Sarah Y
Sarah is 42, a teacher with three daughters. Her eldest daughter, who has learning difficulties, has taken two overdoses and has been referred to a psychiatrist. Sarah hopes this will help her understand her daughter’s behaviour.
Sarah describes her eldest daughter as being on the autistic spectrum, with learning and social difficulties. In July she took a small overdose of painkillers when on a college trip and was taken to A&E. She claimed she had taken the pills for stomach pains and hadn’t meant to harm herself. Then in December she went on another college trip to a town two hours away, where she bought 64 painkillers and swallowed half of them. Sarah was called urgently to the hospital. She had to get neighbours to collect her other daughters from school, but went back home that evening while her daughter was kept in hospital. When she returned the next day she found that her daughter had absconded because she thought doctors were trying to kill her with a glucose drip, but had been picked up by the police and returned to hospital. Sarah thinks the doctors should have taken her learning difficulties into account and explained more clearly why they were putting in the drip, although apart from that the hospital staff were very kind and caring. Eventually her daughter was seen by a psychiatrist at the hospital, who told Sarah that her own GP would be able to refer her daughter for counselling. They have been given an appointment for a few weeks time. Sarah is reassured by this, and hopes it will help her understand what her daughter is feeling.
After the first overdose Sarah was quite cross with her daughter, as she hadn’t followed the instructions on the packet about how many to take. After the second overdose her daughter said she had meant to harm herself, but then said she didn’t know why she had done it. She claimed she was upset by something her father had said to her, but Sarah thought she said this to avoid being questioned further about her motives. Sarah had spent an hour with her the night before talking about something which had upset her at college, but she had seemed very happy when she went off on the trip. At the hospital Sarah felt like telling her to pull herself together, but then she felt guilty for feeling like this.
Sarah says she finds it difficult to understand what is going on in her daughter’s head. Her daughter’s explanations include testing herself to see how strong she is, feeling low, and having urges to take pills. Sarah is confused by this and is worried that she will do it again. She finds it very stressful not to have any clear cut answers and would welcome a label to the behaviour so that she could develop strategies to deal with it. At the moment she is coping by hiding all the tablets in the house and not allowing her daughter access to money. Her daughter tends to punch her hand or hit her head when she is frustrated, and Sarah tries to help her deal with the causes of frustration.
Sarah’s middle daughter is angry as she can’t see a reason for her sister’s behaviour and thinks it is selfish. Sarah tries to explain that her eldest daughter needs help to resolve some of her issues. Her youngest daughter hasn’t said much about it. Their father lives apart from the family. Sarah finds it hard to know who to talk to when it is difficult to cope. Some of her friends have been very supportive, but she is reluctant to tell too many people as she thinks they might blame her for failing as a parent. The main impact is the stress, the guilt and the feeling of helplessness in not knowing why her daughter has done this and how to help her. She is going to wait to see what the psychiatrists say before she looks for any other sources of support and information she thinks there is a lot of rubbish on the internet.
Sarah’s advice to other parents is to be patient, to get on with their lives and to hope that clinicians can give their children the help and support they need. She advises healthcare professionals not to be judgemental. She is making a complaint to the pharmacy which sold her daughter the painkillers, and thinks there should be education in schools about the dangers of overdose.