In So Many Words

I shared recently about how I had decided to start taking Michael to see a psychologist and promised an update on how it’s been going.

One of the original things that motivated me to take him was a concern over his levels of anxiety and his self-esteem. Whenever he would get frustrated about something or be sent for a timeout, he was constantly saying things like, “Everybody thinks I’m stupid” and “Nobody likes me,” usually at the top of his voice as he stormed off to his room.

After the psychologist met with me and then talked with Michael for a while, she felt that his feelings of low self-esteem weren’t pervasive and that it was more a function of him just coming out with something drastic when he was extremely frustrated, since he didn’t really know how to handle that much emotion. And, sure enough, within a month of so, he switched from yelling about how horrible he was to how horrible WE were, as is “I hate you” and “You are the worst parent ever!”

(At this point, I am ignoring the yelling as long as he is actually on his way to his room for some alone time – which is sometimes a mom-ordered timeout and sometimes a self-imposed break.)

I took him to meet with psychologist weekly for a while, and then she suggested having him join one of her playgroups, which each have up to 4 or 5 kids all close in age/functioning level. He started going to the Kindergarten-2nd grade group and enjoyed it at first – partly because he had started being aware that he was different from the other kids at school and wanted to meet these other kids I said were out there who “thought like him.”

After a while, though, the group was ready to move into a more free-form time, where the kids would negotiate what games or activities they would do together. Michael and one of the other children were having trouble with this and still needed to focus on the challenges of actually playing together, especially with non-preferred activities. So she split the group into two and continued providing a more structured environment for the one Michael now attends.

Over the past year, he has definitely shown some progress in his ability to control his whining, continue playing a game even when he thinks he might lose (in group and at school, that is, God forbid anyone should beat him in MarioKart Wii!) and allow another child to contribute to his imaginary play. The psychologist is actually talking now about having him go back to the other group once in a while and see how he does with it.

I still occasionally make individual appointments with her to discuss specific concerns I may have and for her to work with him one-on-one. Overall, it has been an extremely rewarding experience!

Monday night, Michael had his first group therapy session with the psychologist. We arrived a few minutes late, but luckily the three other boys were still in the waiting room playing with Legos.

Michael was very excited to be meeting other boys who, in his words, “think like me and are my same age too.” Makes me wonder why we all push so hard for inclusion with typical peers all the time.

Now, I’m not saying anything against inclusion—we all live in this world and need to work together and help each other—I’m just saying it doesn’t seem like a bad thing to seek opportunities to be with people who are similar to you. After all, isn’t that what we all do? We visit different churches to find the one that fits our style; we try to find common ground with people we meet to see if they have the same views or background or even hobbies.

Ideally, he can begin to have these opportunities not just as part of a therapy session, but as part of his everyday life. That reminds me, I need to email the mom of the boy he met at the last ASA meeting to arrange a playdate.

As an update to my frustration with the increasing meltdowns, the psychologist suggested that I may actually need to keep a tighter rein on the schedule and freedoms at home and to make sure I am giving clear and immediate feedback on both good and bad behavior. I have been somewhat relaxed at home, thinking this will allow him to focus more when he is at school, but it appears to be backfiring on me.