Depression and Anxiety: Symptoms or Diagnoses?

 Depression and anxiety run STRONG in my family.   Both of my parents self-medicated with alcohol and my brother was suicidal, beginning in his teens.  So no one questioned why I woke up one morning severely depressed; not even me.  But, it hit me like a bolt of lightening on a sunny day.  I was an accomplished college administrator bringing home some pretty hefty bacon.  I loved my job and was using my successes at work to write my dissertation.  Everyday I hurried home to my two young children who were happy and healthy.  I was always in awe when I turned down our 1000’ driveway and it opened up to a pristine piece of heaven complete with horses running across the fields.

Then, in an instant, everything changed.  It was a Friday morning.  I felt so horrible that I didn’t hear my husband calling Cheryl, my therapist.  I had been with Cheryl during the years I struggled with infertility.  She also counseled “us” when my husband’s parental rights were terminated from a daughter he and his girlfriend had had in high school.  I had been seeing Cheryl again fairly regularly because I thought I needed a tune up.  I certainly needed more than a tune-up that morning.  I had hit a pothole in the fast lane.

When I sat down in her office, I thought about how we had recently been trying to right my ship.  Something in my life had become unmanageable, but I couldn’t put my finger on it.  That morning, I felt so far off course that I couldn’t imagine what “normal” felt like.  I leaned on my knees while Cheryl directed all of her questions to my husband.  There was a short pause in the conversation and Cheryl darted out of the room, reappearing a few minutes later with the psychiatrist.

Dr. Warren simply said to me,  “Kay, you won’t be able to go back to work again.”  I didn’t react, but I thought,  “That is absurd.  This guy doesn’t even know me.”  At the same time panic was setting in.  What wasn’t absurd was that I had an incredible amount of responsibility and a never ending number of projects to do and I was in no shape to go to work.  It had taken every bit of fight and energy I had just to get to this office this morning.  I needed someone to help me.

I sat across from my husband, Cheryl and the psychiatrist who were standing and waiting for me to say something.  Then Cheryl sat down next to me and touched my arm.  “Kay,” she said gently but firmly, “You have severe depression, that’s obvious.  How long do you think it will take you to over come this?”   Honestly, I had no clue, so I thought about how long it takes the body to heal from any major problem.  Then I padded my answer with a couple of weeks so I wouldn’t sound as uncertain as I felt and responded, “I don’t know about 6-8 weeks?”   There was a long deafening silence.  Cheryl and the doctor exchanged serious looks before she dropped her head in her hands, and blurted out, “try 6 years.”  

You would think that if depression just happens to people because of a genetic link, that I would have succumb a lot earlier than 43.  But that wasn’t even the issue. At some point, soon after that Black Friday, my husband had had a private discussion with the psychiatrist and had made another appointment for me.  During that second appointment, the doctor diagnosed me with Bipolar Disorder.  I had never even heard of Bipolar at the time, but come to find out bipolar is the most genetically influenced mental illness.  However, unlike depression, bipolar had never turned up in my family’s history.   I insisted that he was wrong, but Dr. Warren told me that other people (meaning my husband) could see my moods and behaviors better than I could.   I really wasn’t buying it, but I was desperate for the depression to lift, so I got my marching orders and I started on a boatload of medications, hoping that soon I would feel a lot different.  And I did, I soon felt like a zombie.

I was scared as hell about the “side effects” I was having with these medications, but I was even more frightened about not getting better.  I faithfully took my toxic medications, attended individual and group therapy, underwent countless bouts of electroshock therapy and read, studied and prayed day and night.  When my mental health continued to deteriorate, my psychiatrist filed papers for disability.

In the meantime, I laid on the couch wondering if my husband was right and I really was crazy.  I didn’t know how people “go crazy” or “are crazy,” but I didn’t think that one day I’d be having children, riding horses, and feeling the normal pressure of a demanding profession and the next day, “boom” I couldn’t function enough to sign my name. 

Everyone was really worried about me, except my husband.  He didn’t even care for me during that time.   I agreed with him, as I always agreed with him, that “we” didn’t want the children to see me in such a fragile state; so I was closed off in a small room with a T. V.   I only now know what he was telling my children.  What he told me was, “I like it when you are down, then I have all the control.”  I knew then that I needed a miracle.

To Be Continued…

Courts That Care?

As we begin to talk about trauma, I thought it would be good to re-post this blog from last February.  The newest addition in the library section of this website now contains the protocol manual being used for family courts to become trauma informed.   Every targeted parent in family court must be aware of the official, professional movement to make family courts trauma informed and use their personal cases as avenues to protect their children while pushing the movement forward.    We are traumatized and our children are traumatized.  We need courts that are trauma informed! 

According to the protocol manual for developing trauma informed courts, "Juvenile and family judges and courts are in a unique position to promote healing and prevent future trauma.  In 2013, the National Council of Juvenile and Family Court Judges (NCJFCJ) undertook development of a court trauma consultation protocol in response to an increase in requests for assistance from courts seeking to become trauma-informed. the NCJFCJ and organizations such as the National Child Traumatic Stress Network (NCTSN) have an extensive history of providing training and technical assistance to courts on traumatic stress."

Published February 10, 2016

Recently, The Honorable Marshall Murray, a respected and experienced Circuit Court Judge in Milwaukee County, co-authored a blog with the National Council of Juvenile and Family Court Judges (NCJFCJ) in which he sounded more like a caring parent than a Judge.  It was the first time I heard a Judge express sadness at seeing so many abused children in his court.  It was also the first time I had heard anyone defend judges for being concerned that courts make the right decisions in cases involving abuse.

“One of the most important duties for any court system

is to ensure that youth in the community

are protected.” 

                                         -Judge Marshall Murray (2016)

One point that Judge Murray discusses is that in order for judges to make the right decisions when ruling on cases involving children and youth, they must be able to recognize how trauma affects behavior. He specifically mentioned trauma from emotional and verbal abuse, recognizing that psychological maltreatment (emotional abuse and neglect) is the most prevalent and damaging type of child abuse, causing a lifetime of problems for these victims.  The blog that Judge Murray wrote focuses on teen dating violence, but I found that his sentiments reflected a fundamental problem for Judges presiding over high conflict custody cases in family courts.

For decades, Family Court Judges have misinterpreted the expression of trauma in most of the high conflict custody cases.  This misinterpretation continues to lead Family Court Judges to make inaccurate assumptions about the parents and children.  Their mistaken assumptions are the basis for placing children with the abusive parent.  Thus, Family Courts directly contribute to severe adverse childhood experiences and the escalation of intimate partner violence.  The travesty of Family Courts abandoning children to their abusive parent is so common that it appears as if the Judges are intentionally colluding with the abusers.  As it stands today, a Family Court Judge could throw a dart at both parents in high conflict custody disputes, and at least then, they would make the right decision at least 50% of the time.   

It is hard to imagine that Family Court Judges care about families, abuse or even the job they do because I see no indication that family courts are trying to improve their longstanding abysmal record of making family situations worse for the “high conflict” families they serve.  As a self-regulating profession, this lack of care, due process or competence is inexcusable and begs external oversight if not remedied.

While the majority of families can manage custody issues without assertive court intervention, a significant and growing population of parents cannot.  These “high conflict” custody cases take up a disproportional amount of family court dockets because one parent has a personality disorder in which he or she is manipulating the court and escalating conflict.  All the while, he or she continues to psychologically abuse the family causing extreme ongoing chaos and stress.  In the pure sense, these cases aren’t “custody” cases; they are cases of child abuse and domestic violence and need immediate court ordered protection.

High conflict custody cases have been particularly troublesome for family court because the origin and nature of the problem lies in the abusive relational pathology of a narcissistic and /or borderline personality disordered parent who is a master at manipulation and exploitation.   By the time the family gets to court, the abuser has seriously wounded the children and the non-abusive parent and they present with extreme and misleading symptoms of trauma.  Comparatively, the abuser appears calm and confident as if he or she were innocent.

To add more confusion to the decision, narcissistic and/or borderline personality disordered parents have a well-developed social persona where they can mirror appropriate responses appearing sincere, charming and caring.  The abusive parent stays hidden behind this persona while covertly escalating conflict, exploiting the expressed trauma of the non-abusive parent and the children, making false allegations of abuse or fitness, manipulating the Judiciary, sabotaging treatment plans and lying through their teeth.  

Narcissistic and/or borderline parents will not admit that they have a personality disorder, even if they have been diagnosed, however once Family Court Judges are cued into looking for a handful of specific personality disorder traits, they will see that narcissistic/borderline abusers present as predictable as a March snowstorm in Wisconsin, and are just as easy to spot. 

Family court judges are not psychologist, nor should they be.  However, the fact remains that family courts have become the roosting site for narcissistic and/or borderline personality disordered parents and they are manipulating the court into making decisions that are extremely harmful to children and the non-abusive parent.  Assertive court intervention is necessary because these abusers cannot and will not change or follow any orders by the court unless the court will enforce sanctions for violations.   

The good news is that under a caring family court judge, trained to recognize the psychological manipulation of a narcissistic/borderline abuser and to spot trauma, family courts can stop being part of the problem of child abuse and domestic violence and become a big part of THE solution.  If these high conflict abuse cases can be stopped when they get to family court, the children and parents can recover and learn how to protect themselves from being psychologically abused so that the children can still have a relationship with both parents.  Just as important, Family Courts can lead the way in breaking the cycle of narcissistic/borderline abuse by preventing it from being expressed in the next generation of families who are lucky enough to have found their way into a court that is concerned about making the right decisions.