Not A Celebration

One adoptee’s story –

I was 1 year old, when my mother was convinced to give up her rights to parent me. I was 2 years old, when I was ripped away from my father who asked everyone for help, even social services. After that, I spent 3 years as a medically complex ADHD autistic child (without even a diagnosis of autism until I was 30!) I was bounced between 6 foster care homes before I was adopted at age 5.

I didn’t want to bang that gavel but the judge, the social worker and the woman who raised me – all made it seem like such a party, a good thing, a reward even.

Fast forward 25 years.

My dad’s parents passed in 2020 and 2021. My parents have been gone for over a decade. The woman who raised me passed in May of this year.

I have never EVER felt more unloved, unwanted, and alone.

I’m not included in anyone’s end of life plans, not provided for, not even mentioned.

Because of adoption, my own and my birth mom’s, I will never know her side of the family. I’ve tried everything, Ancestry, Genome Link, I’ve tried it all. Even asked for assistance from angels in the search groups. There’s nothing.

I have two children, who I cling to for dear life. But I have no family outside of them.

Adoption is trauma. Now with the overturning of Roe v Wade, there will be many more generations of adoptees with trauma to come, maybe for decades.

I Wish I Hadn’t

I wish, I wish, I wish…I wish I hadn’t adopted.

~ Donald Craig Peterson

Like a majority of families who’ve adopted children, I wasn’t mentally prepared for the surprises. You know, the chaos inside Fetal Alcohol Syndrome. The manipulation and triangulation inherent to attachment disorders. The invisible insanity associated with developmental trauma.

When the bad seemed destined to overshadow the good, I quietly questioned my decision – as well as my worth. It wasn’t exactly the wonderful life that I expected. What would have happened to your children if you hadn’t opened your home and your heart? If you hadn’t adopted? I’ve given that “what if” question serious thought more than once. The possibilities are dark – when envisioned through real stories of children that were never given a chance.

He goes on to detail what each of the 6 children he adopted would have experienced, at least as he imagines the not unbelievable outcomes for each because it is the fate and outcome for some children in the system. Clearly, he still believes in adoption. He admits – They were never perfect children and I was never the perfect parent. But together we meticulously and mindfully built a forever family in every sense of the word.

He writes – “My three youngest sons (22, 23 and 24) still feel safe after 20 years in my care and appreciate living under my roof. They desire independence yet aren’t ready to take on for the world. Someday perhaps.” And I am happy to read that his perspective on parenting is much like my husband’s and my own – we don’t care if our sons never leave their childhood home nor would we trap them here. We’ve said as much directly to them.

Donald Craig Peterson has stories to share about his successes as well as learning experiences in raising his six children to adulthood. It has been his goal to convey unconditional love throughout the years. He understands the ups and downs of learning challenges, special education, psychotropic medications, ADHD, Fetal Alcohol Syndrome, Bipolar Disorder, Reactive Attachment Disorder, sexual abuse, juvenile justice, residential placement and more. His blog is here: https://adoptingfaithafathersunconditionallove.org/.

Developmental Trauma Disorder In An Adoptee

“All diagnoses are wrong, but some are useful.” George Box

The kinds of complex issues that adoptees face can be difficult to treat. A 2013 study found that fewer than 25% of adoptive parents who sought mental health services felt that their mental health professional was adoption-competent. The symptoms and issues that adopted children experience are typically not taught in most graduate school mental health programs. Adding to the challenges faced by adoptive families, insurance companies will not cover what is really going on with these children and their families because it is not correctly conceptualized, coded, and diagnosed.

Some common diagnoses used with adopted children include Pervasive Developmental Disorders, Oppositional Defiant Disorder, Conduct Disorder, Reactive Attachment Disorder, Affective Disorders, Anxiety Disorders, Attention-Deficit Hyperactivity Disorder, Post-Traumatic Stress Disorder, and Borderline Personality Disorder. Each of these may characterize certain symptoms that these children demonstrate, but none of them systemically addresses the developmental aspect of trauma that most (if not all) adopted children experience. None take into account the sad possibility of being traumatized by birth or foster-parents. “There is no diagnosis for children that more than partially addresses the symptoms associated with these impairments in self-regulation” according to Julian Ford, PhD, who is a psychologist with the University of Connecticut.

“Developmental Trauma Disorder” or DTD includes symptoms that differentiate it from Post-Traumatic Stress Disorder PTSD more commonly associated with the “Battle-Fatigue” symptoms of WWI. Children are often traumatized in the context of relationships. Because children’s brains are still developing, this trauma has a much more pervasive and long-range influence on their self-concept, on their sense of the world, and on their ability to regulate themselves.

There are four diagnostic areas involved in DTD – [1] Exposure [2] Triggered pattern of repeated dysregulation in response to trauma cues [3] Persistently Altered Attributions and Expectancies and [4] Functional Impairment. Those who’s work has been focused on adopted children who have suffered various forms of Complex Trauma will recognize the manifestation of these. The American Psychiatric Association failed to include this in the Diagnostic and Statistical Manual of Mental Disorders – Fifth Edition (also known as the DSM-V).

The problem with this oversight is that after experiencing chronic trauma, the current standard of clinical practice often reveals no diagnosis, inaccurate diagnosis or inadequate diagnosis…all of which leads to misguided or complete lack of treatment plans. Further, because there is almost always considerable dysregulation of body (sensory and motor), affect (explosive/irritable or frozen/restricted), cognition (altered perceptions of beliefs, auditory and sensory-perceptual flashbacks and dissociation) and behavior (multiple forms of regression), the diagnoses of bipolar, oppositional defiant disorder/conduct disorder, attention deficit hyperactivity disorder (ADHD) or other anxiety disorders are made. Many of these disorders are co-morbid with developmental trauma disorder, as they tend to cluster in these complex families. But the importance is that the developmental trauma disorder would be primary and thus guide the treatment plan…and further, refine the inclusion (or not) of other co-morbid disorders.

Today’s blog was informed by an article Could My Adopted Teen Have Developmental Trauma Disorder? by Dr Norm Thibault, LMFT

If You Can’t Do This, Why Can You Do This ?

It is well known that simply being adopted is a risk for mental illness impacts like depression, anxiety and suicide. What is less often discussed is whether or not people with a history of mental illness should adopt. Adoptees deserve the best possible care and that means anyone who has had a history of mental health illnesses shouldn’t be adopting. You can’t own a gun, if you suffer from mental health illnesses. You can’t work certain jobs. Your restricted from other things. So WHY should you be allowed to raise someone else’s children ?

Understandably, many adults with a history of psychiatric illness prefer to adopt rather than have biological children. They may have concerns about psychiatric destabilization during pregnancy or that they may pass some genetic factor onto their unborn child. Certainly, if they are currently under medication, there is a concern about the impact of that pharmaceutical on the unborn child.

Child adoption laws vary from state to state. Although some licensed adoption agencies sympathize with potential adoptive parents with a history of mental illness, the law usually considers the following factors:
• the potential adopter’s emotional ties to the child
• their parenting skills
• emotional needs of the child
• the potential adopter’s desire to maintain continuity of the child’s care
• permanence of the family unit of the proposed home
• the physical, moral, and mental fitness of the potential parent.

Interestingly, an adoptee put forth this perspective – my adopted mother has always been open about her struggles with mental health (and the therapy and meds she uses to manage them) which in turn made *me* feel safe in coming to her with my struggles and she supported me as I sought therapy and medication as well. Mental illness isn’t some character flaw, it’s no one’s fault, and it shouldn’t be an excluding factor in and of itself. Plenty of biological parents have these issues as well. As long as a person is taking care of their mental health, whether it’s therapy or medications, and isn’t dangerous to themselves or others, it’s no one’s business and it isn’t relevant.

And this one offers an even broader perspective –  I’m an adoptee, and an adoptive parent. I’m also a therapist. I also have a managed anxiety disorder. I think asking people to have their mental illness well managed is one thing — and requiring psychiatric approval (from their therapist or whomever is overseeing their care), and there’s certainly diagnosis’ that should be precluded (likely anything progressive or personality wise). But most people could fit in to a mental health diagnosis at one point or another in their life. How people manage that mental illness and cope with it is the bigger picture.

One woman wrote – I do not think mental health illness = abuse but I do think abuse= mental health illness. I think you must be mentally ill, if you are abusing children.

One woman admitted –  I had no idea how my depression would be exacerbated by raising a family — and a adoptive one at that. Rather than restrictions, I think that there should be a medical screening process to ensure health (was this part of it? I don’t recall). Let a doctor decide limitations if need be. And I believe that there should be a foster parent mental health class that really discusses what it takes, the triggers, pitfalls etc. My own mental health was the thing I was the least prepared for. That said, I am receiving LOTS of support as are my children. We are ok and sometimes thriving, despite world events. But it took a while for us to get here. And I’m divorcing as part of this, because my soon to be-ex wasn’t mentally healthy enough to do this. It’s a lot.

And there was this from personal experience – My adoptive mom had a medicine cabinet full for all her needs. Depression, anxiety, sleep, ADHD, a few for physical like thyroid and I’m not sure what else but know it was about a dozen pills a day. My adoptive mom should’ve never been allowed to adopt me. She’s a batshit crazy narcissist. She needed all of us kids to have meds too – so I was flying high being treated for ADHD despite not needing it. She was a nurse who worked for our family doctor, so getting us diagnosed with anything was quite simple. To clarify I don’t think her being a shit parent was due to her possibly having depression or anxiety, honestly I’m not sure she even had those types of issues but she had something that made her think she needed meds for everything and that we did too. She should’ve never been able to adopt me.

In disputing that abusing is a sign of mental illness, one commenter add this – Nancy Erickson, an attorney and consultant on domestic violence legal issues, researched this very topic some years ago. “I found that about half of abusers appeared to have no mental disorders. The other half had various mental disorders, including but not limited to psychopathy, narcissism, PTSD, depression and bipolar disorder.” However, she adds, “Domestic abuse is a behavior, not a symptom of a mental illness.” While there is certainly an overlap, it is not always a guarantee, and it’s dangerous to make that assumption.

Another one pointed out – not all mental health diagnosis’ are created equal and many are managed well with medications. Also many people have mental illness and have not been diagnosed. Would people be forced to get a psychological evaluation ? And often among couples one partner has no diagnosis’ and so, a child can still be parented well.

One adoptive parent wrote – I absolutely agree with the idea that hopeful adoptive parents should be held to higher standards. I’m not sure how that would play out with mental illness but I do think hopeful adoptive parents with mental illness should have clear treatment plans and a consistent history of following through with their treatment plans. They should also be able to demonstrate the length of time they have been in stable mental health.

Two Adoption Related Fantasies

I really wasn’t in the mood to write during my daily session at my deceased in-laws cabin.  I suppose it is the death of Ruth Bader Ginsberg last night that has me de-motivated and distracted.

I thought – how to honor her life then.  I remembered seeing “STEINEM” in large letters at the top of the spine on a book in my mother-in-law’s bookcase.  I was aware of her as a feminist when I was coming of age in the early 1970s.  My mother in law was a lifelong feminist.  So I thought, I won’t try to write, I’ll just read a little today.

I chose the essay – Ruth’s Song (Because She Could Not Sing It) – because.  It should be obvious why.  I read this –

My ultimate protection was this: I was just passing through, a guest in the house; perhaps this wasn’t my mother at all. Though I knew very well that I was her daughter, I sometimes imagined that I had bee adopted and that my real parents would find me, a fantasy I’ve since discovered is common.

~Gloria Steinem, from her book Outrageous Acts and Everyday Rebellions

It is common for adoptees to have fantasies about their natural mother finding them.  My mom wanted to find her mother but when she got the tiniest bit close to that goal, she was told that her mother had died a few years earlier.

Much of this essay is about Steinem’s mother’s mental illness.  I can relate.  My youngest sister is seriously mentally ill.  And my mom had this obsession that each of her daughters was mentally ill.  We each ended up in an institution at least briefly.  I was dragged in by my dad for observation.  After about 3 days, I was released as I was not a threat to anyone except perhaps my own self.  My parents were never willing to financially invest in mental health care for their children, even when it was warranted.

I also know my mom once seriously thought about committing suicide.  I don’t know what the trigger was but she changed her mind because she actually did care about her daughters.  At least, that was what she told me.

Adoption can have a psychological toll.  It is known that adopted children are more likely to struggle with emotional or behavioral disorders ranging from depression, anxiety, and ADHD to suicidal thoughts and substance abuse.

Adoption is the difficult process of gaining a child by removing him or her from another family.  There is trauma associated with separating a child from the mother in whose womb the baby developed.  Children are commonly unable to vocalize or even identify what they are feeling and so it is unlikely they will ask for help.

Symptoms of mental illness in children can be difficult to identify. Signs of emotional or behavioral disorders, like outbursts and sleep issues, are common in many stages of development without adoption as an added issue.  As a parent, pay attention to age-inappropriate emotional responses, as well as symptoms that last longer than normal or don’t improve regardless of continued efforts.  Seek professional help.