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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to feel so overwhelmed with ASD teenage daughter?

165 replies

StressedSuzie · 17/04/2024 17:37

She has just turned 13 and is struggling massively with anxiety.
She refuses to accept any help such as therapy or medication and insists that if everyone just did as she needed then all would be absolutely fine.
Seeing her walk out of school each day, completely drained and almost mute due to being so overwhelmed is so upsetting to see.
What do you do when your children have sky high anxiety but won’t accept any form of help? 😢

OP posts:
BusterGonad · 20/04/2024 12:00

I feel like she is ruling your life at the moment. I understand as my son has autism and he's 15, so I totally get it, but a 90 minute trip for Malteasers is crazy, not to mention the cost of the petrol. Next time just say the shops are shut but you'll put them on the weekly shopping list. It's hard but you need to implement some bounderies. Things like a new duvet cover need to be treated as something special, a reward rather than asking and getting. Same with the take aways. What home made foods will she eat?

StressedSuzie · 20/04/2024 11:34

It’s been an emotional start to this morning so massively thankful for the further replies as I feel really down and defeated and currently hiding in the bath where I’ve been for the last hour!

I really need to be able to take a step back without getting into a spiral of worry every time she can’t make a decision - food is a major major worry as she constantly says she’s hungry but never knows what she wants to eat.
Most things on offer are completely refused until a takeaway is mentioned and she will always accept that - I just don’t have the funds to buy takeaways for 2 children every single night of the week 😢

Last night, after eating absolutely nothing all day it got to 11.30pm when she messaged me that she wanted maltesers.

Off I go on the 90 min round trip to 24 hour supermarket but then said this can’t carry on when I returned and spent all night being so upset with myself for blaming her for my tiredness and stress when she can’t help it.

This morning we’ve had a chat about it, I apologised for making her feel like she’s a problem ( that’s how she said I made her feel ) and she was happily showing me her new Taylor Swift album and asked me to take her shopping for a new duvet set ( she has 12 of them - this is another obsession of hers currently ) and then all of a sudden, she calmly says “ Why are you even in my room? I have nothing to say to you - get out “ and slams the door and locks it.

I honestly feel I can’t get anything right and my mental health is shot now 😢

OP posts:
Sandytoesandcrabs · 20/04/2024 11:11

Also have the TShirt.

What worked:

Adjustments at school - hall pass, able to go to student services anytime, able to use phone to message me etc

Decreased timetable - no PE, trips, assemblies here either (though felt this was a bit of a cop out tbh - it’s hard to know what’s what isn’t it - who wants to go to assembly) and staggered drop off and pick ups to miss the crowds (didn’t mind this one, who loves the school run traffic)

Reduced GCSEs she dropped a couple of subjects

For me - stopped discussing it with anyone. My daughter attempted suicide at 13. So my stock answer to anyone who questioned anything was ‘better alive and <insert thing> for me’.

Joined Not Fine in School and Parenting Mental Health and realised despite what I thought I definitely was NOT alone in not just what was happening but how I was feeling - these are amazing support communities

Constant communication with school student services we were very lucky with ours. That woman changed my life and supported us when it was so hard for both of us. Forever grateful.

What didn’t -

CAHMS and therapy paid privately in the end and did over zoom but she wouldn’t engage (like she told me she wouldn’t)

‘Being a parent’ or whatever crap I saw up thread. Forcing and fighting and disciplining doesn’t work it makes things a lot worse.

Comparing us to ‘normal’ families or the old version of us. Accepting where we were and dealing with it day by day. Not looking too far into the future.

I do have a positive outcome story she’s happy and well and studying law and criminology at college where she has 95% attendance and is thriving and looking at Unis. She’s got good friends and keeps her bedroom immaculate and it’s all a distant memory when it felt like it would never change. It also bonded us together very much as we went through it side by side rather than a battle and she knows I’ve got her back no matter what no matter when and I love her anyway regardless of the situations we find ourselves in.

You’re doing a great job and she’ll always remember how you supported her when her life was in chaos

drspouse · 20/04/2024 10:51

StressedSuzie · 20/04/2024 10:11

I’ve ordered that book so thank you 😊

It's really been a life changer for us. We are going slowly but we have eliminated multiple checks of DS in bed after bedtime, nobody else allowed in the TV room, he's going to the park on his own or with DD, and various other things he couldn't do.

Sharptonguedwoman · 20/04/2024 10:30

Notimeforaname · 17/04/2024 17:39

She doesn't get to refuse. Shes a child, you're the parent.

Oh come on. How do you even get them in the car? I have a friend whose daughter is like this. Mum is at her wit's end. Daughter won't engage with any sort of help at all.

StressedSuzie · 20/04/2024 10:11

I’ve ordered that book so thank you 😊

OP posts:
RhinestoneCowgirl · 19/04/2024 17:04

It is very stressful to see your child struggle. DD(15) is on the waiting list for autism assessment, last year was awful, she was self-harming and so anxious and sad.

Things that worked for us:
Counselling for me - initially some free sessions through my uni (mature student) and when these ran out I found a private counsellor, I appreciate that this has a cost. I found it so useful to be able to talk about my fears and worries with someone removed from the situation.
Art therapy for DD - school set up CBT for her but she just didn't turn up, was very resistant to any idea of talking therapy. After several months I managed to find a local art therapist, I introduced the idea very gradually, gave her opportunity to meet the therapist, reassured her she didn't need to talk. She loves art so this was a major hook for her.
Opportunities for joy - finding things that she really enjoys doing and helping her access them. She is fascinated by animals so this has included going to places like the city farm, my mum bought her a membership to the aquarium. Also found a new music teacher who is able to come to our house and is incredibly patient and has been great for her confidence.

She has all the usual accommodations at school, ear plugs/defenders, pass to leave lessons early, doesn't have to go to assembly etc. These have all made a difference but school is always going to be exhausting for her.

drspouse · 19/04/2024 16:47

It's this

amzn.eu/d/790U5Ef

MrsOnslow · 19/04/2024 16:43

drspouse · 19/04/2024 16:09

Those are the kind of adjustments that can work but also can creep and creep till they become more than the actual school attendance. The fear of anxiety becomes greater than the fear of the thing itself.
It is also obvious that she's expecting the rest of the family to accommodate her anxiety which can also lead her to become more anxious and creep the changes she wants to be more and more.
So it's rather like the difference between finding noise really uncomfortable and being afraid that people will make noise.
Anyway, the book I recommended explains it better than I can.

@drspouse yes ! I totally agree. Really important not to feed the anxiety.

StressedSuzie · 19/04/2024 16:42

drspouse · 19/04/2024 16:09

Those are the kind of adjustments that can work but also can creep and creep till they become more than the actual school attendance. The fear of anxiety becomes greater than the fear of the thing itself.
It is also obvious that she's expecting the rest of the family to accommodate her anxiety which can also lead her to become more anxious and creep the changes she wants to be more and more.
So it's rather like the difference between finding noise really uncomfortable and being afraid that people will make noise.
Anyway, the book I recommended explains it better than I can.

Sorry can you repeat the book please

OP posts:
drspouse · 19/04/2024 16:09

Those are the kind of adjustments that can work but also can creep and creep till they become more than the actual school attendance. The fear of anxiety becomes greater than the fear of the thing itself.
It is also obvious that she's expecting the rest of the family to accommodate her anxiety which can also lead her to become more anxious and creep the changes she wants to be more and more.
So it's rather like the difference between finding noise really uncomfortable and being afraid that people will make noise.
Anyway, the book I recommended explains it better than I can.

StressedSuzie · 19/04/2024 14:23

I would never force her to attend if she really didn’t want to unless she was a danger to herself of course.

I tread carefully because I need her to feel safe with me, not like I am making all the decisions and she plays no part in it - I had an upbringing like that and it’s damaged my relationship with my mum even to this day.

It’s just so hard as she can’t see what she needs so the natural fixer in me wants to get everything fixed for her 😢

OP posts:
neverbeenskiing · 19/04/2024 13:58

SummerFeverVenice · 18/04/2024 17:52

“school just need to understand that she cannot do drama / PE / Trips of any kind / have no teachers who raise a voice”

These do seem to be reasonable accommodations.

I agree. There have been children with similar arrangements in every school I've worked in. As for raised voices, school staff shouldn't be shouting unless they really need to, if someone is behaving in an unsafe way for example. It's not always easy but it's something we should all be striving for.

It's sad that some posters think forcing therapy or medication on an Autistic teenager is acceptable. I once worked with a parent who physically carried their reluctant tween DD into a CAMHS appointment despite her struggling and protesting loudly that she didn't want to be there, they then tried to physically restrain her in a chair to prevent her from leaving. They were genuinely shocked when the therapist said she wasn't prepared to go through with the assessment. I sympathise with parents in this position, but people forget that children have rights too.

lifeturnsonadime · 19/04/2024 13:51

Like @Octavia64 my eldest dropped out of formal schooling when the anxiety was too much, he was only 10 though so a lot younger. He's a boy but like Octavia's experience the anxiety then dropped off and he was able to engage in education and in therapy etc. He has got a place to study his subject at UCL this September having reintegrated at 6th form.

Some of the advice on here is very good but some is terrible. I also have an autistic teen daughter she has engaged better with some therapies, she is also home educated because school made her issues worse. I know this isn't an option for everyone.

Don't push her into anything she can't engage with it will backfire.

If she likes gaming Mindjam might be an option for soft/ gaming based therapy. It's recommended by the NAS.

https://mindjam.org.uk/

Home - MindJam

https://mindjam.org.uk

lifeturnsonadime · 19/04/2024 13:41

Notimeforaname · 17/04/2024 17:44

KittytheHare

You clearly have no idea what my job is then.

Oh god I hope not.

drspouse · 19/04/2024 13:39

(it's been used successfully in autism, with ARFIF and other similar issues).

drspouse · 19/04/2024 13:38

We are having some success with the SPACE approach - it doesn't need the child to agree to participate. Look up spacetreatment.net

radioactivekumkuat · 19/04/2024 13:36

I remember you saying about issues with the sound of people eating- how is she more broadly with sensory issues? It’s taken me well into my thirties to really understand the impact of noise/light/texture on my autism. It’s been a lot of trial and error, but I think it’s something that occupational therapists can help with too.

A useful analogy is of a bucket - sensory inputs and general life demands go into the bucket, there is a hole in the bottom which slowly drains them out as they’re processed. Someone with a typical sensory profile has a bucket that drains at the “correct” rate- not too empty, not too full, and space for life’s demands to be added.

However, if this system is often disrupted like in autism, the bucket might not “drain” fast enough and even a little extra input or life demand causes things to spill over. On the other hand some people have a bucket that drains too quickly, so they might have sensory seeking behaviours to try and compensate.

in my personal experience, it’s pointless trying to do anything when you’re already on the edge of spilling over. Sensory techniques plus relaxation techniques have made a difference for me. Gets the body feeling that it is safe, rather than in a constant state of flight or flight. When you feel safe on that fundamental level, it is then more possible to engage with things like therapy and pushing the edges of the comfort zone.

MrsOnslow · 19/04/2024 13:22

It’s so annoying that GPs can’t prescribe Sertraline !! It has worked so well for my son. I can only suggest you try social stories - pictures of the Psych office, picture of the psych. List all the steps and show pics. Keep going over it. Also try and come to an agreement with school that she doesn’t have to do PE, drama. They should really take her stressors off the table - that is reasonable adjustment.

StressedSuzie · 19/04/2024 13:15

Selective mutism is a major problem
Even at the dentist she will look at me when asked how she is / to confirm her birthday etc.

I think for this reason therapy is always going to prove challenging for her.

I just wish the GP could prescribe the medication as this is what is holding her back the most - that she would have to walk into an unknown building to see an unknown psychiatrist and say that she WANTS medication when in her mind she doesn’t want it - she just wants everyone to do what she needs all of the same and then she thinks she would be happy.

Of course, this isn’t true but in her mind it is 😢

OP posts:
ArseInTheCoOpWindow · 19/04/2024 13:11

But if the child has mutism which can be part of social anxiety they are too scared to engage.

MrsOnslow · 19/04/2024 13:08

I am absolutely not saying that this mum has not tried hard enough! This mum asked for advice and I’m just saying that a firm approach worked with my son. I had to spell it out to him that either he worked with professionals to feel better or carry on through life feeling shit. The help was there for him - it was up to him. Every time he moaned about feeling anxious I had to take him through the steps that would make it better - I had a visual chart for him - like a social story.

Tiredalwaystired · 19/04/2024 12:57

MrsOnslow · 19/04/2024 10:02

I Feel your pain. I am mum to an AudHD 16 year old. It’s a difficult one but I really think you need to be strong with your daughter. As a previous poster said she is too young to know what will help. You need to do everything you can to persuade her. Maybe you could come to an agreement where she tries help for a few months. She will be railing against change because she’s on the spectrum. Sometimes you need to give them a shove. If she had a broken leg would she refuse to go to Aand E no should would not.

As people have said, unless they actually WANT to talk you can push them through the door as much as you like and it will do no good. We tried and tried and tried with our daughter - online, offline, group, family, different therapists. She didn’t open up to any of them. We even tried texting with the therapist and she only replied in one word answers. All the control has to be with the child in the end. Not sure why people think this parent hasn’t done all these things as if they just haven’t tried hard enough.

ArseInTheCoOpWindow · 19/04/2024 12:43

CasadeCoca · 19/04/2024 12:33

Perhaps your AudHD child does not have demand avoidant features to their profile, but expert advice in these circumstances is not to push.

I don’t think you should push. We were advised to push out ASD Dd into school. She self harmed.

MrsOnslow · 19/04/2024 12:40

Yes but you can be strong without pushing… My son was a school refuser for years. He then went to Y7 and lockdown happened, cue OCD, involvement with police, almost being sectioned. You name it. The ONLY thing that helped was medication. It has helped more than any therapy. I cannot tell you what a lifesaver it has been for him. Being firm but fair was the approach that worked for him.