Ideas for structuring/helping through the days.

Hi, 

My 16 year old struggles when out of the routine of education I.e. the weekends. We are really struggling because before this year she enjoyed many things; theatre (watching), tv documentaries, the cinema, walks, taylor swift, harry styles, craft things like pottery painting, crochet, making things such as bracelets etc and would be happy to mooch around shops or museums and loved to try new things often at her own request.

She was admitted to hospital in April for refeeding after what I strongly feel was experiencing autistic burnout out after 2 years of ED with little understanding from professionals or school and longer in terms of hormone changes/covid/struggling socially etc and gcse exam build up.

She is incredibly bright and picks skills up with ease. My feeling is that when she is at college it is taking a huge amount of energy to engage, focus and do all she needs to do academically (I suspect she has some adhd traits that she masks along with her diagnosis of autism which she rejects) and even more so socially and therefore when she is at home she is exhausted and does not want to do anything as needs to rest and recalibrate. She is in a routine of listening to podcasts and not sitting down until after 8.30pm. It is unclear if this is ED related or routine orientated.

The problem is that she is starting to feel a bit stuck/lost and this is causing her increased upset. She volunteers that she does not like feeling 'trapped' by bad weather and being inside but equally she has refused to go outside or in the car or to engage with any activities since this time last year unless it is once a day or for college/apts. Any form of activity, even watching TV is not engaged with- it feels to me as though it isnt "allowed" like a self punishment but she states that is not the case. From the limited info she can share with me, she states she does not know why this is the case and my absolute guess is that when she became burned out and unwell last year it became a routine that she has forgotten the reason for but does not feel it safe to break. I dont know how to help her and she won't talk to camhs (and I understand why, she lacks trust in most people). She only has her dad and I as adults who are around and I feel this isnt helpful for her either sometimes as she has no other influence or support.

I wondered if anyone had any ideas on gently helping her to move forward in a way she wants to. She may only be able to cope with college at present and that is fine and I continue to stay with her, where she is and what she needs but when she expresses she wants to go out or do something but also does not want to, it is hard to find the right approach. It can also be distressing for her brother should we need to go out as a family (extremely rare nowadays) and she is so distressed  at being in the car for example. I should stress that these struggles were never present before last year at this time, she never showed signs of sensory discomfort or being routine orientated but did show a need for clarity and planning. 

Any insight or advice would be really welcome!

Parents
  • I used to struggle with watching TV. I don't really bother anymore, I think I've watched about 10 hours in the last 5 years. It takes too much concentration, if there are rapid edits it is hard work. At 16 I mostly used to read, listen to music and play simple computer games (where the screen didn't change much). Visual stimulation can be draining. I liked lying on the bed thinking.

    Going out can feel like a lot of effort. It is easier if planned the night before, so you know what you will be doing the next day and can make a simple schedule. Such as when to get up, when to be dressed, when to leave. If I don't do this I rarely go out.

    Leading up to burnout in January, all last year other than to go to work I didn't go out anywhere at the weekends. Often I didn't even go in the garden, and if I had to go to the shops for food I did it when it was quiet. The pressure at college/school.can be quite high, social.as well as work pressure.

    If I want to do things at the weekend, Sunday is easier. I use Saturday to recover, but a 3 day weekend is better as I have energy on the 3rd day.

    You still get bored aand you want to do things, but the motivation goes when it comes to it, which then makes you feel you wasted the time and is frustrating. 

    If she is clever and academically able, she may like to think of it like me. If is not a deficit or disorder, you are different but you are extra normal. You aren't missing anything, you can do more. But you have to still rest a d gibe yourself a chance CE and not push too hard. This doesn't mean she has to accept anything bad, it just means things will be easier if she works with herself instead of against herself. 

Reply
  • I used to struggle with watching TV. I don't really bother anymore, I think I've watched about 10 hours in the last 5 years. It takes too much concentration, if there are rapid edits it is hard work. At 16 I mostly used to read, listen to music and play simple computer games (where the screen didn't change much). Visual stimulation can be draining. I liked lying on the bed thinking.

    Going out can feel like a lot of effort. It is easier if planned the night before, so you know what you will be doing the next day and can make a simple schedule. Such as when to get up, when to be dressed, when to leave. If I don't do this I rarely go out.

    Leading up to burnout in January, all last year other than to go to work I didn't go out anywhere at the weekends. Often I didn't even go in the garden, and if I had to go to the shops for food I did it when it was quiet. The pressure at college/school.can be quite high, social.as well as work pressure.

    If I want to do things at the weekend, Sunday is easier. I use Saturday to recover, but a 3 day weekend is better as I have energy on the 3rd day.

    You still get bored aand you want to do things, but the motivation goes when it comes to it, which then makes you feel you wasted the time and is frustrating. 

    If she is clever and academically able, she may like to think of it like me. If is not a deficit or disorder, you are different but you are extra normal. You aren't missing anything, you can do more. But you have to still rest a d gibe yourself a chance CE and not push too hard. This doesn't mean she has to accept anything bad, it just means things will be easier if she works with herself instead of against herself. 

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