different. But I think your question is totally reasonable.

Here's a link to a site I found listing all kinds of types of therapy:

http://www.goodtherapy.org/types-of-therapy.html

Pilgrim Soul's picture

ChiefgrownUp, there seem to be several issues going on with your SD, some for the therapist to handle, some for others to address. The therapist could do CBT to address her social anxiety, but certainly it is not up to her to help with academics. Has your SD had a psycho-educational/neuro-psychological evaluation? Who gave her the anxiety diagnosis? I would get a full assessment done at a reputable child development center, then follow multiple recommendations that are going to be made, in various settings.

She may well have learning issues that interfere with academic success, on top of her emotional / behavioral issues. Or her emotional dysregulation is such that is interferes with learning. Is she at a regular high school? Is she getting support there? She may need small classes, teachers trained in working with kids with her kind of symptoms, modified curriculum - and group therapy, not only individual, to address peer relationships.

I deal with kids like her where i work, and i can give you more specific ideas - feel free to PM me. It is not easy, and therapy alone may not be the answer. But she has a supportive family ( incl. you) so she will hopefully emerge in a better shape on the other side of her teenage years.

ChiefGrownup's picture

Interesting you would bring up about the neuro-psych eval. Every personal friend of mine in related fields has recommended this. But when her parents went in for the first appointment, they very much white washed her issues. I wasn't there. If I had been, I would have mentioned far more than they did.

The therapist nailed Social Anxiety from talking to the parents without ever meeting the girl.

As for her grades/intellect...she is EXTREMELY smart and intellectually curious. She has no trouble learning anything scientific or history, is an excellent reader, etc. She is fully capable of straight As, valedictorian, scholarships, and more.

It's her ATTITUDE that is the problem. She screams at her dad that she doesn't want him calling teachers, checking the parent portal, overseeing homework, any of the normal parent things families do with school age children. He's INTERFERING!!!!!! **insert lip jutting out, wailing sound effects**

She has gotten plenty of good grades in the past. It's just now she's decided--and has loudly announced--she WANTS to embarrass her dad, cause him grief, blah blah blah.

The therapist was supposed to help her get to the root of her emotions and help her learn how to deal with them better than in this self-destructive way. Find out the root of the problem, including if there was a neuro-psych component. My own friends had mentioned high functioning Aspergers, oppositional, or even depression as possible things the therapist might likely notice.

To me, in plain English she needs to learn the social niceties, needs to develop some functioning empathy, needs to have actual accomplishments so she can genuinely feel good about herself and have an overall positive outlook on life.

If there's a neuro - psych element, I'm all for it to be dxed and addressed. But from a lay view, some higher parental standards and teaching would do the trick. And the therapist apparently hasn't noticed anything in 50 minute sessions of undoubtedly whining about having to do chores or stop beating her brother that anything else is wrong.

But how can a kid go through 10 years of public school without every wanting a friend? She actively rejects all our attempts to get a social life for her or encourage her to start her own. No, she "hates" people. And no, she is not being bullied. She simply has no need to make outside connections because all her emotional needs are met at home -- where she bullies all of us!

Thanks for the input. Keep it coming!

lily11's picture

Wow, Chief. This girl sounds like quite a character. And she is only 15 so things could keep getting weirder.

I don't know how to pick out a good counselor. I have had a handful of bad counselors and I can only think of 1 good one. Maybe it is more a matter of suitable personalities and counseling styles versus "bad counselors. Maybe I am just being critical but I have walked away from most counseling sessions feeling unsettled and uncomfortable. By the way, I have been told by a counselor that journaling is just as therapeutic as counseling and have found this to be true.

It doesn't sound like the counselor you're with is meeting the needs of SD and the rest of the bullied family. I think pushing for more qualified help is worth the effort. It might be a hassle now but worth the trouble in the end.

ChiefGrownup's picture

A character indeed! I've never met anyone like her before. Very unpredictable to me.

One of my friends is a longtime school teacher. She has raised two foster boys that they adopted at the ages of 4 and 6 and have both had severe psychological problems. Even those kids, who have been INSTITUTIONALIZED at times have at least one "best friend." She told me the lack of friends in SD was definitely a "red flag."

ChiefGrownup's picture

You are not the first to ask this. :/

I don't think so. More like Veruca Salt. Never has been required to consider the needs of others, so she doesn't. She is CAPABLE of being nice and when we set higher standards, she usually does rise to the challenge.

But she is not letting go of power easily. And with her immaturity she doesn't see she is doing most damage to herself. I'VE already graduated from college and so has her dad -- her bad grades aren't going to ruin OUR prospects!

She really just doesn't want to grow up and doesn't want to have to deal with anyone but her mom, dad, and little brother. Long established habits of relating give her comfort and security. Doesn't want to give those up. Doesn't want to make an effort at anything. If it doesn't come easily, she doesn't want to do it.

Personally, I think she's deeply insecure and therefore puts on the tough girl exterior, "I'm better than you, who needs YOU!!!"

Stepstoadopt's picture

There's a lot of possibilities going on here. I am a child therapist and a SM to SD26, SS26 (twins) and SS14 so this is my perspective from that pov.

At that age your SD has a right to more privacy in counseling than a younger child. In order to build rapport a counselor working with a child that age must protect her confidentiality differently than a younger child. Unless the child is in danger in some way you may have to trust the therapist to a certain extent because if she betrays SD's confidence at that age it will impede the progress of therapy, not help it.

However, I see family issues at play here. Do not forget that the way your DH and BM have parented her up till now is a pattern they are comfortable with and that has shaped her, likely not for the better. Guilt is a terrible starting point for parenting and divorced dads often know nothing else, especially when they are now part time dads who feel horrible for screwing up their kids by not being with BM, even if it was Not their fault or desire.

Your dh could use his own counseling with a different counselor to learn parenting strategies and how not to parent by guilt, what are the right lines to set and boundaries not to give in about etc.

For my DH he thought I was being mean to my SS14 a while back when I - for instance - refused to tell the lady behind the counter what type of donuts he wanted. Yes, he has some anxiety and shyness but if he doesn't want the donuts badly enough to say "2 glazed please" to a shop worker (after saying it to us in her earshot) then he must not be very hungry. I told S14 he was welcome to order for himself and we would pay for it and he turned to daddy and played the " I'm not that hungry anyway" card so my DH felt guilty and did it for him.

Then the child refused to sit in the shop and my DH agreed to go home and eat, despite the fact that I was already comfortably eating my croissant at a table. Needless to say we did not leave until I was ready, although SS14 pouted in the car while DH and I enjoyed our bagels and croissant until we were good and ready to go home. DH in the past has parented by guilt and his son had his number, but not mine. I don't publish my number, for that reason. SS14 also seemed to equate his Dad's love with how much of that stuff he would do for him. Which isn't a healthy way for a kid to learn to measure love.

My DH Went into his own counseling after watching me handle his son and finding that his son rises to meet my expectations if DH doesn't get in the way. For as long as SS14 believed he had all the power, Ss14 behaved like an anxious helpless brat who would rather DH and BM did everything for him. As if he wasn't capable when he's brilliant, has no disabilities besides guilt ridden parents who divorced when he was 2. By babying him they were agreeing with him that he wasn't capable. Sometimes that made them both feel like they were helping him and were therefore good parents, even when he didn't need that help.

Family dynamics like that are hard to break without counseling from an outside person who is not emotionally invested in the child, the marriage or the guilt of the divorce to confront situations that may be minefields for those of us closer to it. Your DH could use some counseling. If he changes the way he relates to SD15 she will have no choice but to change in response. He's the parent. Yes, she needs to work on her social anxiety and anger outbursts with her counselor but some of these behaviors are parent driven. He's the parent, he needs to act like it.

With my DH AND SS14 for the first year or so I looked on, horrified and flat refused to baby him. And even got to where if I needed something at the hardware store I would push SS14 to go get the clerk and find out what aisle it was on. SS14 hated it at first but I didn't take the bait and just thanked him for his help. Over time he has seen himself as way more capable than his parents do, partly because I push him.

Recently he has started saying to me "SM, my BD doesn't think I can do it by myself", lamenting that he interprets that Dad thinks he's not smart enough to do it by himself. He recently told DH that himself, who was shocked. I didn't say I told you so, just stood up for DH and told S14 that DH does, but sometimes it's hard for him to let you grow up. And told my DH to let him have a go at it, no matter the outcome.

That was a parenting problem. Kids will take as much as DH and BM will allow. But it's not good for any of them to have that much power and it usually involves a parent's guilt and poor choices more than a child's inherent sociopathy, anxiety or awfulness. Kids will get away with as much as they are allowed to.

Put DH in counseling. You explain the dynamic to the counselor with him so he doesn't minimize or get off track. Then let the counselor and him establish a rapport and dive into it. You check in once every couple of months and praise the small changes he is making in how he handles her. Small, as in, he didn't take the bait one day out of five when she was trying to get into a fight with him. See the tiny progress. Say it out loud, tell him you saw it and let him feel like he did it on his own. He needs parenting skills to change this. Any issues she may have - aspie, anxiety, social awkwardness, mood disorder etc can all be helped by him being a stronger parent.

SS26 (my late husband's son) has Aspergers. It's a unique issue but strong, consistent parenting is essential there too if that's what she has. Best of luck to you.

ChiefGrownup's picture

Wow, Stepstoadopt, you must have been married to my DH already. Wow. Wow. Wow.

I can totally picture the scene in the bakery -- I've lived versions of it over and over. It has always been my feeling that parenting would cure at least 90% of what's going on here. And to his great credit, DH has made many changes in the last year and a half at my request, insistence, or example, that came with difficulty to him.

Talking to the cashier yourself to order your treat? Yup. He has finally implemented that in the last few months. And so many other small things that she should have been doing years ago. He has done these things out of love for me and respect for my opinion, but it has been HARD for him.

One of the biggest aspects of this is that he already does 99% of the parenting. BM has never initiated playdates or manners or even proper menarche guidance with SD. All of the things that moms generally do by instinct have been severely neglected by our BM. So my DH is left to provide for all of them, clean the house, enrich the kids lives with outings (BM never takes them anywhere, never wants them to go anywhere), teach them anything they've ever learned. He is mentally and physically exhausted.

Having him go to therapy on his own is probably not feasible right now. If SD's therapist recommended it or incorporated it into "family therapy" in an organic way, he would participate. But BM's constant gaslighting and insulting of him over 2 decades have probably made him too defensive to go on his own. He is a WONDERFUL man, adored by everyone who meets him. Except her. She is a failed human being barely dragging along in life but she managed to spend a whole marriage telling him he needed therapy cuz of his alleged sub-standardness. So he's going to have a kneejerk reaction to going to therapy by himself.

I do LOVE your story. It gives me a glimpse of what the future can be like even if the most we have to power us is replacing BMs influence with mine. I have also set standards and boundaries with SD over the last two years. As you say, look on in horror at first, then a step at a time speaking up more and more.

BTW, I DID go to counseling by myself. I reached a point where I said, if SHE'S not going, then I AM! That got his attention and it did help me have more productive conversations with DH, but mostly it just took the pressure off for awhile so DH could have a break from my dissatisfaction. Sweet fellow, he says it was the opposite, that the counseling gave him a break from hearing HIS OWN broken record answers to me!

I can't tell you how much I appreciate your sharing your view here. It seems very spot on to me. (But I am also open to the many voices telling me there's something more going on with her, too.)

Great tidbit about the confidentiality, too. Thanks!