Tag: Psychiatrist

ADHD And Struggling

Design and Illustrations by Maya Chastain

I found much of this discussion helpful and so I am sharing it for today’s blog.

The original comment –

My 17 year old son adopted from foster care at 15, after 8 years in care. 2 failed adoptive placements before and he was living in residential treatment for 15 months before he transitioned to my home. He’s been with me for 2 years in total. He has not had contact with any biological family in 5+ years and did not have consistent care givers for the first 7 years of his life. He expresses hate towards his biological family and will not discuss with me.

He’s dealing with depression, anxiety, and ADHD. Although I believe the depression is very long term, today is the first day he has ever said it out loud. He had actively denied it previously. I also deal with depression and the sentiment he described of feeling like nothing even matters is something I’m very familiar with. He’s been let down so many times and I often tell him he’s had a very normal reaction to abnormal circumstances. He is so afraid to hope. He is in weekly therapy and working with psychiatrist. I feel like tonight him acknowledging his depression was a really big step forward. I am trying to help him navigate depression and be more hopeful. He is incredibly intelligent and capable and could really pursue so many opportunities and be well supported in whatever he chooses. He’s sabotaging himself instead. He is an older teenager navigating the transition to adulthood. Thank you for sharing any thoughts.

Response from an Adoptee with Depression and ADHD –

Just to translate some of what you’re saying here and how it may come across. You may not say these things out loud but “could really pursue so many opportunities and be well supported” tells me you probably imply these things:

“You could do so much more if you’d just apply yourself.”

*I’m never going to be good enough*

“Why are you struggling with something this basic”

*I’m stupid and can’t do basic things*

“You self-sabotage a lot”

*Push past burnout and ignore self-care*

My support network lets me move at my own pace. Also learning that I can’t brute force my way past ADHD by being “Intelligent” has helped.

No one really figures shit out until their 20s. Heck – I didn’t figure out anything until my 30s. Gen Z just has more pressure because you can’t live off the salary from an entry level job anymore.

The original commenter replied –

I definitely think this is something I’m struggling with and I appreciate your translation. I think what’s hard for me is that he is 17 but in many way operating as someone much younger. However he has the expectation the he be treated like every other 17 year old. We are fighting regularly because I won’t let him get a driver’s permit or I set structures around bedtime and Internet and he wants freedom. I’m very comfortable trying to meet him where he is and help him grow at whatever rate he grows. But he wants adult freedom and responsibility – he’s simply not ready for and it feels negligent on my part to just give him that because of his age. So I’m trying to help him set meaningful goals for himself, so that he can work towards the things he says he wants but it seems that his depression is a major barrier to working towards those goals.

I’m not rushing him to figure it out or trying to prescribe specific goals. I’m trying to support him in doing what he says he wants to do and having the freedom he wants to have. As a single parent, I’d love for him to have a driver’s license, just as much as he wants it. But how do I help him be ready for that, when the depression he’s experiencing seems to suck any motivation to do the work ?

Response from an Adoptee with Depression and ADHD –

Why can’t he have a learner’s, if you don’t mind me asking ?

People with ADHD (and often undiagnosed co-morbidities) struggle with being infantilized.

You’re talking about controlling bed time when ADHD can come with delayed circadian rhythm and insomnia.

Yes – ADHD often means you have issues keeping up with organizational skills, goal management, emotional regulation and peer relationships. That doesn’t mean you treat that person like a young child. In an environment where controlled exploration is allowed, you develop coping skills.

ADHD – ESPECIALLY as a teenager – means you’re fighting yourself for control of a brain that seems constantly against you. Emotions are hard to regulate. Your rewards system is fucked. Object permanence is a myth. Time is an abstract concept I’ve yet to grasp.

How can you expect a 17 year old to be motivated to control things that are hard and wield an intangible reward like “opportunities,” if he can’t have any control over what’s in front of him that matters.

“Opportunities” offers no tangible reward. My ADHD/PTSD/Depression brain looks at basic chores and goes, “I don’t get why that matters.”

I’m an adult. With therapy and support, I’ve found ways around that. But I also found it after I started having my own boundaries and stopped infantilizing myself.

Meaningful goals don’t work with ADHD. They just put things behind a glass wall you’ll never break. You get frustrated and give up easier.

You need to give him simple goals he can succeed at to build self confidence.

Don’t make freedom a “reward”. It breeds resentment. Work with him to set personal boundaries and schedules. Those won’t look like what works for a neurotypical.

I like “How to ADHD” for life hacks. I also really recommend Domestic Blisters but she’s more aimed at 20 somethings. Catieosaurus is great. She does talk about sexual health on occasion but nothing a 17 year old with Google hasn’t seen.

A Different System

A women who lives in Germany and hopes to adopt, shares how their system is different than the one in the United States where I live. She mentions that her father is adopted and that she is half American/half German.

The German system is totally different when compared to the US. There are no adoption agencies, everything goes through child services and you can’t “pick” a child, nor are you allowed to talk to the birth parents and make a deal with them. In order to adopt here, you have to go through about a year full of different evaluations.

First they come to do a house inspection, you have to prove your income and debts. Then, you have very intense sessions with the social workers where you share your childhood experiences and upbringing, explain why you want to adopt and whether you’ve resolved the reason you don’t already have children or have grieved about any infertility or lost children.

After that, you have a 2 day workshop with a psychiatrist, who must clear you as fit to adopt. You also have to be cleared by your doctor, to determine whether you have any type of mental or physical illness that would make you unfit to adopt or foster, as well as anything of concern that might cause an early death (ie cancer, etc).

After going through all of that, there is another house visit is made to check whether anything has changed. Then, if you make it that far, you get the ok from child services and are on an adoption list.

If a child is put up for adoption, child services goes through the list and chooses the best couple for the child. Fully open adoption are very uncommon in Germany but the birth parents can change their decision during the first year of surrendering their child.

One commenter noted – Sounds like Germany puts effort into vetting and preparing hopeful adoptive parents but do they put effort into maintaining family unit, family preservation, and supporting parents in crisis pregnancies to keep and parent their child ?

One wrote – I do applaud moms having a year to change their mind and get their child back. Is it actually that simple or does a judge have to approve in best interest case?

This was the reply – In Germany, child services does take a look at the mom to see if she is stable enough to take the child back. Germany has great ways of helping – so if she wants it, she will definitely get the help she needs. The main goal is to always keep the children with their birthparents and if not, at least in the family, if at all possible.

Someone else inquired – You don’t mention how the child came to be available for adoption. Where do the adoptable kids come from? Once adopted, are they issued fake birth certificates with the adoptive parents names listed?

The answer – there are different ways: there are “drop boxes” in hospitals. If a mother has her baby at home, she can take her baby to the drop box. The baby is put up for adoption after an 8 week waiting period, to see if the mother comes back to claim the child. If she comes back up, after the 8 weeks or within a year, the adoption will be reversed. The second option is that she has the baby in the hospital and uses a fake/anonymous name, then the hospital contacts child services, who will try to talk her into keeping her baby, but if she doesn’t want to. then the 1 year stage also starts. And the third option is that a pregnant woman goes directly to child services and says she wants to put her unborn child up for adoption. If she remains consistent in that desire, she can have a say in the type of adoptive parents she wants for her child. She is allowed to meet them in person but no personal information is exchanged – no last names, no addresses.

In Germany, once the child is officially adopted in court, the birth certificate is changed. The mother can leave her name and an address for the child to be given when the child reaches the age of 16. This is entirely the birth mother’s choice to do or not. The birth father also has the 1 year right to make a claim. In some cases, if the adoption is already finalized, he may only receive visitation rights but in some other cases, the adoption is reversed and the father receives custody of the child. A judge makes that decision based on the child’s welfare and the father’s life. 

There is a law in Germany that child services remains in contact with the family until the adopted child’s 18th birthday. The child always knows they were adopted and that fact is not kept secret.

It is noted that –  the German adoption system will not lessen or alleviate adoptee separation trauma any more than the US system. All adoptees should deeply process all aspects of their adoption and realize whatever negative impacts they may be affected by. This is described as absolutely life changing and a gift by those adoptees who have. It does appear that adoption is not nearly as common in Germany as it is not the multi-billion dollar industry there that it is in the United States.