I will say unto God my rock, Why hast thou forgotten me? Why go I mourning because of the oppression of the enemy?
When the next morning came, with the sun, I was a little surprised because despite my night, the world continues on. I woke up with the same sun I woke up with yesterday, but a different reality. The world doesn’t know and doesn’t care about your night, so of course it continues on. I was raw, dizzy, faint, and nauseated. I felt like a ghost. Almost ethereal.
I sat in my room, in a chair in the corner for hours. I tried to figure out every possible explanation for why we were where we were. Like a secret code you think you can work out. My thoughts would consume me and when I would look back at the clock, I had lost 10, maybe 15 minutes in this maze. On its own not much time, but when repeated throughout the day dozens of times and you finally look at the clock, it’s as if an hours-long flash forward had occurred. I kept replaying the same questions and same possible answers:
Why would she do this? She is unhappy. Why is she so sad? Is it her non-existent relationship with her dad? Is it that she dislikes me? Am I too strict? Does she dislike her stepdad that much? Lots of kids don't like their stepparents. Maybe she wasn't trying to kill herself. Maybe this was her typical pattern of when she doesn't get what she wants she escalates anything in an effort to throw a metaphorical grenade at the situation. Why would a person who was going to commit suicide decide not to take pills because they heard it makes them sick? Would a person who really was suicidal even care about that? So maybe she is just manipulative? But why would she risk so much just because she was unhappy with punishment? Does she have a personality disorder? Those people who pathologically lie? But yet there are times she seems so real and genuine. And on, and on, and on.
But mostly, I was enveloped in sadness. A sadness that so oppressive that I couldn't seem to get out of it.
Our counselor called me in the afternnoon and said her contact at the psychiatric hospital, the administrator, was going to be unreachable for a while. She had no other contacts there she could call to get her released. Grace would be there for the time being. Doing what? I didn’t really know.
The scheduled, permissible time to call Grace per the paperwork I received was at 5. At 4:59, I was dialing and asking for to speak to child 9832, which was also on the paperwork as the way to identify Grace. My child was literally now a number.
Grace's voice seemed fine. She talked about how it was going. Said it was ok. Said she roomed with someone and that it was hard to sleep. Grace's softness in her voice led me to believe that perhaps she really was depressed to the point of suicide, that there was something chemically wrong with Grace; this was out of her hands. She was not making conscious oppositional decisions. She was really sick.
It is in some ways an affirmation of a parent’s love, and perhaps hope, that any tiny semblance of change, her voice in this case, can spark immediate tender feelings: Poor Grace. I needed to direct my thoughts and energies to figuring out why she was so sad and be uplifting and helpful to her.
Pages from Grace's journal while in the hospital
For my part, I only told the people I had to, and even then, it was not a description of what happened the night prior. I had to tell work why I was not in that day and only gave them the basics: Grace was checked into a hospital last night. I did not get much sleep. I need to take a vacation day today.
I told her two older siblings who were both away at college. I told my stepmother and let her tell my father. We had all already lost a family member to a suicide of course, his first born and only son. I did not tell my mother. She had advanced stages of dementia and there was no need to confuse her.
I had to call the school and explain her absence. I told them she was being hospitalized and I was not sure when she would be out. I didn’t give a reason and they didn’t ask. Some of her friends knew she had cut previously. It would not be hard to put things together and figure out she was not ok.
I really don't know who all stepdad told, or what he said about it to others. Recall, we were not living in the same home; we saw him on weekends when he did not have his children or if he was in our area for work during the week. Grace had no relationship with her father as mentioned earlier but I did tell him what had happened.
After a couple of days, you understand what it means to be ostrasized. Word spread. Parents and moms who had previously talked to me or texted disappeared. This is a group of students and parents who have been together since Kindergarten. I had one solitary mom and classmate from this tightly knit, Christian school reach out to me a couple of days after Grace had been admitted. I had no doubt Grace was now branded. I had no doubt I was being talked about as a parent – probably a mixture of “child of broken home” and “single parent” theories were being discussed. And in retrospect, I selfishly and shallowly admit I was embarrassed because of it. I was still taking Caroline to school in the mornings and because Caroline and Grace had siblings in the same grades, the families at Caroline’s school now knew as well. People disappeared, even when they were right in front of you. They would look away when I would show up for morning drop off, or when I was in the hallway at the school.
We (me, Caroline, stepdad) visited Grace at the facility on the first day that an in-person visit was allowed. We signed in and sat in the waiting room with the other parents and family members who had loved ones there. The families keep to themselves, talking only with each other. Had we all been in the waiting room of a pediatrician’s office or even a school office, there would at least be some kind of intermingling – particularly with the younger children present. We are all very different as evidenced by dress, mannerism, and even accents but are all bound in a way that is so ugly and sad: to “visit” our minor children who are in a juvenile psychiatric hospital. You find yourself trying to make stupid conversation in hushed tones to each other, like this is in fact just a visit to a doctor’s office, or school office.
When the time came, the orderlies/men in scrubs came and opened the secure glass double doors to let us in. We sat in the open cafeteria area that was right inside the double doors. There were round tables and four plastic chairs to a table. All the families had now taken their tables and were sitting. The patients were released all at once and when Grace walked out through another set of double solid doors and over to us, she was almost giddy, like happy.
She sat down and talked about the girls she was meeting. One was a meth head, one had gender identity issues and the meth head was really nice to her. And her roommate snuck in a homemade Ouija board and they played it. And Grace snuck some extra food to her room from the cafeteria. Grace was enjoying her stay and enjoying group therapy where all the girls would talk about their problems. Grace also announced she was nothing like these kids but did like all the cool people she was meeting. And hey, she added, there was a girl with some cool piercings like Grace would like when she got out. There wasn’t much back and forth conversation, the usual give and take when people talk. It was largely she who talked followed by periods of silence as we watched her tell us about her new life here. Time was up and the orderlies made an announcement to the families it was time to leave. People hugged their children, and I hugged Grace and then we left.
The visit was dis-heartening. I think I expected a Grace who was more subdued, who was not seeing this as an adventure, who was realizing there was nothing about this entire ordeal that was “normal” or healthy, who was realizing she needed help, who was realizing that her family has been so worried and so tired of the lying and cutting and oppositional behavior. I had hoped that she was ready to get better and come back and be a part of the family. Yet, this was a Grace who had simply met new friends and was learning new things. This was not the same soft-spoken Grace that was on the phone call.
I returned to my office on Friday - four days after Grace had been admitted. I was later told by my boss that it was hard to look at me. Not because I looked pale and drawn, because I did, but because the emotion was so raw. And I was a shell of a person.
The sun kept rising and setting. The days kept coming and going. My day to day experience consisted of moving through routine motions but missing a key part of my body, a ghost limb. You can’t focus. Something is missing.
Grace’s therapist had warned me that there would be calls from the hospital suggesting Grace go on different meds, more meds. It was their go-to treatment for these adolescents. Just know the calls would come, she said. And they did.
Actually, at the intake, the tech gave me a paper that asked for blanket approval for thorazine, an anti-psychotic, which I denied because she already on meds, and I knew she would never be at that point. We got calls about sleeping pills for her because she could not sleep. I said yes on the first night for no really good reason now that I think on it. But, when I called the next morning to check on how she had done with the sleeping pill, they had not administered it. Why? By the time they got back to her, she was asleep. The first line of defense. Give them pills.
I declined it the other times. And I asked for the doctor to call me; it took over a week to get a call.
As the therapist had told us, the situation was now out of our control. Our access would be limited, and our ability to get information on her would be limited.
We called once a day at the set time and talked for 10 minutes, no longer and sometimes it was even shorter. We could visit twice a week for an hour, no longer. The more distance I had from the initial intake and Grace’s first phone call with me, the more I returned to my original position that some of Grace’s behaviors were driven as much by depression as by something else. I didn’t know what the “it” was, though. Wanting to control her surroundings, or hating me, lack of a spiritual center, or simply doing whatever it took to remove herself from a situation she didn’t like - like mice who will chew their legs off to escape a trap – seemed to be good possibilities for the driving force.
After my first phone call with her new psychiatric hospital therapist, I learned that the goal of the hospital was only stabilization, not to help her transition back to home and living with the family. And so I really don't know what their group therapy sessions revolved around other than I was told about the things that made Grace unhappy, in Grace’s point of view: I had her password to her facebook and phone, "all the kids" were doing the things Grace was doing: sneaking out, using foul language, cutting, sexual texts. I was "really strict," she didn't like that there was a stepdad now, she didn't like that things had changed when we married. She was, in her therapist’s words, "normalizing" her behavior. Asserting that the things she was doing were "normal."
And beyond that not much else was learned, and in fact, I already knew all of the above. And how many other countless kids object to the same parental limits and go through these same difficulties, yet don't try to kill themselves? And we were also missing a key point I thought: Grace got angry because I took her electronics when she snuck out; she could not get them back. That is precisely what precipitated her stay at this hospital. I punished her; she didn’t like it. I am not suggesting that she wasn’t also dealing with depression, but I am suggesting her reaction to a punishment was a catalyst for the next couple of years for the family.
My schedule adjusted, again. My afternoon becomes structured around the time that I am allowed to call my child. You don’t want to have another phone call right before 5 and don’t want to be somewhere away from a land line or cell signal. You don’t want to be in the middle of cooking. You don’t want to be watching television. If you call a little past the time, you will get a busy signal because other parents are calling. Then, you will be repeatedly re-calling until a line opens up. There was one day I just didn’t want to be held hostage by 5 o’clock, so I didn’t even call. But, that day, stepdad did. Her older brother and sister also called her a couple of days. We drove to the facility on the days that we were allowed to see her. On those days, I would need to leave work a little early to swing by the house and get Caroline first to make it to visitation in time. We are either calling her or visiting her.
Her grandparents came to the psychiatric hospital to visit her as well. They thought about what the exact right thing was they could say to help her. Her grandfather, in particular, believed that if he could just phrase something the right way, it would all make sense to her. I believed the same.
At the visits, Grace continued to maintain that she was different than all the other kids there. She was not as "bad" as them. She never saw herself as one of them. Even though, there she was. With all of them.
Grace stayed for almost two weeks. The first couple of days were a devastating reality: I have a child in a psych ward. A part of me is missing. I am a failure. I am embarrassed. Then, over the course of the following days, I came to see her being gone as almost a nice respite. I could come home and not be concerned with what kind of mood I would face, there would be no oppressive atmosphere in the home, Grace’s younger sister and I could have a regular evening without being in continual anxiety over what might transpire in the home. There was no shouting, no cuts I was having to monitor, no phone I was having to check, no discussion about what chore was undone or half-done, no urgency, no crises in the home. Then toward the very end of Grace’s stay at the hospital, I began to feel hopeful again; she would come back changed. The ignorance of this statement upon reflection years later is stunning to me.