College-age daughter with mental health issues

whatnow

Earning My Ears
Joined
Feb 24, 2008
Messages
3
After reading just a few threads on this forum I feel like I am just a whiny person having a pity party, but I am really struggling with my feelings about my daughter. This is her second year at college, several hundred miles away. The problem first appeared shortly before she left for school. Over the last perhaps two years she has begun having major mood swings and periods of EXTREME irritability.

It often starts out where she will twist something innocent that is said into a major insult and will spew the most hateful remarks. If you try to "logic" her into how she is blowing the situation out of proportion she gets literally hysterical, screaming and on a couple of occasions biting her arm or pressing her nails into her hand or arm until it breaks the skin. On many other occasions she will call our home and if someone doesn't answer she will leave very angry messages that she would appreciate it if we would answer when she calls (we ALWAYS call her back quickly when she leaves a message.) She gets angry if I call or email her (I'm bothering her) but if I don't call or email for a couple of days then she is offended. She used to be very organized and a very good student. Now she procrastinates until the last minute and either doesn't turn in assignments or turns in a mediocre product. It is always the professor being a jerk or giving stupid assignments, never her fault. She has periods, up to a few weeks, where things seem okay, but it doesn't last. If you try to even broach the subject that maybe she has a problem, that ends the "good" period.

She has a very patient, loving boyfriend. She has begun treating him as she does me, making him feel like he is walking on eggshells because you never know what will set her off. I am worried that as much as he loves her he is going break up with her. She is so demanding, and she has caused problems for him at work when she starts a huge argument via instant messenger, then insists he come see her to make up or that means he doesn't love her. She has even threatened to hurt herself if he doesn't. While on one hand he feels manipulated, he also feels that he can't ignore it. She has no idea that he has told me of this, but it is consistent with what I have seen. (Actually I think that she suspects it, as she was upset to learn that he has emailed me a few times -- not always directly about her, but initially regarding an issue he had that relates to what I do for a living -- and she told each of us that the other didn't really like them, and we probably shouldn't be talking.) He does not want to give her any sort of ultimatum that she get help, and I think he has doubts that psychology/psychiatry is really helpful. After an outburst, she acts like nothing happened. I NEVER get an apology, no matter how hurtful her comments.

She finally said last week that she thinks she may have ADD. I truly think that she came up with that because she thinks being depressed or having any sort of "mental illness" is embarassing or shows weakness. She asked me to make her an appointment with someone. I have made a ridiculous number of calls and 1)unless she is openly psychotic and/or suicidal she can't be seen for weeks by a psychiatrist, and 2)since she is a legal adult (19) SHE has to make her own appointment(s) and unless she specifically asks them to speak to me they won't.

I am so frustrated. She did call one place back that could see her sooner for a counseling session. She told the counselor none of the mood swings, anger issues, just that she was very forgetful. He gave her some basic organizational hints. Obviously that was a waste of time. I don't see her wanting me to go along, and she would get upset if I was honest with what I have seen and experienced if I did. I don't see her being honest with a psychologist or psychiatrist.

In the meantime, I have really started wondering if maybe she isn't mentally ill, maybe she just doesn't give a crap about me? Maybe I'm worrying myself to death and she just isn't the warm and fuzzy sweet type? I keep thinking about how sweet she was as a little girl and how very close we were. Now I feel like she absolutely could care less about me. This is the really whiny party -- I feel like I made no difference in her life and that the last 19 years when I happily made her the center of my world I was fooling myself that it mattered. Her biological father has very little contact with her and they are not close. But you know what? I don't feel that she cares any more about me than she does him. I always thought that I was a good mother but now I just feel like I was naive and if I was a decent parent she would have to have some love for me, and not just the occasional contact when she wants/needs something.

I have a stressful job and am looking at a busy week. I can barely tolerate the thought of going to this job I hate when the only reason I've worked there for all these years was the financial security for my family. I feel like my world has really shifted and am struggling with just putting one foot in front of the other. I don't know, maybe I am the one with the problem. I just feel so sad. At work I just try to forget about it so I can get through the day, but I've always talked a lot about my daughter and I know that I will be asked about her as I will see some people I haven't seen in a while. I just feel like crying thinking about the whole situation and need a better plan to deal with it all. I just feel like calling in sick, going to bed and staying there forever.

Sorry this is so rambling. I thought maybe writing it would make me feel better. {Deep breath} thanks for listening. :sad:
 
I'm sorry you're having to deal with this. I hear your frustration and sadness. :hug:

I won't begin to guess what it "could be", but it does sound like a mental health evaluation would be a good idea because of this especially:

She has even threatened to hurt herself

She asked me to make her an appointment with someone

What about speaking with her pediatrician, or your primary care physician? They should be able to direct you to appropriate resources. I would keep a low threshold for forcing help if she is threatening suicide, homicide, or exhibiting irrational/dangerous behavior.

You should consider counseling yourself as well since this seems to be affecting your own well being now. Do you have an Employee Assistance Dept at work? Or know a clergyperson or local counselor?

I hope you can get the help you need. Let us know how you're doing. :grouphug:
 
There are several factors which make this tricky. One, that was repeated to me over and over when I even tried to call to see about availability with psychiatrists for appointments, is that SHE is to make all appointments as she is an adult. When she is in the "throes" of this, she is very angry and definitely doesn't think SHE is the one with a problem. Then when things calm down she seems to think that whatever happened was no big deal. I do think that if she had an appointment she would keep it, but it seems that it will take decent amount of effort to set up an appointment and she doesn't seem motivated to do that.

Second, she is several hundred miles away and at the point where she should transition to an adult doctor. Her pediatrician isn't necessarily in a position for a referral in another state. What I did was send her contact info for some board-certified gynecologists in the city where she attends school. She has a couple of minor physical issues which should be discussed, and I tried to tactfully suggest that this would also be a good time to discuss any other issues such as the forgetfulness, problems sleeping, etc. I can only hope that a perceptive dr. might be able to pull out some of the more problematic isues.

I'm feeling a little better from earlier. I think that I do need to try to find someone to talk to, to help me cope with the frustration and worry and sadness. It's just hard to squeeze in with everything else. Every movement the last couple of days has really seemed like such an effort and I am truly dreading my busy day. I don't know, though, maybe it will be so hectic I won't have time to fret over this.

Thanks for the response. :)
 
I understood what you were saying. I guess what I was trying to suggest was for you to talk to her pediatrician (who knows her) to ask for advice about her. And if that didn't work, talk to your own doctor to ask for advice on what you can do to help her. I was trying to think of resources to help you help her. I know her age makes it difficult. (I suppose a really great intuitive gynecologist might be able to help, but that wouldn't be the first place I'd start.) Another resource might be a counselor or clinician at her college. Regardless of age, if she is harmful to herself or to others, or acting dangerously, then you can get her help whether she wants it or not. Good luck. I'm sure others will have additional ideas.
 

I work in the mental health field mostly with children and adolscents and college students. Most all colleges have COUNSELING CENTERS. PLEASE ASK YOUR DAUGHTER TO GO SEE THEM. Your daughters mood swings and anger are nothing to ignore. Please let her know that she should not be embarrassed to seek help. Even her RA(resident assistant) in her dorm (if she lives in one) can offer assistance.

If nothing else, the counseling center at her college, can connect her with a counselor so she has someone to talk to. I suggest that if she won't do it herself, you contact the STUDENT AFFAIRS OFFICE at her COLLEGE, and let them know of your concerns. They can gently offer assistance to her without her even knowing you called.

No threat, even one loosely thrown out, should ever be ignored. I hope this helps...
 
The counseling center at her college is where she was seen. They are grossly understaffed and seem very overworked. They also insisted that she make appointments and they didn't want to discuss her situation with me unless and until she initiated and approved my input. I feel like trying to push my way into this would make her NOT go.

And the threats to hurt herself seem to be put into one of two categories: either they are meant to be manipulative and not an immediate issue to put her at the top of a waiting list, or they are serious and we should take her to a hospital. Her tirades don't last that long, and I expect by the time we got her there she would just present as a grouchy young woman, not someone suicidal or psychotic. There is such a huge, scary grey area where you aren't considered a serious danger to yourself or others but you are causing some serious damage to your life and those who love you.
 
OP, I see bits of myself in your DD. I went through quite a severe depression (still coming out of it, I guess) beginning in October. I've always been quite moody (though I don't think it ever got to quite the extreme that you describe). I did scratch my wrists w/ my fingernails, though I wasn't actively suicidal (the dr's call it being passively suicidal, I think) I did it mainly to feel something... anything.

Anyway, when I started scratching, my PCP told me to go to the hospital, as it was apparent to her that the antidepressants/antianxiety medicines she'd prescribed weren't being effective. Even though I wasn't suicidal (calmly walked in and showed them my hand), they took me back in the ER very quickly and got me admitted to a psychiatric hospital. Though I was only there for 42 hours (not that I counted or anything), I feel like that was the best thing ever. I've come to terms with several diagnoses and got in touch with a GREAT counselor and psychiatrist... awesome, awesome people.

While I was in the hospital, the psychiatrist there wouldn't really talk to me... instead, he spoke w/ DH and my parents as well as my brother. He valued their input more because he felt (and rightly, so) that I probably wasn't aware of some behaviors.

Anyway... please don't think that it's because of you. I know I'm not your DD, but I've been in her shoes... sure, my DM and I have had issues (what mother/daughter pair doesn't?)... and I know I've treated her like poo in the past... and I'm sure I made her feel like you feel... but please know that there's probably a biochemical issue.

Since you aren't getting anywhere w/ the school counselors, I suggest (can't remember if anyone else has suggested it) that you speak w/ your insurance company. When all of this started, my insurance company provided a lot of advice and assistance.

Also... if your DD isn't keen on the idea of you attending therapy/counseling, perhaps you could just write things down? My DM and DH did that... but then again, I was willing for them to do it... don't really know if that would help, but I just wanted to mention it!

I'm 24, btw... not too much older than your DD... if you need to talk to someone, PLEASE don't hesitate to PM me.
:hug: :hug: :hug:
 
Reading your post took me back about 6 years to a very difficult time in my son's life. I could have written your story. Not a single day went by that my son would fail to say "I hate you." and "I wish you were dead." I walked around on eggshells all the time and never knew what would set him off.

After months of angry, erratic behavior he went off the deep end one night and began to cut himself (we had no idea--he cut himself 87 times!). Next day at school someone saw the cuts and told a counselor, who called me in. From there DSthen-17,was taken straight to a psychiatric hospital where he became extremely high-flying and couldn't even make sensible conversation. Leaving him in a lock-up facility was the hardest thing I ever did, but I did it to save his life. DS was shortly diagnosed with bipolar depression. He was experiencing his first psychotic break. Heavy duty meds helped him return to normal, but he was hospitalized for a week.

About 6 months later, he went down again, only this time he was over 18. A whole other ball of wax when they are "of age." He could be compliant or not, his choice. Thankfully, he made a remark during the interview that he'd like to kill someone and that's all they needed to hear. He was incarcerated for 72hrs against his will and made to take anti-psychotics so he could get his head on straight. It was heart-wrenching to see my baby like that.

Fast forward to today. DS is 21. He no longer takes meds. He has not had another serious break, but he has had some extreme mood swings. There isn't much I can do unless he threatens us or himself. Fortunately, it hasn't come to that. I think he would be happier and less labile on medication. DS manages a small computer store and is an excellent salesman. He has a wonderful and a lot of friends. I try to be optimistic, but frankly I know this could all turn on a dime. So I find myself holding my breath and waiting for the other shoe to drop.

I wish you hope for the future. I feel your desperation and I've been in your shoes. Its a terrible thing when your child suffers from mental illness, but that's what it is--an illness. When we were going through the worst of it, I felt that the Lord gave me an excellent piece of advice--"just love him. Don't try to change him,just love him when no one else can." As the parent of an adult child, it's all we can do. Just love them.
 
Have you ever heard about PMDD? Its a really severe form of PMSrelated to depression and can be crippling ESPECIALLY if a sufferer has no idea its going on.

I was going to say that - it may be worth her talking to a GP/GYN about the mood swings and such... she sounds a LOT like my sister did before they got her PMDD under control. therapy helps, but a lot of the treatment involves getting hormones under control, so she needs to see a MD, and not just a counselor - just something to think about!
 












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