| This is not your fault. You are doing everything you can. He’s likely at his worst around you because you are the safest person to him. A lot of times you just have to try one thing after the other and see what helps. He’s lucky to have you. I hope you are able to find techniques, therapy and medications that help. |
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This isn't your fault. However, in order to fully help your kid you need to be fully honest at the picture. Mental health or anything of the sort is no different than a medical issue. If you were seeing a doctor for abdominal pain would you leave out that you were also having bloody stools, vomiting after every meal, and had constant body aches? No, you'd give the whole picture in order to get an accurate diagnosis.
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Do not feel bad. Please share with your PCIT therapist the aggression at home and ask to prioritize it. When my DS was agressive at home, the PCIT therapist had us target that first before the traditional PCIT sequence. I could not believe it but the behavior was basically gone in a few weeks. Full disclosure it was less than you describe, but I have a lot of faith in the approach. I also highly recommend reading everything written by Dr Kazdin. |
Does he get a token economy/rewards? |
Op here. He gets rewards but we don’t do the tokens because he has an intellectual disability and it would be too complex for him to understand. |
| Speaking as someone who hasn't always been honest about what my child needs, please be honest with yourself, your pediatrician, your providers, and whoever else can help your child (and you!) get the necessary supports. If your child is being violent it's not a reflection of you as a parent but please be honest so you can both move in a positive direction. Wishing you all the best. |
| Anxiety. Sounds like my dd at age 6. Be an open book to get help from providers |
It won't necessarily get worse. I had a child who could be violent toward me and spouse - hitting, kicking, punching, spitting, throwing things. We were terrified of it getting worse as DC grew older. But in fact DC outgrew this behavior by high school. Maybe taking ADD medications helped with the self-regulation. Maybe maturing or all the therapy. Maybe being able to communicate more (there was a language issue as a child which likely led to frustration). OP, big hugs to you. I don't have any advice. I just want to let you know you are not alone and some of us do understand how terrifying and exhausting this can be. I hope your child will also outgrow this behavior through therapy and maturing and maybe medications. You also need an outlet to talk - to a friend, therapist, someone to confide in so you don't bear this all alone. Hang in there. |
| I can’t imagine how alone and isolated you must feel. You son is lucky to have you as his mom. I believe strongly in trusting yourself and following your gut. Also it is our instinct to protect and I’m sure you are trying to protect him from judgement and shame by keeping it in. If the people you tell make you feel those things then they are the wrong people. Sending you strength and love! |
Your care team will not think this. Before I had my own child with SNs I was often the part of others' care teams. I've been to the emergency room twice for injuries I sustained in that role. I never thought the child was bad, nor did I blame the parents. It was just part of the job and made me even more empathetic to what the families went through. I think it's important to be honest. You can even tell them that you have been downplaying it because you were embarrassed and worried to tell the truth. |
| My son was very violent in the preschool years. Ultimately it took anti-anxiety medicine to stop the behavior and then it stopped instantly. Also ask for a ferritin panel to see if he has low iron saturation. If your doctor says but his cbc is normal tell them you want the ferritin panel anyway. |
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One of my DCs is extremely violent and mentally ill. Although his diagnosis was different than your son’s, I completely understand the feelings of fear, guilt, desire to protect that you are experiencing. You are a good mom. But your protective instincts are maladaptive here because we aren’t prepared for these situations.
Tell his care team. Show the videos. They need all the information you can give them to make the best treatment plans. You are stressed and overwhelmed. Write or make notes in your phone so you remember to ask/tell the providers what you need to, and write down whatever plans they don’t give you in writing. You absolutely need to know what to do when your son is being violent. Stress level doesn’t just affect you when it’s happening it affects your memory and communication. It would be impossible to retain everything the care team tells you, don’t try! I hope DH is on board with you and you have other support. |
| I would personally be more concerned about what they’d think about your other child - whether they’re truly safe in your home. I would focus my efforts (with proof) on keeping my other child safe. |
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I can tell what a good mother you are. You are in a very tough situation but you are doing all of the right things.
Sending hugs. |
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“Violent” is a label you’re putting on your *child* when you should be focusing on the *behavior*.
Alternarives: When DS feels negative emotions, he externalizes feelings through aggressive actions. DS has trouble controlling impulses. DS has trouble predicting how much his actions can hurt people. All those problems are fixable. The problem isn’t your son, it’s his lack of skills. |