Certified Letter Part 2

Hubby was nice enough to stop and pick up our certified letter from the post office on his way into work today since I’m at home again with all 4 kids… PA lets rural kids off on the first day of hunting season so my 4 have been off almost a week! I did not want to parallel park and take all 4 in to get the letter but I was most curious!

Apparently there are forms for each kid to fill out in order to continue receiving their adoption stipends. Which I’m pretty sure we signed that they’ll have it until 18 or 21 depending on if they are in school full time or not. So I’m guessing it’s just Children & Family’s way of keeping track of us!

Huck had his appointment last week with the psychiatrist and although I explained his failure to earn 12 “checks” in 30 days and my hope for a more elevated and stable mood, the doctor just upped his current medicine. So Huck will be on Tenex 1 mg at night and .5 mg in the morning. I’m not convinced it will help. While my parents visited at Thanksgiving they worked on “potty training” him, which didn’t even work one day. So he has a lot of demons still to conquer.

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Certified Letter

Has anyone ever received a certified letter from Human Services? My mailman brought the slip to pick up the letter at the post office but we were home. So now it’s Sunday and I’m left wondering until tomorrow. I’m thinking it’s regarding their adoption stipend,  since it’s been a year since adoption maybe the county makes sure of identifying information? I have no clue. Has anyone  ever gotten a certified letter?

Non-stimulant Treatment

After taking Huck off the last anti-depressant, when we went to his psychiatrist the doctor decided to start on a different non-stimulant. Huck was prescribed 1 mg of Tenex, a blood pressure medication sometimes used for children with ADHD. The doctor is hopeful that this medication will give Huck more time to think about his reactions. Huck’s been on it for a week and I think it’s making things worse again. We had some time where Huck was off the other medication and his defiance wasn’t so bad. However, he seems back to his tantrums every day, defiant behavior, and now he is refusing to eat. Friday he would not eat breakfast or dinner at home (I’m pretty sure that he ate his school lunch). He finally ate almost at 2:00 on Saturday. And then today he refused lunch and wouldn’t eat dinner until almost 7:00. I’m not sure what he’s trying to prove, but we have food available at all times, healthy options, as well as juice and milk, so it is up to him to decide.

His counselors have started a new incentive plan with Hubby and my agreement. In the next month before winter league basketball registration, Huck has to have 12 “good” days and then he can play. Granted, he’s had no “good” days thus far (especially considering the refusal to eat). So we’ll see if that works out for him or not. They originally wanted to do 17 days but Hubby was concerned that we were setting him up to fail.

We also decided upon a new strategy for his bathrooming issues. After several weeks of full peeing his pants at school, we’ve decided to stop giving it any attention. They will no longer discuss it in counseling since he’s only been lying to his counselors about it anyways. We will no longer call attention to it at home, as Hubby used to check with him every night to see if he was clean. So Huck, who is now 8 and a half years old, was given the choice to wear underwear and choose to be clean, or wear diapers. He chose diapers. So we have told him that it is under his control and we will be ready with underwear whenever he is. Hubby is very hopeful that it will be soon! I am not so sure. He’s said to us and to his counselors that he just needs to stop at recess and go to the bathroom (I’ve told him to go before recess), but that hasn’t happened yet. So who knows how long he’ll be in diapers.

Brains

We live this every day, and it’s so hard to explain to others. The reactions that children have, even if they are now in a loving home, their ability to focus, their need for any kind of attention, their maturity, their ability to take criticism… it was all decided long ago when they were neglected for years. And even in a warm, loving and caring home their brains will not recover from the damage. Kids that have been neglected don’t just “get over it.” The damage I’m talking about is living in 11 different homes in 5 years, all before reaching 4th grade, 2nd grade, or 1st grade. We have to do better for our kids. We have to break the cycle.

http://www.telegraph.co.uk/news/health/children/9637682/Whats-the-difference-between-these-two-brains.html

Reactive Attachment Disorder

If you google “Reactive Attachment Disorder,” about a half a million results come up immediately. It’s a well documented concern with adopted children, or children that have gone through immeasurable trauma and neglect. When we first accepted placement of our three adopted kiddos, we were concerned with the youngest, Scarlett, and RAD. We did a lot of reading and perusing online articles. I read “The Connected Child” like all good adoption forums will recommend. Our fears of RAD with Scarlett were quashed very shortly after their placement as she settled in. Scarlett is very much a middle child and gets her feelings very hurt if she feels that someone has gotten more of something than her–time, presents, clothes, etc. But she does not have RAD.

We’ve only had placement of our children for just over a year. This is nothing in terms of fostering an attachment in child development. And yet, it feels like 25 years! Hubby and I have become adept at changing our parenting strategy, with kind of a trial and error, in order to find what works. This week we had to work on some strategy in order to get Huck back in a good place. I made the executive decision to cut off his anti-depressants. I am concerned that the medicine was causing him to become agitated. Sure enough, the lack of medicine seems to be much better. (He was only on 10 mg for about 3 or 4 days before we noticed the agitation. It was not noticeably present after 5 mg). We’ve also been working really hard to lighten up on a few things and stand united where we’ve decided we need to draw the line. We’ve been looking for behavior to praise and doing so above and beyond. He seems to be responding well. This morning he seemed to be a in a good humor, didn’t pick fights with anyone like he had for the last month. We’ve made it clear to him what is punishable (peeing pants, yelling/being disrespectful) and what the consequences are. Now we are just keeping the line and lightening up about other things. The true test will be this weekend when he is home more!

RAD is not so RAD

I’ve been sharing our heartbreaking problems with Huck. He’s in a vicious cycle of bad behavior and consequences with no relenting. He’s lying at home and at counseling. He’s being rude to his siblings and defiant to his parents. He’s throwing tantrums and having meltdowns at home and at counseling. He’s in an intensive program for trauma, but we’re not seeing any advantages right now. His new antidepressant seems to only make him more agitated. Hubby and I are at the end of our rope, trying to figure out what we can do to help him and make it better. We’ve not had this bad of behavior for a long time. It feels like it’s constantly escalating and we don’t know where it’s going to end up. I had a long conversation with him last night before bed. I was hopeful that we came to some sort of agreement on what is acceptable behavior and what he can do to let out negative feelings. Then this morning he went right back to where he was before. So I don’t know what to do!

Huck had his re-evaluation for counseling last week and the doctor added a rule-out of RAD. Right now his diagnosis is PTSD and he’s getting counseling under that diagnosis. But it doesn’t account for the behavior we’ve been seeing for the last couple of months. Huck’s psychiatrist was leaning toward ODD, or Oppositional Defiance Disorder, but the doctor at his trauma counseling was more apt to say RAD. Considering that most behavior is aimed at me, his primary caregiver. He doesn’t have all the symptoms, like lack of eye contact. This diagnosis doesn’t really change his therapy or medication. I’m not sure it’s even true. But it’s difficult to live with, whatever he’s going through!

Bella Bond

The mother of little Baby Doe, who police have finally found to be Bella Bond, had several children removed from her custody permanently by CYS. Her mother felt it was only a matter of time before CYS also removed Bella. And now, we all wish that her mother’s fear had become reality before she died a tragic death. This case seems all too familiar. We deal with guilt that there is another child in the custody of our adopted children’s first parents. In the same year–not even four months after TPR occurred, our children’s first mother gave birth to another child. I’m not sure how it’s okay for parents to keep custody of a child in the same year that they lose custody of not one but THREE other children. This seems like a recipe for disaster to me. We’re waiting for the call, the day that CYS remove this child from the home. We know it will come, we just don’t anticipate it for a few years. Our kids were generally off the radar until our oldest, Anne, went to school. There her teachers were disgusted by her hygiene and general health, as well as truancy. This is where we believe the first parents will slip up again. Until then, we can only watch the news and hope this doesn’t happen.

http://www.cnn.com/2015/09/19/us/boston-baby-doe-charges/index.html