I’ve learned a new word, and I don’t like it, Comorbidity. While I thought this was to mean for our princess that her anxiety, sensory processing and to some extent her ADHD were concomitant with her Autism, that is naturally accompanying. I’ve unfortunately been misinformed and for her underdiagnosed. We now understand that our princess comorbidities are concurrent, which we are finding is far more complicated than we ever imagined. That is her conditions exist simultaneously but independently with another condition. That being that for Jenna anxiety, depression, sensory processing, and ADHD are present with and in the main separately individually present as a stand-alone disability.
This, in turn, brings me to another new word I’ve needed to learn to petition for additional support for her. Psychosocial, A Psychosocial disability is a phrase that describes a disability that can derive from a mental health condition or episode. In simple terms meaning limitations in how a person thinks, feels and interacts with others. Therefore causing them to have barriers or stopping them from fully participating in activities of daily life. Thus meaning that I now need to advocate for supports not only for her autism (supports we are grateful for but currently not meeting her needs) but her psychosocial disability ( that is her anxiety, social phobia, and depression).
Its been a hard few weeks months, we can’t seem to find the right balance. Always jumping from boredom, school attendance, therapy sessions, doctors appointments, mini breaks with family, time with us, time alone, repeat. We have lost the rhythm that our princess needs to provide her balance and calm. Last week I had a daughter with autism (level 2) this week I have a daughter with a suite of disabilities that are fighting for a front row seat, in her every day. A child that I thought saw the world through the single lens of autism, now viewing life through a multiple lenses mixing anxieties, depression, and social phobias blurring her reality and messing with what we thought was her normal.
So I am hurting because my daughter hurts, but I’m also angry because my daughter hurts. When your daughter has only been giving half the diagnosis, it means we’ve just been treating a symptom, not the cause. Instead of secondary diagnosis, we are now dealing with multiple primary disabilities. I’m saying that the focus has been on autism, how autism affects the day to day, how autism affects school, living in the community, interacting with her siblings, with me. 3.5years of therapy, a psychologist, working on resilience, feelings, expressive language, independence, and school attendance.
Treatment was focused on treating the primary disorder, not the secondary ones; we thought we had time to develop social skills down the track, for now, have a toolkit to ensure you reduce the effects (noise, crowds, routine). We thought to establish a routine, building tools, and equipment to help balance her surroundings was the focus. Only now to be corrected by mental health professionals that we are letting a 13-year-old girl rule us and she doesn’t need these ‘tools’ she needs things to be the same as everyone else, she needs ‘normalization.’ In the effort to keep a calm house, a calm daughter and for her other three siblings to have a somewhat ‘normal’ childhood we worked at soothing our princess and helping her to remain level and calm and focusing on autism-related programs.
After 3.5years of focusing and practicing a theory, we are now starting again, and to be honest we are remarkably lost and outside our comfort zone. The first shift has been the element of risk. Transitioning exceptionally quickly from the promotion of independence to the removal of to keep our princess safe. This focus messes with your head and challenges your every being. Bringing the focus on risk and harm minimization, means for the time being our house is locked down. No sharps, no medication and a rethink of what is stored and easily assessable.
That means for now our focus is on her depression, social phobias, and anxiety. Unfortunately, for now, it also seems that we are in a system that only understands elements of her disability, forcing us to explore multiple treatments and therapy to ensure all needs are being met.
What we are sure of over the past 3.5years is our princess is a fighter and determined to leave her mark well and truly in this world. Our job as parents is to enable her to dream, help her to see there is a purpose for her and equip her with the tools she needs to succeed. Most of all, at the moment we need to show her inexcusable, unashamedly and boundless love
2017 has been hard on our Princess (and us for that matter) to state that Mum & Dad are exhausted is an understatement.
2017 has brought multiple job changes for her parents, lack of stability in regards to her schooling and a delicate balance of all family members making and maintaining friendships within a constant case of chaos. I must be honest that the magic balance of space and community connection has alluded us this year. Our safe hermit space has been our staple. The ‘stay inside and hide’ has been our family motto.
The family dynamic has again been stretched with the realisation that autism is here to stay and her siblings will (and have) grown and matured around her (most noticeable her younger brother) and in some respects leaving her behind academically and socially.
This realisation has brought unwelcomed banter from her siblings and self-loathing and heart-wrenching despair from our princess. Her strong personal and harsh language melt away when her friends are forming stronger friendships and achieving academic awards for their grasp of the English language. Although the push to have Jenna marked at her ability (at an 8-10year old equivalent in most areas) has seen her report cards finally produce pass marks, the older she gets, the more insight is noticed that she is completing different work and has different expectations. The sense of difference overwhelms her every day at school, her push is and has always been sameness. She is starting to realise that this is an impossible and exhausting desire.
This realisation has seen a significant increase in behaviours, anxiety and a more significant fear of the things unknown. Adding complications such as starting a home-based new business (family day care) her oldest siblings completing her studies at school, and in the latter part of the year, myself facing redundancy has just intensified these feelings.
The increased anxiety has meant multiple trips to the emergency department with a comical array of illnesses and ailments ranging from suspected appendicitis, ear infections, stomach aches, alleged broken limbs and others. All these trip have has no avail and equated to no more than antibiotics, rest and an increasing routine of more time at home and absence from school. Increasing still her anxiety has intensified with thoughts of suicide and a return of self-harm and skin picking that hasn’t been seen for over 3 years.
With her Psychiatrist a 10hour round trip (the local won’t see her due to a pre-existing diagnosis of ADHD of which he does not believe in) we were left with no other option than to go on a public waiting list to see a hospital-based paediatrician. The hospital had a greater than 6 months wait for her urgent request from the GP as it was not seen as urgent “on paper” not warranting a shorter appointment. The long wait has been fruitful and assisting in assistance of reduced medication (saving us more than $200 a month) and extremely helpful advice for NDIS (national disability insurance scheme) and preparing to enrol in the scheme in 2018. After several visits, it was agreed to increase her antipsychotic medication (to chiefly address her aggression & hopefully side-effect of anxiety reduction) this had a positive effect within a week or so and we are seeing a more settled princess. Now that her medication has settled we can hopefully start working on other areas that will have a lasting effect. working at treating her boredom, building friends and beginning to explore the community more with positive outcomes (our 2018 resolutions)
Her Psychiatrist has been and continues to be a fantastic asset to Jenna and he has always taken the time to understand her. This relationship has been invaluable, assisting with referral options, building trust and exploring and experimenting with medications, to ensure she has the best possible supports in place. This constant in her life from a medical perspective has been constant to able to benchmark her progress and also have a professional advocate for her when needed.
Jenna’s language has developed for the worse this year with the F-Bomb becoming the theme of 2017 for our princess. With the inability to understand social cues, an uncomfortable ability to speak her mind whenever and wherever has meant her parents are understandably nervous in the public arena. We have struggled with discipline (a sensitive subject I know) as most of her behaviour is driven by stress an anxiety. We are always trying to balance what is an obvious behaviour and what is driven by a sensory overload or anxiety. I think I get this wrong daily and it is a constant cause of tension with her siblings.
Upon reflection, we have concluded that this year has been the most tumultuous and challenging for our princess and as such for us (for those highly educated, quite shit). We had high hopes for her first year of high school, a timetabled and predictable space, others in her class with similar struggles and specialists that could walk alongside her.
Instead of a promised settled girl we saw a young lady overwhelmed, bullied, isolated and a growing hatred for learning, people and going outside.
A mantra I wrote of several years ago 5 reasons we continue to go outside (click on the link to read more) has been a distant memory and a wish or dream if you will for another time. We have stepped into self-preservation and an afternoon of tantrums, fights and sensory overloads has been too high of a risk. To be honest, we are just tired.
Rather than further rant on the obstacles, times where we wanted to give up and, the scores of exhausting days, settling into a community, moving from a community, changing high schools mid-year, increased anxiety and never before seen frustrations. I want to share our year that was on the wins, the good days and the silver lining.
I don’t know how she does it, each experience that has worn out her parents, each time we explore a new place or try something new. Her recollection is always positive, fun and memorable. If only I could filter the same experiences like her.
To conclude this blog I wanted to highlight some positives which could be written in order to overshadow hopefully our super shit year.
For the Winter School holiday, we road tripped to see family in the Blue Mountains. Amongst the highlights were camping in -3deg temperatures, the first use of camp toilet (outdoor whole in the wall) meeting new animals and exploring what felt like all the opp shops in within the 2400km round trip.
Jenna loves slime. We have been blessed that many of her special interests are socially acceptable and at times fashionable (although never to her extreme.) Jenna has taken over our laundry for the sole reason of creating a slime factory. We have gone through 4-5kg of PVA glue and many varieties of activator to find the best consistency of slime. Although her slime addiction has damaged furniture, carpet, clothing and some of Dads electronics (still a sore spot) the silver lining is that Jenna has started taking ownership of her sensory needs. From little things to packing a bag and being ready for the time of anxiety, to researching new techniques we have seen Jenna embrace her autism and not be ashamed of the need to stim and keep her hands busy.
With insane lows, including behaviours in and out of the home, as stated we have embarrassing encounters when Jenna’s anxiety and executive functioning fail. Her inability to process in times of stress or able to cope with new or unpredictable places we explode. One positive of the latter part of 2017 is Jenna’s awareness of her behaviour, and the embarrassment or early departure caused. Her remorse is incredible, and her manners and gratefulness are just beautiful. Admittedly we have some work teaching Jenna timing and to learn some awareness of when people are upset, we still have ways to go.
Baby steps and celebrate the smalls wins has been our mantra for many years now. We have started to celebrate one of these wins that Jenna is learning to stay home (albeit for 5-10mins at a time, mostly with siblings) this give mum & dad a chance to walk around the block or just breathe for a moment. This doesn’t come without stressors, notwithstanding the humour, these 5-10mins of peace usually equate to 20-30 SMS messages FaceTime time calls and some swear words that do not belong in a blog post. baby steps we are still winning.
Jenna’s second high school for 2017 was a small private school. We were blessed to find a teacher that showered praise & encouragement to Jenna. This teacher and widely the school sparked a love of learning and a zeal to try her best. Her teacher encouraged her to stay at school, and for the last 5months of school we went from 20% attendance to 60%. This love for learning and a teacher that saw Jenna’s possibilities was one of the highlights for 2017.
Jenna has an amazing ability to connect with toddlers, babies and generally people younger than her. With the establishment of a family day care at home, Jenna’s love for children really shone. It was beautiful to watch her passion and ability to connect with younger children, she is gentle, shows empathy and values each one of them each.
So in short 2017 isn’t a year I will remember, and I promise I won’t draw upon it to give me strength and past memories in the future. Honestly, I think all I will remember is I need to sleep more and go outside more than I did during 2017.
With a tremendous start to the year, we were on a winning start to our princesses the first year of high school. Everyday attendance, new friends, low anxiety, birthday party success and a zeal for learning. We had seen similar success last year when her primary school finally developed an individual education plan (IEP), and we were confident and expectant of what the year would bring.
We developed an IEP with the high school, excluded her from subjects that have previously cause stress and anxiety (for example, language and sciences.) and started to talk up the possibilities with our princess. This well-intentioned plan was seeing some success, and we saw tremendous growth and zeal for learning for about 7-8weeks.
We hit a wall, a common trend for our princess, a wall that rears its head this time each year. The excitement of ‘a new thing’ had worn out, the unkind words started from her peers, the feeling that people are watching her, looking at her, staring and then her anxiety skyrocketed. I started the predictable next phase of digging, questioning and trying to explore what was going on for her.
Jenna’s anxiety manifests in stomach pains, tears, low mood and generalised unhappiness. These periods of pain quite often end with multiple trips to the doctors and ultimately a visit to the hospital for test and scans. She gets herself so worked up that she loses any ability to communicate rationally and usually regression is seen in all aspects of learning and communication.
We have been in this headspace the past eight weeks. Jenna is tired; her siblings quite frankly want to kill her have had enough, and her parents are in desperate need for some respite and rest.
During these past eight weeks, we have had four doctors appointments, one psychiatric review, one hospital visit, a paediatrician review and eight phycologist appointments across two different practitioners. Each in their own language and expertise trying to assist our Princess in developing a ‘kit bag’ of resources, tools, tricks and education to succeed survive this harsh reality we may call everyday life.
Each appointment we are hopeful that new techniques sticks and philosophy we reinforce at homes are again reinforced during therapy. It seems we are sitting at about 100:1 odds and the investment made seems mostly money thrown down the drain. Regression, seclusion, frustration is becoming the norm and each day moving farther and farther away from her peers.
Our dreams of independence, a life away from mum and dad, a career, family and lifelong friends seem unattainable, and that’s gut-wrenching, painful and a scary future. Each day I try and push away refusing to accept, and I continue to help her dream, push her farther and again try a new strategy to get through a somewhat typical predictable day.
So our reality currently has been 1-2hours of school attendance per week, that’s right not 1-2days per week but hours. Getting a predictable phone call every day she attends from the office (hearing uncontrollable crying in the background) asking us to pick up Jenna.
The school is at a loss, and us at home having a bored, under stimulated girl that can not handle any social interactions.
We took a bold step this week. As like an IEP, we have developed an individual timetable with the school for Jenna. We have arranged a curriculum that is key learning only (English & Math, with a little cooking) this means that she doesn’t need to enter the school playground, no mainstream classes and no full school assemblies. We have school attendance agreed at four days per week at a maximum of 2.5hours per day. Although a headache and quite a strain on us to organise transportation around work, we are confident that this is a necessary step to ensure some social engagement, some stress and anxiety experienced in a staff place and hopefully stretched scholastically over time.
We can only hope that tomorrow is a better day, that school attendance becomes routine and that I can better understand her anxiety to in turn better support her to growth, be stretched and succeed.
2016 marks the last year of primary school for Jenna. It was hoped that this would be a year to fully prepare for high school. The concept was, we would introduce her to multiple teachers, larger lesson sizes and a variety of different peer groups. We had planned that the introduction to a vast array of classes, more complex timetables and different teachers (specialist) i.e. Language, music and the arts would be a fantastic platform to high school life.
Academically this was a huge win for Jenna, she was progressing well and for the first time in her schooling journey received a pass mark for the majority of core subjects (English, Science, Math.)
Although, to our regret the cost of academia was a reduction in school based supports; this was disastrous for our princess. The progress of the first semester was lost, the wins on her report card forgotten, but more disastrously the want to engage and even attend school had been forfeited.
It took a stint of illness, poor school attendance and a dramatic increase in behaviours for us to ask more questions to the school. By the time we understood the changes that occurred at school (i.e. reduction of support hours, 1:1 teacher aide support etc.), it was too late. Damage already was done, and the trust of the system and teachers had been lost by our princess.
It was again time for a change and to try a different angle.
This lead us to school number two, and soon to be three schools in 2016 for our princess.
Each one had promise:
School one was close to work.
School two was close to home.
School three is in the new community we are moving to next year.
All three schools have advantages, and all gave a promise of better engagement, better friendships, no bullying and improvements in her academic achievements.
Our second school said all the right words, made all the right promises and had a bonus. It was 3 km from home and Jenna’s younger brother attended the school.
Isaac was a huge benefit; he became her protector, the bus monitor and a watchful eye. It’s amazing how much support an eight-year-old boy could be; we were super proud of him, and this made the first few weeks effortless for Jen.
The help of the younger brother, although a chore for him and embarrassment for her was beautiful. It assisted with Jenna’s anxiety levels and meant she didn’t need to worry about ‘big’ things, things like catching a bus home. This simple act brought back again her disability and struggles with simple tasks that everyone takes for granted.
This second school did not have the capacity to cater for the complexity of her needs. Social anxiety, making friends and maintaining grades made impossible due to their limitations. The school had a huge heart, excellent teaching staff, and beautiful ideals. The dream didn’t last; Jenna made friends with the teachers, not the students. Bullying occurred and continued from day one. The hope of finding a perfect fit and a place that was able to accommodate quickly faded. Again we turned to weeks of illness, a return to non-school attendance, and the search again started. School number 3.
Over the past six years, our focus has been mainstream schooling, normalisation and a sense of sameness for our princess. Pushing with everything we had to offer her the ‘same’ education and experiences as her three siblings. We fought, argued and when needed disagreed with the education department for her needs to be met. We discussed the stigma of ‘the naughty kid’ ‘misfit’ ‘trouble maker.’ We wanted the best, and the best in our eyes was the ‘same.’ We continued to make adjustments, exclusions and exceptions in order to keep the elusive dream alive, a normal education.
These past six weeks I have needed to acknowledge again that her disability has limitations, that it takes a team of professionals to educate her, and she will never ‘fit in’ with the crowd or hit those elusive benchmarks that every parent awaits. I needed to grieve again for what of could have been and continue to ask the same questions that I kept avoiding.
What does the future hold?
What will her normal be?
What’s best for her?
I’ve come to the realisation that I needed her to be valued for her ability, individually and interdependently. She did not need to be benchmarked against other students, already established milestones or community expectations, etc. I needed to benchmark her on her capabilities, goals and desires. There needed to be an individual approach, one that was developed for Jen, and her alone.
Two weeks ago I was posed with a question, mainstream schooling verse attending the special education unit (SEP.) I chose the SEP; I selected a stream of education that will focus on life skills, core competencies and relationship building. We have a new plan, a plan to overcome anxiety, to daily learn new skills, to slowly feel comfortable in the community and to make lifelong friends. We have a new path, a new direction and a future that again looks promising and exciting for our princess.
But still I am learning to step back when needed and push/advocate for better. Never being satisfied with expected norms, always dreaming for better, always being challenged to allow her to fail, learn and try.
It’s lifelong learning, and each day is an adventure, an adventure of the possibilities that await our princess.
And we celebrate little wins daily : learning to cook Mac and cheese, scrambled eggs and cheese and bacon pastry puffs, just a few wins this month.
New fascinations: slime, drawings, printing, birthdays (and numbers in general.)
Its always an adventure, and always exhausting, but so worth the ride.
It’s been a while between drinks (88 days to be exact), but here we go my latest instalment.
After seven days in the hospital, one month at home and numerous medical appointment I’m on the mend. But it’s taken its toll on my princess.
This blog forms an update of the last 90days, a crazy 90 days of learnings, frustrations, healings and for my princess a time of much-needed pushing.
“Ataxia unknown origin” it’s what I was labelled with, what that meant for the family was a dad that couldn’t walk. The father who walked every day went to the shops and the park for ‘timeout’ was housebound. To say my princess was scared and angry at her dad was an understatement.
My health was the families security; my ability to keep running was the lifeblood that kept our families crazy routines intact. It was the security at the end of each day and it was the strength to push when everyone else needed rest.
My ability to endure even the craziest of days enabled Jenna to run as much as she needed, ground herself, rebalance and find her centre. The release she felt from shopping and parks was so satisfying, the anxiety dissipated. It was Daddy daughter time at its best.
I didn’t realise the extent of this ‘extra’ supports until it was impossible to provide. My wife had no chance, no ability to compete and was set up to fail in an impractical, impossible routine.
Parks were special times for our princess, not only did she get her sensory realise, expel stirred up energy, the whole family had time to breathe. Park time was a time where all 6 of us had ‘space’ Jenna and dad time, and the other 4 had a break. This afternoon routine kept balance, brought laughter and always enabled me to smile.
Shopping was painful for Dad; we couldn’t just ‘pop in the buy milk’ we needed to walk every aisle. Meticulously checking for updates of shopkins seasons, touching, smelling, tasting. Every time out was an adventure. The shops are Jenna’s life, unbeknownst to her, Dad had already checked the crowds, events and best times to shop. What seemed like a spontaneous ‘I’m bored’ fit was organised and set up to a tee.
Shopping was an endless money pit, with unfounded expectations put on Dad. But never the less an enjoyable experience. Again like the park it was an escape from reality, a rush and an adventure. It was fantastic.
Then STOP… It was sudden, without warning, and life was out on hold.
Without the ability to walk, I couldn’t maintain these expected activities, without these activities Jenna couldn’t find balance. Chaos.
During the month of illness, anxiety increased, anger grew and hospital visits made it worse. My baby girl thought her dad was dying and with that the death of the frequently that she had become accustomed. Outdoor play all but ceased.
It was tough times, times that were only possible with the strength of my wife and the flexibility of my dad. Without both, the success of these past months would have been impossible.
My wife was more than able to provide supports for Jenna, although it didn’t meet her need of hanging with her dad. Nothing but having routine established would fix the void.
I’ve always wanted to protect my baby girl; I’m a nurturer at heart. I wanted to be a dad that hides the hard stuff from her, sheltered her from the storm we call life. I hate seeing her in pain; I hate seeing her struggle in what I consider being the norms of this world.
I wanted to hide her from the hard stuff, protect her from the trouble and as much as possible allow her to be my little girl for eternity. Being sick brought to light very quickly that her dad can’t be all things and also can’t shield her from all things, that wrecked me.
Not always the hugest fan of autism giant Temple Grandin I was forced to reflect on several of her quotes.
I have added these in pictorial form for your reflection.
I wanted to hide her from pushing harder; I wanted to protect her from the ‘cannot’. With doing this, I forgot the ‘could’ and in the art of defending, I lost sight of her potential.
Mainly I wanted to find an alternate to the seemly pressure to succeed, fit in and be the ‘big’ girl that the world desires her to be. These are the learnings that were inspired by my incredible wife and our princess’s exceptional mother during my journey of recovery. In the form of keyword dot points, I have reflected on my learnings.
My wife has an amazing ability to know when to push. She has been assisting me for the past 20years. As stated above I have been unwell for the past 2 or so months, meaning I needed to take a backwards step. I hate to be out of the spotlight; my wife rarely has the chance to shine, always hiding behind my loud personality and never ending the drive. I had little choice but to get out of the way, with doing so, magic happened.
During this time, my daughter blossomed, Kathryn with her artful timing knew just when to push and she has an uncanny understanding of what the appropriate pressure was and is and how to apply.
When to rest
I knew that my need to rest was unquestionable, but upon reflection, this need taught our princess a life lesson that I hope she will treasure for life, rest. I had little choice, but Jen through unintended modelling followed suit. This meant that for moments in time ‘im bored’ diminished and downtime blossomed. Again magic from a wife that oozes patience, success, we have found rest.
Routine had to change; from hospital stays an inability to drive and grandad being chief shofar, life has changed. The unwelcomed and unplanned new reality appeared. It was not comfortable and adjustment was the only solution. With the exception of distancing herself from me, the routine was expected and embraced when normality and predictability were kept in motion. Sameness was our saviour throughout the change.
As stated in previous blogs, maintaining a family of 6, we made choices to both works, bringing in income to maintain lifestyle, pay medical bills and have the occasional family dinner out on the weekend. (if we get the timing, venue and mood correct, which happens very rarely).
As we both move up in management and career development, the flexibility reduces for our princess. Thinking this was always a bad thing I was the king of adaptability, flexibility and predictability. I have been learning that bouts of the reverse have been beneficial and even helpful on our journey of independence, self-reliance and maturity.
Again the genius of illness and the unpredictability of healing and progress meant that our princess had to learn a new skill. This new ability was unwelcomed and at times still told us and others to “F off”, this skill was the coping mentioned above of unpredictability. Although acknowledging that routine, predictability and stability are what ensures a quiet relaxed and in control princess, it seems absurd to wish the reverse. This was our need and upon reflection, our desire and in snippets, pure bliss.
Learning when to say no, similar to pushing was a skill that was in dire need of development. A skill that I still struggle to implement and my soft nature struggles with the concept. There was little choice, with one parent down, routine and commitments still needing to be maintained, something had to give. A healthy dose of relatively and an easily said two letter word was used. We needed to say No. With little success previously it seemed we were about to enter a minefield of meltdown and tantrum, upon reflection another success. Although not a perfect science, we know have the ability to response, for the most part, to wait, not yet, soon and for some part no. Progress.
In short out daily commute sux. Adding to the pressure medical appointment, extra commitments at work needed the addition of after-school care. Although not always welcomed, traffic, outside school hours care and various adjustments to timeframes have forced our princess to stretch. Our job has been to communicate our intention effectively, make agreements in advance and apologies at times when we get it wrong.
Wow, this is hard work, they love they hate, they connect they want space. We never get this balance correct but the value is there in investing this relationship and importance to family. It’s been a blessing to watch this develop. I don’t promise that there will always be true harmony at the ‘house of many hopes’ aka home although I am hopefully that love prevails and the good times are etched into their memories for a lifetime.
Choice and control
How to find the balance, when to admit I got it wrong, when to discipline and when to celebrate. I almost never get this right but we are learning together. An unintended bonus of being sick, was I needed to lose control, in this control being lost my princess has found her ability to choose. It’s been a humbling experience watch her develop. Listen to mum and follow a slightly different set of rules. This past 90 days has made her stronger, more independence and proved to her dad that she is ready to grow. I’m still scared of what is to come but in turn much more confident for success.
It’s been an intense 90days, but I have never been prouder of my family and my princess. Together we can achieve the impossible and it’s okay to push harder at times, that last one is just a reminder for me.
An update on parks and shopping
We are finding our normal again; I still struggle with walking further than a few hundred metres but the routine is returning. Late night shops, afternoons strolls and 1:1 time is again giving us time to recharge and create space for others in the family.
Oh and Target is once again burning a hole in my credit card.
The past 12 weeks have highlighted a conundrum for us with our princess. Do we go Public or Private (about health care)?
Pre-diagnosis a few year’s ago we needed to make a decision. Do we go on waiting lists, accept the initial diagnosis and carry on, or do we go “private” and seek out specialists that Jenna connected with and that could meet her personal need?
We chose the go private, and this decision meant we both had to go to work full time. This decision had and continued to have a family cost bigger than the initial, what’s the best doctor for our princess. It meant holidays were postponed, and things on our own “wish list” were benched and unfortunately in some cases debit needed to become an uncomfortable reality. Further still, the older two children needed to support and be “available” because childcare became unaffordable. The choice to “go private” ultimately meant moving the family to across the other side of the city closer to work, better-aligned schools and our professionals of choice.
I’m not going to rant on the tens of thousands spent, or the impose this choice has had, but rather I want to celebrate the benefits we have seen with Jen.
Yesterday at the Psychiatrist, Jen stated that she wanted a medication change, she didn’t like how it made her feel, and she wanted it stopped. Jen was able to articulate her wishes, and we worked to find a tangible solution. It wasn’t, let’s find the cheapest options or what the government approved this week or even Dad and the Doctor’s choice. This discussion was what will work best for Jen, her schooling, family life and her continued development long term development.
I walked away $2000 per year poorer, but an 11-year-old girl walked away richer. She was validated and heard. Success!!!!
So why did choose private care for our Princess? Here’re my top six reasons……
Validated our choice to explore deeper.
We were not happy with an ADHD diagnosis, label, things didn’t look right and the answers we sort seemed rushed. The specialist’s in the private sector spent time with us and explained the autism diagnosis and focused on her (as a person). We explored the diagnosis and the impact that it has on all of us, not the symptoms. In turn, this helped remove the “naughty girl” stigma, and provided a level of expectancy.
Treating the cause, not the symptoms.
Our princess’s ADHD, anxiety and social phobia’s are real, but at the core she has autism. We decided to explore various specialists, therapists and medications, trying to gain a holistic understanding of her needs. We keep searching until we found the right fit for her. Her medical needs are always evolving. We need to constantly keep asking questions and questioning the answers given. Not expecting the norm, but looking for the right fit for Jen.
Provided us with understanding.
It cost us, a lot. But we had time, cliche but we were not a number, phone calls to check up on medication changes, school visit’s by allied health professionals and a truly personized service. This all helped with engagement and buy-in. Jen values her appointments and sees worth in attendance. With her engaging and seeing worth, we see a the strategies, plans and medication regimes working.
Schooling is working and feels supportive.
With trusted doctors, allied health professional and a great school, we have been kicking some high goals. We are all talking together, sharing reports and learning from each other experiences with Jenna. We all have a shared goal to see Jen succeed. Again this has had an increased cost associated with the support, but support that that been second to none in relation to meeting her needs.
Enabled to make the choice.
We have been in control; we are paying for the support and have opted out when needed if this was in the best interest of Jen. Giving us choice, power to push for change and a tailored support structure that is meaningful and measurable to our princesses unique needs.
Seeing real progress.
It is true that money does not buy happiness, but for us, it certainly assisted with the progress. With an understanding of Jenna’s needs, our expectations and what supports work best. For the first time since diagnosis, we can see real progress, a light at the end of the tunnel and hope.
It’s true that we seem to never quite have enough, but what a great investment in Jenna, our family and her future.
Daddy wants to write you a letter and say thank you.
Thank you for asking questions
Thank you for adapting and embracing your autism diagnosis
Thank you for being proud of who you are
Thank you for teaching me to see the world differently
Last weekend we played together in the city, thousands of people around, noise, lights, sand. It was hard for you. We held hands and embraced this adventure together, remember the fun we had?
You controlling the fireworks, you swam at the beach and we walked through the shops enjoying plain cheese pizza for dinner.
It was great the your wore you headphones and brought sensory toys to help when you became overwhelmed, I’m proud of you for trying new things. I think it helped you heaps.
You make my days fun princess. I go to bed each day not complaining about the lack of sleep, a new slime stain on my floor or even that a weeks worth of groceries was used in the backyard for play.
I fall asleep grateful, grateful that my life is full of adventures, laughing, craziness and sneaky cuddles.
They are my favourite btw, cuddles that is. Thank you for random cuddles, I know you don’t like them too much, they are so special to me, and I treasure each one. While we are saying more thank yous, thanks you for constantly trying. We know that going outside is hard, reading people is hard living with 5 others at times is hard, but we tackle this together.
This year has been busy, and you have been bombarded with doctors, therapy sessions, medication and routines. It’s been exhausting, tough and we both wanted to quit, although nearly one year on we are both stronger. Home is a safe place, a place that it’s always okay to experiment, test theories and if needed meltdown. No judgement there, just unconditional love and acceptance .
I was remembering your plan at your new school, you made up a way to explain your autism to your friends. At the point of introduction you apologised. You stated you might say things that may upset them, I’m loud and sometimes and can be rude. I was so proud, that was a very grown up decision to make.
Did you notice that this choice has made school so much easier this year and you have so many friends?
Lastly thank you for the laughs, you make me laugh everyday (some days you don’t mean to but you are so funny) you are litteral, see the world your way and have the most inappropriate houmor.
Keep trying, keep dreaming and keep proving the others wrong.
We have started yet another therapy journey for Jenna, and its been a fantastic eye opener for us all. The next chapter has unlocked some permission for our princess, and we have seen an increased need to feel grounded, increase movement and tactile play. In short she has got in tune with her sensory side.
This new found permission (self given) has been a release for Jenna, though super tiring for us as parents.
– an example of her sensory needs.
This journey has been assessment based. With a focused look into her needs, tendencies, how she plays, interacts with others and her routine. We started to investigate where she gets her energy from, what “down time” looks like and what things are causing Jenna stress.
It was an eye opener for me and with hindsight brought further understanding of Jenna these past ten years.
We had our parent only session today and unpacked the assessment findings. In short Jenna in is constant sensory overload and in a constant state of arousal (an explanation of her Go Go Go attitude). The therapist commented on how “you should be exhausted” 🙂 YEP.
Again further validation of the scaffolding, routine and support we are providing constantly at home. With some help, the right tools and equipment we potentially will have another win for our princess. Additional supports.
With time we are hopeful we will see an improvement or awareness for Jenna in:
Her ability to self play and play with others.
Her need for and understanding of personal space.
How she responses to touch.
Posture and balance.
Our hope is that over the next few months of occupational therapy we should see a changd. Providing assistance in building Jenna’s ability to participate in everyday routines, tasks and activities.
This will be our focus for the next 3-6 months with an aim to get a better hold of and a greater understanding of Jenna’s sensory needs. This will feed into further therapy sessions later this year with her psychologist.
It seems we have pressed re-wind, 1 year ago to the week we were searching for a new school, new psychologist, different friends and came anxiety.
Trying to find ‘the best fit’ for our princess seems to be a never-ending journey.
Trying to understand ‘triggers’ and unpack the stressors is tirelessly painstaking.
Learning that at times unwelcome behaviours from Jenna communicate deeper worry, fear and barriers that inhibit her to tap her full potential.
Mum and Dad figuratively ‘hit the wall’ and run out of the fight. We needed to find a left field solution to provide respite, solace for Jenna. We needed both a quick win and a long term solution.
During our psychologist appointments, we have been encouraged to look for triggers, ask the questions, look for answers. This exercise provided more questions than solutions, instead of finding a single cause for the behaviour/anxiety it just created greater confusion.
Still we kept digging, looking for answers, adjusting routine, modifying commitments. Nothing.
Next became a bigger problem… the constant in Jenna’s life the past 6 years has been a school. School, for the most part, has been predictable, structured and problem free. In what seemed overnight we went from going to school daily, to non-attendance. We made it 3 days this month and I started asking Jenna questions and digging a little. We knew some of the problems. Simple, easy to understand, although near impossible to fix for an ASD kids with limited understanding of social norms and a life outside of herself. I explained all the little concerns away, pushing away as Jenna’s idiosyncrasies and seeking comfort that the school system knows best.
I still had an issue that wasn’t fixed, School wasn’t working for Jenna. No attendance and wanting to be at home with Dad couldn’t work long term. I needed to go to work, I had to pay the bills, We needed a solution.
Grandparents saved the day, what was meant to be an overnight stay turned into a 2-week visit. Jenna was spoilt, made to feel special, was given time, and valued. Anxiety reduced, normality started to return, and our bright, bubbly girl was returning.
I starting digging again, now in a better headspace we begin making progress. It was a simple problem with huge ramifications.
The problem was the rules, different rules. We had several classes at school with conflicting rules, relationship’s and expectations. It was to cause so much confusion and anxiety that my princess was physically sick.
We concluded that this was broken, a problem that was small, but too big to solve for Jenna.
Jenna had moved on… She found the problem, although the simple fix was too hard to execute. As started at the beginning of the blog, it was new school time.
Big girl choices were made. And a new journey starts next week for the princess.