Parenting a child with mental health issues comes with so many questions…what can I do to help, why is this happening, did I do something wrong, what are our treatment options, and will she ever get better. Finally, should I medicate my child!!!! This question was the hardest for me to answer without guilt and continually questioning myself as a parent. I researched and asked questions on ways to help her. I came to the conclusion through research and therapy that I did not do anything wrong. I found amazing treatment options that I was comfortable with. I still have not answered the question about her future, but I am content knowing their is hope. However, after all of these years, there are times I struggle with the idea of medication. I honestly do not know why I question myself because it honestly helps and makes a positive impact on my child’s life and in turn the daily life of our family.
I sat down to try to answer why the concept of medication is hard for me to accept…and this time of being reflective proved quite powerful. Prior to J’s in-take appointment with Denver Children’s Hospital, it had never been suggested that she take any type of medication. Personally, I had researched medication options for children with anxiety. I had also spent time researching natural remedies to help manage anxiety in children. I met with a holistic doctor while waiting for an appointment in Denver. After my appointment with the holistic doctor, I was armed with a large list of items to purchase at Whole Foods that would, in theory, help J. I spent over $100 on various recommended natural supplements. I tried the cocktail of items immediately…fish oil, magnesium, and Inositol. We did not see any improvement. By this point, we were meeting with a psychiatrist at Children’s Hospital, who after reviewing J’s file, asked my husband I about starting J on a low does of an antidepressant/anti-anxiety medication. I remember clearly telling the doctor that I want what is best for J but that I was scared to death to put her on (what I naively thought was) a “mind altering medicine”. I was worried because of the horror stories I heard or read about…an increased risk of suicide, no long term studies showing what could happen to a child’s brain, liver damage, personality changes, etc. My sweet child was only 7 years old and we were discussing medication. The doctor calming explained that anxiety is a true medical condition caused by a chemical imbalance. She asked if we would offer J medication for a heart issue, diabetes, etc. Of course we would. It was in that moment, that the reality of mental health issues being a true medical condition, really clicked for me. We asked many questions and expressed our concerns. The doctor offered support and understanding. We started J on a low does of an SSRI that week. Since that day in January 2012, medicine for anxiety has been a hot topic for our family. We have had issues arise where dosage changes have been made, medication changes have occurred based on needs, and side effects have become frustrating and worrisome. On top of this, we have dealt with many unasked for opinions from people who feel it is their job to educate us on the reasons medication is bad. This is where I find myself questioning our decision. In that moment, I ask myself what if we have harmed our child long term, maybe doctors and pharmaceutical companies are lying to us, are we taking the easy route, should I give natural remedies another try. (These questing thoughts all stem from some ridiculous comment made to me at some point.) Just as quickly as these irrational thoughts arise, the rational thoughts jump out reminding me of the incredible improvements we have experienced from the right medicine, reminding me of the uneducated perspective of the person speaking to me, reminding me of the “realness” of anxiety as a medical condition.
We have seen that SSRIs are needed for J to apply the theories learned in therapy. We have found a dose that works for her and does not have any side effects. We have experimented and found that adding pro-biotics, magnesium, and essential oils to her daily routine add another layer of success to her treatment. Who knows what tomorrow may bring but today I am confident that we made the right decision for our child. And I am confident enough that when someone questions our decision, I can educate them rather than get angry or sad.
For parents out there struggling with the idea of medicating your child, you must remember the decision is yours, and yours alone. You must be comfortable with whatever decision you make. Educate yourself, ask questions, get second opinions, if your child is old enough, ask his or her thoughts. Never allow someone with no experience to offer their opinions…they are not walking in your shoes. Is medication the right answer for every child suffering from anxiety, of course not. Should it be an option free of judgment, absolutely. As society works hard to break down the stigma associated with mental health, I hope that the stigma of mental health medications is taken down as well. Medication is not a weakness.
PS…the picture at the top of this post was taken a few weeks after J had began a new medication after struggling for about 6 months with different medicines, while going through the darkest year of her life. I hold this picture as evidence that with the right formula…medications, counseling, and parenting guidance…there is hope. Our formula is working and I hope that all of you find a formula that allows your child the joy to laugh effortlessly.