Guest guest Posted May 2, 2012 Report Share Posted May 2, 2012 Sorry I have not been updating. We're driving 1 1/2 hrs each way to see son and that seems to be taking all our time. Thanks to all for thoughts and prayers; we have used them all and borrowed ahead. Since first visit with son last Wednesday, SW and doc scheduled for me and dds to go down on Sat. and spend day at aquarium with son, then me, dad and dds went down on Sunday for dad to sit in psych unit. Son came out with nurse and sat with dad about an hour, even played a game of cards. On Tues. dad, me and dds went down for dad and son to go off-unit; they had a great time bowling together. All seemed to be going super in terms of exposures. Even though the SW and doc were not talking in terms of ERP. they were setting up the meetings as if they were exposures, with a lot of staff support, etc. They are giving 30 mg Prozac and .25 Risperdal every day, plus more Risperdal as needed. So SW and doc began talking about son coming back home today. However, last night as we were bringing son back from bowling, he said he did not want dad to come on unit and if dad came on unit, he should not touch anything. He said he did not remember Dad coming on unit last Sunday or touching anything. I reported this to doc and SW. So we drove back down today to discuss things. SW told us they were going to have son, dad and me go into son's bedroom. They did not tell son we were coming and he just saw us walk into unit. He was very upset about surprise. Even more upset about plan to go in his bedroom. He would not come with us, so we went in with SW. He's still upset this evening when I called on phone and he would not talk to sister. So - I am hoping he works through it. Thanks if you are still reading!! I need help with two things - SW calmly told us she was going to refer son to our local mental health center upon discharge, where they would follow his meds and see him once a week for counseling. This is coming from 24-hour constant staff supervision. We live in a rural county where they will not even do home visits for adolescents. I am certain they have no training with OCD. Lindner has a partial hosp. but SW said it would only be short term anyway and would not really address son's needs, plus distance factor, etc. I'm thinking - how is our local MHC going to address son's needs?? She said, well if he decompensates at home, just bring him back to ER and they will readmit. I have a call in to an ERP therapist in Cols who at least can give us the right exercises, but haven't heard back, and I'm feeling kind of desperate right now. What to do?? Son is doing his hygiene with their constant prompting, going to bed for same reason. They have a ton of adults around him all the time. What's he going to do at home? ( said this too about her son - I CAN RELATE!) Also -- he has NO activities going at home. What's he going to do all day when he does come home? I will take any and all ideas!! I'm looking at the nearest YMCA, wondering if he can spend time there. thanks for any help! Rhonda Re: advice for how to talk to son Just seeing this post Rhonda, so that answers my questions re phone calls and visits. And that he is not coming home anytime soon. Guess you are just looking around at all the accommodations as you said, and wondering whether to take things down while he's gone.... I think I would take my house back, and expect to keep it that way, and use that as a starting point when he returns. That was the place I got to re boundaries, I was very clear, so same thing really. I think you are on the right track with just being as supportive as you can, empathizing. It can be really hard to see them there suffering, and he may pull on your heartstrings to get you to take him home. Just keep remembering he will suffer as much at home, but with no positive outcome possible. Thinking you will read this after your visit, so let us know how it goes. Hugs to you! Barb > > I was Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2012 Report Share Posted May 3, 2012 Hi! I'm glad that you have had some satisfying experiences with your son and that he has had this respite to get showered again, etc. On the other hand, what he really needs is an OCD specialist for both his meds and treatment. I am certainly not a dr., but it sounds like he is on too low a dosage of Prozac for how symptomatic he is. Here is a link from the OC Foundation as to dosaging and medication: http://www.ocfoundation.org/Meds_Kids.aspx I'm sorry that I don't remember how old your son is and what your family circumstances are, but what is your best bet is to see an OCD specialist (psychopharmacologist) at least for a consult, no matter how far you have to travel, to get your son on the proper medication and dosage. Also, he really needs to be doing ERP in a progressive structured way so that it isn't a matter of just bringing his dad in and then he deals with it. That will just make him angry and probably not have lasting benefit. If he is old enough, he could go to MacCleans in Boston, an OCD residential treatment center. Another thought is to do ERP through Skype with an OCD specialist who is willing to do sessions that way. Meanwhile, take really good care of yourself, your marriage, and your daughter and pat yourselves on the backs for being such loving, supportive parents! activities for son Sorry I have not been updating. We're driving 1 1/2 hrs each way to see son and that seems to be taking all our time. Thanks to all for thoughts and prayers; we have used them all and borrowed ahead. Since first visit with son last Wednesday, SW and doc scheduled for me and dds to go down on Sat. and spend day at aquarium with son, then me, dad and dds went down on Sunday for dad to sit in psych unit. Son came out with nurse and sat with dad about an hour, even played a game of cards. On Tues. dad, me and dds went down for dad and son to go off-unit; they had a great time bowling together. All seemed to be going super in terms of exposures. Even though the SW and doc were not talking in terms of ERP. they were setting up the meetings as if they were exposures, with a lot of staff support, etc. They are giving 30 mg Prozac and .25 Risperdal every day, plus more Risperdal as needed. So SW and doc began talking about son coming back home today. However, last night as we were bringing son back from bowling, he said he did not want dad to come on unit and if dad came on unit, he should not touch anything. He said he did not remember Dad coming on unit last Sunday or touching anything. I reported this to doc and SW. So we drove back down today to discuss things. SW told us they were going to have son, dad and me go into son's bedroom. They did not tell son we were coming and he just saw us walk into unit. He was very upset about surprise. Even more upset about plan to go in his bedroom. He would not come with us, so we went in with SW. He's still upset this evening when I called on phone and he would not talk to sister. So - I am hoping he works through it. Thanks if you are still reading!! I need help with two things - SW calmly told us she was going to refer son to our local mental health center upon discharge, where they would follow his meds and see him once a week for counseling. This is coming from 24-hour constant staff supervision. We live in a rural county where they will not even do home visits for adolescents. I am certain they have no training with OCD. Lindner has a partial hosp. but SW said it would only be short term anyway and would not really address son's needs, plus distance factor, etc. I'm thinking - how is our local MHC going to address son's needs?? She said, well if he decompensates at home, just bring him back to ER and they will readmit. I have a call in to an ERP therapist in Cols who at least can give us the right exercises, but haven't heard back, and I'm feeling kind of desperate right now. What to do?? Son is doing his hygiene with their constant prompting, going to bed for same reason. They have a ton of adults around him all the time. What's he going to do at home? ( said this too about her son - I CAN RELATE!) Also -- he has NO activities going at home. What's he going to do all day when he does come home? I will take any and all ideas!! I'm looking at the nearest YMCA, wondering if he can spend time there. thanks for any help! Rhonda Re: advice for how to talk to son Just seeing this post Rhonda, so that answers my questions re phone calls and visits. And that he is not coming home anytime soon. Guess you are just looking around at all the accommodations as you said, and wondering whether to take things down while he's gone.... I think I would take my house back, and expect to keep it that way, and use that as a starting point when he returns. That was the place I got to re boundaries, I was very clear, so same thing really. I think you are on the right track with just being as supportive as you can, empathizing. It can be really hard to see them there suffering, and he may pull on your heartstrings to get you to take him home. Just keep remembering he will suffer as much at home, but with no positive outcome possible. Thinking you will read this after your visit, so let us know how it goes. Hugs to you! Barb > > I was Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2012 Report Share Posted May 3, 2012 Hi! I'm glad that you have had some satisfying experiences with your son and that he has had this respite to get showered again, etc. On the other hand, what he really needs is an OCD specialist for both his meds and treatment. I am certainly not a dr., but it sounds like he is on too low a dosage of Prozac for how symptomatic he is. Here is a link from the OC Foundation as to dosaging and medication: http://www.ocfoundation.org/Meds_Kids.aspx I'm sorry that I don't remember how old your son is and what your family circumstances are, but what is your best bet is to see an OCD specialist (psychopharmacologist) at least for a consult, no matter how far you have to travel, to get your son on the proper medication and dosage. Also, he really needs to be doing ERP in a progressive structured way so that it isn't a matter of just bringing his dad in and then he deals with it. That will just make him angry and probably not have lasting benefit. If he is old enough, he could go to MacCleans in Boston, an OCD residential treatment center. Another thought is to do ERP through Skype with an OCD specialist who is willing to do sessions that way. Meanwhile, take really good care of yourself, your marriage, and your daughter and pat yourselves on the backs for being such loving, supportive parents! activities for son Sorry I have not been updating. We're driving 1 1/2 hrs each way to see son and that seems to be taking all our time. Thanks to all for thoughts and prayers; we have used them all and borrowed ahead. Since first visit with son last Wednesday, SW and doc scheduled for me and dds to go down on Sat. and spend day at aquarium with son, then me, dad and dds went down on Sunday for dad to sit in psych unit. Son came out with nurse and sat with dad about an hour, even played a game of cards. On Tues. dad, me and dds went down for dad and son to go off-unit; they had a great time bowling together. All seemed to be going super in terms of exposures. Even though the SW and doc were not talking in terms of ERP. they were setting up the meetings as if they were exposures, with a lot of staff support, etc. They are giving 30 mg Prozac and .25 Risperdal every day, plus more Risperdal as needed. So SW and doc began talking about son coming back home today. However, last night as we were bringing son back from bowling, he said he did not want dad to come on unit and if dad came on unit, he should not touch anything. He said he did not remember Dad coming on unit last Sunday or touching anything. I reported this to doc and SW. So we drove back down today to discuss things. SW told us they were going to have son, dad and me go into son's bedroom. They did not tell son we were coming and he just saw us walk into unit. He was very upset about surprise. Even more upset about plan to go in his bedroom. He would not come with us, so we went in with SW. He's still upset this evening when I called on phone and he would not talk to sister. So - I am hoping he works through it. Thanks if you are still reading!! I need help with two things - SW calmly told us she was going to refer son to our local mental health center upon discharge, where they would follow his meds and see him once a week for counseling. This is coming from 24-hour constant staff supervision. We live in a rural county where they will not even do home visits for adolescents. I am certain they have no training with OCD. Lindner has a partial hosp. but SW said it would only be short term anyway and would not really address son's needs, plus distance factor, etc. I'm thinking - how is our local MHC going to address son's needs?? She said, well if he decompensates at home, just bring him back to ER and they will readmit. I have a call in to an ERP therapist in Cols who at least can give us the right exercises, but haven't heard back, and I'm feeling kind of desperate right now. What to do?? Son is doing his hygiene with their constant prompting, going to bed for same reason. They have a ton of adults around him all the time. What's he going to do at home? ( said this too about her son - I CAN RELATE!) Also -- he has NO activities going at home. What's he going to do all day when he does come home? I will take any and all ideas!! I'm looking at the nearest YMCA, wondering if he can spend time there. thanks for any help! Rhonda Re: advice for how to talk to son Just seeing this post Rhonda, so that answers my questions re phone calls and visits. And that he is not coming home anytime soon. Guess you are just looking around at all the accommodations as you said, and wondering whether to take things down while he's gone.... I think I would take my house back, and expect to keep it that way, and use that as a starting point when he returns. That was the place I got to re boundaries, I was very clear, so same thing really. I think you are on the right track with just being as supportive as you can, empathizing. It can be really hard to see them there suffering, and he may pull on your heartstrings to get you to take him home. Just keep remembering he will suffer as much at home, but with no positive outcome possible. Thinking you will read this after your visit, so let us know how it goes. Hugs to you! Barb > > I was Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2012 Report Share Posted May 3, 2012 Hi Jordana - thanks so much for those pointers. I totally agree that's what he needs & I'm a little scared bringing him back home not knowing if he's going to stay on track. A little scary too if they are damaging him with how they are doing the ERP. It's hard to keep coming up with good options as quickly as they change things up on us. You are always so comforting and encouraging, thanks again. Rhonda Re: advice for how to talk to son Just seeing this post Rhonda, so that answers my questions re phone calls and visits. And that he is not coming home anytime soon. Guess you are just looking around at all the accommodations as you said, and wondering whether to take things down while he's gone.... I think I would take my house back, and expect to keep it that way, and use that as a starting point when he returns. That was the place I got to re boundaries, I was very clear, so same thing really. I think you are on the right track with just being as supportive as you can, empathizing. It can be really hard to see them there suffering, and he may pull on your heartstrings to get you to take him home. Just keep remembering he will suffer as much at home, but with no positive outcome possible. Thinking you will read this after your visit, so let us know how it goes. Hugs to you! Barb > > I was Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 3, 2012 Report Share Posted May 3, 2012 Hi Jordana - thanks so much for those pointers. I totally agree that's what he needs & I'm a little scared bringing him back home not knowing if he's going to stay on track. A little scary too if they are damaging him with how they are doing the ERP. It's hard to keep coming up with good options as quickly as they change things up on us. You are always so comforting and encouraging, thanks again. Rhonda Re: advice for how to talk to son Just seeing this post Rhonda, so that answers my questions re phone calls and visits. And that he is not coming home anytime soon. Guess you are just looking around at all the accommodations as you said, and wondering whether to take things down while he's gone.... I think I would take my house back, and expect to keep it that way, and use that as a starting point when he returns. That was the place I got to re boundaries, I was very clear, so same thing really. I think you are on the right track with just being as supportive as you can, empathizing. It can be really hard to see them there suffering, and he may pull on your heartstrings to get you to take him home. Just keep remembering he will suffer as much at home, but with no positive outcome possible. Thinking you will read this after your visit, so let us know how it goes. Hugs to you! Barb > > I was Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 4, 2012 Report Share Posted May 4, 2012 Hello Rhonda, It's great that your your son had some success with the ERP therapy. How does he feel about it? Did it make him feel more hopeful and in control of his OCD? Any sucess in this is something to celebrate and to build on. I agree that you need to keep your son busy when he comes home. It would be so tempting for him to fall back into old habits. I would sometimes keep my son busy by going to movies with him, renting movies, or anything else he wanted to do. It took a lot of time but I think it was well worth it. It also kept our relatiohip on a more positive level. Instead of constantly battling the OCD, we could take time out and do something else. I wish I could come up with more ideas for you and your son. Just keep digging and I'm sure you'll find something that works for you. Best, Joni Quote Link to comment Share on other sites More sharing options...
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