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Refusal to see psychiatrist
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<blockquote data-quote="seriously" data-source="post: 490557" data-attributes="member: 11920"><p>Discussion is a rare event. He is very reactive and defensive so it's hard to really talk to him about anything including what we're fixing for dinner. LOL</p><p></p><p>I think he is taking a vacation on the Egyptian Riviera at the moment and thoroughly resisting any information that might interfere with his enjoyment of the view. "De Nile" is a popular place at this time of year I hear. I wouldn't know, not having that luxury.</p><p></p><p>We are just starting family therapy with the Juvie Diversion Treatment program. It's FTT so it's a very structured format and I'm not sure if this particular issue is suited to that approach. I plan to bring it up at our appointment next week.</p><p></p><p>He is seeing their therapist about once a week. She says he is friendly but very resistant to doing "therapy" or therapeutic activities. So far there seems to be little progress on that front and he's been working with her for several months. I would be very reluctant to do anything that even smelled of coercion (from his perspective) with respect to his attending his sessions with her. But Star's suggestion isn't necessarily a bad idea and I'll tuck it away for possible future use.</p><p></p><p>He is currently refusing to enter into any contract of any kind with us about anything. We negotiated a contract with him over his Xbox and his boots. He signed the contract but then refused to give up the boots as agreed. We had to have the police come out twice to take the boots away from him (steel-toed). After he signed the contract he immediately refused to give us the boots and got violent so police were called and they made him give them up. Several days later he snuck the boots out of our room when I was in the shower and forgot to lock our bedroom door. When we discovered it, cited the contract and insisted on their return he blew up again and police came again. They told him if they had to come about the boots again he was going to juvenile hall and it was not a joke.</p><p></p><p>It's taken about 3 months but things have settled down a little. He's stopped fighting us over the terms of the contract (has to attend at least 4 hours school to get any Xbox time each day and give up the boots due to safety issues) but will not do any contracts about anything.</p><p></p><p>It's not exactly that he doesn't want to take the medications Star. He is taking the Seroquel voluntarily, which surprised us. And he has agreed that he will probably have a lot more trouble getting to sleep if he doesn't take it. He doesn't like that idea but it's not enough to overcome all the weight on the other side of the teeter totter.</p><p></p><p>First of all, he doesn't want anything to do with doctors. I can't really blame him on that one - he's had more doctoring in 16 years than most people have in 2 lifetimes. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite3" alt=":(" title="Frown :(" loading="lazy" data-shortname=":(" /> He would be happy to never see another doctor the rest of his life. which is not in the cards but he is going to push it to the limits I think.</p><p></p><p>Besides that he doesn't want anyone pressuring him to do any introspection, challenging him to grow beyond where he's at right now or insisting that he take some personal responsibility for his health.</p><p> </p><p>psychiatrists tend to insist that you report your symptoms and current state of being on a regular basis which requires a certain degree of self-awareness. They usually demand that you make at least a token attempt to think about your situation and take baby steps to help yourself get better. He doesn't want to do any of those things. Plus starting with a new psychiatrist means talking about his history - medical and psychiatric. HUGE resistance to that.</p><p></p><p>As for the GI - Jean you know that could kick him in the butt with virtually no warning. And I'm pretty sure he's already having warning bells going off but he is not admitting it. He was home most of last week with nausea and intermittent vomiting for no apparent reason. He's fatigued, had one episode of bloody stools that I know about, he's having more and more frequent episodes of moderate belly pain after going at least 2 years with none at all to the point he's having pain 2 to 4 days a week over the past month. I mean pain that has him doubled over hardly able to walk for periods up to 3 or 4 hours long. His labs 8 weeks ago were good but I haven't been able to get him to do labs again since then. Hoping to do that next week. Not that good labs is any guarantee with Crohn's.</p><p></p><p>Getting him to GI is more important to me than getting him to the psychiatrist at this point. But I'm not sure it will do any good even if I did get him there. I honestly don't know if he will cooperate with any treatment short of an emergency hospitalization for a GI blockage or perforation. Darn, stupid kid. Many bad words.</p><p></p><p>Time will tell. Perhaps I am just borrowing trouble with the GI stuff and he's just experiencing the consequences of what he is eating. I think his current intake consists of turkey hot dogs, hot dog buns, peanut butter, Safeway pomegranate cereal, pasta, milk, apples and oranges. And sweets on the rare occasions when we have any.</p><p></p><p>Hope things are better with your crew.</p><p></p><p>Happy holidays by the way.</p></blockquote><p></p>
[QUOTE="seriously, post: 490557, member: 11920"] Discussion is a rare event. He is very reactive and defensive so it's hard to really talk to him about anything including what we're fixing for dinner. LOL I think he is taking a vacation on the Egyptian Riviera at the moment and thoroughly resisting any information that might interfere with his enjoyment of the view. "De Nile" is a popular place at this time of year I hear. I wouldn't know, not having that luxury. We are just starting family therapy with the Juvie Diversion Treatment program. It's FTT so it's a very structured format and I'm not sure if this particular issue is suited to that approach. I plan to bring it up at our appointment next week. He is seeing their therapist about once a week. She says he is friendly but very resistant to doing "therapy" or therapeutic activities. So far there seems to be little progress on that front and he's been working with her for several months. I would be very reluctant to do anything that even smelled of coercion (from his perspective) with respect to his attending his sessions with her. But Star's suggestion isn't necessarily a bad idea and I'll tuck it away for possible future use. He is currently refusing to enter into any contract of any kind with us about anything. We negotiated a contract with him over his Xbox and his boots. He signed the contract but then refused to give up the boots as agreed. We had to have the police come out twice to take the boots away from him (steel-toed). After he signed the contract he immediately refused to give us the boots and got violent so police were called and they made him give them up. Several days later he snuck the boots out of our room when I was in the shower and forgot to lock our bedroom door. When we discovered it, cited the contract and insisted on their return he blew up again and police came again. They told him if they had to come about the boots again he was going to juvenile hall and it was not a joke. It's taken about 3 months but things have settled down a little. He's stopped fighting us over the terms of the contract (has to attend at least 4 hours school to get any Xbox time each day and give up the boots due to safety issues) but will not do any contracts about anything. It's not exactly that he doesn't want to take the medications Star. He is taking the Seroquel voluntarily, which surprised us. And he has agreed that he will probably have a lot more trouble getting to sleep if he doesn't take it. He doesn't like that idea but it's not enough to overcome all the weight on the other side of the teeter totter. First of all, he doesn't want anything to do with doctors. I can't really blame him on that one - he's had more doctoring in 16 years than most people have in 2 lifetimes. :( He would be happy to never see another doctor the rest of his life. which is not in the cards but he is going to push it to the limits I think. Besides that he doesn't want anyone pressuring him to do any introspection, challenging him to grow beyond where he's at right now or insisting that he take some personal responsibility for his health. psychiatrists tend to insist that you report your symptoms and current state of being on a regular basis which requires a certain degree of self-awareness. They usually demand that you make at least a token attempt to think about your situation and take baby steps to help yourself get better. He doesn't want to do any of those things. Plus starting with a new psychiatrist means talking about his history - medical and psychiatric. HUGE resistance to that. As for the GI - Jean you know that could kick him in the butt with virtually no warning. And I'm pretty sure he's already having warning bells going off but he is not admitting it. He was home most of last week with nausea and intermittent vomiting for no apparent reason. He's fatigued, had one episode of bloody stools that I know about, he's having more and more frequent episodes of moderate belly pain after going at least 2 years with none at all to the point he's having pain 2 to 4 days a week over the past month. I mean pain that has him doubled over hardly able to walk for periods up to 3 or 4 hours long. His labs 8 weeks ago were good but I haven't been able to get him to do labs again since then. Hoping to do that next week. Not that good labs is any guarantee with Crohn's. Getting him to GI is more important to me than getting him to the psychiatrist at this point. But I'm not sure it will do any good even if I did get him there. I honestly don't know if he will cooperate with any treatment short of an emergency hospitalization for a GI blockage or perforation. Darn, stupid kid. Many bad words. Time will tell. Perhaps I am just borrowing trouble with the GI stuff and he's just experiencing the consequences of what he is eating. I think his current intake consists of turkey hot dogs, hot dog buns, peanut butter, Safeway pomegranate cereal, pasta, milk, apples and oranges. And sweets on the rare occasions when we have any. Hope things are better with your crew. Happy holidays by the way. [/QUOTE]
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