Rob posted a few weeks ago on this blog about our parent retreat. Since that post we have had some very nice comments from parents, students, and staff who attended. I thought it might be nice to hear directly from one parent about her experience at the retreat. I was struck in reading her email by how alone parents can feel when dealing with a significantly emotionally challenged teen. The retreat helped many parents and students recognize similarities and also helped to end some of the isolation they have felt. Here is the unedited letter from the attending parent:

"My husband and I both attended the CALO parent retreat and found it to be extremely helpful.  Our situation was a bit odd: our daughter had only been at CALO for 6 weeks when the retreat happened and she refused to go on the retreat with us.  We initially felt awkward being the only parents whose child chose not to attend, but we also felt strongly that there would be a lot to learn at the retreat and it would be a great opportunity to meet the other girls in the program as well as their parents.  We found this to be the right choice on all counts.

The staff were amazing and we learned a great deal from them. They gave seminars, but they also taught us important things with the activities they had designed.  The activities were all designed to build trust and closeness and it really worked!  We enjoyed the adults and teenagers on our team very much.  And although we were sad not to have our daughter with us it did give us a chance to watch other families try to handle the same problems we have had with our daughter.  The similarities between their stories and ours were both startling and very encouraging.

As the parents of children with attachment disorders we had all tried everything we could think of...we had read parenting books and tried lots of different parenting strategies and in spite of all our efforts our children were in treatment. During meals at the retreat we discussed these things with the other parents and it was heartwarming to hear different versions of the same stories.  So many of us feel isolated and confused and in many cases harshly judged by friends, neighbors and even family who generally see our children at their best and cannot imagine why that charming child would behave so badly for us. What in the world are we doing wrong?  We left the retreat feeling as encouraged as we had been in a long time.  The other parents were encouraging, the staff were encouraging and really, the other teens were encouraging talking about their own issues and improvements and their hopes for our daughter.  We are so glad we went and look forward to another retreat- hopefully one that our daughter attends!"

With apologies to MD's everywhere I would like to give a very short lesson on the brain and its development. I am hopeful that a short synopsis of some of what we know about the brain will then help us understand some of what can positively impact the brain in later, teenage life. So here goes:

The brain can be subdivided into three regions--the hindbrain, the midbrain, and the forebrain. The hindbrain is where autonomic bodily control is regulated. Food consumption, hunger, digestion, food search, breathing, various senses, etc. are regulated and controlled here. In general, the feeling of "I need, I will go get what I need" for physical well being comes from this area of the brain. The midbrain is where relationships with others are felt and where physical proximity is interpreted as good or bad. Touch with emotional meaning is interpreted here. To some extent, love is felt here. The forebrain is where cognition is accomplished. It is the part of the brain that uses rational argument, that formulates sentences, that writes in this blog and uses logic. It is the part of the brain that allows us to think about our existence in existential terms.

Various activities and life events operate more substantially on just one of these three regions of the brain at any given time. During early formative years, keeping a child away from food would activate his/her hindbrain and keep the child in a survival mode in ways that would adversely affect brain development. In ways, the child would become partly stuck in base survival activities. S/he might hoard food. S/he might run away and try to survive on his/her own. Another child who is given food, shelter, and water, but who is abused sexually from birth to pre-adolescence might then learn that sex is to be used in relationships to get what s/he wants. S/he might be promiscuous. S/he might always look through a lens of who has the power in any given situation and then try to align with the power players in the environment. Or s/he might try to always maintain the power position by intimidation and manipulation. That would be what s/he has learned from abuse and control.

The teens we work with at CALO come from situations where the hindbrain and midbrain were developing in abusive or neglectful situations. More...

Every so often we receive communication from former students and parents of students. It is nice to hear how they are doing and what they are up to. I recently received a letter from a parent whose daughter had returned home seven weeks ago. The parent was giving us an update and had this to say about his daughter, who I will call Julia. He wrote: “As of today, Julia has been home for 7 weeks. To date, we have had no ‘volcanic behavioral eruptions.’ Whenever Julia has been anywhere close to a meltdown, she draws upon the coping skills learned at CALO, which certainly includes spending time with her dog, Anya. We continue regular therapy with Diana Giest, the wonderful attachment therapist you met during her visit to CALO last summer, which has been helpful. Ken, it’s difficult to put into words how much it means to Mom and Dad to not have to be ‘hypervigilent’ in our parenting, to protect Julia from poor choices. At this time of year especially, we are thankful to you and your colleagues at CALO for their help and support. You do amazing work!”

That letter alone was quite kind and I am grateful for this parent’s words. That parent then sent a handwritten note from Julia. Here is that letter. Just click on the pdf below:

student EK letter.pdf (1.00 mb)

This was a “payday” letter and the reason we do what we do at CALO. Just wanted to share it with you.

Most parents desire to guide their children to healthy emotional regulation.  Some do this by raising the good through identifying and reinforcing positive behaviors, “Sally, thank you for not interrupting.” Others do it through discouraging behaviors, “Tommy, please stop whining.” Some try to do both. 

At CALO, we too wish to focus on healthy emotional regulation but one of the benefits of having the structure of an RTC is our ability to focus on the root of emotion instead of the surface (crying, sad affect, hyperactivity).  We call our approach, “permission to feel without violence.” At CALO, students are given permission to feel their various emotions—depression, happiness, anger, joy and so forth provided their actions are safe (non-violent).  Yes, we provide tools to assist them in regulating their emotions (Trust of Control) but ultimately, as human beings, we need to feel various emotions from time to time and have someone listen and validate some of those feelings (as long all feel safe).  Naturally, most people are most uncomfortable with negative emotions.

Here is a challenge for anyone reading this—the next time your child, spouse, or co-worker shares something emotional such as feeling sad, depressed, or angry, try to really listen, attune, and accept the person’s feelings instead of trying to make the person feel better. You will know when you need to provide feedback or create insight but first allow a safe environment to explore feelings—give permission to feel.