Alexis

Alexiss daughter is now 22 and started self-harming at the age of 11. She hasn’t self-harmed in the last two years. Alexis says nothing can prepare you for the sadness, loneliness, fear and lack of support that you go through as a parent when your child is self-harming.

Alexis daughter started to self-harm, by pulling her hair out, about the age of 11. She couldn’t explain why she was doing it, but looking back Alexis says she was always a very sensitive and emotional child who seemed to find things more difficult than other children her age. Alexis didn’t think of the hair pulling as self-harm. The first time she noticed marks on her daughter’s arms, it was explained as the result of falling against a wall. As a parent,’ Alexis said, you’re not looking for problems, so I believed her. Why wouldn’t I?’

As time went on Alexis would see cuts on her daughter’s arms and one day she found a pencil sharpener blade while tidying her daughter’s room. Her emotional reactions to this included fear, anxiety, disbelief and anger but she went into practical mode’ to look after the cuts, partly because it was easier than facing up to the emotions. She blamed herself and the trauma of her marriage break-up which was going on at this time and tried hard, too hard, she says, to make her daughter’s life better. But she continued to self-harm, by cutting and with stones if she was outdoors. Alexis took her to the GP, who warned Alexis that it was likely to continue and get worse, which made Alexis feel like they were in a huge black pool, not knowing how to get out or whose hand to hold.’

Her daughter was referred to the Community Adolescent Mental Health Service (CAMHS), but didn’t immediately establish a rapport with them. The distraction techniques they suggested didn’t really work: She needed to see blood,’ Alexis says. She continued to self-harm, as she got older, with risky behaviour and sexual promiscuity as well as cutting. Arguments with her boyfriends were devastating to her and she always self-harmed when she was unhappy. She always cut on her arms, and always tried to hide it. Alexis doesn’t believe that self-harm is done for attention and she said her daughter described very clearly why she did it, because the physical pain relieved her emotional pain.

At this stage, aged about 15, her daughter saw a psychiatrist, privately funded by her father’s health insurance. Alexis says this was unhelpful as the psychiatrist simply told her daughter to stop self-harming. She continued to struggle at school, rebelling in the classroom and being challenging to her friends, but successfully completed her GCSEs and went to college. She soon became withdrawn, unlike her normal self, and after a few months Alexis confronted her and asked what was going on. This brought a flood of emotion in which her daughter said she wasn’t going to lessons, wasn’t sleeping, couldn’t turn off her racing thoughts, thought she was going mad and couldn’t go on. Alexis says her blood turned to ice’ on hearing this.

They went back to the GP who wouldn’t prescribe anti-depressants because she was 16 and said she needed to see a psychiatrist. Alexis paid privately for an appointment because she was so desperate for help. Her daughter saw a psychiatrist and a psychologist, was diagnosed with bipolar disorder and prescribed a mood stabiliser and anti-depressants. She continued with monthly psychiatric appointments and weekly sessions with the psychologist. Alexis never believed that her daughter was bipolar, and that she was too young to be given that label. Her daughter, she says, was happy to be labelled because it helped explain what was happening to her.

She continued to self-harm, because she continued to be unhappy. Her father didn’t understand her self-harming, took it personally and withdrew from her life. One day Alexis saw she had carved the word dad’ into her thigh. She stopped going to college but gradually, as the medication began to take effect, she started to come out of it,’ after about four months, and decided that she wanted to go out to work rather than return to college. She struggled to hold down a job, resisting authority and not really getting the picture of what was expected of her in the world of work. She was sacked a couple of times, but always managed to get another job, Alexis says, because of her outgoing and attractive personality.

By the age of 17 she was working as PA to a film producer in a job she loved, but started to become ill again. She was living with her boyfriend at this time and one evening phoned Alexis to say she needed to see her psychiatrist but wouldn’t say why. Alexis arranged a telephone consultation for her with the psychiatrist, but next morning felt that something was wrong when she saw something her daughter had posted on Facebook. Alexis went to her flat and found that she had taken an overdose. She was admitted to hospital and, after seeing the on-duty psychiatrist, transferred to the Priory because the local psychiatric unit was thought to be unsuitable for her. For Alexis, at this point self-harming had become something completely different, beyond her ability to think, leaving her head full of monsters and fearful of what would happen. She had wanted to believe that self-harm didn’t always lead to suicide and her daughter confirmed that she didn’t want to kill herself, just for all the stuff in her head to stop.’

At the Priory the diagnosis of bipolar disorder was reviewed and discounted, replaced with a diagnosis of borderline personality disorder, which made more sense to Alexis, and to her daughter. Her medication was changed and she also received cognitive behaviour therapy (CBT). She continued to self-harm when on week-end leave from the Priory but after three months she was discharged, a few days before her 18th birthday. For both of them, the Priory had been a safe place in which Alexis daughter could have some time away from the world, but Alexis worried about how she would cope with life when she was discharged home, and whether she would take another overdose. But she gradually picked herself up,’ found a job, and self-harmed less often.

She continued to have periods of depression, not helped, Alexis thinks, by starting to smoke marijuana (which she eventually gave up because she realised it was making her lazy and overweight). Alexis began to see tell -tale signs that her daughter wasn’t well and one day she came home and said she didn’t want to be here anymore, everything was too difficult,’ and barricaded herself in her room. Alexis was terrified that her daughter was going to kill herself, but eventually persuaded her to open the door and to go to hospital. She wanted to be admitted but the psychiatrist really wanted to keep her out of hospital and referred her to the Crisis Team which, Alexis says, turned their lives round.’ Community psychiatric nurses visited every day, sometimes twice, for a month, reviewing medication to include a sedative which helped her sleep properly for the first time in years and giving more CBT. Alexis sees this as the beginning of a healing process which has continued over the last two years, with no serious depression and no self-harm. She sees herself now as the mother of a very normal 22 year old and feels strengthened and more knowledgeable as a result of her experiences.

The pressure on Alexis to support her daughter affected her relationship with her partner.

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A lovely new boyfriend’, medication and exercise all contributed to Alexis’s daughter’s recovery.

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Alexis’s daughter is much better, but still needs to take her medication.

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Be that lioness for your cub’, fight to get support and stay hopeful, says Alexis.

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Alexis didn’t want her daughter labelled’ with a diagnosis, but also thought a diagnosis could explain her behaviour.

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The Crisis Team turned our lives around’, Alexis says.

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Alexis says internet forums are useful when you don’t want to burden’ your family. You can post at three o’clock in the morning, and talk to people who understand.

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Alexis’s daughter explained that if you’re hurting so badly in your head, to harm yourself on your skin, to give yourself other pain, stops the feelings in your head.

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Alexis asks how parents should respond to their children’s use of social networking.

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Alexis wondered how to tell people about her daughter’s problems.

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Alexis is close to her daughter but sometimes found her behaviour very hurtful.

Age at interview 50

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