Wednesday, March 30, 2011

Guest Blogger: Family Member Asked for a 5150 for Mentally Ill Loved One

Our guest contributor has a family member who is mentally ill. In this post, "Linda" describes what it is like to take care of "Joe" and the time she had to request a 5150 for him. The 5150 is an involuntary psychiatric hold that I wrote about previously.

Marcia, you always have a very helpful nonjudgmental commentary that can be very useful for people struggling with tough decisions, ethical dilemmas, and multi-layered situations, and thanks for that.

I wanted to say a few words which I think may be helpful for some to hear, although opinionated as is my nature. I have a family member, “Joe”, who is diagnosed with schizophrenia and taking anti psychotic meds.

I admit it is hard to be "your brother's keeper" even for loved ones. Their outbursts and behavior can wear you down and make you feel unappreciated, angry, and sometimes even unsafe around them.

And just like addictions, brain disorders are something that one seems to want to have a lot of empathy for those who fall prey to, but it's not always easy. I sometimes feel guilty if I do something that makes Joe upset or can feel like I'm violating him with my firm "it’s good for you" nature.

I have had to 5150 my family member not by my authority but by insisting the boarding house where Joe lives call it in. In fact, the attending physician who monitors my relative's case in this county said it's not illegal for patients to decide to stop taking their meds so the psychiatrist could not compel him to do anything including taking his prescriptions to avoid severe symptoms such as hearing voices and deep paranoia.

I was frustrated because I felt the system was doing nothing preventative; it was going to be all punitive. I felt that the professional caregivers were doing nothing to avert an impending disaster. I knew in my heart that Joe needed to stabilize on medicine and get a restart in a controlled environment, and my fear was that Joe was going to hurt someone or get arrested, both of which has happened in the past.

I tried to convince Joe to self-commit, but he refused. So I discussed the behavior with the home, and we concluded there was danger to others and Joe needed to go into a hospital for a short stay. It was not to teach him a lesson or mess with him - which is sometimes hard for the afflicted to perceive - and then they go ballistic.

But after months of visiting Joe’s social worker and medical team and trying to intervene and lean on the team to suggest group therapy and talking to the licensed board and care residence to monitor the medication better, it didn't seem that I was getting anywhere and all the advocating can take a toll. (I might add that I do not have a conservatorship and Joe needed to sign a waiver at the clinic, so they would discuss the case with me. He had signed it during his "better days" so it was in effect later when he was not agreeable.)

Just like Charlie Sheen who seems to have an ongoing struggle, my family member has repeated incidents, and it burns me out. Many people call Charlie Sheen a jerk and let me tell you, people with these problems can be, but they do deserve our compassion, not help avoiding the consequences of their actions, and if you have the strength to give, they will be better off with your efforts on their behalf.

Even though we don't want to let our love ones down, I want to tell people out there that it is ok to take a breather; turn your back if you can't deal with their problems at that moment. Long after Joe got out of the hospital from that particular 5150 in better condition as a result of the stay, he continued to manifest behavior that violated me, so I made the decision to cut ties. I needed to for a few months not to talk to him, to concentrate on my life, and rejuvenate so that I could come back more refreshed and in a healthy state of mind for myself.

I didn't know if or when I was going to come back because I felt a lot of anger over the way I was treated after I had "helped" him repeatedly, and I felt abused when he was so hostile in return. It was emotionally painful to do this during the holidays and his birthday, causing me guilt because I do feel a responsibility to contribute to better his quality of life and safety.

After "the breather" though, I'm not angry anymore, and I just called up to see how my family member was doing. There was no apology from him, but I didn't need it. I accept that's who he is and now with my new self protecting boundaries in place, I can be kinder and able to offer advice that may be well received or not, but continue to be a support to him by just showing my love and concern.

Monday, March 21, 2011

Guest Blogger: Fern Weis's Top 5 Parenting Tips

Our guest blogger today is Fern Weis, and she provides tips and some insight into her own family. She is a certified coach, middle school teacher, wife, and parent of two wonderful young adults. She specializes in supporting and educating parents of teens and young adults through individual and group coaching, as well as educational workshops. Fern continues to volunteer as a facilitator of family weekends at Hyde School. She is committed to strengthening American families, one family at a time. Learn more about her work at www.familymatterscoach.com. You can also contact her at fgweis@gmail.com. And now...here's Fern.


In a recent blog post, Marcia Stein posed some serious questions about the downward spiral of Charlie Sheen. She also asked readers to share their own experiences. I am pleased to be able to share part of my life with you and what I learned along the way.

In our family, it was our son spiraling into a pit as a teen (and taking us down there with him). What was so painful was that somewhere in this out-of-control teen was a kind and loving person who didn’t know how to come back to us. When he was having a good day, we would hope against hope that this was a sign he was turning around. We were not facing reality. When we could no longer deny it, and accepted what was happening and that we had no control, we pulled him out of high school. First step, a one-month wilderness program to separate him from his community and from us. Second step, two years at an amazing boarding school called Hyde School, a program of family-based character development.

The deciding factor in choosing Hyde was the intensive parent program. While we considered ourselves good people, and understood that he made dangerous choices, we knew that we needed to change, too. We couldn't ask the school to 'fix' him, and then have him come home to the same parents. We had to do things differently, see ourselves differently.

I learned that I taught my children so much about how to see themselves and life, not only by my words, but by my actions, reactions and responses to people and events in my life. It's frightening how much our children learn from us that we are not aware of.

I learned that you cannot stand by. It hurts to take difficult steps, but it hurts more to watch your child self-destruct. Change is hard, but not changing takes you in the opposite direction of where you want to go. So…

1) Do the hard thing. Don't worry about your 'relationship' with your child. He has lots of friends, but only one set of parents to teach him how to get through life. Children need us to set limits. They don’t have the self-control to do it for themselves. If you don’t do it, who will? Whether it’s saying ‘no’, or having a serious intervention, do it!

2) Understand that parenting is more about YOU than your children. Step up! You know all those qualities you want to see in your children? You want them to be truthful, persistent, courageous, compassionate, generous, thoughtful, curious and optimistic. Make sure you are the best role model you can be (for your own benefit, as well as theirs). Have you given up on a dream? Have you ever been less than honest? Do you tell them to be more assertive, and then avoid saying what you need to say to others? Do you expect more from them than you do from yourself?

As they get older, you have decreasing control over the choices your children make, the actions they take. They are counting on you (even though they will deny it) to show them how it's done, and to be their guide.

3) Ask others for their insights about you (this includes your kids). I can sense some of you mentally walking away from this one. But we are often the last ones to see our own inconsistencies. It’s the inconsistencies that prevent us from moving from struggle to confidence. The mixed messages make parenting, decision-making and personal growth more difficult.

Ask the people who love you most (spouse/partner, kids, trusted friends and family) for their input. You don’t want them to sugarcoat it, and you don’t want them to be cruel, either. You are looking for helpful feedback so you can be a great example for your children and enjoy life more.

3) Listen, listen, listen! Your kids want to be heard. It doesn't matter whether you agree with them or not. Listen and become the trusted adult they turn to when there's something really important to talk about. This is not the time for judgment, criticism, or fixing it for them. After they have vented is the time to help them with coping and problem-solving strategies.

4) Be a teacher, guide and mentor… but don’t be ‘the fixer’. Too many young people are not prepared to launch themselves into independence. When we give them the answers and solve problems for them, they are not learning the skills.

Step back. Guide and teach without doing it for them. And if you are not always the right person to teach the skill or lesson, you have options. Ask for help in being a better teacher. Consider who might be more effective in helping your child work through challenges. There is no shame. It really does take a community to raise children.

5) Share your struggles with your children. What was challenging for you growing up? What did you fail at? How did you deal with it? Our kids see us as adults who mostly seem to be in control and know what we’re doing. As confused, hormone-ridden teens, they can’t imagine being competent and self-assured. They need to know that it does get better, that we were once like them and we, mostly, successfully muddled our way through, too.

You already know how important this job is. And while you weren’t given a user manual for your children, it doesn’t always have to be difficult. Learn when to step in and when to step aside. Listen as least as much as you speak, if not more. Ask for help when you need it. Inspire your children by sharing your own difficult experiences. Your children need this from you, now.

P.S. My son graduated high school and college, and is employed in his chosen profession. The child we thought we had lost is a motivated and generous young man who gives me bear hugs, tells me about his work day, and dances me around the kitchen. His sister, who prefers not to be highlighted in my writing, is an amazing young woman and daughter, and friend to all who know her. Life is good.