Possible Adolescent Mental Health Unit Admission

My 13 year old son, James, has been experiencing increasing difficulties with social interaction & communication, particularly since his transition to mainstream secondary school in September 2013. He has been largely absent from school since March 2014, despite transferring to a special school in January, & has become increasingly withdrawn & isolated. At our last CAMHS session today, the psychiatrist told James (without prior indication to myself or my husband) that if the current situation did not improve within 2 to 3 weeks, she would refer him to an inpatient unit. She specifically stated she did not feel James was depressed & his difficulties were solely related to his ASD. Neither my husband nor I feel an inpatient environment would be appropriate for James & fear he would suffer further if he were taken out of the family home. We also feel the psychiatrist was using the prospect of an inpatient admission as almost a threat to ourselves & James, that if we did not sort things out, the matter would be taken out of our hands. Obviously we are deeply concerned. James was formally diagnosed with Autism last July & has not recieved any support or therapy thus far. He is on anti-anxiety medication & melatonin. He will not engage with the pscyhologist or  psychiatrist at CAMHS, neither of whom are ASD specialists. We really feel that the CAMHS team do not know how best to help James or have his best interests in mind. We would be grateful for any advice or support you may be able to offer. Thank you.

Parents
  • Hi Cassie, I would say that something has deeply upset your son. He may not be aware of what it is, so be unable to talk about it.

    There is a condition called ALEXITHYMIA, emotional blindness. It is still being researched and does not seem to be recognised by many psychiatric teams.

    Sometimes, if I have a very upsetting problem, such as bereavement, bullying, accidents etc, I tend to push the problem aside, if I do not feel able to cope. I have a sort of internal cupboard for things I cannot cope with. The problem does not go away, but festers within, poisoning my daily life and causing depression or psychosis. It is a very serious problem, because I am no longer aware that there is a problem and will tell everyone that there is nothing particularly wrong, that I just feel bad. It is a bit like PTSD. For example, I lost 2 close relatives, with only a short gap between. I dealt with the first loss, but shelved the second, thinking I was unaffected. It was 2 years later, that I got really down around the time of their birthday. I had to drag the event back into my conscious mind, by thinking about them using photos and music to help me remember. I then began to grieve.

    If this is your son's problem, you may be able to help him, by going through events and seeing if you think anything distressing has happened, which he feels unable to cope with. If he has become school phobic, it may be a bullying issue. Bullying is such a difficult area, as schools often do not want to admit it is happening, and it is very humiliating for the victim. He may have been convinced that he deserved to be treated badly. He may have memory of an upsetting events but not the emotions that go with them.

    I am not sure what to suggest, except that you could google the subject, to find out about it yourself and talk about things with your son, perhaps in general terms. Please remember that he may well say something is not a problem when it is. You may need to spot subconcious reactions, such as increased stimming when the subject is mentioned. You may well be better placed to help him, as he knows and trusts you. Psychiatric teams are strangers. On the other hand, he may want to talk to a stranger. It is a difficult area. You could also ask the CAHMS team if they are aware of alexithymia.

    I personally found that certain drugs made the situation worse. It is easier to push a problem away, if medication is getting rid of the worst symptoms. This is only one possibility and I am not suggesting that you stop medication without proffessional advice.

    I do hope you can sort this out. Best wishes

Reply
  • Hi Cassie, I would say that something has deeply upset your son. He may not be aware of what it is, so be unable to talk about it.

    There is a condition called ALEXITHYMIA, emotional blindness. It is still being researched and does not seem to be recognised by many psychiatric teams.

    Sometimes, if I have a very upsetting problem, such as bereavement, bullying, accidents etc, I tend to push the problem aside, if I do not feel able to cope. I have a sort of internal cupboard for things I cannot cope with. The problem does not go away, but festers within, poisoning my daily life and causing depression or psychosis. It is a very serious problem, because I am no longer aware that there is a problem and will tell everyone that there is nothing particularly wrong, that I just feel bad. It is a bit like PTSD. For example, I lost 2 close relatives, with only a short gap between. I dealt with the first loss, but shelved the second, thinking I was unaffected. It was 2 years later, that I got really down around the time of their birthday. I had to drag the event back into my conscious mind, by thinking about them using photos and music to help me remember. I then began to grieve.

    If this is your son's problem, you may be able to help him, by going through events and seeing if you think anything distressing has happened, which he feels unable to cope with. If he has become school phobic, it may be a bullying issue. Bullying is such a difficult area, as schools often do not want to admit it is happening, and it is very humiliating for the victim. He may have been convinced that he deserved to be treated badly. He may have memory of an upsetting events but not the emotions that go with them.

    I am not sure what to suggest, except that you could google the subject, to find out about it yourself and talk about things with your son, perhaps in general terms. Please remember that he may well say something is not a problem when it is. You may need to spot subconcious reactions, such as increased stimming when the subject is mentioned. You may well be better placed to help him, as he knows and trusts you. Psychiatric teams are strangers. On the other hand, he may want to talk to a stranger. It is a difficult area. You could also ask the CAHMS team if they are aware of alexithymia.

    I personally found that certain drugs made the situation worse. It is easier to push a problem away, if medication is getting rid of the worst symptoms. This is only one possibility and I am not suggesting that you stop medication without proffessional advice.

    I do hope you can sort this out. Best wishes

Children
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