I pray the lord my soul to take. I wish these were just the words of a bedtime prayer. In my case, these words are real. If you’ve been following my blog, you know that our children have experienced an intense level of unspeakable trauma. Luke and I know this. We know how to parent therapeutically. We know how to get as many services as possible for our daughter. It doesn’t matter. She is a real danger to me and to her brother right now.
Our daughter has learned to survive. Her current diagnosis are PTSD-dissociative subtype and Reactive Attachment Disorder, with periods of psychosis. There is a lot of chatter about the RAD diagnosis, which I won’t get into here. Because I don’t care. Whether it be Developmental Trauma Disorder (DTD, which never made it into the DSM-V) or RAD or PTSD or DMDD or any other diagnosis she’s had, it doesn’t matter. She still wants to kill me. A mother’s love is something she craves so badly that it hurts her. It twists her happy feelings into anger and possessiveness.
It all started the month we needed to buy her bras. She’s only 10 but here comes puberty. And so it began. In with the bras. Out with the effectiveness of her medication. She began hearing voices. SHe started to journal about my death. She began to tantrum and scream and fight invisible foes that only she could see. Oh, my dear little Mary, how I wish I could fight them for you.
Her love for me is desperate and all consuming. She needs me every second of every day. If I take a shower, she tantrums, if I leave the room, she explodes in a fit of rage. If I ask an innocuous question such as, “Do you like your new shorts?” She hears, “I hate you. I no longer love you. I am abandoning you.” When I turn to her brother for a momentary comment, she attacks. She will circle me and chase me with her little fists flying. She is trying to hit me in the spine. She will cripple me before allowing me to speak to Carl. So far, it hasn’t worked.
“If I can’t have you, ” she tells me, “no one can. I will stab us both.” In the night or early morning, she will loom over the bed, watching me sleep. “Mama?” she whispers, “Do you love me?” Of course I do. But I can never show her enough to quell her fear of losing me. She will make comments on my facial expressions. Why did my eyebrow twitch? Why did I move my top lip? Am I trying to get away? Have I stopped loving her?!The last 3 years of Trust Based Relational Intervention made all the difference, until now. TF-CBT made all the difference. Until now. Her anti-psychotic medication made all the difference. Until now.
The worst part is that it becomes unpredictable. We play mirroring games, and we snuggle, and I giver her all of my attention. Our time is spent connecting. As close as I stay to her, and as much love as I provide? I can never guess when a momentary glance at another person or thing will invoke her uncontrollable rage. We keep our knives and “sharps” locked up. You need the combination for a screwdriver in this house. Only, she finds other things. She shows me a bottle opener I’ve overlooked.
“You know this is sharp enough?” she casually quips, “I could stab you with this.”
The part that gets to me is how she discusses my murder without any observable emotion at all. Her brother tells me that earlier that she’s tried to figure out the combination for the lock on the knife cupboard. We only use plastic silverware in our house now.
As far as I can tell, nothing has changed. Nothing except the onset of puberty. Her intense violent rages happen every day. She injures herself most frequently. She rips out her hair or punches herself in the face. She screams about murder. And blood. And the death of everyone on this planet who has ever hurt her. The bio-mother who abandoned her and hurt her. The mother she has now who sometimes needs to shower.
She is being released from the inpatient psychiatric hospital for the 5th or 6th time tomorrow. I’ve lost track. We have in-home services. We have an amazing trauma therapist who has worked with her for 3 years. We have a parent therapist for Luke and I. We have a partial hospitalization program set up that she has used more than I could even count over the last 3 years. There aren’t anymore services, unless the state agrees to help. Her medication no longer works. Today the inpatient hospital program told us they are releasing her tomorrow because there isn’t anything more they can do for her on the unit. Ever.
We’ve called a meeting with all of her providers for safety planning. We have PHP, Trauma team, And IICAPS (Intensive In-home Adolescent and Psychiatric Services) all concerned for safety is she is home. I miss my girl. I want her home. I’d just like to remain alive for her childhood. She hasn’t managed to truly hurt me yet, beyond a few arm and leg bruises. She hasn’t hurt Carl yet. It isn’t for lack of trying. It’s because Carl and I are too quick. We lock ourselves away and call for help.
Luke and I are doing the only things we can do. We are installing security cameras in all of the common areas of the house. Everywhere except for bedrooms and bathrooms. We need to objectively see what is happening. It’s entirely possible that we are unwittingly triggering her in some way. It is entirely true she doesn’t want anyone to see the things she does in the privacy of our home.
It is also highly probable that she’s spent a lot of time talking to “Josie” the “ghost” who orders my death (and possibly that of her brother.) The therapists in our home see her mood fluctuation and dangerous actions. So does her long term trauma therapist. But to most other clinicians? She is the sweetest most charming girl of all. She has always had to be this way, in order to survive her biological home. My Mary is a fighter. A survivor. For this, I am proud. I only wish she didn’t feel the driving need to survive being loved.
Mary flipped out and began to yell at us and her inpatient therapist in the hospital today. She doesn’t like the cameras. She doesn’t want others to see her violence and destruction. She doesn’t want anyone to see her try to hurt Carl or try to attack me. When we don’t make progress with her on-call crisis team, we call 9-1-1. She will scream at the police and yell at the EMTs, but they never hear her plan my murder. Once we get to the psychiatric ward she is completely calm. Perhaps the video will help us to show what happens. After all, she only threatens or attacks those she loves the most. This kind of deep attachment-related trauma won’t be seen on a psychiatric ward. She simply does not require or crave deep relationships with revolving staff.
What she really needs from me is proof of my unconditional love. I try to give this as much as I can. Is it enough? It never is. What she is getting is 24/7 surveillance. Just in case. Because our daughter is trying to literally love me to death.
So if I never blog another post? Well then, I guess you’ll know why.
**Names have been changed to protect the privacy of those involved