“Of all the days to be running behind! Why did they have to pick today? I swear, of all the days they picked the busiest one of the week, but who am I to complain. Shoot – there’s a stain on my shirt. I wonder if they’ll notice? I could wear a sweater….nah….it will be cooking hot in the room. It always is. Construction? Seriously??!! Of all the days to do construction! There’s not even a worker on the road! I didn’t count for 50km/hr. I can’t walk in to that room late!”
As I hurtled towards the school in my little yellow bug, a million thoughts were crossing my mind. Today was the treatment evaluation for my daughter. Time to see where things are at, talk about a discharge “graduation” date, and make a plan going forward. I knew there would be a lot of people there, so I really didn’t want to be late. My daughters former principle and guidance counselor, the vice principle and guidance counselor along with the transportation lead from the school division, her current counselor and teacher, and a psychiatrist and counselor from a potential new program. The room would be full, and I would be there with my daughter, ready to gather information and make a plan.
“Crum – no parking. Of course not. No matter – I’ll park on the street. I’d better downhill park incase my parking break lets go. You never know with this thing.” I ran to the door and rang the bell, but no one answered. Finally one of the school psychiatrists answered the door and let me in. I walked up the stairs and saw the counselor standing with a woman I didn’t know. They hadn’t started yet, so I must have gotten there in the nick of time. Behind a locked door I could see teachers talking while they waited for us to enter.
“Wow, this is a lot of people. Which chair should I sit in. I guess here is better then anywhere. Who do I really want to look at is the question? I dunno’. Just don’t cry. If nothing else, don’t cry – they’ll think you’re a baby. No reason to be emotional – stay strong. Breathe deep. My foot hurts.”
The current teacher started off the meeting, talking about the work they were currently doing, and how hard they’d been working. He emphasized the fact that she’s not unmotivated, but her current state is keeping her from regular school work, and they’d been spending more time on “the human condition”.
“Human condition? Hmmm. That’s an interesting way to put it. Everyone else seems to understand.” I sat and continued to listen to more of the conversation. Teachers and counselors chatted and discussed dates, timelines and possibilities and then a question was asked of my daughter. “How do you feel about the idea of going back to school?”
She began to talk. I was very impressed at first. “Well, she’s well spoken. There are 10 adults in this room, and she has complete control over the situation and what she is saying. Her message is coming across clearly. Don’t cry – seriously – hold it together. Ok, she’s saying home is safe – that’s good at least. Seems to be no issues there.” She continued to explain what her life is like. How coming to program is the only thing holding her together, and that she lays on the floor and cries for hours every day. “Really, when? When does that happen, and why haven’t I noticed.” She tells them about how accepted she feels at program, and that ultimately, her entire focus for the last year has just been staying alive. Her message is very clear – she is comfortable where she is, and feels that sometimes it’s not even enough.
My turn to talk. “Can I say something?” All heads turned my direction. “At this point in time, I feel very uneasy. Tension has been mounting for the last few weeks, and is only getting worse. We spent her birthday at a restaurant with her crying in the corner, and I declined a trip to the hospital that night. I feel it was all we could do to get through the weekend. For whatever reason, she does not feel comfortable talking to me about it, and needs more support. I do not know how it would be possible for her to go from this to a regular school environment.”
The room was silent for a moment. A few murmurs and mumbles. “Seriously don’t cry now. It’s not a good time for that – don’t cry”, I thought. I began to bite the inside of my lip to try and choke back the tears. There is nothing imminently horrible here, so I don’t know why I would cry. My daughter began to talk again. “The hard thing here is that unless I’m suicidal, no one takes me seriously, but I don’t need to be on the cliff to be in danger. If I go to the hospital, and I haven’t run away then there is nothing they can do. I’m not serious enough. These programs only think it’s serious if you’re ready to kill yourself. I’m not there, but I want you to know, this is serious”. She made her point very well, and as she spoke, I was pretty sure someone in the room stuck their hand in to my chest, and started to rip my heart out, very, very slowly. “Don’t cry. You’ve made it this far. Stay strong. Don’t be weak. For crying out loud, suck it up.” I bit my lip harder.
Different people in the room interjected feelings and opinions, stressing to my daughter that they were hearing her, and that a full and total transition would not be necessary. Different ideas were thrown out on the table, but inside I knew this just wasn’t going to work. She couldn’t make it through one evening at the school, how possibly would real life work? As people talked, I noticed how her body language had changed. Her knee had started bouncing quickly – first one, and then both, and she had started chewing on her thumbnail. She was hunched over and was now not making eye contact anymore. She was folding her hands over her legs, trying to hide the visible cut marks that showed below the line of her shorts. If I tried to say anything she got very defensive. “She never chews her nails. She’s starting to unravel. Perhaps not a great day to wear shorts. Next time I’m going to say something. Hold it together girl, you’re doing great. This is too much. The pressure of this meeting is just too much. Man, it’s really hot in here. Is there no window? I guess not – mental health and all. Seriously, they need a/c in here. I should have brought someone with me. I’m never going to remember all of this. I should be writing this down.”
Finally the psychiatrist spoke up. She talked about a brand new program starting at the beginning of June. It has 6 bed for kids that would overnight, and 6 more spots for other kids, 1 of which was being held for her. The program is so new, they couldn’t really even tell us a lot about it, except that a spot was being held for her. The program, unlike all the others, has no definite end date. My daughter asked over, and over again, if she’d be able to come there for night. “Why is she so determined to stay over night? Can’t she handle it at home? What’s making it so bad?”. Finally I spoke up one more time. “I think I need to emphasize, that we’re on the edge here. I think you can hear the desperation here. It’s not really getting a whole lot better. She needs extra support”.
I couldn’t hold back anymore. As they all continued to talk, and started to wrap up the meeting, I felt the tears starting to run down my cheeks. First, one on the left hand side of my face, then one on the right, and then before I knew it both eyes were leaking, and the tip of my nose was burning. “Good grief. Stop it. I need a Kleenex. Just pretend this isn’t happening. Don’t bring attention and they won’t notice. Just wipe the tears and it will stop. Ok, maybe one more time. Damn it! Stupid eyes. They’re going to notice. Seriously, just stop!”
I managed to quickly pull myself together without attracting too much attention and the meeting began to wrap up. The teachers and counselors left the room, and the ADTP team stayed behind to set follow up dates and plan a family counseling session. My daughter went to gather her things so we could leave. I quickly took advantage of her absence to stress my concerns with the psychiatrist. “At this point I don’t even know if we could go to the lake for the weekend. Can I even plan a summer vacation with her? Am I stupid to think taking her to the lake for a couple of days would be a good thing? I need you to tell me if I should forget planning anything this summer or not.” We agreed to keep in touch.
As we left, her counselor remarked, “You did so good today. You spoke so well to all those adults. I couldn’t help but notice you seemed uncomfortable, trying to cover your legs.” They talked for a few moments and my daughter said, “I was fine. I don’t care if people see, I was just uncomfortable. I don’t care – I’m fine.”
“She’s fine. Right. She just spent an hour convincing everyone she’s not ready, and she’s not fine. She’s definitely not fine. This is never going to be over. I just see no end. She doesn’t even want to be at home. I’d better make a plan. I need to keep work clothes in town. I’m going to need to stay in town and not have to drive home late. I can’t miss work. I need a break – seriously, just a small break. Wow, it’s warm outside. I wish I didn’t have to go back to work tonight. I just want to go home. My foot hurts.”
We got in the car, and drove away.
“Are you ok mom?”
“Huh? What?”
“I said are you ok? You seem upset”.
“I’m fine – just tired. I’ll be fine”.