“What?” I ask. Staring at my pediatrician, searching my
brain’s catalog in hopes of finding an archived file consisting of the words
she uttered in the sentence that preceded my question. I have been here before. I vaguely remember being in this moment, in
this space, in this fuzzy state of mind trying to make heads or tails of the
information bequeathed to me by a medical professional.
“Chronically inflexible…easily frustrated…highly explosive.”
Here we go. Again. “I’ve noticed in the
last year during our visits that your daughter is less adaptable than other
children her age. She is unable to behave in a logical and rational manner when
she is frustrated. The situation with her pink blanket (Oh No, she did not go there with Pink Blankie.)
overwhelmingly frustrated her. She was unresponsive to our efforts to reason
with her; and in fact, the situation became worse. I am concerned that she is lacking the
necessary coping skills to function well in everyday life. The pink blanket being left at home should
have been a relatively trivial event.” Should, she stressed, but it wasn’t, it
never is, nothing is ever “trivial” or easy with my daughter.
We go through a series of Q & A so that she could better
evaluate my daughter. Yes, she was difficult to soothe as a baby. Yes, she has frequent meltdowns. Yes, she has difficulty shifting readily from
one activity to another. Yes, she obsessively plans or recites plans and
persistently checks for authorization on something we have agreed upon repeatedly-
until it happens. No, she does not have
any language processing problems- she is smart as a whip. Yes, she struggles with sharing- what’s hers
is hers. Yes, she is exceptionally vibrant. Yes, she is acutely perceptive.
It’s conclusive. She identifies my daughter as fitting this
psychiatric profile for behavioral volatility-“An Explosive Child”. So, not ADHD/ODD like my eldest, and not ADD
like my middle, but highly explosive with a limited capacity for flexibility,
extremely low frustration tolerance threshold, rigid thinking, and poor
response to frustration to the point of incoherence. Yes, this is my sweet spitfire, my spirited
little soul.
I neither shy away from the assessment, nor condemn my
pediatrician to the deepest, darkest place on earth; rather, I sigh, inhale,
exhale, and breathe. I’ve got this. Armed with my humor and wit, (my saving
grace) I quickly ask my pediatrician what kind of trade in I could get for all
three, I am willing to negotiate a heck of a deal. Negotiation is after all a strong suit of
mine, having now three kids with special needs. She laughs. “Well, Heather,”
she says “I do believe you will navigate your way through this with your
daughter. These are not exactly foreign waters for you.” No, no, they’re not.
(By Heather Reagan-Isbill as published in San Joaquin Parents & Kids Magazine)
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