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Teenagers

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

How do you discipline a teen who self harm's?

59 replies

Heather2000 · 08/01/2023 11:26

Hi, my daughter is 14. She's autistic, has high anxiety, and we've discovered she self harms. She was placed under CAMHS, but they said she wasn't a severe case. She was seeing the school counsellor, but stopped going. She has another counsellor who she currently sees once a week.
She used to be the sweetest, funniest, kindest girl, really affectionate, and we were a close family. It's me, my husband, her and her younger brother. When she went back into school after lockdown the anxiety started, she started seeing the school counsellor who said she was autistic.
Over the last year she's withdrawn from family life. I put dinner on the table and she picks her plate up and takes it to her room. She doesn't want to watch a movie or play a game, she doesn't want to come on family days out. We had a family holiday booked for later this year but now I'm going with our son and my husband is staying behind with her.
I don't know what triggers the self harming, but I think it's mostly school anxiety. Little things she says about the noise, why don't people say what they mean, having to wait for other people's reactions in conversation because she doesn't get jokes and sarcasm. I think she's masking all day in school, then comes home and has 'post restraint collapse,' and needs time alone to recharge. So I understand that if she's been dealing with people all day in school that she needs time and space alone in the evening.
What's really upsetting is the way she speaks to me. She hates me. She's apparently moving out on her 18th birthday. I bought her a jumper she wanted, it arrived yesterday. She was out with her friends (she has a lovely group of friends and a lovely girlfriend, they've been dating for I think about 8 months, not that she tells me anything!) I put the jumper outside her room (I'm not allowed in) for her to check she was happy with it, before I removed the tags and washed it. My husband picked her up from her friends yesterday evening and she went straight upstairs to her room without speaking to anyone. I left it a bit, then took her a cup of tea. She opened the bedroom door and reached for the mug. I saw fresh cuts on her hands, she must have just done them. She took the mug and shut the door without speaking to me. This morning she's just walked into my room with her new jumper, dropped it on my bed and said 'I thought you would have washed it,' in her usual hostile voice (she never used to speak like that) and walked out.
I know she likes clothes to be washed before she wears them, but I like to make sure she's happy with them before I do that, as then I can't return them if they're wrong. She won't try clothes on in shops. I'd like her to say 'thanks for the jumper mum, I love it. Please could you wash it?' or even better wash it herself as she's perfectly capable!
But I'm so scared of causing her to self harm that I let her speak to me like this. I don't ask her to do any chores around the house at all. She send me a WhatsApp saying what she wants for dinner, she doesn't eat the same as the rest of us so I have to cook different meals. She won't cook for herself as she doesn't have time,' she always has too much homework. She's a good cook, I've always cooked from scratch and used to get them both to help. Because I can't ask her to do any chores I then don't ask her brother to as it isn't fair. So for the last year they've barely lifted a finger, not even emptying the dishwasher, making a sandwich or anything.
Every article I read about self harming talks about supporting them, why they're doing it etc. I can't find anything that tells me how to discipline her. How do I say 'That was rude, don't speak to me like that,' when she'll go and cut herself? So I'm basically a doormat, a scratching post, and I can't stand up for myself for fear of what she'll do. A few months ago I asked her to dust the living room, which she used to do as her weekly job (takes less than 10 minutes!) She gave me back a mouthful of attitude and I told her not to speak to me that way, she was being unfair and unreasonable. I did raise my voice. She came downstairs later looking like something from a horror film and we had to go to A+E. We were in the hospital for 21 hours, from A+E to the pediatric ward. The counsellor there was trying to get her to see that she lives in a house with other people and everyone has to contribute to the running of the house, but she refused to agree to any compromise.
I can't risk another A+E trip now, I think we'd be waiting there 3 days to see anyone! And I don't want my beautiful girl to have permanent scars because I asked her to empty the dishwasher. She's doing brilliantly at school, her reports are all excellent. She has a lovely group of supportive friends. It's just at home she's awful. She's terrible to family members as well, just puts noise cancelling headphones on and blanks them. I kept secretly crying in the loo Christmas day as it was so different to every Christmas before, I'm constantly apologising to family for her behaviour.
I don't know what to do. It's not fair on my son, he's 12 and sees his sister talk to us like dirt, she's horrible to him as well. I don't know what to do. I'm crying every day, I feel so lost. A year ago I never could have imagined our family being in this situation.
Does anyone have any ideas on how I can approach her about her rude way of speaking and her attitude to the family? I'll email her counsellor tomorrow, maybe they can bring it up with her. I don't know what to do. Please don't suggest taking away her phone and laptop, school homework is all apps and websites, plus she streams music to sleep and has study WhatsApp groups with her friends. I'd love to take it all away and see if she comes back to us, but I don't think it's realistic. Maybe in summer after her mocks!
Sorry for how long this is, it's all bottled up inside!

OP posts:
Heather2000 · 12/01/2023 11:40

@BertieBotts thanks, looking that book up right now!

OP posts:
Heather2000 · 12/01/2023 11:42

@Lindy2 sending huge hugs. And I know how hard it is to work when this is ALL you can think about. I hope we can look back at this from a better future one day xxx

OP posts:
byebye2022 · 12/01/2023 22:15

The stock words in our house are "I think what you meant to say was... and then model what the appropriate response should be, including tone. It doesn't always work but does set an idea that they might use it next time.

Stopsnowing · 12/01/2023 22:51

Having very similar issues with my DD and Camhs don’t seem to think it is serious enough despite the self harm, no friends and huge anxiety.
we are beginning to suspect asd although again I suspect she may not be bad enough for a referral and even then it would be a long wait. I would go for a private asd assessment but I have no idea the best place to go especially as I fear she will not engage with the assessor.

booboo24 · 13/01/2023 07:26

@Stopsnowing We went privately as by the time we realised that her behaviours couldn't really still be attributed to hearing problems when she was young, the wait would have been far too long as she would have finished secondary school before she had even been assessed. I really wouldn't worry about her engagement with the assessor, they look at a lot more than what she may say (or not) such as body movements, eye contact, they give them activities to do, or in my daughter's case tasks based around story telling and use of imagination, so they would be able to assess her even if she refused to talk at all.

The key age they're interested in is around the ages of 3-4 so we struggled to remember some things they asked (she's now 15!) But a lot of the questions gave us a eureka moment as some of the things she asked us stood out so much but we didn't realise at the time that they were indeed traits, as we weren't looking for them if that makes sense

I don't understand CAMHS' reluctance to see these children, how bad does it have to get? I got told well this is really really common....yes I know that sadly, but if every parent just shrugged their shoulders and thought that then where would we be.
**

booboo24 · 13/01/2023 07:27

Not sure why the whole thing was in bold, I tried un boldening it but it just wanted to re-bolden it!

Stopsnowing · 13/01/2023 09:35

Thanks so much boo-boo. Would you mind pming me with the place you used for an assessment? I don’t know how to work out where might be the best place and what background an assessor should have ie speech therapist or psychologist or what.

booboo24 · 13/01/2023 11:23

@Stopsnowing I've sent you a PM (I hope!!! - I've never done it before so I hope it's come through!)

HUGanALPACA · 13/01/2023 15:55

My daughter self harmed and was absolutely terrible to live with at about the age of 14. We were paralysed with fear over how to respond as there was always that sense of 'will we push her over the edge...'. She's now 17 and a standard stroppy team. No longer self harms, still has a fiery temper but we're not in the same horrible place.

A few things that helped us / her:

  • doing everything from a position of concern and using that position to frame how we were talking to her, the action we were taking etc.
  • try and think about boundary setting and consequences rather than discipline. If she does something you don't like, make it clear by telling her that her behaviour is unacceptable and if she wants you to, for example, wash a jumper again then she needs to ask pleasantly.
  • If there's stuff like swearing, etc, tell her you find it unacceptable and don't seek to engage further. You make your point and then leave it at that. You've expressed your view and you don't need to have a debate about it. If she wants to discuss it, fine, but set the boundaries for that discussion.
  • look into DBT. It's a therapeutic approach usually used for people with borderline personality disorder. In my view the application is much wider and I think the strategies for DBT would be valuable for most teens. Lots to do with self care and attending to basic needs.
  • does she behave better with other people there? If so, invite friends and family round to the house - don't isolate yourself. She then gets more used to talking to you respectfully and it becomes a habit.
  • Take care of yourself and have time out to have fun. Don't let this sap every bit of joy out of your house.
It can and does get better.

Good luck x

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