This Oprah episode is a repeat but it was new to me today. In fact, I missed the show. My mom called me to tell me about it. A family working hard to help their darling seven year old child named Jani with Childhood Schizophrenia. I looked the show up online and watched all the footage I could find. Jani is in the photo above with her mom and dad.
When Maizie was three she was misdiagnosed with Bipolar Disorder. It was not until she was six or so that Autism was discussed. I believed early on that Maizie was possibly Autistic and Bipolar. The more research I did on children with Bipolar Disorder I began to think that the diagnosis was not fitting for her. The medications Maizie was taking helped with some of her extreme outbursts and inability to sleep but her lack of communication abilities, learning struggles and some of her behaviors kept signaling to me that Bipolar was not it.
We went to many different child psychiatrists and neurologists. Some accused me of diagnosis shopping, whatever that is! What was most important to me was getting an accurate diagnosis for Maizie so that she could be on the correct medications and get the best education she could. Medications that would actually help her rather than cause more difficulties for her. A few of the medications Maizie was on made her hallucinate. I remember a terrible hallucination she had when she was almost four years old.
Maizie was on my lap and I had been trying to calm her down after a long day of screaming and self abuse. Suddenly she had this look of terror come across her face. She pushed her arms straight out and began screaming that a man was trying to stab her. First of all I was stunned because Maizie rarely spoke and when she did she parroted. And then terror struck me. What she was screaming was so real to her that I had to make whoever was trying to stab her go away. I held her close as she kicked and screamed. Nothing I did or said would make it stop. Finally, after a few minutes I could tell whatever she had seen was gone. There were a few other times when Maizie hallucinated. Once she saw dinosaurs in our car next to her. A parent can tell the difference between an imaginative child and a child who honestly sees what they are describing.
I began running over the list of Maizie's medications in my mind once again. Was this hallucination from a medication, from lack of sleep or simply from being Bipolar (her diagnosis at that time)? There is nothing worse than not knowing how to help a child when the symptoms are so overwhelmingly confusing and many of the medications made to help the child can actually cause hallucinations. We had no idea what to do. After three days of Maizie not sleeping and becoming increasingly violent we gave in to hospitalizing her. This was not a good situation. Maizie came home ten times worse than when we admitted her. Once back home we were even more exhausted and confused.
I believe that Maizie was hallucinating because of a lack of sleep and possible medication interactions. Once we were able to get her to sleep again and tweaked her medications I don't think she hallucinated again. However, her aggression was an ongoing issue for years. Now, Maizie is rarely aggressive. I attribute medications to helping her control those outbursts and lots of parental patience and time.
Medications are very controversial in the Bipolar and Autism community. Especially for children. Some people believe medications are the cause and for others they are a miracle. In our case medications have made a huge difference for Maizie.
Reaching a diagnosis that was fitting for Maizie took years. It was not until we focused on the diagnosis of Autism and CVS that Maizie began to show improvement. Her chromosome disorder diagnosis further complicates how she "presents".
Some of the comments left on the Oprah boards in regards to this beautiful little girl Jani frustrate me. People writing that Jani has "spiritual issues" and medications are making Jani's situation worse. Why do people insist on saying such things? I knew a woman once who believed Maizie was seeing spiritual entities in our home and that was why she was unable to sleep and control herself. We did not stay friends for very long.
It is obvious that Jeni's parents are going above and beyond to help their child. I can understand their drive and willingness to sacrifice so much for the sake of Jani. It is heartbreaking to me at the same time. I know the toll it will take on their marriage, friendships and their second child. There are no easy answers. As parents they have to do what is right for their family in this moment.
I imagine they have had lots of advice and most of it they have to push aside. Some good and some that makes you want to scream. A few people in my life back when Maizie was at her most difficult were always encouraging me to put Maizie in a "home". For me and Maizie, that was not an option. And even if I thought that would have suited her situation where are these so called "homes"? Yes, there are group homes in many communities for children. What most people don't know is there are very few and the waiting lists are terribly long. Funding is a huge problem and most communities do not have any options for families such as Jani's. Not to mention some children with certain diagnoses don't fit in a group home setting with other children and are denied. Families are left virtually alone to help their "very complicated child" survive. Friends, doctors and families have no idea the struggling it takes to make it through and most give up on these families because they don't know what to say or how to help.
An accurate diagnosis is important. It always confuses me when people fight diagnosing their child and call it "labeling". Without a diagnosis what happens? Too little. Even starting with an unsure diagnosis like we did is better than no diagnosis. I have found that many doctors are not open to various diagnoses. Many seemed to have their "specialty" and were quick to diagnose Maizie with whatever they supposedly specialized in. Here is a list of diagnoses Maizie has had ADHD, Reactive Attachment Disorder, Oppositional Defiant Disorder, Early Onset Bipolar Disorder, Generalized Anxiety Disorder, Pervasive Developmental Disorder,Obsessive Compulsive Disorder, Depression, Post Traumatic Stress Disorder and Learning Disorders. I am sure there are some I forgot to mention.
Diagnosing is complicated and typically most children have co existing conditions that complicate everything. Most importantly...a parent should follow their gut. If a diagnosis is not fitting keep searching. Watching the footage of Jani it is obvious that her parents have a long struggle ahead of them. I always reminded myself that I was in it for the long haul with Maizie when people would give me unwarranted and sometimes hurtful advice. My heart aches for this family. It sounds like they have an accurate diagnosis and the medical professions to help Jani. Unfortunately, it seems they have very little family and outside support. Our society is much more accepting and willing to give support to families of children with life threatening illnesses such as cancer. Childhood schizophrenia is life threatening and the stigma these families have to fight is all very real.