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Really need advice DS 14

21 replies

Joveton · 14/12/2025 07:53

Hi,
I really need some support.
DS 14 mental health is deteriorating fast and I don't know how to help him.
He is severely anxious all of the time. He is telling me it's causing pain in his chest and tummy aches. He is having extremely negative thoughts about how other people view him. He has lost all his self confidence. His self esteem has gone. He never smiles anymore. I miss his smile so much.
I can't believe I'm writing this about him.
He was such a happy little boy. He was a glowing, radiantly happy calm content little boy, who loved his life. He was joyful and he used to be constantly smiling and laughing. Other parents would comment to me about what a lovely happy boy he was. And he was. Up until about a year ago.
He's now irritable, bad tempered, and permanently severely anxious. He has anxiety attacks regularly. If someone unexpectedly knocks on the front door, he'll sprint upstairs and hide in his room until they're gone. Even if it's a delivery man. Last night we had an amazon delivery, the driver knocked on the door, I was in the shower so couldn't get to the door, and DH was in the middle of doing something, so we called to DS please can you answer the door it's a delivery driver, and he wouldn't answer it. He froze in fear and had an anxiety attack in response to being asked to open the door. We were in town yesterday, and a motorbike sped past that was extra noisy, one of those ones where someone's done something to the exhaust to make it much louder than usual, as it sped past DS it sort of banged loudly, and poor DS literally jumped out of his skin, he actually physically jumped his whole body in shock and then stopped in his tracks looking really frightened and stressed. He's saying he's feeling overwhelmed at school every day. He's suddenly getting detentions left right and centre at school for not concentrating or not focusing on his class work, having never had a detention in year 7 or 8 (he's year 9 now). I talk to the teachers about his detentions and they say he's never badly behaved or never horrible to other kids or anything like that, but he keeps staring out the window or not doing the task the class have just been set, so the teachers issue detentions. I talk to DS about this and he says he keeps feeling overwhelmed or overloaded in class or starts feeling hyper anxious in class and can't hear what the teacher is saying so he misses instructions and then has to miss his breaktime because he gets put in the detention room for break. This makes him feel even more anxious and upset. I've tried explaining to his class teachers but I'm not getting anywhere. They seem to interpret his vacantness or internalised anxiety overload as rudeness or disengagement. I'm starting to hate his teachers actually; none of them seem to have any comprehension of mental health problems in quiet teenage boys and deal with the symptoms by giving punishments. He isn't loud or disruptive in class, his teachers confirm that. But they go on and on about how he doesn't maintain eye contact with them when they're teaching. This week he got a detention for turning round and looking behind him in class, over his shoulder, because he had a huge feeling of anxiety and fear and felt like he needed to look around his space. I understood this when he explained it to me. If someone was feeling frightened for whatever reason, I could understand them looking around their environment. But bang. Instant breaktime detention for looking behind him. Apparently it's a school rule that students must face forwards at all times. Another lesson, in drama - he walked behind the stage curtain. Instant breaktime detention. I spoke to the teacher to question this and she said she'd told the class at the start of the lesson not to go behind the curtain. So when DS did, she saw it as disobeying the rules. When I spoke to DS, he says he didn't hear her say not to go behind the curtain at the start of the lesson. Hed walked into the lesson feeling anxious and sick and couldn't focus on anything the teacher was saying. Hes getting detentions every day. This is escalating his anxiety further and it means he's not getting any down time or brain breaks between lessons because he's missing his break times every day. I've explained all this to school but I get met with very defensive responses by the teachers.
He's a quiet boy by nature. He's shy. He's not loud.
He says he feels stressed most of the time. I've asked him what he's feeling stressed about, he says he doesn't know.
He is struggling with maintaining his friendships. I've tried really hard to support his friendships, but I'm failing in my efforts to help. When he was at primary school I was always arranging play dates and taking him out with his friends and I'd invite their mums and we'd have lovely social times out. But now I'm finding that other mums have limited interest in organising stuff for the kids to do together now, at this age. I'm all for texting mums and offering to take them out together, to give DS a nice time with friends, but all I'm getting from other mums is "they're old enough to sort plans out by themselves now". But DS struggles to arrange plans.
He is telling me things like this: he was in PE first lesson of the day. He missed a score in the game. Some kid shouted at him "Get out of our team! Get out of our team!" And DS started having an anxiety attack because he got shouted at and he said it ruined the rest of his day. He couldn't concentrate in any of his lessons for the rest of the day. He got a detention for 'zoning out' in class because he was feeling anxious about having been shouted at. He spent the rest of the PE lesson feeling like everyone hated him, everyone thought he was bad at PE, nobody wanted him on their team, the whole PE class thought he was stupid for not scoring, on and on and on with spiralling negative thoughts. And tgis spilled out into the rest of the day, he spent the whole day feeling like that, with these thoughts amplifying and magnifying in his head, dominating his whole day. He got home and stayed in his room for hours, looking depressed. I tried really hard to talk it through and put this kid's yelling in PE into perspective, but nothing helped to lift his mood.
Another example, he was in the canteen getting lunch. A boy he's mates with walked past him, without acknowleding him. DS had an instant anxiety attack. He said he started thinking "What have I done wrong, what have I done to make him blank me, what have I said to upset him, what have I done wrong to offend him, oh no he doesn't like me anymore, he doesn't want to be friends with me anymore, oh no I've lost his friendship, he's gonna tell everyone he doesn't like me anymore, panic, panic, panic". He said he started sweating, felt sick, chest pain, head was swirling round. Went back to lessons unable to concentrate. Couldn't remember anything the teacher said or taught in his lessons afterwards because he was consumed with anxiety. Then walking out of school this same kid walked out with DS, chatted away happily to him all the way out, big smile, gave him a fist bump goodbye and said see you tomorrow nicely. No issues. I know this kid and I honestly think he simply walked past DS in the canteen and just didn't register he was there, for whatever reason. Maybe didn't even notice or see him. Certainly wasn't any reason for DS having an anxiety attack over it and unable to focus in lessons afterwards.
He's developed social anxiety too, really badly. And he's developed anxiety about talking to my adult friends, he can't look any of them in the eye and gives shutdown answers when they try to exchange pleasantries with him - he comes across as really rude.
He is taking everything the wrong way all of the time. I can say the simplist most inoffensive thing and he will take it the wrong way completely.
He is telling me things he's taken offence to tbat friends have said and I can hear hes taken them all the wrong way.
He's a highly sensitive boy. Thoughtful. Considerate. He has high levels of emotional intelligence, he's advanced in this for his age. Yet conversely, he's misinterpreting others a lot, which I realise is contradictory.
He's grateful, thankful, humble in life. He's quiet but once he feels comfortable with someone he can chat really well about interesting things. He loves the natural world and the countryside. He loves biking and swimming and going out to nice places. He does clubs after school. He's such a lovely boy. He has a truly lovely personality. His younger DS absolutely adores him. I absolutely adore him and so does DH (his DF). We tell him every day of his life that we love him and are proud of him.
I am spending hours on end every week listening to him talking about his anxiety, his emotions, his feelings, his experiences, his school days, his interactions. I am making it my priority to listen to him when he needs to talk.
He keeps on saying "Please help me, I feel so low".
I am really struggling because I don't know how to help. I'm doing everything I can think of to give him a nice time, taking him out to nice places and taking him to nice events, spending loads of quality time with him, going for long walks with him to listen to him talk and giving him endless support and advice, guiding him, helping him with his feelings. I'm cancelling my own social plans to be there for him. I've last minute cancelled 2 Christmas evenings out with friends over the past fortnight that I'd been really looking forward to, and didn't show up for my work Christmas do, because DS was having severe anxiety and I couldn't walk out and leave him.
I'm overwhelmed, emotionally drained and mentally exhausted. Every day he wakes up saying he feels low.
He denies any bullying at school.
I think he's got undiagnosed innatentive ADHD; the profile fits him exactly. Does ADHD affect mood?
GP said CAMHS is 3 year waiting list but has referred him anyway. He'll be 17 by the time an appointment is available.
I've done everything I can to love and care for DS his whole entire life. I've only ever treated him with love and kindness. I'm a calm, gentle parent. I've always prioritised him and supported him. I've done everything I can to give him a lovely, secure, stable, life and he used to be such an incredibly happy bright eyed little boy.
How do I help him now? What am I not doing right?

OP posts:
Justlostmybagel · 14/12/2025 07:59

I would go private for both the ADHD diagnosis and anxiety treatment. It sounds like you're doing everything else possible, so the only thing left is getting him therapy and possibly medication as soon as possible.

Lookingforthejoy · 14/12/2025 08:00

I’ve been here with my younger girl.

Don’t send him to school next week. Tell him he is taking it off.
Ask for an urgent appointment with Senco/mental health lead/head of year. Explain what is happening and ask to do the ESBNA tool kit in January.
Get him assessed privately for ADHD and ASD.

BreakingBroken · 14/12/2025 08:01

Start with a gp appointment and ask for a psych referral, or go private.
He’s clearly asking and needing help.

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TeenToTwenties · 14/12/2025 08:05

I'm afraid I didn't read it all.
However
. you may be able to get a beta blocker such as propranolol from the GP which should help with anxiety attacks. Other thigs to help in the moment are the 54321 technique, controlled breathing, and with DD we did/do Alphabets naming to a theme down the alphabet.
. if you can possibly afford it then pay for private, CAMHS waiting lists are a total disgrace. We went through The Priory for DD's anxiety/depression.

IsItMeOr · 14/12/2025 08:05

First off, you sound like an amazing mum, and your son sounds lovely.
Well done on getting to the GP. Have you looked into Right to Choose? This can be a way to access an NHS-funded private assessment, which might be quicker. There's some info here https://adhduk.co.uk/right-to-choose/
I would advise making an appointment to speak to the SENCO at school, if you haven't already. A diagnosis is not needed for the school to provide support, and it's blindingly obvious that your son needs school to take a different approach.
Good luck, and if I could, I would give you a big hug.

Right To Choose

Right to Choose - ADHD UK

Right to Choose - If you are based in England under the NHS you now have a legal right to choose your mental healthcare provider and your choice of mental healthcare team.

https://adhduk.co.uk/right-to-choose/

TeenToTwenties · 14/12/2025 08:06

There is a Children's Mental Health board on MN.

MoggetsCollar · 14/12/2025 08:11

I would do the 'Starving the Anxiety Gremlin' book at home with him as something you can do immediately (most things will involve a wait) to start giving him some strategies to use.

Rightyotime · 14/12/2025 08:12

I am so sorry to read this. Your boy sounds lovely and so glad he has a supportive family.

i just wanted to mention what does his online world look like? be careful what he could be accessing online as there are some scary stuff that could be very confusing for him. Could this have brought on anxiety?

my instinct would be to keep him home for a bit, but no idea if that is the right thing to do

Jugendstiel · 14/12/2025 08:26

Buy him some teen work books on CBT for anxiety and self esteem. There are loads around. These will help him recognise various types of disordered thinking. They have exercises on things just like the scenario of the friend blanking him, where you write down all the reasons it could be, other than something personal to you: he was thinking of something else, he was focused on food, he needed the loo or was late for a meeting, he'd promised to catch up with someone, he was feeling a bit low or anxious himself and not in the mood to cope with socialising.Then you think of times when you might have been so lost in your own thoughts that you didn't notice the world around you and might have accidentally ignored someone.

Other exercises might include making lists of things that are good in your life, or that you have achieved, or when you got lucky or someone was kind. These offset feelings that the world is a dangerous place.

It takes a lot of work, but CBT is really effective if you put the hours in to train your brain away from distorted thinking. He'll start to realise he doesn't have to carry these huge mental weights of assuming the worst all the time.

Other things you can do is reward small actions heading in the right direction. So if he sets a small goal of opening the door for an Amazon package, then he needs to reward himself with conscious praise - a little air punch or patting himself on the shoulder and say in is head or out loud: Yes! I win! I'm beat my anxiety. I can do this.

A lot of that sort of self talk sounds very artificial at first but in comparison with the extremes of anxiety self talk, it needs to be quite pumped up to override it and reset his thinking patterns.

DS has ASD and had severe anxiety. We did a LOT of CBT (which he was sure was not working, when I could see that it was.) Long term, it has helped him so much.

Basic things help, like limiting screen time and gaming, especially at night.
Find some gentle comedy he likes - IT Crowd, Parks & Rec, Big Bang etc and watch those together.

Increase exercise - even a night walk together or a cycle ride, a swim at the weekend. If you go for a walk, play a game like looking out for things of a certain colour or listening for birdsong, just to pull him out of ruminative thoughts. Or play: what would your dream home look like? Your dream job etc - help him imagine the future in a positive way.

You'll probably meet with some resistance, but gently keep encouraging him to replace the anxiety and harsh inner critic with more enjoyable calm neutral or positive thoughts. One thing that helped DS was to say or think: Even though right now I find it hard to believe (whatever good thing you are encouraging him to believe) I would like to believe it and so I will agree to think that I might believe it at some point in the future. (He used this for social things like being invited to paries, getting a girlfriend, getting chosen for something at school.)

Houndsahollering · 14/12/2025 08:33

This to me sounds like autistic burnout
I wouldn’t be surprised in the slightest if he is neurodivergent.
Keep him off school.
If you can afford it get private assessment for autism +- ADHD; just be careful with where you select as some providers aren’t recognised by education and you’ll be no better off if the council/LEA refuse to recognise a diagnosis.

You sound like an amazing mum though who’s totally got his back. Keep those lines of communication flowing.
Do you have someone you can reach out to for support yourself as it’s a really tough time and you will need it.

Take care of yourselves

Joveton · 14/12/2025 09:04

P.S. I meant to add, I have had 2 meetings with the school Senco.
She was lovely actually, and really listened to me.
She has made all his class teachers aware but still the detentions are coming in thick and fast. What is annoying me is how defensive the teachers are when I ask for details on why theyve given him yet another detention. They simply say:
"He lost focus again so that's why I issued a detention." To that, DS explained to me "I was concentrating on trying not to be sick in class because I was feeling so anxious it was making me feel ill."
"I caught him looking out of the window whilst I was teaching so that's why I issued a detention.". To that, DS explained to me "I was looking out at the view because there are green hills and countryside views from that window and it was helping me to calm my anxiety down by looking at nature, because I was feeling hyper anxious".
"He wasn't looking at me when I was teaching. All students must look at me when im teaching it's our school rule. So I issued a detention. To that, DS explained to me "I feel uncomfortable tracking the teacher with my eyes all through the lesson. I struggle with eye contact. So sometimes I look down at the floor or I look at the wall and it takes the pressure off my brain for a little while and then I look back at the teacher again. But the teacher saw me looking away from them"
I mean FFS, are these teachers Victorian teachers? I've developed an unhealthy loathing of them. Punishing my child over and over again with removing his free time in the school day for feeling permanently anxious.
The Senco has offered him a time out card, where he can leave class for 5 minutes to re-set. She has given him a sheet to read through in that time to help calm his mind down. She has given him a pass to leave lessons 5 minutes before the bell, so he can take time out to decompress before his next lesson, to help reduce overload. She's given him a pass to go to lunch 5 minutes before everyone else, so that he can get his lunch in peace and quiet and sit down to eat before all the hoardes arrive.
Unfortunately, DS declines to use any of these methods, he has said he doesn't want to do anything that makes him stand out in front of others. He already has social anxiety without drawing more attention to himself (he says). Everyone would ask, apparently according to DS, why are you leaving lessons before us, why do you get to go to lunch before us, etc. He says this would make things even harder, he says it would feel like holding a magnifying glass over his struggles.
He says year 9 has been full of mocking, piss taking, baiting, endless sarcasm. All the boys do this towards each other. They all take the piss out of each other daily, so he says they'd jump on him with endless jokes for having a 'gold pass' in school. DS however doesn't like any of this type of behaviour from peers. It upsets him a lot and he admits that he struggles with it when they do it to him, yet knows at the same time they all do it to each other.
Anyway, the Senco has made all his teachers aware, but she admitted to me in a meeting "It can be difficult to get through to some of the teachers as they have very fixed ideas about expectations".
GP wasn't keen to prescribe meds due to him being only 14. She said better for him to learn to manage the anxiety symptoms rather than issue prescribed medication. Gave lots of signposting for support with anxiety, MIND, etc.
Can innatentive ADHD cause anxiety?
And how come i never detected any innatentive ADHD symptoms all through his younger childhood yet suddenly now as a teenager he suddenly fits the exact profile? I don't get that at all. Surely you can't suddenly develop ADHD, surely if you've got it you've been born with it, so surely you'd have always had symptoms?
Can teenage hormones cause anxiety and spiralling negative thought processes? Over the past year, since developing all this, he's had an almighty surge in puberty. Huge. He's grown 6 inches this year. From 5ft 4 last Christmas to 5ft 10 now! His voice has completely broken. Big Adam's Apple. Face shape and features have changed. Hair structure and colour has changed. He has broken out in quite severe acne all over his face. Legs are suddenly covered in thick hair. Body is changing - he is getting very muscular now without trying to. So he's had huge hormone surges this year. Can that affect mental health? Or not to this extent? Is this extent outside of the normal puberty changes in mood? First teenager so no experience!

OP posts:
Lookingforthejoy · 14/12/2025 09:27

Jugendstiel · 14/12/2025 08:26

Buy him some teen work books on CBT for anxiety and self esteem. There are loads around. These will help him recognise various types of disordered thinking. They have exercises on things just like the scenario of the friend blanking him, where you write down all the reasons it could be, other than something personal to you: he was thinking of something else, he was focused on food, he needed the loo or was late for a meeting, he'd promised to catch up with someone, he was feeling a bit low or anxious himself and not in the mood to cope with socialising.Then you think of times when you might have been so lost in your own thoughts that you didn't notice the world around you and might have accidentally ignored someone.

Other exercises might include making lists of things that are good in your life, or that you have achieved, or when you got lucky or someone was kind. These offset feelings that the world is a dangerous place.

It takes a lot of work, but CBT is really effective if you put the hours in to train your brain away from distorted thinking. He'll start to realise he doesn't have to carry these huge mental weights of assuming the worst all the time.

Other things you can do is reward small actions heading in the right direction. So if he sets a small goal of opening the door for an Amazon package, then he needs to reward himself with conscious praise - a little air punch or patting himself on the shoulder and say in is head or out loud: Yes! I win! I'm beat my anxiety. I can do this.

A lot of that sort of self talk sounds very artificial at first but in comparison with the extremes of anxiety self talk, it needs to be quite pumped up to override it and reset his thinking patterns.

DS has ASD and had severe anxiety. We did a LOT of CBT (which he was sure was not working, when I could see that it was.) Long term, it has helped him so much.

Basic things help, like limiting screen time and gaming, especially at night.
Find some gentle comedy he likes - IT Crowd, Parks & Rec, Big Bang etc and watch those together.

Increase exercise - even a night walk together or a cycle ride, a swim at the weekend. If you go for a walk, play a game like looking out for things of a certain colour or listening for birdsong, just to pull him out of ruminative thoughts. Or play: what would your dream home look like? Your dream job etc - help him imagine the future in a positive way.

You'll probably meet with some resistance, but gently keep encouraging him to replace the anxiety and harsh inner critic with more enjoyable calm neutral or positive thoughts. One thing that helped DS was to say or think: Even though right now I find it hard to believe (whatever good thing you are encouraging him to believe) I would like to believe it and so I will agree to think that I might believe it at some point in the future. (He used this for social things like being invited to paries, getting a girlfriend, getting chosen for something at school.)

CBT should be used with caution by ND people and should be been done with a practitioner who is experienced and knowledgable about working with ND people.

TeenToTwenties · 14/12/2025 09:31

Also, change schools.

IsItMeOr · 14/12/2025 09:33

It is very common for mental health issues to emerge in early teens.
It's also very common for neuro-diversity to become apparent at the transition to secondary, as it's a more demanding environment, all their peers are maturing, and previously successful coping strategies stop working.
I am so sorry you and your son are experiencing this problem with the school. I'm afraid that you will need to keep escalating it with the SENCO, with the head and ultimately with the governors if needs be.
I know you won't want to hear this with everything you have going on just now, but this school might not be the best place for your son to learn.

BreakingBroken · 14/12/2025 14:10

Acne. Definitely a medical issue see a dermatologist and get that sorted.
The school seems like a horrible fit,

HevenlyMeS · 14/12/2025 14:53

Yes my heart goes out to You & Your Beloved Son 💚😢💚Sounds like numerous symptoms & characteristics of the same as mine with confirmed Diagnoses of Autism & Adhd
Wishing You&Yours all the utmost very best 💚🫂💚

Montypig · 14/12/2025 14:57

Could be describing my child at points - i would suggest you might think about changing schools as well as investigating diagnoses - it can get better. I have dm'd you.

ProfessorInkling · 14/12/2025 15:47

Get him out of that school for a start, it sounds incredibly damaging.

GarlicBreadStan · 14/12/2025 16:49

Lookingforthejoy · 14/12/2025 09:27

CBT should be used with caution by ND people and should be been done with a practitioner who is experienced and knowledgable about working with ND people.

Agreed. I'm autistic, and CBT made my anxiety much worse and I started having more regular panic attacks and anxiety attacks

Twattergy · 14/12/2025 16:59

I wouldn't jump to neurodiversity.
He's describing low mood and anxiety. Can you afford to immediately get him weekly talking therapy? That is essential if you can do it.
You are describing something v similar to what my DS experienced although a bit younger (worst aged 12) and it didn't affect his behaviour quite as much at school but he did have panic attacks, could not make friendships and generally hated himself, it was awful. His school has been more caring though, with great pastoral care. But probably the biggest lifeline was him having talking therapy weekly during his toughest times.
I also helped him manage it by being non judgemental and supportive like you are OP. But he definitely needs an extra layer of care right now.

Lindy2 · 14/12/2025 17:13

To me it does sound like attention deficit disorder without the hyperactivity.

It also sounds like rejection sensitivity dysphoria which is very common with ADD/ADHD.

I have a child with ADHD who has some very similar traits.

I wish I could tell you how to help but I've got no real answers. DD is finally seeing a CAMHs physiotherapist but we had to reach crisis point before the help finally appeared (after years and years of asking for help).

I'd suggest speaking to the Senco. Some things that did help my DD a bit were, sitting at the back of the class to reduce the anxiety of something happening behind them, having a quieter room to go to at break and lunch, stopping the detentions for minor infringements (we had this put in her EHCP), class exit card for a 5 minute reset if feeling overwhelmed. Some reasonable adjustments like this could help.

Try and get him some counselling. Ask your GP or the school what can be provided. A diagnosis would be good but very difficult to get and it's a long process.

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