Separation anxiety in children is an intense fear of being separated from a loved one. It's considered normal in infants and toddlers. In older kids, it may be a sign of an anxiety disorder. As the parent of a child with disruptive mood dysregulation disorder (DMDD), I often find myself wondering if what he experienced in early childhood was separation anxiety or the signs of the emotional disorder to come.
School Issues
The stress of change can be difficult for any child, but for children with emotional and behavioral disorders, the stress of change hits harder. They often can't predict their own behaviors, thoughts, or feelings, so it makes things worse when they can't predict their environment either. Life isn't very predictable, though, so how do we help our children with mental illnesses better manage the stress of change?
Managing disruptive mood dysregulation disorder (DMDD) in the classroom isn't as simple as knowing how to prevent DMDD behaviors. Yet parents of children with DMDD are often expected to have immediate solutions for teachers and caregivers in our children's lives. Symptoms of DMDD are tough for even parents to handle, and immediate solutions don't exist, but there are doable small steps that can help manage DMDD in the classroom.
You can sometimes predict that a mental health setback will happen, but still, when it happens, a mental health setback seems to come out of nowhere. I got a call from school staff this morning saying that my son was disrupting the class. He had been out of his seat, kicking chairs, and refusing to do work. In the background of the call, I could hear his teacher attempting multiplication lessons while the paraprofessional explained quietly that my son was now on the floor, unmovable and unresponsive to everybody. He was no longer allowed on Friday's field trip. The staff put the phone to my son's ear so I could try to talk him, but he hung up on me instead. After months of doing amazingly well at school and home, this was definitely a mental health setback.
My children start school this week, so I'm back to worrying about both sides of bullying. As a parent of a child with mental illness, who is not going to be mainstreamed this year, the fear is real. Will he be bullied for being "special ed", or will his behaviors make him the bully? I tell myself that, if I can just get him through adolescence, he'll be okay. In the meantime, though, how do I manage when I understand that both sides of bullying could affect my child's school year?
While mental health screenings in school may take place, they need to be more inclusive. Although autism spectrum disorder (ASD) and childhood mental illnesses like attention deficit/hyperactivity disorder (ADHD) can look similar on the outside, the way they're treated in schools looks different. From the perspective of a parent of a child with mental illness, they seem like unfairly disparate worlds. It makes me think of the need for inclusivity in school mental health screenings.
For a child with mental illness, school refusal can be common. School can be anxiety-provoking for children with mental illnesses (School Anxiety in Children: Signs, Causes, Treatments). School refusal is anxiety-provoking for parents. Working parents have the added layer of inflexible timelines. Being late to work daily may get them fired, and the employer doesn't necessarily care about our struggles with our children. So what can we do as parents to get our mentally ill children past school refusal?
Advocating for an individualized education plan for your child can be challenging. If your child has a mental illness that interferes with their learning at school, your child has a disability. This means your child has the right to accommodations. One way to get those is through an individualized education plan (IEP). This document encompasses interventions and legal protections for your child. It is your sidekick in advocating at school--the Robin to your Batman. Below are steps to take to advocate for an individualized education plan for your child.
As parents of children with mental illness, we witness extremely bad behavior. We know it is not okay to be disrespectful or put holes in walls. Yet, traditional discipline methods don't work. We become desperate for effective parenting tools for our kids (The Challenge of Difficult Children Homepage). The key is to understand what is driving the bad behavior. Is it the kid or the mental illness?
I worry my son will end up in jail. This is ironic because my son is a rigid rule follower. He attends a small college prep high school and plays basketball. He's a good kid. But, he's a good kid with a serious mental illness.