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Child mental health

Anxiety/stress in an eight year old boy

9 replies

NotaDisneyMum · 14/12/2011 17:20

Just found this topic - I've been posting in the step- section, but it might be better here, tbh. This will be long, but it helps to set it out, I'm hoping that someone might have some advice or even words of support would help at this stage!

DSS (he's eight) has been recently diagnosed by an on-call GP with stress/anxiety that is causing physical symptoms of recurrent diarrhoea and stomach pains.

He is a very sad, withdrawn little boy, and he IS a little boy, because despite his age, he appears to me to be emotionally immature, although my experience has been with DD and I know that girls mature faster.

I'm starting to think that there are some fairly deep-seated issues with DSS, rather than a superficial problem, but I fear that he will not get any help to deal with them.

DP and his exW were married for 12 years; they had a daughter within the eighteen months of marriage and DSS came along as an "accident" six years later. DP discovered that his exW was having an affair when DSS was four years old - exW justification for the affair was that she had not been happy since she fell pregnant with DSS; she said that she felt that DP never wanted DSS because they had discussed a termination early in the pregnancy. DP filed for divorce after exW refused to go to Relate and although she wanted him to stay, she wanted to have the freedom to have affairs with other men!

The end of the marriage and first year of separation was traumatic - the DC's got caught up in the middle a lot. DP moved out of the family home and bought a new place where he could accommodate the DC's, but their mum didn't want them to have anything to do with their Dad, and exposed them to a lot of her anger that DP wasn't doing what exW wanted. DP doesn't know everything that was said, but he knows that the DC's were told things about him and the marriage that they probably weren't equipped to deal with; for instance, all the legal correspondence between DP and exW solicitor was shared with DSD who was 12 at the time. After about a year of inconsistent visits, changes at the last minute and lack of communication, DP had got a court order setting out the DSC's residency (with their mum) and a contact order for DSS (from Thursday after school to Monday morning every other week) and things settled down a bit. (No contact order was put in place for DSD due to her age).

I moved in with DP soon after the court order was put in place, and the DC's were directed by their mum not not have anything to do with me or BD as they were visiting to see DP, not us (their mum told DP that is what she had told the DC's).

DSS has been coming every other week for about 18 months, with half of all school holidays here as well. Unfortunately, his sister decided after about six months of inconsistent visits that she no longer wanted "two homes" or "two families" and she has cut off all contact with her Dad. DSS has said on occasion that he enjoys having time here away from DSD, but he has also said that he doesn't think it is fair that she can choose whether or not she comes and he has to.

Over the last 18 months, DSS seems to have experienced a rollercoaster of emotions. He and DD got on well straight away, but it (understandably) took a while for he and I to develop a bond, and we didn't push that, but after a very enjoyable family holiday, and a great time together last Christmas, I thought we had begun to develop a bond as a family of four (DP, DSS, DD and myself). He did appear to me to be very "young" for his age though - he expected help with toileting and basic personal care, he did not seek or enjoy independence, and he seemed very concerned about his mums wellbeing when he was with us, but we got to know each other and he began to show enthusiasm and enjoyment when doing things with me. However, soon after Christmas, DSS withdrew from me completely, and refused to speak to me, or even make eye contact with me, during his visits.
After some difficult conversations with DSS and his mum, DP discovered that DSS had overheard his mum and sister talking about me and BD, and he had misunderstood what they had been saying, believing that they were being mean about me. This had affected the way he viewed me and BD in his life. Despite the obvious distress it was causing, his mum resisted DP's attempts to secure some youth counselling for DSS - after a lot of hassle, DSS did eventually go along for a few sessions, and it helped rebuild his trust in me.

That was earlier this year, and we had another positive few months together over the summer, and DP's relationship with his exW was becoming less strained as well.

In the last few weeks though, it feels like we are back to square one. DSS has withdrawn from me & DD again and this time DP as well - limited conversation and resisting eye contact, further regression in terms of emotional understanding and behaviour, excessive fidgeting, appearing uncomfortable in company, lack of enthusiasm about activities that used to engage him, disturbed sleep and just "unhappy" in himself.
I realised that DSS had a stomach upset a few visits ago - he had been off school ill earlier in the week, so we thought it was just an infection, but DP discovered that DSS didn't realise that diarrhoea was abnormal and the conversation revealed that he suffered regularly, when he was at both houses. When he had another bout the following visit, DP took him to the GP, who asked for some background, noticed DSS behaviour (he picked up on the fact that DSS had infected fingers due to the extent of his nail biting, for instance) and diagnosed anxiety as the cause of the diarrhoea. He said that he would refer it to DSS usual GP who would be "in touch".

I am so worried and concerned for this little boy. I feel that he would benefit from some form of talking therapy, but realise that only his mum can facilitate that, and if she chooses not to, DSS will be left to struggle with this on his own Sad It's such a shame, DP is a great Dad and would love to spend more time with his DC's - instead the limited time that DSS does have with his dad seems to be causing him conflict Sad

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fuzzypeach1750 · 15/12/2011 10:13

oh i'm so sorry for all of you. what an awful situation to be in. it sounds like his stress is all related to his parents divorce and the fall out from that.

i totally understand you and your DH wanting his son in your lives but have you sat DSS down and asked him if he really wants to spend time with you both? you would need to tell him that his answer will not make anyone cross and everyone will still love him just the same. maybe he's just not ready, in lots of ways, for a two family thing. how about suggesting to him, if he is finding it hard, that he just spends every Sunday with you guys until he feels emotionally able to deal with more? maybe he's actually like to live full time with his dad and yourself? i realise that his mother will want him with her but at the end of the day it's not about what makes the parents happy is it? it's all about the children and their welfare (physical and emotional).

best of luck with it and i really feel for you.

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fuzzypeach1750 · 15/12/2011 10:16

DSS saying that he doesn't think it's fair that his sister doesn't have to come but he does is quite telling :(

i'm so sorry things are working out like this at the moment. just remember that children can be fickle and their opinions change on a weekly basis so always keep a welcome open to them both.

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NotaDisneyMum · 15/12/2011 13:43

fuzzy - he hasn't said it's not fair that he has to come, just that it's not fair that DSD gets the choice and he doesn't; something his mum has told him he can't have when he has asked.

Although I agree absolutely that the DC's needs should come first - it is unlikely that the DSC parents, who had to go to court to agree any kind of contact at all, will be able to come to a mutual agreement that benefits DSS.

I know that if DP was advised by a child therapist that DSS would be better off not spending time here, that is what he would follow - but I am fairly certain that DSS mum would not be prepared to allow DSS to spend any more time with DP than he already does - in the past, she has made it clear that she doesn't want the DSC to see their dad at all (which of course, is now the situation with DSD) and it is the court order that "forces" her to make DSS avaiable for contact.

What I forgot to mention is that there is a third household in the equation - DSS mum works shifts and relies on her mum for childcare; so the DSC often stay the night or weekend at their grandma's house - where they don't have their own belongings or rooms, they take everything they need in a bag. their grandma is housebound, so DSS activities are limited when he is there. One of the things DSS has said to DP is that if his parents were back together, DP could go to work when his mum wasn't working. That suggests to me that the current care arrangements while his mum is at work aren't suiting him and he thinks that his mum and dad could work out a work pattern so that the DSC were never left with anyone else Sad

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IndigoBell · 15/12/2011 13:47

Is it possible he has anything like ASD? Very high anxiety / upset tummy / hard to get through to / limited eye contact / excessive fidgeting / young for his age....

You mention a lot of markers.

The most noticeable symptom of my son's ASD is high anxiety.

Kids with ASD often have continuous upset tummies because they're gluten and dairy intolerant (but no-one's noticed because of their ASD)....

ASD can be quite subtle, and can not be picked up at an early age.

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Selks · 15/12/2011 13:53

So what has the GP suggested by way of treatment, following on from his diagnosis of anxiety/stress? I would suggest speaking to the GP again and requesting a referral to CAMHS (Child and Adolescent Mental Health services) as anxiety in children if untreated, can lead to worse mental health problems later on. Not wanting to be alarmist but your son does need help and support by the sound of it. CAMHS can offer gentle supportive therapy such as counselling or CBT (cognitive behaviour therapy).

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NotaDisneyMum · 15/12/2011 14:26

Selks - this is part of the problem, all contact from the GP will be with DSS mum, rather than his dad, because mum has legal residency.

His Mum is very resistant to any form of therapy (I think she see's it as a weakness or failing) - DP only managed to get DSS into counselling last time after he sought legal advice about a specific issue order, as DSS mum refused to even talk to the GP about it.

It is so frustrating to see a little boy desperately in need of help and be unable to do a thing about it - but that's one of the burdens of being a "step" Sad I just want to try and do anything I can to make things easier, or at least not make them worse - although I realise that he needs professional intervention, he may not get it Angry

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Selks · 15/12/2011 19:33

Right; sorry if I missed those details before I posted. That is difficult.
Does your DP have parental responsibility? - even though DSS mum has residency, your DP may have shared parental responsibility....if that is the case he would be entitled to deal with the GP with his son.
The other option is if your DP could speak to the school to see if the school could refer to CAMHS - schools can do.

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NotaDisneyMum · 15/01/2012 18:15

A quick update here - after a few things coming out infinite open over new year while DSS was with us and two sessions of counselling (he's got 4 more to go) DSS is a different child Grin

He is happy, cheeky, carefree and everything a child of his age should be Smile

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NotaDisneyMum · 15/01/2012 18:20

Infinite?!? * "in the open" !!!

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