Category: Bullying

Borderline children – how they function and how you can help

Borderline children – how they function and how you can help

Children with borderline personality disorder are both wonderful and horrible.
Borderline personality disorder is about opposites and extremes.  A child can be  lovely yet vindictive at times; a great friend or manipulative bully; anguished or glowing with joy; self-hating and self-important.

Are you ready to bang your head on a wall?  Or praying for the day your child turns 18, when you can change the locks on your doors?  Children with borderline personality disorder (BPD) can traumatize everyone around them.

Children with BPD believe others will abandon them, and this makes them do one of two things:

    1. Do everything possible to obtain and keep love and admiration;
    2. Or if they detect the slightest hint of disapproval, blame themselves and others; break off relationships; or self-harm to bury horrible feelings of abandonment.

 

A borderline child can be very engaging and affectionate… sometimes at random and sometimes when they want something.  Because they can be vindictive, they may also turn on charm as a way to embarrass you in front of others (such as in a meeting with a teacher or family counselor).  Since they often seem wonderful to other people, parents have been judged.  People often suggest they take care of their own issues instead.

Even if their manipulation or drama can be relentless, strive for compassion.  Trust me, your borderline child will suffer more than you in every important aspect of life.  They can make a mess of their relationships because of hurtful or clingy behavior.  Or they create a toxic work environment.  Or they drive away good friends, hate them for leaving, and suffer from loneliness.

A borderline child or teen is not a “drama junkie” on purpose.  There brain is primed to overreact.

A study published in 2008 in Science showed that brain activity in people with borderline personality disorder was abnormal—their brains lack activity in the ‘cooperation’ and ‘trust’ regions, called the bilateral anterior insula.  People with borderline personality disorder do not have an internal, natural sense of fairness or social norms, and distrust is their default mentality.  Some suggest that borderlines do not receive the attention they need as an infant and toddler.  Early neglect is also a predictor of reactive attachment disorder, which has similar trust issues.

The brain scan of a normal person shows the areas which make them cooperative.
When playing a game that requires teamwork, the brain of a normal person shows activity in the bilateral anterior insula.
A brain scan of a person with borderline personality disorder shows they do not cooperate.
The brain of a borderline person showed no activity whatsoever during the teamwork game.

Another study reported, “The disorder occurs in all races, is prevalent in females (female-to-male ratios as high as 4:1), and typically presents by late adolescence.”  It is estimated 1.4 percent of adults in the United States have this disorder.  A different study reported that BPD occurs as often in men and women, and sufferers often have other mental illnesses or substance abuse problems.  (In my observations, teenagers with borderline personality disorder have many bipolar disorder symptoms.)

From infancy, those who were later diagnosed with borderline personality were more sensitive, had excessive separation anxiety, and were moodier. They had social delays in preschool and many more interpersonal issues in grade school, such as fewer friends and more conflicts with peers and authorities.

As teenagers, borderline children can be promiscuous; impulsive and assaultive; more likely to use drugs and alcohol; and more likely to cut themselves and attempt suicide.  “…research shows that, by their 20’s, people with the disorder are almost five times more likely to be hospitalized for suicidal behavior compared to people with major depression.”

A child with borderline personality disorder can scream and be very hurtful.

Evidence for hope

Borderlines have the thinnest skin, the shortest fuses and take the hardest knocks.  In psychiatrists’ offices, they have long been viewed as among the most challenging patients to treat.”

Advances have been made in recent years.  One study tracked borderline patients who had been hospitalized at least once over a 10 year period.  With follow up treatment  “93% of patients achieved a remission of symptoms lasting at least two years, and 86% for at least four years.” Published in The American Journal of Psychiatry, the research argues that once recovery has been attained, it appears to last.  (from “Trying to Weather the Storm”, by S. Roan, September 07, 2009, Los Angeles Times)

“…our message to families is to please stay the course with your (child) because it’s crucial to their well-being.”
(Perry D. Hoffman, president of the National Education Alliance for BPD http://www.borderlinepersonalitydisorder.com.)

Treatment

Psychotherapy is the primary treatment of BPD, and the gold standard is dialectical behavior therapy (DBT), which helps the person attain and maintain lasting improvement in their personality, interpersonal problems, and overall functioning.  It simply teaches coping skills so patients learn to control their emotions, calm down, and not destroy relationships. Medications support the therapy by reducing depression or anxiety and self-destructive behavior.

(from “What Therapy Is Recommended for Borderline Personality Disorder in Adolescents (13-17 years)?” by M. Muscari, 2005, http://www.medscape.com/viewarticle/508832)

When to hospitalize:Borderline children high rate of emergency hospitalizations for suicide attempts.

An emergency hospital stay is recommended if your child has serious suicidal thoughts or an attempt, and/or poses an imminent danger to others, or is incapable of calming down and functioning.

Consider psychiatric residential care if your child has persistent suicidal thoughts; is unable to participate in therapy; or has a co-morbid (co-existing) mental disorder such as bipolar, depression, narcissistic personality disorder.  A child with BPD, at their most extreme, is at very risk risk or suicide or other violent behavior, and other behavioral symptoms that indefinitely interfere with living.

Other mental health supports your borderline child may need:

  • Treatment for substance abuse.
  • Therapy that focuses on violent and antisocial behaviors, which can include emotional abuse or physical abuse, baiting, bullying, and sexualized behaviors.  (The most effective therapy is DBT or Dialectical Behavioral Therapy.)
  • Therapy that also focus on trauma and post traumatic issues if present.
  • Reducing stressors in the child’s environment.  Most children with BPD are very sensitive to difficult circumstances, for example:  an emotionally stressful atmosphere; internal and external pressures to succeed or change; inconsistent rules; being around others who are doing better than them.


What parents and caregivers can do

  • With a co-parent or support person:  Maintain a united front.
  • Communicate privately with each other to effectively set limits.  A BPD child will do everything in their power to split authority figures against each other!
  • Have each other’s back even if you’re not in full agreement.
  • Never ever give away power by making democratic decisions or explaining your reasoning. Anything you say or do will be challenged or used against you in the future.

Maintain family balance.

Keep things relaxed.  If you need to set boundaries and apply pressure, do it only to maintain  appropriate behaviors and reminders for self-calming.  Let other things go.

Use praise proactively.  Borderlines crave attention and praise.  When they deserve it, pour it on thick.  And pour it on thick every single time they demonstrate good behavior and positive intention.  One can’t go too far.  When an argument or fight comes up, search your memory banks for the most recent praiseworthy thing they did or said, and bring it up and again express your gratitude and admiration.  This does two things:  it reinforces the positive  and it provides a distraction, either of which may end a fraught situation.

Become skilled in Dialectical Behavioral Therapy (DBT).  It is the gold standard for treating Borderline Personality Disorder.  It is the only therapy proven to promote genuine behavioral change and improve mental health.  You can draw upon questions used in DBT to settle your child and bring his or her back to reality, examples:

  • Did your friend really intend to upset you?  It sounds like they were talking about something else.
  • The delay wasn’t planned just to make you mad, perhaps you were just frustrated by being asked to wait, and it was no one’s fault.
  • The tear in your jacket isn’t a catastrophe.  It is easily fixed and I can show you how.

For specific examples of what your borderline child might say and for how you can respond, see:  How to respond to a manipulative and difficult teenager.

Parents made a business card to ask for help from others for their borderline daughter.

Prevent dangerous risk taking – Young people with borderline personality are  impulsive and prone to risky behavior.  Parents should consider reducing the risks posed by: emotionally-loaded  social contact, excess time or money, freedom to come and go, and places to hide inappropriate materials or actions :

  • Restricting and monitoring  cell phone use, email, texting, and access to social networking sites.  This is legal if it’s in your home and you pay the bills, and there is no expectation of privacy.
  • Using technology to track their communications, or disabling access during certain time periods
  • Reducing the amount of money and free time available
  • Searching their room if in your home (this is also legal).
  • Building a support network, asking for help from trusted others (like Katy’s proud parents, above–a true story).

A couple I know fully informed their borderline son that all internet activity would be tracked, as well as cell phone calls.  The father also installed cameras in the home, at the front and back doors, in plain sight.  Nevertheless, their son continued with bullying and verbally abusing his siblings right in front of those cameras, and he would get caught and deny it each time.  His denials in the face of clear evidence became a great source of private amusement for his parents.

Be patient – You are unlikely to receive your child’s respect, love, or thanks in the short-term.  It may take years.  But be reassured that your child will thank you for your firm guidance and limits once he or she matures to adulthood.

A borderline child will stab you in the heart with their words.
Never expose your heart like this!  Armor yourself emotionally.  Visualize those knives as fluff balls, or visualize your child as a toddler with a just another temper tantrum.  Find something that works for you and help the co-parent and siblings armor themselves too.

Address your own PTSD!  Families who live with a borderline child often need help coping with bullying, wrenched emotions, and the instability that person brings into the household.  A parent or family member may need their own therapy, antidepressants, and self-care skills for reducing anxiety.

Simple self-care for you and other family members

  • Three or more (very) deep breaths when stressed, the brain needs oxygen to begin a calming process.  Singing is a superb option.
  • Magnesium or Kava kava, these substances naturally help calm nerves
  • Sleep in a dark, cold room is the best way to promote deep sleep. Avoid screen time an hour before bedtime.
  • An activity that feeds your soul, such as a hobby, a loving pet, a gripping novel, just playing
  • Direct support from a trusted friend–face-to-face is ideal, but calls, texts, and emails as needed are really helpful too.


Characteristics of untreated borderline personality disorder in adulthood

Good things:  They can be very financially and publicly successful in many fields and hold positions of authority, and often succeed in the creative arts and especially acting.  They are so perceptive that they can ‘channel’ any person they want.  They can be enchanting, and alluring, easily attracting devoted fans, friends, and lovers.

Most challenging things:  Signs and symptoms of BPD may include significant fear of real or imagined abandonment; intense and unstable relationships that vacillate between extreme idealization and devaluation; markedly and persistently unstable self-image; significant and potentially self-damaging impulsivity (spending, sex, binge eating, gambling, substance abuse, and reckless driving); repeated suicidal behavior, gestures, or threats; self-mutilation (carving, burning, cutting, branding, picking and pulling at skin and hair, biting, and excessive tattooing and body piercing); persistent feelings of emptiness; inappropriate anger or trouble controlling anger; and temporary, stress-related disconnection from reality and paranoia.

Help your borderline child with each of these aspects!

  • Chronic fear of abandonment which results in a constant search for companionship, no matter how unsatisfying.
  • Clinging and distancing: Disruptive relationships due to the person’s alternating clinging and distancing behaviors.  When clinging, they may exhibit dependent, helpless, childlike behaviors. They can over idealize the person they want to spend their time with, constantly seeking that person out for reassurance. When they cannot be with their chosen person, they exhibit acting-out behaviors, such as temper tantrums and self-mutilation. They distance themselves by being hostile and insulting, usually arising from discomfort with closeness.
  • Splitting: Splitting arises from the person’s inability feel people are safe, and is the primary defense mechanism in BPD. They view all people, including themselves, as either all good or all bad.
  • Manipulation: Separation fears are so intense that people become masters of manipulation. They will do just about anything to achieve relief from their separation anxiety, but their most common ploy is to play one individual against another.
  • Self-destructive behaviors: Threats are most often manipulative, but some acts can prove fatal.  Cutting is very common.  Suicide attempts are common yet often happen in relatively safe scenarios, such as swallowing pills at home while reporting the deed to another person.  Another behavior is to set up a scenario where they are victim so as to get attention and love.
  • Impulsivity: Extremely rapid shifts in mood can lead to substance abuse, binge eating, reckless driving, sexual promiscuity, and excessive spending or gambling.  These are similar symptoms of bipolar mania, but BPD behaviors happen for different reasons, usually in response to real or imagined abandonment.

You really can turn your borderline child’s future around.

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Your bullied child has legal rights to protection and safety

Your bullied child has legal rights to protection and safety

 

Edith Castro Roldán, Oscar Manuel Luna Nieto

Violence and Bullying at School

There was a time when bullying was not talked about or noticed.  Being bullied was explained away as a right-of-passage.  Finally, we hearing horror stories about bullied children, and speaking out as we remember our own awful experiences. The statistics are alarming.

According to the National Center for Education Statistics, during the 2013-14 school year 65% of public schools had recorded one or more violent bullying incidents. That year alone totaled about 757,000 incidents, which means there were about 15 crimes per 1,000 students during that school year alone. The schools record specific kinds of violent incidents and of those that occurred in 2013-14, 58% of public schools reported there had been at least one physical attack without a weapon or a fist fight. About 47% of the schools reported at least one threat of physical attack without a weapon.

The threat of violence in today’s schools is real.
Are you and your child prepared?

Now is the time to prepare yourself and your child for school violence and bullying. Know what steps you need to take and educate your child about the situations presented and how to respond to bullying or school violence. Remember, knowledge is essential in protecting your children and yourself from being a victim of school violence.  Parents and teachers have options for stopping bullying.

There are several kinds of bullying in today’s advanced world. While technology may be a great advancement, it also has its downfalls. While there was a time you may have thought of bullying as taking someone’s lunch money, calling them names, or pushing them around, there are many other kinds of bullying in our technologically advanced age.

What Happens at School Happens in Cyberspace

There are many kinds of bullying that can happen at school. While physical bullying, verbal bullying, and vandalism and theft still exist, cyberbullying has made the news in recent years. Using social media, the bully or bullies will maliciously harass a student. This can be done by making derogatory remarks, abusing and belittling another student, or posting photos that are unflattering or compromising.

There have been many reports of cyberbullying in the news recently. There have been many cases in which a cyberbullying victim has committed suicide or the bully was criminally charged. One of the more memorable cases involved a 13-year-old named Megan Meier who hanged herself after being bullied by someone she thought was a boy she befriended online.

It was later learned that the boy was actually a former female friend, her friend’s mother, and their employee. Criminal charges were filed against the mother, Lori Drew, and she was found guilty of three charges. Later she was acquitted by a U.S. District Judge. Since then, there have been several other cases.

The bully may also play the victim
so he or she can get by doing more harm.

Reactive bullies will continue to taunt, tease, push, or hit others until the victim strikes out so they can then present themselves as victims and place the blame on others. There are many kinds of school violence and there are many causes for today’s unpleasant and threatening atmosphere in school settings.

Causes of School Violence

  • Students have a greater access to weapons, such as guns and knives.
  • Cyberbullying is much more common because of Internet access, cell phones, and tablets. Social media’s popularity plays a major role as well.
  • The environmental impact and its role, such as school environment, the existence of gangs, school size, middle schools, the community environment, and the family environment. Putting your child or teen in a positive environment in the community and home can play a significant role in helping them to avoid the dangers of violence.

The Signs Your Child is Being Bullied

Edith Castro Roldán, Oscar Manuel Luna Nieto

Parents should always be on the look for signs that a child is being bullied. While you may like to believe that your child would openly tell you if he or she is being bullied, that is not the case. Most children are embarrassed or ashamed of being bullied even when it is not their fault. There are several things to watch for that may indicate your child is being picked on by others.

  • Unexplained injuries.
  • Destroyed or lost books, clothing, electronics, or jewelry.
  • Faking illness or complaining of headaches and stomach aches.
  • Changes in eating habits.
  • Frequent nightmares or difficulty sleeping.
  • Not wanting to go to school or declining grades.
  • Avoiding social situations or loss of friends.
  • Self-destructive behaviors or loss of self-esteem.

The Results of School Violence

Bullying and violence can cause all kinds of physical injuries as well as emotional damage. Students can suffer anything from cuts and bruises to broken bones to lost teeth and frighteningly, even gunshot wounds and death. Make sure you seek treatment for your child if he or she has been a victim of bullying.

Emotional damage can last for years
after the bullying has been put to a stop.

Kinds of Bullying

As previously mentioned, there are several kinds of bullying

  • Physical Bullying – hitting, punching, fist fights
  • Verbal Bullying – name calling, making fun of another, cursing
  • Reactive Bullying – picking on others to get a reaction and then playing the victim
  • Cyberbullying – done through social media or text message
  • Vandalism and Theft – damaging or stealing the property of others

Regardless of the kind of bullying that your child has suffered, you need to make sure he or she gets the help that is needed. Seek professional counseling or therapy to help him or her overcome the emotional and mental damage.

Why Don’t Children Ask for Help?

You have probably told your child to come to you with any problems, but when it comes to bullying most children don’t tell anyone. Bullying makes a child feel helpless and insecure. They may fear telling will make them look weaker or be viewed as a tattletale. There is also the fear of backlash from the bully and his or her friends.

Being bullied can be a humiliating experience.

Children probably don’t want adults to be made aware of what is being said about them because they may fear the adults may judge them or punish them, regardless of whether what is being said is true or not. Bullied children fear rejection of their peers as well, and they may already feel isolated and alone.

Eddie~S, Bully Free Zone, CC BY 2.0

Ways to Prevent Bullying

There are ways to prevent bullying. Some of the more effective approaches include:

  • Establish a safe climate at home, in the community, and at school.
  • Learn how to be more engaged in your children’s school life. Building a positive school climate is detrimental in preventing bullying.
  • Assess bullying at your child’s school and understand how your child’s school stands in comparison to national bullying rates.
  • Talk with your child about their concerns, and be direct. They may think that getting parents involved may worsen the bullying, so be sure to reassure them that you’re there to help the situation.
  • Avoid being misdirected in bullying prevention and response strategies. Focus on your child!
  • Learn about bullying so you know what it is and what it is not. While many behaviors may be just as serious a bullying, some may require different responses than how you respond to bullying.
  • Speak with your children about bullying, and how they can stop it. An ounce of prevention is worth a pound of cure, and exposing children to ways to address a bully in their life can be extremely effective. It also opens the doors of communication so that a child can feel comfortable discussing it.
  • Encourage your child to seek friends for help in opposing a bully – peer pressure can be effective in getting bullies to stop their behavior.

Being aware of the situation and the warning signs are essential in helping to prevent bullying. Be proactive so you can address bullying issues right away.

Your Child Has Rights!

No one wants their child to be a victim of bullying. There are several things you can do to help your child avoid bullying or bring an end to it. Here is some legal information you need to know, so if the situation does arise the proper action can be taken right away.

Schools have a duty of care. If the school breaches their duty of care, you may be able to get compensation for any therapy bills, medical or dental expenses, or reimbursement for any out-of-pocket costs resulting from the altercation.

By Andrevruas (Own work) via Wikimedia Commons

Teacher and administrator intervention. Teachers are required to do any reasonable action to protect their students’ welfare, health, and safety. Their legal responsibilities focus on three sources:

  • Common Law Duty of Care
  • Statutory Duty of Care
  • The Duty Arising from the Contract of Employment

If the teacher or administrator does not step in to stop the fight before it happens, or during the actual fight, then they can be sued for breaching their responsibilities for duty of care. Be familiar with the school’s protocol and policies as each state has different laws and regulations and each school has a different educational code. Educate yourself!

Understanding Parental Liability

Parents of bullies are criminally liable for negligence in not maintaining control of their children’s delinquent acts. Parental responsibility statutes indicate that parents are not held responsible for their children’s acts, but of inadequately controlling their children.

A lawsuit can only be filed against a government entity (school) in instances where there is actual negligence and not intentional misconduct. In order to sue the school system because your child was bullied, you will have to prove the school system’s negligence for not addressing the problem that they were made aware of previously.

There are some instances in which you cannot sue a public school. The Federal Tort Claims Act (28 U.S.C.§ 2674) explains how there are some instances in which a public school can’t be sued. As an example, you can’t sue because of a school system employee’s official misconduct, but there is a fine line between negligence and misconduct in some instances. To clarify the details, you should consult with an attorney.

Getting the Evidence for a Case

If your child has been injured in a violent act at school, you may have a case against the school system or the bully and his family. There are several steps to gathering evidence for a case:

  • Discovery, which includes deposition, interrogatories, request for admission, “subpoena duces tecum
  • Subpoena
  • Witness of the incident
  • Exhibits, such as evidence, records, reports, video, photographs
  • Damages – medical and dental bills, therapy costs, receipts

If your child has suffered school violence or bullying, you should consult with an attorney. School violence can cause personal injury that has lasting effects. Protect the rights of your child!

by the Outreach Team at Disability Benefits Help

 

Personal Injury Law
Free evaluation

 


Sources:

https://nces.ed.gov/fastfacts/display.asp?id=49
http://www.crf-usa.org/school-violence/causes-of-school-violence.html
http://www.stopbullying.gov/at-risk/warning-signs/#bullied
http://americanspcc.org/bullying/schools/?gclid=CjwKEAjwrIa9BRD5_dvqqazMrFESJACdv27GeJ3suQOZda0rHDRSliByF3x6VxHg3GFRGH798o0uqhoCPCPw_wcB
http://www.nolo.com/legal-encyclopedia/suing-government-negligence-FTCA-29705.html
https://nobullying.com/six-unforgettable-cyber-bullying-cases/

Use the “S” word: talk openly with your child about suicide

Use the “S” word: talk openly with your child about suicide

Don’t be silent on the subject of suicide, even if there’s no evidence your child has considered it.  Bring it in the open, especially if you have a hunch something is wrong and they may have suicidal thoughts.  This article addresses:

  1. Why you should talk about suicide with your child
  2. How to respond if there’s been a threat
  3. How to respond if there’s been an attempt

Parents talk about many uncomfortable subjects with their child; and suicide must be one of them.

Don’t let suicide become a ‘sensitive’ subject.  Your child needs to hear about it from you.  They should feel safe talking about it.  Don’t expect them to bring this subject up.  They may fear you will overreact, and worsen their depression, or you could under-react or dismiss it because you’re uncomfortable.  Neither response helps.

Won’t this give my child ideas and encourage suicidal thoughts?

No.  Children usually know what suicide is and will have wondered about it—even young children. Ask what your child thinks. Children as young as 7 and 8 have asked about suicide or communicated they had suicidal thoughts.  Children as young as 10 and 11 have attempted or completed suicide.  The ages of highest suicide risk are between 10 to 24.

Talk with your child. Don’t leave him or her alone with thoughts or questions about suicide.

An 11-year-old boy died of suicide a couple of weeks before this article was written. There had been no prior signs.  He killed himself after receiving a prank text saying his girlfriend had committed suicide. He told no one beforehand.  His parents had no idea he was even at risk.

Why might my child become suicidal?

Mental health professionals assess risk by using the Biopsychosocial Model.  The more negatives in the biological, social, and psychological aspects of one’s life, the higher the risk of suicide or other mental health problems.

The major risks of suicide are in the central part of this diagram: drug effects, temperament, IQ, family relationships, trauma.

From Pinterest and the blog, Social Workers Scrapbook

What can you control and change at home?
What do you and family members need to reduce these risks?
Communicate about these with everyone. (Can be hard to do, but try.)

What can trigger suicidal thoughts?

Examples from two states that did the research:

Oregon: Survey results for an exceptionally high suicide rate among 10-24 year olds by population, 180 individuals in one year (“Suicide circumstances by life stage, 2013-2014”).

  • 62% – Current depressed mood
  • 53% – Relationship problems
  • 47% – Current mental health problems
  • 43% – Current/past mental health treatment
  • 42% – History of suicidal thoughts/plans
  • 31% – Recent/imminent crisis
  • 22% – Family relationship problems
  • 21% – Non-alcohol substance abuse problems
  • 8% – School problem

New York: Life situations of children completing suicide, 88 individuals; (“Suicide Prevention, Children Ages 10 to 19 Years”, 2016)

  • Feeling hopeless and worthless (often because of bullying at school, home, or online)
  • Previous suicide attempt(s)
  • Physical illness
  • Feeling detached and isolated from friends, peers, and family
  • Family history of suicide, mental illness, or depression
  • Family violence, including physical or sexual abuse
  • Access to a weapon in the home
  • Knowing someone with suicidal behavior or who committed suicide, such as a family member, friend, or celebrity
  • Coping with homosexuality in an unsupported family, community, or hostile school environmental
  • Incarceration (time in juvenile detention or youth prison)

What if my child has threatened suicide?

A threat opens a door for a discussion.  A good approach is to interview your child about their feelings, plans, needs, and reasons.  Listen earnestly without input.*  You might be surprised to find their problem is solvable, but their depressed mood paints it as hopeless.  Listening helps them get clarity and feel heard and respected.  Once you understand their problems, you assist them in identifying options and provide emotional support.

* I have a friend who worked for a suicide hotline, and he said the job wasn’t difficult at all.  He said, “All I did was listen and show understanding of their feelings and just let them talk. “

After a frustrating discussion about my teenage daughter’s suicidal threats, I gave up and said “No.  I’m telling you not to commit suicide.”  She was incredulous; “You can’t tell me what to do!  You can’t stop me!”  I responded, “Don’t commit suicide. You’re important to us.  You have important things to do in life.”  She made a few attempts in the following years (they were always public… as if she wanted to be discovered and prevented), and she always reached out to her family afterwards for support.  Did my words make a difference?

What if a threat is just for attention?

It’s hard to tell. It could be genuine  or manipulative.  Some children use threats to prevent parents from asserting rules.  Angry children, especially teens, use threats to blame and hurt parents emotionally.  If you think a threat is not genuine, open up the suicide discussion.  “Talk to me about this”, “It seems like an extreme reaction to something we can fix.” “What needs to change?”  “How can I help?”  Focusing on the threat will either expose the ruse or draw out important information for addressing an underlying problem.

What else can I do if my child threatens suicide?

  1. Observe and investigate.
  • Do they have access to unsafe objects or substances?  You can legally search their room.
  • Do they frequent unsafe places or spend time with people who encourage drug use?
  • Do they have extreme mood swings (up or down), or a chronic dark mood?
  • Do they take dangerous risks and seek dangerous activities?
  • Are there any other danger signs?
  1. Build a network of eyes–choose people who will observe your child and keep you advised of risk, e.g. a mature sibling, a teacher, your child’s friend or the friend’s parents, your child’s boyfriend or girlfriend, a relative, or a trusted person who knows your child.
  1. Make changes you have control over, and solidly commit to these changes. Bring the whole family along on the plan.  FOLLOW THROUGH.
  • In family life – reduce chaos, fighting, blaming, or bullying; express appreciation; neglect no one including yourself; create 2 – 3  house rules that are easy to enforce and everyone follows, even you.
  • In social and online life – learn as much as you can about the nature of your child’s relationships, whether romantic or social. Support them if they distress your child. Can they remove themselves from a toxic relationship? or cope effectively with anxiety? Can you help them address bullying at school or online?
  • Biological health – Sleep, Exercise, Diet.  Limit screen time at night because blue light inhibits sleep.  Pay attention to digestive health, which affects mental health. These are some natural approaches.
  • Psychological health – Ask a school counselor about your child.  Seek a working diagnosis and mental health treatment.  Help your child find outlets for personal self-expression:  journaling, music, art, poetry, or a website such as this one, where teens help teens.  Mind Your Mind is an excellent example.

What if my child attempted suicide?

He or she is still very fragile, even if in treatment!  They have taken the action, they’ve been there, and have the option for taking it again—a high percentage try againSuicide attempts are long-term emergencies. You need to be on alert in the following days, weeks, months, and possibly years.  In addition to intensive mental and physical health treatment, ensure your child gets regular deep sleep, exercise, and a good diet.  Ask them if they’ve had suicidal thoughts if you sense something is wrong.  Don’t be shy about checking in.

Pay attention to events that trigger suicide.

Check-in with your child when something traumatic happens or might happen, especially if someone he or she knows attempted or committed suicide, or a suicide was in a TV drama or covered in the news.  Triggers are an emergency, act immediately.

You have the power to prevent a child’s suicide.
Be strong. You can do this. 

Take care of yourself.

–Margaret

Bullying and how to stop it – for parents and teachers

Bullying and how to stop it – for parents and teachers

Most of us have bullied someone and have been bullied at some time in our lives. We have an aggressive trait that helps us stand up to a threat. We are emboldened to fight when we fear for ourselves or family, or simply when we’re “not going to take this anymore!” Mature people don’t do this without cause, but children and teens lack maturity and can engage in bullying throughout their school years. (Even the nicest children can bully another person.) Victims of bullying usually don’t have the power and skills to prevent it or to protect themselves.

“This is a huge problem in the schools… it’s particularly common in grades 6 through 10, when as many as 30 percent of students report they’ve had moderate or frequent involvement in bullying.”
–Dr. Joyce Nolan Harrison, assistant professor of psychiatry, Johns Hopkins School of Medicine.

Bullying occurs when others aren’t paying attention… or when there is an audience
In schools, bullies target victims where and when authorities can’t see, isolated but in crowds: hallways, the school lunch room, the playground or gym, and the bathroom or dressing room, not in plain sight of others who might report an incident. Or they have an audience that supports the bully or ignores the situation and doesn’t want to get involved… or tell.

Bullies target those they consider “weak” or simply “different”
What makes a target child “weak” could be so many things. Bullies seize on anything: a physical, emotional, or mental vulnerability–children with learning disabilities or autism spectrum disorders are often targets. But any “different” child is at risk: a child from another culture is different, a boy who seems effeminate or a girl who seems masculine. The list of reasons children are bullied is so long that it is impossible to proactively avoid attracting the attention of a motivated bully or bullies: physical features, small stature, younger age, shy or meek personalities, bad fashion sense (or perfect fashion sense), even being a Straight “A” student is cause for being victimized. A child’s family member might be perceived as an embarrassment that elicits bullying (a brother is in prison, a father lost his job). Or a child might be a member of a group that’s hated by the parents, who teach their child to hate the group. Some victims are chosen simply because they are at the wrong place at the wrong time:

A teen walks his usual route home from school. He is reasonably well liked but doesn’t stand out. Ahead are three troublesome youth he doesn’t know. No one is around. He’s still at a distance, but starts to feel uncomfortable. They stand side-by-side on the walk ahead of him and stare.

What would a street-wise kid do?

He crosses the street without breaking stride, but also watches them—they have to know he sees them. If he pretended to ignore them it could inflame their anger. They start taunting. Meanwhile, the teen has been thinking of ways to protect himself just in case: there’s a store is nearby or within running distance, there’s a neighbor who’s usually at home. If he has a phone, he pulls it out and is ready to dial 911. He stays alert and looks confident, and they eventually drop the effort and let him move on.

Bullies punish kids who try to stop the bullying

Those who “snitch.” Victims who ask for help are often targeted by the bully more intensely, and often joined by associates who simply jump the bandwagon (curious behavior described as “the madness of crowds”). The culture of tweens and teens has low tolerance for those who tell on others. Those who join the bullying episode against the victim can do it without thinking, or perhaps they feel empowered to vent anger on someone, or just want to fit in.

Those who try to stop them. A heroic bystander steps in to stop a bullying episode and becomes the target themselves.

Those who want to leave the bullying group. Some kids have second thoughts and feel uncomfortable about the bullying and try to leave, but they can’t. Leaving attracts intense, relentless bullying for “voting with their feet”—this is a hallmark of gang behavior

Sadly, some children appear to “set themselves up” for bullying. This victim is a child with a fatalistic attitude and low self-esteem, who doesn’t recognize when others take advantage of them. They feel they must endure and don’t take steps to protect themselves out of excessive fear of drawing retribution. These are the kind of children who can become victims of physical or emotional domestic violence as adults.

Parents

If your child is a victim, be aware that they live between a rock and a hard place. Be careful that your involvement doesn’t make things worse for them

Armor your child with multiple skills
There is no one way to handle every bully situation so flexibility is key. Together, develop a list of multiple options:

  • Ask friends to accompany them
  • Go to a place where people are and find an adult to help. Walk the other way, walk down different hall, walk to other side of street, use a different bathroom.
  • Request loudly “LEAVE ME ALONE” when there’s an audience to witness the bullying, such as on a bus or standing in line.
  • Use body language to project a firm stance. This can be the way your child stands or the loudness of their voice when the bully is present to show confidence, alertness, and empowerment.
  • Let your child know you take them seriously and will do something about it. Give them emotional support.
  • Let your child know you will back them up by working with the school.
  • Use the situation as a learning opportunity to help your child develop a backbone and inner strength. Even with your support, this will not be easy for your child to handle. Be a model of strength and resolve rather than of vengeance or anger.
  • Consider mental health issues that might be making things worse for your child: ADHD, ODD, depression, bipolar disorder, borderline personality disorder, chaos and stress at home, PTSD, substance abuse, and others.

Help the bullied kids find each other. If there are a bunch of them together, they can stand the bully down. They don’t have to beat the bully up. They just have to say, ‘Why are you treating my friend this way?’ The bully will often move on… Parents can appropriately take matters into their own hands. You need to enlist the help of all the other parents of bullied children… Parents have to work as a group. One parent is a pain in the [butt]. A group of parents can be an educational experience for school authorities.”
–William Pollack, assistant clinical professor of psychiatry, Harvard Medical School

Don’t

  • Don’t tell your child to “let it go, ”or “it’s no big deal,” or “it happens, deal with it.”
  • Don’t tell your child to be tough. What does “tough” mean? What do you want them to do?
  • Don’t punish or dismiss a child who complains too much, or blame him/her for setting themselves up and asking for it. Ironically, a victim is sometimes treated as the problem child.
  • Don’t bully your child at home! Are you doing this? Think. Your child learns to accept the inevitability of bullying because he or she is accustomed to it at home.

How things can go wrong: A boy is in the shower after PE class and gets slapped on the butt most days. He is too proud/embarrassed to tell his parents, or he tells and they react poorly. Perhaps he’s blamed for not standing up for himself, or a parent shows up outraged at school and yells at the bully or school staff. Now the boy’s parent is the problem and may be suspected of bullying their child. Or school staff overreact with swift punitive actions to the bully. Time passes and the bully starts up again bit by bit, only much more subtly. The boy is afraid to report it again because the encounters are more secretive. The bully denies his behavior and recruits others to advocate for him. They jump on the bandwagon because they don’t know the history, and the boy doesn’t want to tell everyone he is being sexually harassed. It’s a vicious cycle.

Teachers and schools

“You can’t learn if you’re being bullied, if every day you’re frightened of how you’re going to be treated.”
–William Pollack, cited above

Teachers, pay attention to signs that there’s a skilled, secretive bully at the school.

  • Notice who others avoid.
  • Notice a child coming into the class who’s upset and ask them about it later, promise you’ll protect their anonymity if you can get them to reveal a bully, but don’t pressure them.
  • Observe the problem kid and their subtle interactions with others.
  • Allow a victim(s) to have distance from bully, permission to use a different bathroom, to have their desk placed farther apart, to have a locker farther apart, or even a different class if possible.
  • Inform the parents of your concerns in addition to the principle and school counselor.
  • Focus your behavioral interventions on the bully (not the victims)

Avoid diagnosing the situation. You are not the expert. You don’t know why a bully is a bully, or why a victim is a victim, or anything about their parents. Ensure a school counselor is involved in any discussion about how to manage a bully problem in the school.

Avoid jumping to conclusions! Your actions can unintentionally undermine or harm either the child or their parents. You don’t know until you know.

“Bullies are like the lion looking for a deer that’s left the herd,” says Patrick Tolan, director of the Institute for Juvenile Research at the University of Illinois. “They try to single out the weakest kid. The best way to stop this is to work on increasing inclusion by helping the bullied kids with social skills.”

Bullies are usually bullied themselves (see another article Bullies like their victims, are also at risk). Only very small percentage are sociopathic, or who are intrinsically cruel and without empathy, perhaps 1 in a 100. How do you tell? If someone sets a clear boundary with punitive consequences, the disturbed bully will relentlessly target a victim regardless of how much trouble they get in.

I wish to personally thank Barry Diggs, probation and parole officer for the Oregon Youth Authority, for his insights into bullying behavior, which helped me develop this article. Margaret

If you have helped a child effectively cope with bullying, please share your story in the Comments below so others can learn from your story.


Research

Bullying Linked to Violence at Home
April 2011

Bullying is pervasive among middle school and high school students in Massachusetts and may be linked to family violence, a new study finds. In a survey of 5,807 middle-school and high-school students from almost 138 Massachusetts public schools, researchers from the Massachusetts Department of Health and US Centers for Disease Control and Prevention found that those involved in bullying in any way are more likely to contemplate suicide and engage in self-harm compared to other students. Those involved in bullying were also more likely to have certain risk factors, including suffering abuse from a family member or witnessing violence at home, compared to people who were neither bullies nor victims.

Cyberbullying (this is a superb and comprehensive article by an expert on cyberbullying)

http://www.psychiatrictimes.com/display/article/10168/1336550?GUID=32E9A484-0468-4B38-8A03-0EE478D3256C&rememberme=1

Survey: Half of High Schoolers Report Bullying or Teasing Someone
“Ethics of American Youth Survey”, Josephson Institute of Ethics

Half of U.S. high schoolers say they have bullied or teased someone at least once in the past year, a new survey finds. The study also found that nearly half say they have been bullied during that time. The study surveyed 43,321 teens ages 15 to 18, from 78 public and 22 private schools. It found 50 percent had “bullied, teased or taunted someone at least once,” and 47 percent had been “bullied, teased or taunted in a way that seriously upset me at least once.” The survey asked about bullying in the past 12 months: 52% of students have hit someone in anger. 28% (37% of boys, 19% of girls) say it’s OK to hit or threaten a person who angers them. “There’s a tremendous amount of anger out there,” Michael Josephson says. (Founder of the Institute of Ethics)

Victims of Cyberbullying More Likely to Suffer Depression than Perpetrators:
ScienceDaily, September 2010

Young victims of cyber bullying, which occurs online or through cell phones, are more likely to suffer from depression than their tormentors, a new study finds. Researchers at the Eunice Kennedy Shriver National Institute of Child and Human Health Development in the US looked at survey results on bullying behavior and signs of depression in 7,313 students in grades six through 10. Victims reported higher depression than cyber bullies or bully-victims, which was not found in any other form of bullying. Researchers say it unclear whether depressed kids have lower self-esteem and so are more easily bullied or the other way around.

Cyberbullying Teens and Victims More Likely to Have Psychiatric Troubles
Archives of General Psychiatry, July 2010

Teens who cyberbully others through the Internet or cell phones are more likely to have both physical and psychiatric problems, and their victims are at heightened risk for behavioral difficulties, a new study finds. Researchers collected data on 2,215 Finnish teens 13 to 16 years old. The survey found that teens who were victims of cyberbullying were more likely to come from broken homes and have emotional, concentration and behavior problems. In addition, they were prone to headaches, abdominal pain, sleeping problems and not feeling safe at school, the researchers found. Cyberbullies were also more prone to suffer from emotional and behavior problems, according to the survey.

Bullying And Being Bullied Linked To Suicide In Children
International Journal of Adolescent Medical Health; July 2008

Being a victim or perpetrator of school bullying, the most common type of school violence, has been frequently associated with a broad spectrum of behavioral, emotional, and social problems. According to international studies, bullying is common, and affects up to 54 percent of children. Researchers at Yale School of Medicine reviewed studies from 13 different countries and found signs of a connection between bullying, being bullied. and suicide in children. Suicide is third leading cause of mortality in children and adolescents. Lead author of this report, Young-Shin Kim, M.D. said “the perpetrators who are the bullies also have an increased risk for suicidal behaviors.”

Kids with ADHD more likely to bully
Linda Carroll, MSNBC, reporting on the Journal of Developmental Medicine and Child Neurology, February 2008

A new study shows that children with attention deficit hyperactivity disorder are almost four times as likely as others to be bullies. And, in an intriguing corollary, the children with ADHD symptoms were almost 10 times as likely as others to have been regular targets of bullies prior to the onset of those symptoms.

A study followed 577 children for a year. After collecting data on bullies and victims and identifying those children ADHD, there was a corollary between ADHD and bullying. Study co-author Dr. Anders Hjern, a professor in pediatric epidemiology at the University of Uppsala in Stockholm said “These kids might be making life miserable for their fellow students. Or it might turn out that the attention problems they’re exhibiting could be related to the stress of being bullied.”

Unfortunately, treating ADHD won’t remedy the bullying because drugs for the condition impact a child’s ability to focus, but not the aggression that leads to bullying, says Kazdin, a professor of psychology and child psychiatry and director of the Parenting Center and Child Conduct Clinic at Yale University, and president of the American Psychological Association.

Bullying Tied to Sleep Problems
Sleep Medicine, June 2011

Children who are aggressive and disruptive in class are more likely to have sleep-disordered breathing than well-behaved children, according to new research. Conduct problems, parent-reported bullying, and school disciplinary problems were all associated with higher scores on a measure of sleep-related breathing disorders, according to researchers. The study collected data from parents on each child’s sleep habits and asked both parents and teachers to assess behavioral concerns. The findings suggest that bullying may be prevented by paying attention to some of the unique health issues associated with aggressive behavior.