Advice/help for teens with social phobia

cob1

New member
Hi--First post. My 14 year old daughter has social phobia/anxiety. She has been in treatment for 2 years with no appreciable improvement. She refuses to go to school--which is obviously problematic. Last year, in 8th grade, she attempted suicide because she said she was sick of being anxious all the time. At that time, she was switched from zoloft to prozac. First week of 9th grade went well. Then the bottom fell out--more refusal. We have been fighting this refusal for several years. Fortunately,she is bright and can make up work. Last year she missed over 50 days. It is very disruptive to the family (we both work) and obviously not healthy for her. We switched therapists last month.

Parents--how do you cope, especially with school refusal? We pulled her out of school last month and are using cyber school for now to keep her education moving forward. But she has already started to isolate herself more. I feel like we are in a no-win situation. The past couple of school days she has not done everything she is supposed to do for her on-line schooling. If she does not follow-through with this, I am at a loss about what to do next. The balance between supporting and enabling is tough. Such a fine line..

She has asked about boarding school--have any social phobics out there ever done this?

Sorry for rambling.......
 

Silvox Black

Well-known member
I am no parent, so I'm afraid there is little advice I can offer you. However, I must ask if there is any way that your daughter could make her own profile on here and post her own thoughts? Perhaps that would allow her to speak freely and vent her troubles on the forum?
 
Wow, such a tough situation.

You say she's been to therapy and is taking medication? I'm surprised that hasn't improved her SA. Perhaps find a better therapist.

I'm really puzzled because at least the medication would have helped. But then again, maybe not. I took prozac and it has helped more with depression than with SA, which has helped with my SA (because I am happier) but not directly. I would recommend paraxotine or paxil, personally. I have not taken these myself but I am very positive and hopeful that they will do wonders for me. I have not taken them yet because I want to take them when I am more 'ready' (when my "situation" is better - such as more confidence, better financial situation, and more eagerness to improve).

If switching therapists or medication doesn't work, then I am forced to believe that it may just be her "situation" that is causing this (such as a lack of confidence with her appearance, her personality, etc.). For me, I am no longer incofident about my looks, my personality, or my intelligence. The thing I am fighting now are the automatic unrational thoughts that have become embedded and wired into my brain - thus, medication and therapy does wonders for me, because my "situation" allows treatment to work. However, if I truly felt ugly, boring, or stupid to myself, no medication or treatment would help me, because my believes would not allow it.

So, I would also recommend talking to her. Ask her if she finds herself pretty, intelligent/smart, or fun...etc. And if she doesn't, then work on that first. That's what I did, I began working out (as I weighed 115 pounds out of highschool), started getting into more fashionable clothes, styling my hair. My confidence grew because I was both getting more attention from the opposite sex and more respect from other males.

I hope you understand what I'm saying - if neither good medication or therapy work, work with her on her situation first. If what I'm trying to say doesn't make sense, please let me know so I can clarify :).
 
I am no parent, so I'm afraid there is little advice I can offer you. However, I must ask if there is any way that your daughter could make her own profile on here and post her own thoughts? Perhaps that would allow her to speak freely and vent her troubles on the forum?

Agreed. I like to think it is better for one who is suffering to vent with others, albeit online, who are suffering.

Having someone simply agreeing or stating they feel the same may have great beneficial steps forward. I am always open to correction.

I do, however, understand the hesitant feeling of not allowing such a thing.
 

Feathers

Well-known member
Hi Cob & Welcome! :) I think it's great you are looking for answers!!

Hi--First post. My 14 year old daughter has social phobia/anxiety. She has been in treatment for 2 years with no appreciable improvement. She refuses to go to school--which is obviously problematic. Last year, in 8th grade, she attempted suicide because she said she was sick of being anxious all the time. At that time, she was switched from zoloft to prozac. First week of 9th grade went well. Then the bottom fell out--more refusal. We have been fighting this refusal for several years. Fortunately,she is bright and can make up work. Last year she missed over 50 days. It is very disruptive to the family (we both work) and obviously not healthy for her. We switched therapists last month.

Parents--how do you cope, especially with school refusal? We pulled her out of school last month and are using cyber school for now to keep her education moving forward. But she has already started to isolate herself more. I feel like we are in a no-win situation. The past couple of school days she has not done everything she is supposed to do for her on-line schooling. If she does not follow-through with this, I am at a loss about what to do next. The balance between supporting and enabling is tough. Such a fine line..

She has asked about boarding school--have any social phobics out there ever done this?

Sorry for rambling.......
I don't think drugging teenagers is an answer. Sorry if this sounds harsh, but meds just have too many side effects and too many therapists just hand them out like candies. (At least in my country and I hear elsewhere too..)
(Being suicidal can be a SIDE EFFECT!! Especially for young people under 24 years old! I bet they didn't tell you that, hmm? Google it!! 'zoloft side effects suicidal' or 'prozac side effects suicidal' Prozac can cause apathy and depression too!! It can also cause people to be 'irritable, agitated, hostile, aggressive,' so be careful about how you go about it with your daughter.. This site says:

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Read more: http://www.drugs.com/prozac.html
paraxotine or paxil can be highly addictive too, with very bad withdrawal symptoms, there are forums and guide books on how to get off it!!

Have you tried actually TALKING to your daughter? I heartily recommend books by Faber & Mazlish: How to Talk so Kids Will Listen, I hear there's one for teenagers too, haven't read it yet..
You might want to brainstorm any solutions together too (and make decision trees), but first please get the book..

Please work on your communication skills and the communication between you two and in your family overall... Do you know what is causing her to not want to go to school? Has she been bullied, did people offend her, did she feel singled out by teachers...? Did she fall in love and the guy mocked her? Or her best friend betrayed her? Or people have been pushing drugs on her? Lots of possible reasons can be behind that.. (in combination or alone) You don't have to believe or 'buy' everything she says, but please listen.. (Read the books first if you don't know how to listen..) There are lots of other good books on communication too.. Then maybe you can both come up with strategies together..
It's really important she feels listened to and understood..

Then, if the talking alone might not be enough, you might want to work on some 'consequences' too.. They're described in books by Faber&Mazlish and in books by Jane Bluestein..
Do you know what she likes/wants/appreciates...? If not, get to know her. You'd be surprised how many parents don't really know their kids at all.. If you do know, and these are 'privileges', consider connecting her acts with the privileges.. For example, if/when she does her work, she gets the privilege of... (eg using internet/computer for entertainment too, her favorite meal once a week (if it's healthy), or a new book or course she wanted to go to/take, online or offline..) Talking to her and finding her reasons, listening and being sympathetic and such has priority though.. If you just try to 'enforce' consequences it might cause even more resentment.. especially if she's a 'rebel' kid or maybe artsy and sensitive or even HSP (highly sensitive person)... some gifted kids can also be bored with their school work.. (Also check if YOU are HSP or gifted, or both... Or if other relatives are.. These things can run in families...)

Also look if she's addicted to TV or video games... some people are.. again, the situation might be tougher if she is, there may be some help online or offline, but you might need someone specialized in this..
Has she been spoilt as a kid? Have you had well-established boundaries? Things to work on.. (Many therapists don't know how to deal with this, where I live there is one therapist that specializes in 'spoilt kids' and he's quite effective I hear..)

If she is like some people on this forum, she might not say anything to her therapist or be uncooperative.. She might also be insulted you sent her to one in the first place.. (if it wasn't a mutually agreed upon decision) It's really important that they 'click'.. for some people, it takes a few tries before they find someone that can help.. But don't expect the therapist to 'wave a magic wand' - you and your daughter need to do the work.. Some basics of CBT may be helpful to you both...

It doesn't help if there is too much pressure from you two... Know you might never have a 'normal' daughter, but you might have a wonderful, intelligent, shy, quiet, caring, loving daughter... Please try to appreciate her uniqueness.. Even if it's very different from 'the world around' or what you think teenagers 'ought to be'...

The line between controlling and helping can be a fine line too.. And it's an art to parent, yeah.. I do admire you parents, you are BRAVE to have kids!!

Can you ask her what she likes about the idea of boarding school? (Has she read too many Harry Potter books? :D) What kind of life does she imagine there?
Can you financially afford it? (Or would it be a struggle?) All things to discuss.. And maybe research what it's really like..

People have had different experiences at boarding schools, depends on the school too.. It's best to talk to someone who has gone to a school you or she might have in mind.. Does the school have a mediation/anti-bullying program? (And what kind? Who is it run by? Is it effective? Things to consider...) If she's gifted/highly intelligent, is the program suited for her needs? etc.
 
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punklove

Well-known member
Well now I can kinda see what my mom's going through with me.
I think it was a good idea to get her to do school online... I wish my mom would do that for me.
And I agree with Silvox Black she should get an account on here so she can see that she's not the only one who is going through this.
I really hope everything goes well and I'm sorry that I couldn't really give useful advice but all I can really say is don't treat her like she's an inconvenience and don't show her that she's frustrating you.. my mom made that mistake with me quite a few times.

Oh and if I may ask how did you get her involved with cyber school?
 
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