A Lightbulb Moment
We visited my cousin a week and a half ago at her psychiatric clinic. I think I did mention the visit in a previous blog post. I never had any qualms about the clinic environment, because it's a pretty nice, high-end type of place. It's bright, airy, the staff are casual and friendly, and I've never heard anyone screaming. When we go over there Sunny usually plays games with my cousin and anyone else who happens to be hanging out in the lounge area.
Last time, Sunny had some very bad behavior after we left. We had to spend about ten minutes in the parking lot and back porch. I always refuse to get into the car with Sunny once he passes a certain point of emotional turmoil. It's because I don't want him throwing stuff at me while I'm driving (if he gets worked up while I'm driving, I immediately pull over).
Tonight, when we went to visit, I prepped him extensively. I reminded him that my cousin might not feel well. "If she has a headache, we have to turn around and go home." I reminded him that the clinic might have an outing, and we might have to leave early. I told him to try and keep calm when it was time for us to leave. I gave him all sorts of reminders covering various contingencies. I was a little nervous of taking him anyway, given the rough week we just had, but he seemed to have recovered, and he'd been begging all weekend to visit my cousin.
So we showed up at 5pm, in the middle of visiting hours. Luckily, my cousin was feeling well enough for a visit. She always lights up when she sees Sunny. He really is a little ray of sunshine (except when he's a thunderclap of doom, of course, but mostly, he's a little ray of sunshine).
We had dinner together, although she didn't feel quite well enough to eat. She's on a lot of medications that do unpredictable things to her appetite. He was so happy to see her. He even repeated, unprompted, what I'd told him earlier: "if we come visit and you have a headache, it's OK. We'll just come back when you feel better."
Sunny had a fantastic time playing Pictionary with my cousin and three other patients. I told him we were going to leave at 6:30 and gave him plenty of reminders. The game wrapped up naturally around 6:30, then we said our goodbyes, signed out, and walked out the back. Again, out in the parking lot, Sunny started breaking down and picked an excuse to fight with me. He wouldn't do his deep breathing exercise when I asked him to calm down. He just got more and more worked up.
"All you ever do is mean things to me."
"I say I'm sorry a million times, but you don't listen to me."
"You just want me to freeze to death" (but this time I had moved back into the heated back porch and I was preparing myself for the breakdown)
"You never listen to me."
"You don't care about me."
"You're mean."
"You're a total idiot."
"You don't listen to me, you don't care about me, I hate you, you hurt me and you never say I'm sorry, you don't listen to me when I say I'm sorry, you're never nice to me, you're mean to me..."
At one point one of the staff came to the back porch and asked if we were having trouble with the door. I just gave her a forced smile and told her we were going to be on the porch for a little bit because my son was having a tantrum, but he'd get over it. I'm past the point of being embarrassed when things like this happen. The only thing I ever worry about is people calling the police or child protective services. I wasn't too worried about that here. It's a psychiatric clinic, after all.
He screamed and cried and accused me for a while. He started pushing and grabbing at me. Finally, I had to put him in a light basket hold. His fit wasn't as bad as it could have been. He wasn't screaming curse words or trying to hit me in the face. In his worst fits, I can't use a basket hold at all, since I have to restrain him so that he's incapable of head-butting.
Finally, he moved to the inevitable stage: from blaming others to blaming himself. This is the only point where I talk. I can't argue with him when he's blaming me. He just doesn't listen. But I can argue when he's blaming himself.
"I hate myself for doing stupid things all the time."
- "You shouldn't hate yourself and you don't make bad choices all the time, just some of the time. You should say 'I'm nice'. You should say 'I love myself'."
"I'm nice I'm nice I'm nice I'm nice. IT DOESN'T HELP."
At this point a lightbulb went off in my head.
-"Does saying goodbye to [my cousin] remind you of having to say goodbye to anyone else?"
"Yes! It reminds me of the time I said goodbye to Mommy ___ and it was my last visit ever and I never saw her again and then she died and I'll never see her again ever. It makes me feel JUST THE SAME."
Oh... my... God...
Sunny loves her deeply. She suffers from a mysterious disease that adults can never really explain to him well. Communication and access to her is completely out of his control. Visitation takes place at a supervised institutional setting. Of course it's exactly like saying goodbye to his biological mother.
One day, his worker and his foster mom told Sunny that there wouldn't be any more visits with Mommy __. Termination of parental rights had been completed. But there would be one last visit. So they took him to the official visitation room and let him play together with Mommy __ for a few hours, and then he had to say goodbye, a goodbye on the last visit ever. It brings tears to my eyes thinking about what he must have felt.
Sunny's rage towards me, and towards himself, completely vanished at that point. He just cried and cried. We talked a bit more about missing Mommy ___. I told him that whenever you feel sad, it makes you feel better to tell another person why you feel sad. And even if there's no one else around, you can tell yourself why you feel sad, and that will make you feel a little better. Not all the way better, but a little better. And of course he misses Mommy ___ and it was a terribly sad thing to have to say goodbye to her like that.
It was 7:00. We starting driving home. I reminded him that he could talk about missing Mommy ___ anytime, and he could also call Nana N and talk to her about it, because Nana N missed her just the same as he did. We did call his Nana N when we got back home, but he didn't feel like talking about it by then, even though I gave him a little reminder.
He was his normal happy self for the rest of the night and went to sleep right at his bedtime.
The difficult part for me is that I can't talk to my cousin about all this. Her mental state is too fragile. I'm going to take Sunny to visit her again next week but this time I'll bring someone else as well (Guy or Nana) and make sure we're totally prepared. I think visiting and then breaking down afterwards is going to suck, but ultimately it's good for him to see that he can say goodbye, but my cousin is still going to be there next week. I think it would be worse if I didn't take him on visits at all.
If she ever kills herself, I'm going to kill her!
Sunny is dangerously full of need and full of love.