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How to help a 14 yo with serious depression

sasha101's picture

I haven't posted here in a long time, but we're struggling on how to help my ss14, who has serious anxiety and depression and hoped someone might have some ideas.

I've been with my dh for 10 years, married for 7. He got full custody of his 3 boys just after we met and the first few years were difficult, with an unstable bm who caused constant trouble and all 3 kids having behavioural problems as a result of her emotional abuse. She was and still is mentally unstable, though has in recent years calmed down and become a little easier to deal with. The boys are now 13, 14 & 20 and have grown into great kids, turning around their behaviour problems and doing well in school/college. I believe this is due to my dh's parenting - loving and supportive but firm with clear boundaries and consequences. The court order gave regular contact to bm and we have always followed it, though ss20 has chosen to have little to do with her since he got to 16. The younger two still have contact and at the moment seem happy to do so, but there have been times when one or the other have said they'd rather stay at home than go to her place, but now they're getting older and more capable of making their own decisions, as long as we don't have plans to go away for a kid-free break, it's no big deal for them to stay at home.

We've noticed ss14 becoming very withdrawn in the last few months. Out of the three boys, he was always bm's golden boy and was the worst affected by her emotional game-playing. She always seemed far too emotionally dependent on him and talked to him about all sorts of age-inappropriate stuff, scaring him to death as a 4-5 year old with tales that her and dad were fighting, that dad was a bad man who was going to jail, that dad didn't care, that dad was taking him away from her and that she couldn't cope without him(ss14) and that she had no money to feed him and ss13 on contact weekends and all kinds of stuff which must have scared and confused the life out of him. He did settle down eventually and although he's always been a quiet and thoughtful kind of kid, did well in school, was popular with the other kids, is really thoughtful, has an amazing bond with our dogs and seemed to be doing well. I always wondered whether he may have some long-term issues after what bm did to him and whether he would end up having difficulties as a teen or adult and sadly it looks like I was right.

We live in the UK where mental health services aren't that great unless you have the means to pay privately (which we don't - both dh and I are disabled and I'm a student reliant on grants and loans). We did get him a referral to the child and adolescent mental health service and the guy we saw seemed really good. Only problem was that after initially agreeing to go and see the guy, ss14 totally clammed up and wouldn't say a word. The guy saw him a couple of times but ss14 completely refused to speak to him either alone or with dh in the room so he had to discharge him as he said it wasn't worth forcing ss14 to go to sessions when he clearly didn't want to. He suggested medication but ss14 is adamant he won't take it. There's a counsellor at school who sees him but it doesn't sound like they're getting anywhere either, and I think they've unintentionally made things worse. We found out that ss14 is not getting any lunch at school and he did admit to dh that it's because going into the canteen and queueing with all the other kids in a crowded area makes him anxious so he avoids it, but the school counsellor asked him if he had an eating disorder, which he doesn't - at home he loves his food and eats like a typical growing teen boy. Since then we've noticed he's hardly eating at home either. He's skipping breakfast which he never used to do and doesn't always want his evening meal despite me trying to make things I know he really likes. This is really worrying to me as my dd24 had an eating disorder a few years ago and I'll never forget how ill she got. Luckily she recovered but I hate to think that ss14 may end up as ill as my dd did.

We're at a loss as to what to do - he will not speak to anyone, he told dh this morning that he heard dh telling ss13 that he hates him (ss14) which is complete rubbish - dh would never say something like that about anyone, specially not his own kids! He got into a real panic state last night - sobbing, rocking, shaking violently and after dh's efforts to help in the past with no response, I thought I'd try so I just sat with him for a while and tried to reassure him that feeling depressed was nothing to be ashamed of, that we wanted to make sure he was safe and that we loved him and wanted to make sure he was okay. I told him that he could tell me anything and I would not be shocked or angry and would never judge him and that when bad stuff happens, I know how hard it can be to talk about it but when he felt ready he could let me and/or his dad know. He did calm down eventually but refused to come out of his room and have anything to eat. I'm hoping that we can gradually get through to him by trying to make him feel safe and cared for but at the same time not coddling him too much.

I'm wondering if something has happened at bm's - she hangs around with some real weirdos and has had a series of drop-out short term boyfriends. She's involved with the church and goes on a church holiday every summer, and this year dh took the boys over to meet up with her and met one of the lay preachers who he immediately felt uncomfortable with. Ss14 has informed us that he does not want to go with bm on this church holiday next year and I can't help but wonder if someone has done something to him, or maybe it's just the thought of mixing with lots of strangers and doing social stuff he's not comfortable with, or maybe his problems are more to do with the long-term effects of all the crap he's had from bm over the years but whatever it is, if we can't get him to open up about it, I don't see a good future for him. Anyone else been through this; how do you deal with it and did you find a way to help your kid/skid?

Comments

tiredofthedrama's picture

The hard part is that poor nutrition is only going to make matters worse. If you haven't already, you may want to have is primary doctor check for any possible physical cause of the anxiety/depression such as thyroid issues, low vitamin B, low vitamin D and maybe a sleep study if he is not getting proper rest. If it's any one of those then the primary doctor can treat it.
I am not familiar with what kind of services are available in the UK as we are in the US, but my nephew found group therapy with peers to be the most helpful when he was struggling as a teen. At that age, they are far more likely to listen to other teens than parents or counselors. So if those types of groups are available in the UK, you may want to consider trying one.

completely overwhelmed's picture

My SD (15) has been battling depression, anxiety and a long list of other problems. I do agree that nutrition, sleep and exercise are important. It's challenging to get my SD to do those things or take medication. She's has two in-patient stays and multiple intensive out-patient programs and is still struggling.

Everything is overwhelming for her and she gives up at the drop of a hat as soon as anything is difficult. Her frustration level is so high and she has meltdowns. Depression isn't just being sad and withdrawn. Many kids exhibit depression in the forms of anger, aggression and frustration.

My SD sees a therapist and a psychiatrist. Medication hasn't helped, so I would say try that as a last resort. She's having so many side effects that it's replacing one problem with another.

I worry about her future and how she will be able to even graduate from high school or go to college and get a good job. Nothing does seem to be working and every morning it's a fight with her to get up, take medication and go to school. She has three tantrums this morning. She's 15. I have an easier time with my 3.5 year old daughter than the teenager.

sasha101's picture

Thanks for all your comments. I agree that I would have continued taking him to the counsellor if we'd had the option but unfortunately the way the NHS works in the UK is very limited, target-driven and rationed and if results don't happen immediately, people are discharged, even vulnerable kids who obviously have serious issues. Very frustrating indeed, specially as it must be really common for teens to take a while to start talking. The GP services are the same - very limited options and very unlikely to refer him back to counselling seeing as though he didn't co-operate the first time, and unlikely to run physical tests on him either until he actually shows signs of physical illness. It's always a case of waiting till it's too late before they act where mental health is concerned, usually not till there's a crisis - a crap system which doesn't help people with mental illness at all! I had a friend who tried desperately for years to get help for her teenage son who was showing clear signs of mental illness but got nowhere, he's now a thirty year old recovering heroin addict with schizophrenia and I'm worried that ss14 might end up going the same way if something doesn't change soon.

I agree with the diet and exercise too. We are trying to make sure he at least has a decent evening meal and I'm tactfully leaving healthy snacks and drinks which I know he likes lying around where he can see them so he can help himself. It helps that ss20 has moved out - he always used to guzzle everything before the other ss's got a chance so at least they're getting a decent share now. As for exercise, he walks the dog every day but apart from that and sport lessons at school, he doesn't do an awful lot and will happily sit playing with his tablet PC all day. I told DH he needed to limit his time so he's rationed now, as I'm sure he's using it as an escape which can't be healthy long term. He actually likes TV documentaries and current affairs programmes, so we make a point of putting something on we know will interest him when he's having tablet-free time and try to engage him in conversation about it, which works some days better than others. It's frustrating for me as I'm not his parent and can only give DH my suggestions and opinions. He does usually take on board what I say, but it doesn't help that DH also suffers from severe anxiety as well as physical disabilities. He used to take ss's out for long walks with the dogs regularly to get them out of the house and spend some time together doing some exercise, but since his mobility went downhill he can't do much anymore, which has made him more depressed himself, so the pair of them are struggling. I'm physically disabled myself and can't get about much either so can't do the activities I used to do which is pretty frustrating but I can't do much about it.

BM is a complete waste of space and her most helpful contribution to date has been to tell ss14 that he should tell his dad to find him another school - a great idea for a kid suffering from anxiety who actually does have friends at school, seems to have some great teachers and isn't being bullied, brilliant thinking from BM to just move him to a strange school where he doesn't know anyone and make him even more anxious! She's unlikely to give ss14 the emotional support he needs and will probably make him worse with her stupid comments so it's down to dh and I to help him best we can and hope we can encourage him to talk to someone about what's obviously bothering him so much.

BellaMommaof4's picture

My DD and I both suffer from depression and anxiety.
Exercise is important. Jogging , boxing , yoga. Something to get his endorphins going.
Also look for a breathing app to put on his phone . He can use it to help his get through his panic attacks

nicoletteartois's picture

Feeling sorry to hear all this. There are many ways to help someone help to cope up with their problems, like making them watch some motivational thoughts or videos, talking to them about their problems, making them feel positive. One can also consult them to some counselors, therapists and if it does not work out one can also try calling a psychic at http://www.martine-voyance.com/tarifs that can be able to tell what is the exact reason why they are facing those problems and help them psychically and emotionally to come out of it.