Debbie

Debbie’s elder daughter started self-harming when she was about 9 years old. She developed an eating disorder and has been an inpatient, but is now improving with dialectical behaviour therapy. Debbie is positive about the future.

Debbie’s elder daughter started self-harming when she was about 9 years old, after her grandfather died. She was head banging and pulling out her hair, and the family thought this was due to stress. The behaviour increased, so they took her to the GP, who told them it was a phase and that they should just keep talking about it. Her school noticed that she was becoming more anxious and showing obsessional characteristics, so offered her counselling. Debbie doesn’t think this was very helpful as it was focused on building her daughter’s self-esteem and her daughter felt uncomfortable talking to a male counsellor; the self-harm continued. The counselling stopped when Debbie’s daughter went on to secondary school, but she was bullied and her confidence plummeted. The school gave Debbie details of a local team who offered six sessions of counselling. When this finished the family had no support until Debbie’s daughter developed anorexia. She continued self-harming. Debbie tried to get her seen by the mental health services but the GP told her there was an eighteen month waiting list. Debbie wrote to her MP and her daughter was soon seen by the Child and Adolescent Mental Health Service (CAMHS) and eventually admitted to hospital for several months. Her eating disorder was controlled but her self-harming became worse. She is now having dialectical behaviour therapy (DBT).

Debbie feels that all the support is targeted at her daughter and how the family can support her in getting better. She would like more support for the family and advice on how to deal with the self-harm and how much to involve her younger children. She felt that the six-week counselling course was focused on asking her daughter about family relationships in an intrusive way so neither she nor her husband took part in the sessions. She thinks the inpatient experience made her daughter’s self-harm worse she started using blades and razors, and said that when other people in the unit were self-harming quite badly she would feel a failure if she didn’t copy them. Her daughter was prescribed an antidepressant which made her feel suicidal; now that her medication has been changed she no longer has suicidal thoughts. Debbie felt excluded from her daughter’s care, and thought she was being judged because she wanted close contact and information about her daughter’s progress.

Debbie says her daughter’s self-harm has been very difficult for the family emotionally they felt they were walking on eggshells a lot of the time, and worried every time she went up to her bedroom alone. Debbie is open in talking to her daughter about her self-harm, but her husband finds it harder to talk to his daughter about how he feels, so Debbie often acts as a go-between. She thinks her husband blames himself for not noticing their daughter’s problems earlier. He is very supportive of Debbie, but sometimes they are so worried about their daughter that all their energies are focused on her. Debbie’s other daughter is not fazed by her sister’s self-harm and can talk openly about it. Her son doesn’t like talking about it and would like to keep it secret from his friends. Debbie has taken a career break from her work for a year so she can be at home when her daughter needs her.

Debbie and her sister have been treated for OCD (obsessional compulsive disorder), so she was able to recognise her daughter’s symptoms.

Debbie has found support from families in an eating disorder group and a DBT group. Some of her friends didn’t understand her daughter’s behaviour, blaming it on attention seeking, so Debbie has lost contact with them. She has found the Young Minds website helpful with specific questions. She would like a local support group for families in the same situation.

Debbie’s advice to other parents is You know your child. Trust your child, trust your instincts. There were times when she sided with the health professionals, thinking they knew best, but wishes now that she had trusted her own instincts and listened to her daughter. To health professionals she says Listen to their mums they know their children.’

Debbie is pleased to see her daughter with more hope and positive plans for the future.

When Debbie first took her daughter to the doctor he said it was just a phase. Later her treatment was delayed because of confusion about his referral.

Age at interview 37

Gender Female

It was hard for Debbie to be apart from her daughter when she was admitted to a psychiatric hospital.

Age at interview 37

Gender Female

Debbie chose not to be involved when she thought counsellors were too intrusive.

Age at interview 37

Gender Female

Debbie lost some friends because they didn’t understand.

Age at interview 37

Gender Female

When Debbies daughter told her friends that she self-harmed they were very supportive.

Age at interview 37

Gender Female

Debbies son and daughter reacted differently to their sister’s self-harm.

Age at interview 37

Gender Female

Debbies daughter said she felt like a failure if she didn’t self-harm because everybody else in hospital was self-harming.

Age at interview 37

Gender Female