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feeling hopeless and overwhelmed
My husband and I have custody of his 10 yr old daughter, and we are expecting our first child in September. His ex-wife had J. on Focalin (which made her a zombie, and caused nausea), then switched to Ritalin. However, she didn't stay on top of her medicine. She wouldn't refill it on time, would have her take it today, but not another day. We thought the ex was giving her the meds so she didn't have to deal with J., as she was very lethargic on them. Once we got custody, we made sure J. had a routine, bed the same time every night, regular meals at about the same time, homework, discipline when she misbehaved, and took her to a psychologist. None of it worked. We finally decided she did need the medicine. Pediatrician put her on Focalin. She did well for a while, then spiraled downhill. Started getting in trouble in school again, unreasonable angry outbursts. We switched to Vyvanse, then had to add Intuniv. We started off with small doses of Intuniv and by week 3, she was supposed to be on 3mg. However, she was very lethargic on 3mg, so we cut the tablet in half. She was doing well in school the first semester of 5th grade, making A's and B's, still had anger issues at home. Then after Christmas break and she was with her mother, her behavior made a drastic turn for the worse. The first month after break, she was sent to the principal's office twice and got ISP. She's hit friends, spit in a girl's face, been very aggressive and defiant, and she's failing 2 classes now. We upped her dose of Intuniv after talking to the dr. back to 3mg. Guess since her body has become adjusted to it, it doesn't affect her like it did. No lethargy, but no help with her behavior either. Recently, we have been in some very bad arguments. She refuses to do chores, or lies and says she does them. She was responsible for feeding 3 horses, and watering them. When I would check, I discovered multiple times where they had no water. She'd lie and say she watered them. I explained how important it is that they have water. She doesn't like to go thirsty and neither do they. She doesn't care. After I walked out and caught her kicking one of my horses, I've told my husband I don't want her around them any more. She has that attitude about any chore that she is supposed to do. She has also gotten more physically aggressive, even pushed me. When she has a meltdown, she screams, cries (but no tears), throws things, says 'I hate you' to me, and of course now she is actually getting in my face. I am genuinely terrified to have her around the baby the way she's acting now. She shows no regret being mean to the animals, and I'm afraid of what she'd do to a helpless infant. She targets me for her hatefulness, lies, even stealing from me now, then when she's done, she expects that I should just forget about it and go on like it never happened. She even hits and scratches herself in her anger. Once even threatened to tell people that I did it. I recorded her outburst on my phone's voice recorder. One of her punishments was cleaning the girls' bathroom after she threw feces on the wall at school. Because I wouldn't hold a door open for her as she was spewing all kinds of insults, she said to let the door hit her ,and then she'd tell her dad and he'd believe her. She said she didn't ask for him to marry me, didn't love me, didn't care if I got ran over. After so many of these meltdowns, several even in the public where she screams and is so hateful to me, I'm exhausted and out of options on how to deal with her. I've taken and treated her as my own, given her attention where her mother neglected her, bought her nice things just because I thought they were cute and she'd enjoy them. She seems to like the stuff but then trashes it because I've bought it. We've done every punishment I can think of, extra school work, extra work at home, grounding from TV, games, mp3, to her room. Tried to make sure she has a routine because I know it helps with the ADD, made charts to help with daily activities, implemented reward system if she does well. None of it works. Now me being pregnant, I can't take the risk of her being physically abusive. She's only an inch shorter than me. I've told my husband that something has to change now. Talks don't work with her, she makes the appropriate response and then goes back to doing the same things. If she doesn't change, I want her out of the house. I don't know if she needs to go to a psychiatric hospital or what. After her latest outburst (seems like we have at least one a week), we took her back to the dr. and he put her on Lexapro. I hope we see some improvement because I'm at the end of my rope and so stressed that I can't even sleep at night and worried what she's going to do next.
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