Jane Z
Jane’s younger daughter started cutting herself when she was 14. She was referred to CAMHS after taking an overdose. Jane did not find this helpful, but is positive about contact with Harmless, a self-harm support organisation.
Jane describes her younger daughter as a lovely, funny, clever child who was always helping other people. When she started secondary school she lost confidence and became unhappy. Jane took her to the GP, who advised against contacting psychiatric services but organised a mentor who helped her settle into school. Things became worse again when her grandmother died suddenly and she had difficulty sleeping. Other sources of stress included forthcoming exams, peer group pressure and teenage hormones. After a problematic family wedding Jane was told by the school that her daughter was cutting herself. The school were very supportive, and arranged for a teacher to help her, but he was not allowed to offer advice as he had no formal training.
A few months later Jane was woken in the night by her daughter, who told her she had taken an overdose. Jane called the paramedics, who were very good, and her daughter was taken to hospital where she stayed for several days. Jane says the general hospital staff were brilliant’; they spoke to her daughter like an adult and she was able to talk to them. Jane stayed with her, but later thought it might have been better if she had been advised to let her daughter have some time on her own. She feels an opportunity was missed, as her daughter was ready to accept help. Instead the family had to wait two weeks before their first appointment with the CAMHS (Child and Adolescent Mental Health Service). During this time they had no contact with health professionals; her daughter was sent home and withdrew back into herself. The family felt very fragile and vulnerable; they didn’t know what to say to other people about what had happened. Jane would have liked someone to give them advice on what to do, rather than telling them to go on as before and that there was nothing they could have done differently. She wishes she had been open with people, acknowledging that her daughter had taken an overdose when she was depressed, and that she needed their help and support. Keeping this secret has added to the pressure.
Jane says the family thought they had no choice but to go down the CAMHS route after her daughter’s overdose. She felt the approach taken by the CAMHS team was unhelpful: her daughter was asked many questions about her self-harming which Jane ended up answering as her daughter didn’t respond, and the second line of questioning was a tick-box list to identify suicide risk and possible symptoms of mental illness. The doctor also emphasised that she was only available during very limited hours. Jane felt angry and intimidated at a further appointment when it was suggested that her daughter should be admitted to a psychiatric unit. She told the doctors that their approach wasn’t working and they agreed to contact her daughter weekly by email instead. The CAMHS team wanted to prescribe antidepressants but Jane’s daughter was adamant that she did not want this. She agreed to take melatonin to help her sleep but unfortunately the wrong dose was prescribed and she was drowsy all the time until a pharmacist noticed the mistake. The family had to maintain contact with CAMHS as their GP could not prescribe melatonin.
Jane disagreed with CAMHS advice to remove alcohol and sharp objects from the house, as this would give her daughter the message that they didn’t trust her. She says a turning point came when her husband met another psychiatrist who believes that you’ve got to take away the need to self-harm. You can’t stop the self-harming itself, so don’t try to‚just be practical about it.’ By making sure the wounds are cleaned and dealt with sensibly the behaviour becomes normal’ and not a source of shame. Jane says it was awful for weeks on end wondering whether her daughter would still be there in the mornings, but stresses that you have to concentrate on removing the feelings that make the harming necessary. She suggested that her daughter watch films at night when she couldn’t sleep, to distract her from her worries.
It was very painful for Jane when her daughter wouldn’t talk to her but she dealt with this by giving her space and doing little things to show that she cared about her. Jane and her husband have a strong relationship and have agreed to put their lives on hold’ until their daughter is better. He has to focus on his business as family finances depend on this, and Jane thinks he has to distance himself from their daughter’s troubles. Their elder daughter has found it very hard to understand her sister’s behaviour and sometimes feels guilty because she resents the attention her sister receives; Jane acknowledges that she also needs support. Jane can understand her younger daughter more because she herself had problems with depression as a teenager when her father died.
The school recently advised Jane to contact Harmless, a self-harm support organisation. On their website she saw the statement Self-harm is not an illness. She values their practical, non-judgemental attitude and wishes she had seen this two years ago, as she now understands that self-harming can be a way of releasing the pressure of emotional pain and is an extreme response to normal things when teenagers are going through all sorts of changes. She thinks it would be a good idea for schools to have classes about self-harm, including how to recognise warning signs and suggesting coping strategies.
Jane says it is important for the young person to have someone they can trust to help them. Her daughter is harming less frequently now and the school are supporting her return to the sixth form. Her advice to other parents is not to force yourself on your child, but to stand back and let them take the lead, even though you are desperate to show you love them and it’s hard to allow complete strangers to do things for your child that you want to do. If you’ve made the right decisions, for the right reasons, over the years, whatever happens, your child will forgive you for them.’