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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:
10brokengreenbottles · 28/06/2021 21:01

Without an EHCP a special school place is unlikely. However, a placement, either full time or as a dual placement, at a medical PRU, hospital school or medical needs ETOAS tuition delivered in other ways e.g. home tuition is possible. As are other types of alternative provision e.g. care farms.

Although even if you sort medical needs tuition for DD you should still apply for an EHCNA. EHCPs can include much more than what is normally provided by medical needs tuition services. And, hopefully you won't still need it, medical needs tuition finishes at the end of Y11, whereas EHCPs can last until 25 if necessary.

As I posted previously, don't deregister, it's easier to get support when on a school's roll even if DD isn't able to attend.

ScrollingLeaves · 28/06/2021 21:22

“10brokengreenbottles”
“As I posted previously, don't deregister, it's easier to get support when on a school's roll even if DD isn't able to attend.“

That is very important information to bear in mind then 10Broken.

WhoisRebecca · 30/06/2021 08:13

I’ve been worried about fines, but I just need to do the right thing for Dd. I’ve been reading up on PDA and it sounds very much like dd.

OP posts:
10brokengreenbottles · 30/06/2021 12:42

You are very, very unlikely to be fined if you can prove DD is unable to attend school due to her MH and potential neurodiversity and are engaging with support.

WhoisRebecca · 30/06/2021 12:47

She has taken two overdoses as a direct result of having to attend school. I have medical evidence, letters from CAMHS, a psychiatrist and the GP and I’ve engaged with numerous meetings with school. I have emails to show that I’ve been engaging with school and trying to get support for her.

OP posts:
WhoisRebecca · 01/07/2021 16:46

So she went for a walk yesterday and was seen near school with her friend by a teacher at about 5pm. According to school this now calls into question the veracity of her anxiety and whether they can now authorise future absences. They’ve asked me to chat with her about coming in so she can access the support. Dd is hostile about it and saying she will get herself kicked out of school rather than go in. She’s saying she’s not doing it and she’ll just leave. I don’t know what to do.

OP posts:
WhoisRebecca · 01/07/2021 17:03

She’s begging me to let her change schools. I’m going to look into it. It’s a bad time to change - year 10.

OP posts:
WhoisRebecca · 01/07/2021 18:08

Any thoughts?

OP posts:
MondayYogurt · 01/07/2021 19:31

Hi OP - I have absolutely no experience in this area but reading your messages back I just get a feeling that someone/some event at the school is behind this behaviour.
And I think they're linked to the phone usage.

That's all, and it's just a hunch. Sorry she's going through this.

WhoisRebecca · 01/07/2021 19:36

She is fine at home, it’s her safe space.

OP posts:
Bythemillpond · 01/07/2021 20:18

I would sit down with her and go through what exactly she wants to do and how you can facilitate this
Ds in total went to school for 4 years in primary school snd 5 weeks in senior school.

He really really hated school. If anything I think he would have done worse if I had insisted he went.

Ds is in the process of being tested for ADHD. He also has dyslexia.

At this stage I would go through the GCSEs she has to take like English and Maths then let her choose a couple more and whilst you can get the books and let her work through at her own pace. They don’t have to be academic GCSEs. Just somethings she enjoys. Or even just something she can learn for fun. Eg Guitar/needlework/cooking if she is fussy get her to come up with recipes that she enjoys and get her to cook them.

Put in place a few rules that she has to be up by 11am and in bed by midnight and she must actually do some work so she can work towards her GCSEs.
Maybe look for other things like college courses. Our local college had courses for those who were still school age for practical careers like hairdressing/plumbing/engineering/hair and make up that were for a day/afternoon per week.
See if that is successful or she can make it work. Although personally she sounds like she needs a complete break till September and then start again then.
Either that or get her a new school. I think something has happened at this school and although she is going in I would not be surprised if she suddenly explodes when the pressure gets too much.

WhoisRebecca · 01/07/2021 21:05

She won’t study at home independently sadly. She won’t even have a tutor. She’s very rigid in her thinking.

OP posts:
Bythemillpond · 02/07/2021 08:57

WhoisRebecca so what does she think she will do?

What sort of plan has she got in her mind and would it work?

I had this with Ds to a certain extent. If anything (because of ADHD) he now studies a lot more than he did when he went to school or was home educated.
Would she be open to something like Interhigh?

WhoisRebecca · 02/07/2021 13:07

Dd has disclosed that she was sexually assaulted by a boy she knows (different school) in February, so we are trying to get through to the police now.

OP posts:
Brigmatt · 23/03/2024 16:57

Hello Whoisrebecca,
I came across your post while searching for some guidance as my daughter is in a similar position to what yours was in 2021.
How is your daughter now? I hope she is in a better place.
🙂

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