Monday, August 26, 2013

In Reality


Image found here
Recently, I found myself sitting with a teenage girl after she had requested to speak with me about her failed attempt to communicate her needs. With an agitated affect, and a irritated tone, she explained her situation to me. She had, on top of all her significant life and environmental stressors, experienced a normal and typical adolescent setback.

Under most circumstances, this setback would have been manageable. Any other typically developing child would have addressed their concerns and had their needs met in a relatively short period of time. For this child it was the proverbial straw that broke the camel’s back. Although, when you consider her trauma history, this young girl actually handled it quite well. She reported her concerns to an adult, and developed a reasonable plan to address them. Unfortunately, the adults did not communicate the plan with one another, and this girl, whose hopelessness and despair frequently results in depressive mood and self-harm behaviors, did not get her needs met. She instead got stuck defending herself to one adult, when the first had left without explaining the circumstances. The subsequent dispute, spiraled into an argument that evolved into a power struggle, and ended in undesired consequences. Then, she cried out for a therapist, and that is when I entered, as one adult was trying to explain a convoluted miscommunication to a teenager who'd lost all hope.

I stepped in, pulled her out of the stressful environment, and into a quiet room. We sat on the backs of chairs and looked out the window as she explained the entire scenario to me. I nodded along and reflected to the best of my recently conferred master's level ability. Then she finished her story. The room went silent. She hung her head, picked at her finger nails, and waited for my little bit of wisdom. After what felt like an eternity, I said the only thing I could think of.

"This sucks."

At first, I felt horrible. Here I am: the newly anointed therapist with fresh education. I had been coaching this kid on using her assertive communication skills for weeks. I come into a confusing situation, and all I can say to her is "this sucks." What the hell did I think I was doing? She needed answers, and I was giving her nothing.

So, I combed my mind, trying to come up with something, anything, that solved or explained the situation. We sat in silence again. She shifted on the back of her chair, tracing the crease of the material with her finger as she moved. Clearly she was done talking. It was my turn now.

I watched her tilt her head as she peered out the window; avoiding my eye contact. Think of something, I thought to myself, anything. Don't let her give up, not now. But, every intervention I devised felt like a lie. The truth was this was a real life issue. No matter what level of care you require, or how out of control your emotions are, there's always going to be the potential for others to let you down and that sucks. So, I told her that.

I said, "I can tell how hard you tried to communicate your concerns, and it's really frustrating to hear that the adults involved let you down. That's not fair." I went on to tell her how proud I was of her attempts to solve the problem. I reflected that the resulting scenario probably felt like a failure that brought about consequences she didn't want. Ultimately, my final message to her was probably more for me than anyone else. Though, I think it helped us both.

I told her that we can't control what other people do with the information we give them. All we can do is try our best to control what comes off on our end, and that's why it's important to keep at it. You've got to practice the skills to get better at them, but no one can promise that you'll always be successful. Sometimes, despite our best efforts, things don't work out. That's when it sucks the most. When we tried really hard, did everything we could, and it still didn't turn out right. But, if we keep on trying, one day we will limit those interactions as much as possible, and our successes will outweigh the setbacks.

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