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Teenagers

Parenting teenagers has its ups and downs. Get advice from Mumsnetters here.

HFA teen severely depressed - how can I help him?

5 replies

Zinniasout · 14/04/2020 12:13

Hi
Name changed in case people recognise me irl and by extension, recognise my son.

He is very depressed. It's come on quite rapidly. I recognise the signs as I have suffered from depression all my life. He's always had mood swings but this seems really pernicious.

He is autistic (very high functioning - most of his friends don't even know, though it exhausts him to mask socially and he has high levels of social anxiety.) Because of the autism, he does have very black and white thinking, and I've read that CBT which helps me a lot - is much less helpful to autistic people. I have tried doing some basic CBT with him, and coaxed him outside for some gentle exercise in the sun this morning.

I just don't know how to help. He does have a number of physical and mental issues which will always be with him and he quite understandably hates them but turns that on himself and hates himself for having them. He has a brother with no health or mental issues.. He compares himself very unfavourably with his brother and that makes him feel even worse.

Normally, I'd take him out and distract him by doing stuff he loves, just to give him a short break from the feelings. But we are stuck at home. He still hasn't bloody heard from the uni he most wants to go to. He's missing his friends, school, being out and about in London which he adores. I know everyone is, but he is tearful and aggressively down on every single aspect of himself - saying he hates himself, loathes every aspect of his looks (he's gorgeous and lots of people say so but in his eyes he is short (he is shorter than average) fat (he carries a tiny bit of weight around his waist) and has a physical disability (he has but it's mild and I doubt many people notice.) He feels he is stupid (he's very bright.)

My own depression was due to a difficult childhood with a very vicious mentally ill father. I have made it top priority in my own life to protect my DC from my own depression. I've always taken medication so they don't suffer violent outbursts. screaming and crying and have never had to be my carer or be the emotional parent to me as I was for my own parents. They have had a very stable, calm and very loving childhood. No rows, no disruptions. Lots of affection and laughter, attention, support. I am privately gutted for him that despite this, the family illness has managed to pass down to him. I am deeply worried for him in the future.

I really don't want him to start adult life on medication. It made me a fat docile half wit for years and I want to try and help him through every other means first.

Has anyone been through this? Does anyone have any advice of any sort - especially if your teen has Asperger-style ASD? (I know we're not meant to use that term any more but autism is such a broad term it's too vague.) I'd especially love to hear from parents who are making progress with this during lockdown, and of course, I'd love to hear from any Aspergic teens who are struggling as to what they find helpful and what really isn't helpful in terms of support from their family.

Sorry this is long. Needed to get it off my chest. I have a lump in my throat thinking about him. He is so sad and hard on himself right now.

OP posts:
DearLiza · 14/04/2020 12:19

I really think you should get him àn appt with CAMHS. I was quite depressed as a teen and spent years wothout any sort of proper treatment, as my mum didn't want me "going on pills" Hmm

Psychoherapy is what really made the difference for me though. I'm so much more well-adjusted now, I've never felt healthier.

Get him help OP. Flowers

Zinniasout · 14/04/2020 12:55

Thank you Liza. I agree with you that it's not up to me whether he goes 'on pills' or not. It's just that my experience was of having no other form of help - not a soul to talk to, just stuff these in your mouth and shut up. I want him to have a full range of options. Maybe I should contact CAHMS. He is almost 18. Will they still take him on?

OP posts:
Zinniasout · 14/04/2020 16:32

bumping

OP posts:
Annilk · 02/05/2020 07:41

My DS is younger (13) but like yours is HFA, very black and white thinking and also high levels of social anxiety. I understand your concerns about medication, but since starting on Sertraline he has become a different person in so many daily-life-enabling ways. His anxiety was so crippling before and now it's just not - he does display more noticeable ASD traits now though! We'd tried psychotherapy and cbT before which he was unable to benefit from. With meds, and a CBT specialist in ASD teens, he completed a 10 week cbt course and it has massively helped him. Hopefully CAMHS can advise and guide? Although I realize the level of support from them varies
massively across the country...

Dilbertian · 02/05/2020 09:03

All my teens have strong autistic traits. One was diagnosed with ASD only a couple of years ago, and I would not be at all surprised if another gets diagnosed as an adult. Both sides of the family have strong traits and history of depression.

My diagnosed child had counselling for anxiety (had been on the waiting list for this since before the ASD diagnosis). I had to be present for it, too. Dc was very resistant. The therapist used a variety of techniques, including CBT, and we had homework to do together. Over about 3 months dc's attitude to the therapy changed completely, and they began to understand better why people around them behaved in certain ways and how dc's behaviour influenced this and was influenced by it. It really helped them.

Currently my undiagnosed 6th former, who has always struggled with self-esteem, teetering on depression, and is particularly low right now, is having one-to-one counselling sessions with the school's Life Coach via video-call. I suspect the school gave her that title to make accessing her seem cooler to the kids, because what dc reports is straight up CBT. I have been getting very concerned for this dc's well-being, concerned I have shared with the school, but the counselling seems to have helped quite a lot. I don't know how long the sessions will continue.

For CBT to work the 'patient' has to buy-in. "I don't see the point. Why should I change? That's not the way I (ie the world) do it. You can't change anything." These can be core beliefs for an autistic person.

For one dc the CBT techniques helped because they were in a very strong framework of me modelling and supporting them in the dc's day-to-day life, rather than just theoretical in the therapist's office. The child could see the techniques having effect, and began applying them themselves.

For the other the techniques may be working because the dc likes the therapist, has made a connection with them, trusts and wants to please them. This came about because earlier last term the school ensured that this dc met and got to know the Life Coach in several group situations, so she was cool and un-threatening by the time sessions began.

I do hope your boy gets the help he needs.

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