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Parenting

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School refusal and self harm - help!

65 replies

WhoisRebecca · 16/06/2021 20:23

Dd, 15, has had a lot of issues with school that started after the first lockdown and got worse over the second lockdown. She had friendship issues - best friends one minute, spectacular falling out the next and complained about other students being nasty to her. A lot of the issues were exacerbated by dd being reactive and she seems to struggle to maintain friendships.

Her behaviour at school was always good, though she’s not particularly academic- but at home she became more challenging. She started self harming, superficial scratches on her arms and was saying she wanted to die. I took her to the GP who suggested we go private for help or contact a local charity for support as CAMHS were so stretched. We got some limited support from the school counsellor and then the charity.

Then at the start of this year, her sleep pattern became more erratic. She was up at night and struggling at school. I told her she would have to give me her phone at night and she became so distressed and angry at this, she started screaming and then took around 10 paracetamol, which she had found in the house.

We took her to A and E and she was seen by the duty CAMHS team who then referred her for assessment. She was taken on by CAMHS, who saw her very quickly and offered DBT to help with emotional regulation. Her therapist suggested she could be autistic and she has seen been put on the autism and ADHD pathway, but who knows how long that process will take.

Meanwhile she became more and more anxious about going to school. We asked school for support and they created a timetable that allowed her to access a quiet space and she was able to drop some GCSE subjects. Friendship issues rumbled on and there were some issues with an intimidating girl who was dealt with by school.

She would frequently text from school saying ‘I hate everyone’ and ‘I want to die,’ but she was attending regularly. Then one day she refused to go and her dad (who doesn’t live with us) told her over the phone that she must go in. He was quite strict with her and said she would lose her PlayStation/phone etc. She went off as if to go to school, but rode her bike around the park instead and then came home and took some paracetamol that she had managed to hide in a drawer.

We had another A and E visit and the duty CAMHS team did not think she was actively suicidal, but rather that she wanted to avoid school.

I got signed off work for a week, got school to agree to a flexible timetable and got her to go in for half days, with me dropping her off and picking her up.

However I’m back at work now and while she has been going in for some half days, at other times she has point blank refused. Sometimes she won’t even get out of bed till 11. Stepdad is home with her, working - but he can’t put too much pressure on her and given that she threatens to harm herself, I’m reluctant to do so either.

She went in for a half day yesterday and then scratched all her arm when she got home. She said it’s my fault she does that, if I make her go to school. I don’t make her go, but I do try to persuade her.

She went for a half day today and had to do a science exam. She ripped the exam paper up and then asked us if she could come home, so she ended up coming home early. I didn’t want to leave her in school because I don’t want her being put off going again.

We are still seeing CAMHS and we’ve enlisted a private psychiatrist who also thinks she’s autistic- though no official diagnosis as yet.

I don’t know what to do and I’m desperate. Feel like a terrible parent and I don’t know how to support her.

OP posts:
ScrollingLeaves · 17/06/2021 09:44

This is all very worrying and as you have explained, there is nothing it seems you can do.

The phone at night, sleep patterns, and junk food will all massively contribute to her problems. If she were put in a clinic without these for six weeks it would probably improve her mood a lot but you can’t do this probably.

Could you arrange for a private psychologist? And for a private health check for vitamin and mineral levels?

The move to a new area might have affected her one way and another and grandma dying won’t have helped.

WhoisRebecca · 17/06/2021 10:16

She will eat frozen fruit, so I’ll get more of that for her. We have a private psychiatrist and the next appointment is in a few weeks. I will ring the GP to see what her vitamin levels are like. I think we need to apply for the EHCP.

OP posts:
10brokengreenbottles · 17/06/2021 10:46

If ASD is a possibility have a look at ARFID, that may explain the food problems DD has.

WhoisRebecca · 17/06/2021 10:57

I will do. She seems to eat a more varied diet if she’s at someone else’s house - she’ll eat things she wouldn’t eat at home- which is strange.

I just feel constantly anxious tbh.

OP posts:
10brokengreenbottles · 17/06/2021 11:04

That's not necessarily strange, if DD has ASD she may be masking when in front of others but able to be more herself at home.

Ftmbecca · 17/06/2021 11:26

I work at a riding school and often come across teenagers with similar issues, a lot of riding schools now offer a program through the British horse society called changing lives. I’ve seen it help first hand. Horses don’t judge us, so they’re much easier to be around than people. It’s probably worth looking into.

WhoisRebecca · 17/06/2021 14:33

I will have a look at riding schools, I think that could be really good for her. She’s gone into school this afternoon, which is a positive.

OP posts:
ScrollingLeaves · 17/06/2021 16:02

“Ftmbecca

I work at a riding school and often come across teenagers with similar issues, a lot of riding schools now offer a program through the British horse society called changing lives.“

I have heard of this too. What a positive idea.

That’s heartening about school today.

WhoisRebecca · 18/06/2021 08:44

She’s gone in on time today! We got her a new bed - she had a cabin bed before that blocked out the light in her bedroom, so I just got a basic single bed. Before I left for work this morning, I opened the curtains wide and left the window open so she would start to wake up. She was hostile to DH when he woke her, but ultimately got up and went in. I’ll see how she goes today - fingers crossed.

OP posts:
ScrollingLeaves · 18/06/2021 08:55

Very good news.
That was an I inspired idea about the bed and the lightSmile

ScrollingLeaves · 22/06/2021 15:43

How did the rest of the week go?

WhoisRebecca · 22/06/2021 16:09

She did a full day Friday, break time till the end of the day Monday and a full day today. We seem to be making some progress.

OP posts:
astoundedgoat · 22/06/2021 18:12

I would take her out of school.

You say nothing in particular has triggered this but it's been a crazy hear and I'm not surprised she is frazzled and emotionally worn out. Going BACK to school after lockdown is hugely stressful too, especially if she is on the spectrum - being home was probably a heavenly break from social stress.

My instinct, without knowing you, would be to let her stay home on the condition she does 3 - 4 hours a day of guided home learning, for instance, Oak National Academy or similar. Outschool has lots of KS4 live teaching too.

Reassess in September. School isn't for everyone, especially the giant, bustling secondaries that are the norm in this country.

I don't suppose going private is an option, if there's a small private with small class sizes etc. available?

megletthesecond · 22/06/2021 18:45

@moonface123 please could you point me to the "Not fine" thread, I can't find it.

Whois glad things are calm. I fear I'll be in the same situation soon, already had CAMHS pass DD to a charity for six paltry sessions of counselling Hmm.

ScrollingLeaves · 22/06/2021 23:20

WhoisRebecca, she is doing well to have
managed that . And you have too.

T0rt0ise · 23/06/2021 19:41

As above, something like hippo therapy or dog therapy might be helpful. Something completely no judgmental to spend some time with.

ScrollingLeaves · 27/06/2021 12:20

How has she got on recently?

WhoisRebecca · 28/06/2021 11:21

She’s gone in today after her CAMHS appointment but she’s very down. She had some friends over for a sleepover on Friday but they’ve fallen out with her because she wanted them to go home midday Saturday. She can’t take extended social time.

She wants to be able to go to a special school one or two days a week, she says, where they can teach her coping strategies.

OP posts:
ScrollingLeaves · 28/06/2021 13:48

“She wants to be able to go to a special school one or two days a week, she says, where they can teach her coping strategies.“

Did CAHMS tell her about this? It seems good that she has shown interest in suggesting she would like this? Do you feel this is positive too?

Have you managed to find anything more out
about horse therapy? Animals can be just a perfect help for people who can take only so much social interaction.

WhoisRebecca · 28/06/2021 15:35

I think she spoke to some kids at the youth group she goes to who have this kind of blended learning. I have a call with her CAMHS therapist today so I’m going to chat with her about it. I’m not sure what is available without an EHCP, but it’s worth the discussion. She’s asked me if she can have Wednesday off school, as it’s sports day and I’ve agreed as she’s made an effort to go in today and says she will go in on the other days, so she’s trying.

It’s frustrating that her friends don’t seem to understand that she doesn’t mean to upset them when she doesn’t want extended social time.

I haven’t looked into horse therapy yet, but I will do.

OP posts:
ScrollingLeaves · 28/06/2021 16:45

OP things do seem to be looking up compared to when you first started this thread.

I think friends at this age are very conforming and pack like. I am sure it is difficult for them to understand. You can only encourage DD to try to explain to them.

WhoisRebecca · 28/06/2021 17:19

She is now saying she won’t go back in until school have put a plan in place to support her.

OP posts:
ScrollingLeaves · 28/06/2021 17:23

If you did that could she still have follow ups with CAHMS and get the EHCP?

Could you ask CAHMS what they think of this idea?

Do you think she is being reasonable, or just stalling and worried about her friends?

WhoisRebecca · 28/06/2021 18:13

She was quite distressed after her CAMHS appointment today and cried in the car on the way to school. My DH said she didn’t have to go in, but she did. She’s clearly upset now, so I’m not sending her in tomorrow. Her CAMHS therapist was worried about her and how upset she was, so she’s calling school tomorrow. We can still apply for the EHCP, I can do that as a parent.

OP posts:
ScrollingLeaves · 28/06/2021 18:40

Maybe her CAMHS therapist would know best about whether or not she should keep trying to go to school, or, if she stays home, how to manage that in a positive way ( keeping busy, sleep schedule, regular meals etc).

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