Medical Issues

What is Reactive Attachment Disorder?

 Fetal Alcohol Spectrum Disorder

What is Reactive Attachment Disorder?

What is Reactive Attachment Disorder? RAD is a condition in which individuals have difficulty forming loving, lasting

relationships. Let me tell you; this is HARD. Seemingly, on the outside, things look great. However, at home, it is like living in a nightmare. Sadly, this is a nightmare you do not ever wake up from. Sometimes, it can be manageable. For instance, medication for moods and sleep can help sometimes. However, their body starts building resistance to medications, so trial and error become the norm.

Some General Traits

Often have a nearly complete lack of ability to be genuinely affectionate with others.

Typically fail to develop a conscience and do not seem to trust.

Do not allow people to be in control of them due to this trust issue.

They can be surface compliant for weeks if no loving relationship is involved.

However, with strangers, they can be incredibly charming and appear loving.

Uneducated adults misinterpret this as the child trusting or caring for them. If they cannot trust and love their own family that loves them, they will not trust and love a casual acquaintance.

They do not think and feel like an average person.

Some famous people with RAD

Hitler

Saddam Hussein

Edgar Allen Poe

Jeffrey Dahmer

Ted Bundy

Helen Keller

Isolated type, Predominant feeling is Sad.

1. no friends

2. no touch

3. verbally compliant, actually defiant

Evasive type, Predominant feeling is Fear.

1. clingy

2. fake

3. charming

4. chatter

5. chameleon

Defiant type, Predominant feeling is Rage.

1. cruel

2. charming

3. self-absorbed

4. destructive

Bizarre type

1. act crazy

2. constant noise

Causes

Any of the following conditions occurring to a child under 36 months of age puts a child at high risk for developing RAD:

~Maternal ambivalence toward pregnancy

~In-utero trauma, drugs, alcohol exposure

~ Abuse

~Neglect

~Sudden separation from the primary caregiver

~Undiagnosed or painful illness such as colic or ear infections

~Inconsistent or inadequate daycare

~Chronic maternal depression

~Several moves and/or placements

~Unprepared mothers with poor parenting skills

Attachment Disorder Symptoms in Children

Superficially engaging & charming

Lack of eye contact on parents’ terms

Indiscriminately affectionate with strangers

Not affectionate on parents’ terms

Destructive to self, others, and material things (accident prone)

Cruelty to animals

Lying about the obvious (crazy lying), Confabulation

Stealing

No impulse controls

Learning Lags

Lack of cause and effect thinking

More Issues

Lack of conscience

Abnormal eating patterns

Poor peer relationships

Preoccupation with fire

Preoccupation with blood & gore

Persistent nonsense questions & chatter

Inappropriately demanding & clingy

Abnormal speech patterns

Triangulation of adults

False allegations of Abuse

Presumptive entitlement issues

Parents appear hostile and angry

Attachment Disorder Symptoms in Infants

~Does not use crying appropriately to get someone to address needs

~Often does not settle when Mom meets needs

~Overreacts or often startles to touch, sound, and/or light

~Listlessness with no medical reason

~Limited holding onto or reaching for a caregiver

~Lack of appropriate stranger anxiety between 6 and 9 months of age

~Shows minimal interest in interacting with people

~Does not smile back or respond with activity to smites or baby talk

~Often does not follow human movement with their eyes

~Avoids eye contact

~ self-abusive behavior

~Is resistant to cuddling

Great Quotes

When your brain works right, so can you. When your brain doesn’t work right, neither can you.” Daniel Amen, M.D.

“Experience changes the brain,” Bruce Perry, M.D,

Attachment is at the heart of all human endeavors.” Bruce Perry, M.D.

“Traditional therapy is useless for severely traumatized people, but especially children because it does not reach the parts of the brain that were most impacted by trauma.” Bessel van der Kolk. M.D.

Complex (reactionary mind/brain stem) Survival mode

Fight – Defensive, and tantrums, argues, negative.

Flight – Runs away, hypervigilant, stress-filled, anxious

Freeze- Shuts down emotions, shuts down learning, disassociates

Talking:

Talking is the first area in which a child must gain self-control to begin healing.

Lies

Dumb questions

Unclear Speech

Jabbering

Swearing

Not answering

Why?

Arguing

I don’t know

Not accepting responsibility

Interrupting

Whining

Consequences vs. Punishment

Punishment turns thoughts to the outside of the child.

Consequences turn their thoughts inside.

Dramatic Displays:

Children must be kept close until they no longer need an audience to manipulate.

Flipping the bird

Overdramatic

Pity Parties

Fit Throwing

Aggression

Eye Rolling

Excretions:

The child must be 100% responsible for cleaning up their excretions after age five.

Urine

Feces

Flatulence

Vomit

Nasal Discharge

Spitting

Food Issues:

On the one hand, you can’t make them eat it. On the other hand, you can’t make them stop eating either. Sadly, they have to learn to control themselves. A parent’s obligation as the nurturer is to provide nutritious meals three times a day.

Hiding food

Eating too much

Not eating

Picky eating

Eating rudely

Eating weird things

Friends and Family:

Relationships must begin between the mother and child. Second, generalize to the father. Third, to the family. Fourth, to the community. Lastly, to the world.

Peer relationships

Siblings rights

Abusing other kids

Setting up

Tattling

Pets

Prescribing the Problem:

When it’s not harmful to the child, pick your battles. For instance, one avenue of intervention is prescribing the problem.

Chewing clothes

Chewing hands

Thumb sucking

Biting nails, lips, toes

Cracking knuckles

Picking boogers

Picking scabs

Masturbating

Crying wolf

Refusing medication

Nutrition

Allergies

Bedtime Issues:

Children must sleep 10 to 12 hours a night with no light in the room. On the other hand, adults need to sleep 8 hours a night with no light on in the room.

Setting alarm off

Not going to bed

Noise at night

Getting them up in the am and dressed

Restitution /Respite/Responsibility

~Restitution for stolen or intentionally stolen items should be double the item’s replacement value.

~It is the child’s responsibility to fill in the hole they dig with their inappropriate behaviors. The way they fill it in is by paying back with their time, their talent, or their energy.

~Stealing

~Running away

~Knives/weapons

~Destroying property

~Sabotaging fun

~Hygiene

From Others Toward Parents:

~Sometimes, we have to say No

~No, I won’t put my child in harm’s way by giving them freedoms they can’t handle.

~Parenting too tough, Nazis

~Not strict enough

~Munchhausen, Histrionic, Borderline, etc.

~Bad parent

~ Don’t like/love child

~Scape-goating child

~Try harder

~ love him more

Support Ideas

Realize this is a very painful situation. If you are on the Mom’s side, you are on the child’s side. Sadly, if you take the child’s side against the Mom, they both lose.

Equally important, listen with open ears and hearts. For instance, you should not judge or be critical. Again, condemning, criticizing, or blaming Does Not Help to Lift the burden, don’t load it down.

Make short, loving phone calls (occasionally) to listen and encourage, not to advise, gather information, or “check on them”- Tell her she can chat whenever she needs an ear.

Finally, do Not give unasked-for advice.

Take all information as confidential.

It is beneficial to educate yourself about Attachment Disorder.

**** Do not say, ‘Let me know if I can help.’ Do something to help.****

Practical Ideas

1. Take her to lunch or dinner.

2. Rent a funny movie and share it.

3. Send her flowers, chocolate, or cards with love and a smile.

4. Bring her some dinner or baked goods,

5. Hugs are always heading. Moms need 12 a day minimum.

6. Pray for them.

More Ideas

Run errands to help lessen the load,

Take the kids somewhere for the afternoon. Be sure she knows it’s because she deserves a break and not because she can’t handle it.

Consider giving her a gift certificate for a massage, manicure, or hair salon.

Give her Mozart’s music or some other calming or uplifting tunes.

Give her a good book.

Buy her bubble bath and watch the kids for an hour or so while she soaks to music.

Remind her of her special traits and talents.

Tell the child often, in front of her, how lucky they are to have a mom like this.

Never show up without calling to check for an appropriate time to visit.

Never tell her to “Just love the child more.” If you already have, beg forgiveness for not understanding.

Families by Design

 

Adoption

How to Heal a Fractured Family

How to Heal a Fractured Family

How to Heal a Fractured Family

How to Heal a Fractured Family. The short, simple answer is to trust in Jesus. Yet, sometimes, that is hard for me. Our family has been fractured for a long time. There have been cracks here and there, but this year, it is different. I’m not going to lie; it has been a struggle. Since 2014, but even before then, due to some extenuating circumstances. I don’t want to discourage anyone from adoption, but there is so much more I know now than I did almost 14 years ago.

What You Need to Know

When people are in the process of adopting a child or children, it is an exciting thing. We do all the things that are required. You have to do background checks, have money in the bank, fundraisers, fingerprints (if international), and so on. We work hard on those dossiers. Our homes are spotless for our home study. We eagerly anticipate our referral or a picture. There are so many support groups where we talk about our discouragement of NOT getting a referral quickly enough.

What We DON’T Realize

Is that we are waiting for a family to fail in some way. If it is foster care, we are waiting for a family to abuse, neglect, or hurt a child or children so they will be placed in the system. Then we jump through all the hoops. For the next 17 out of 23 mths, we will wait for the termination of parental rights.

Or, if it is a newborn, we are waiting for a sweet birth mom to make the most difficult decision of her life. Her life will be altered forever by choosing the blessing of adoption. If international, we are waiting for a birth parent who may be dying, the child is starving, or some other tragedy that places them in an orphanage.

When you adopt a family member’s child, you are waiting for drugs, alcohol, abuse, neglect, or abandonment. There are other circumstances, too, but that was my circumstance for my son. You start looking at YOUR sister and think…she is my son’s aunt? Grandmother? Both?

The Dark Side

We are walking into the blackest chapter of our children’s lives. Our greatest joy as an adoptive family and what we worked so hard towards will come at our children’s most tremendous loss. Whether an infant or an older child, that loss will forever be embedded in their brain and heart. They are the only ones who have heard their mother’s heartbeat from the inside out, and your heart is not the same.

My heart aches because, in a perfect world, my kids would still be with their birth families. Succeeding, thriving, living, loving, and yet because of certain things, they are not there. They are with me. I am grateful. Indebted. I am forever changed because they grew in my heart, not under it!

They will always wonder what it would have been like if they had stayed with their nuclear family. They have been raised by their birth parents or in their birth country. Try explaining all of the things when they are older. It’s super fun, aka traumatic.

Getting It Straight

I do not regret any of my children. None of them. They are my joy, and I’m so thankful to God that He wove my family together beautifully and intricately.

But

Trauma is an awful thing. Plain and simple. Talk to ANY adoptive parents, and they will tell you the same thing. Trauma can come in all shapes and sizes. It can come with a list of diagnoses, and then there is “traumaversary” That leads to sabotage of all good things, behavior issues, confabulations, deceit, manipulation, and so much more.

My Family is No Different

We have, and continue to have, all of the above things and the “so much more” times a million. What started as one child exhibiting out-of-control behaviors due to FASD, PTSD, RAD, blah blah blah trickled down to other children. Another child was exhibiting similar yet different behaviors. Then, a third child goes above and beyond. Lastly, the fourth child struggles with anxiety and more.

It has wreaked havoc on my person. My husband, other children, and even my pets will lose hair when life is escalated in my home. Sadly, this usually occurs November-March and then in July-October; as I look at that typed out, it is from October-July. That gives us two mths trauma-free.

All the Things We Have Tried

We have done the things. Doctors, specialists, therapists, counselors, pastors, family, medication, no routines, homeschool, private, public; All. The. Things. One child, nothing has worked for that child. Another child, we hope, is in the process of healing. The third child is excited right now. The fourth child, we deal with it day by day.

I am exhausted. My husband is tired. Honestly, even the kids are tired. Mix all this crap with a pandemic and being in this house, and you have Funville. My underwear drawer no longer holds underwear. It is stocked FULL of candy. I wake up, in the morning, with a bag of snickers under my arm and wrappers everywhere.

There is a newfound love of Limeade Slushes. My teeth are going to rot out of my head. I have become a human GPS because I take LONG drives on roads I have never heard of or driven. My favorite pastime is driving to my neighbors and seeing if their pig is in the front yard. I cry; a lot.

Falling Apart

Sadly, I feel like my family is falling apart. That Scripture of satan lurking around the corner to devour my family is happening! Honestly, at warp speed. I have so many words. So much has happened that my fingers will not move as fast as my brain.

I am praying that this pandemic ends. I am praying for healing for my medically fragile children. Salvation for two of my kids. Wisdom with all of them. Healthy delivery for one (going to be a granny!) A healthy relationship for two kids. School to open for one. One to come home safely. Another is to stop making REALLY poor and dangerous choices.

I want my family to heal and to be whole. I want God to intervene and DO SOMETHING. Honestly, I am just ready for Jesus to come riding down on His white horse and take us all home. Home, where there is no sadness, no darkness, or pain. Just glory.

God is Bigger

I have to trust in that. Right. Yes, trust. The hardest thing for me to do is trust Him with my family. Maybe that, alone, needs to be my prayer. Lord, let me trust that You have plans to prosper and not harm my family. Help me realize that You and only You can heal the fractures.

 

Adoption, Life or Something Like It

An Apology Without Change is Manipulation

An Apology Without Change is Manipulation

An Apology Without Change is Manipulation

Gracious, this is such a reminder of what I live with daily. It is so hard when you have such consistent, horrible things said to you and then a fake apology. That is exactly what it is. Fake. I probably have done that, but I learned to be sincere with my apologies. When I do something wrong or hurt someone unintentionally, it hurts me so badly. An Apology Without Change is Manipulation. Simple as that.

It Was Not Her Fault

There was an issue with an acquaintance, and though that was the straw that broke the camel’s back, it was not her doing anything wrong. I was just emotional. Yet, this is one isolated instance. I was not manipulating her, and I was sincere in my apology.

Now for my family member, this is a different ball of wax. This member has many types of diagnoses. Part of me thinks that this individual cannot help it. They do something wrong, have a hollow apology, and then do the same thing 10 minutes later.

It is almost to the point where I don’t want an apology. I want this person to leave me the heck alone. Can we say BOUNDARIES? I do not have boundaries, but they certainly need to be established.

Kids with Reactive Attachment Disorder

They do this quite often. In this quote, kids with RAD are good at manipulation, Confabulation, and triangulation. According to Webster’s Dictionary, to manipulate means to control or play upon by artful, unfair, or insidious means, especially to one’s advantage.

Confabulation means filling in gaps in memory by fabrication. To “normal” people, this means to lie. Then triangulation means allying. In this situation, it is a child with one parent against another parent.

It is all exhausting and makes my brain work on overload. My boundaries had to be firmly placed, though they broke my heart into a million pieces. I had to take into consideration other family members and myself.

The stress was hurting all of us.

Life is Hard

The Lord did not promise us a walk in a rose garden. If we had that or all the answers, we would not need Him. He completes and sustains us even when we are physically, emotionally, and mentally exhausted from creating those hard boundaries.

He gives us the wisdom we need when we seek it, to “speak” to us. For me, this is done through intuition, Scripture, other people, and dreams. I have learned to accept that my family member does not understand what it means not to manipulate and to be sincere in the apology.

It is hard. Completely and totally. Maybe one day, the Lord will heal her mind, body, and spirit to where she can function well in the world around her.