Now

We are making the rounds of mental health professionals at the moment. We have a great substance abuse counselor whom we love and who has proven a good match for T. We had a family therapist who wasn't a good fit for us, with whom we recently ended our relationship, and a psychiatrist who has seen T intermittently and still oversees his prescription. Since hitting a really rough patch a couple months ago, we've been looking for a trauma specialist to do some cognitive behavioral therapy, in addition to the substance abuse counseling. And coming up a bit short.

I value therapy and I've been impressed by providers who really know what they're doing with traumatized kids. But those providers seem pretty few and far between. I'm a little exhausted by the convoluted mental health bureaucracy and the general difficulty in finding experienced providers who are comfortable with a child of T's age and experience. At the same time, I find myself grappling with what, for me, feels like a very personal, very maternal instinct, to protect my kid, and make sure he is surrounded by people who love and "get" him. This instinct is almost feral, it's so strong and instinctive. I didn't expect to feel this fiercely protective, and it's exhilarating and exhausting. T is very smart and self-aware, perhaps painfully so, which makes it all the more difficult to endure the awkwardness of finding him the right therapist. Sometimes I wonder if I'm doing the right thing in promoting therapy at all - he has a very strong spirit, and occasionally I wonder if I ought to just focus on cultivating his relationship with me and Tim, and providing him with the time and peace to heal on his own.

I've written before about how I sometimes feel intimidated or just undermined by mental health professionals and social workers who seem to me to treat me like a paid babysitter, rather than a parent. When Tim and I are really overwhelmed, I've found it useful to ask "What would we do if T were our biological child?" just to be sure that we aren't being swayed by the system into anything less than parental authority and judgement.

I think what I'd say today is that I'm conscious right now of a certain toll that T's pain takes on me. At times I even follow his lead, taking his advice on when we "don't need to talk about it right now." I don't generally focus much on my own discomfort. The role of advocate parent suits me well and I enjoy it. But at the moment, perhaps because T is stable and calm and introspective and therefore doesn't need me so much, I feel bruised. I feel very aware that I feel some level of grief for the times I could not be there for him - for the things that happened before I met him, and for the suffering he endured when he didn't have any parent advocating for him. I respect him tremendously for the hard work he did to survive and raise himself in those circumstances, and deep compassion for the symptomatic behaviors that plague him to this day. I love him the same or more than I would if I had given birth to him myself, so the blunt fact that I didn't arrive in his life until it was too late to help him with his many traumas pains me greatly. It pains me all the more because he trusts me now and has recently started to refer more freely to what came before. I want so much to be worthy of his trust. It's a tremendous responsibility. My career, my relationship with Tim, my health, all struggle to compete with the obligation I feel to be available and worthy of providing stability for T. But I also know that it's extremely idealistic to subject oneself to that sense of obligation, and that if I fail to take care of myself and Tim, I'm sure to fall short.

Tim calls this vicarious PTSD and I think he's right. I am sure that if you bond strongly to an older, traumatized child, when you bond with them, you open yourself up to absorbing some part of their pain and some part of their difficulty navigating the aftermath of what they've endured. I like to think that in absorbing some of their suffering, you are lessening their burden, but I'm not sure that's really true.

It's a juggling act, with a whole bunch of needs and sensitivities up in the air, all of the time. I suppose that's how any parent feels.

Knock Wood Three Times If You're Reading This

After several really tough weeks, we are catching a wonderful week with T. Complex as he is, he does have really admirable skills at relating when he's relaxed enough to implement them. He designated Sunday "family day", and planned (and executed) a pleasurable day together. That stretched into a peaceful Monday, and a playful Tuesday evening out as a family. Knock wood three times right now if you're reading this blog.

This moment in our foster/adoptive journey seems a good time to capture my present thoughts about what is and is not as we expected it to be. When you are adopting an older child from foster care, you tend to do a lot of reading, fretting over worst-case-scenarios, and searching for advice. There isn't a lot written about such families. We read books, scoured the web, and took county-mandated parenting classes. Some things turned out to be more true than others.

This is the beginning of a list of advice/stereotypes we heard before we became T's parents, and what turned out to be true for us. I hope this will help some prospective foster/adoptive parents who are in the early stages of reading/listening/imagining.

TRUE: kids coming from long-term foster care have a lot of problems.
Okay, this is true. But I HATE the way people say it! Of course our kids have a lot of problems: often they've been abused - sometimes severely. Their developmental needs have been neglected. Sometimes they've struggled to get enough food to eat, or to find a safe place to sleep--for years on end, perhaps even during infancy. Those are big problems! They produce big symptomatic behaviors. (I've found it to be absolutely true, by the way, that a kid will show you how he feels, by trying to make you feel that way too, because he may not be able to tell you.) So I always struggle with this one. In my opinion, the important thing for someone contemplating foster/adoption of an older child is to be really frank with oneself about whether or not you have a high tolerance and compassion for "people with problems." Some people do, some don't and it isn't about being a good person. It's probably just about your point of view.

NOT SO TRUE: he'll have trouble with bonding and attachment.
We read A LOT about attachment disorders and trouble with bonding. This has not been our problem at all. He was not quick to attach, but when he did, it was like a million tender tentacles reaching out to grab you. We are exceptionally close, even when things aren't going well. T taught me that being someone's parent isn't a legal or biological situation - children MAKE you their parents. They have within them a natural dependence on adults that drives them to attach, and if that capacity can remain more or less healthy (which by some miracle, it did in him, although he suffered other deep sustained injuries) they will bond to you so strongly that you will never again doubt that you are their parent, regardless of the legal or biological circumstances. We struggle with behavior issues, separation anxiety, and a lack of impulse control - but never with a loose or fragile bond. I know many adoptive parents DO struggle with children's difficulty in attaching, and in no way do I wish to detract from that reality. I just mean that it did not turn out to be our reality as I expected. Every situation is different. We wasted a lot of time fretting over the wrong thing in this case.

NOT SO TRUE: You need to work hard to facilitate and strengthen ties to birth family.
Okay, I know this is true and so essential for a lot of foster care situations. But I overprepared for this one, and overreached the goal a bit. I think we tried too hard at first. It took me some time to understand that what T. really needed was to know the door was open to have contact with his birth family and that we would support those relationships and never (ever!) criticize his birth relatives. However, this does not mean that he actually want us to make regular visits happen. He's satisfied with very occasional visits - the relationships are more distant and, in some cases, a bit more superficial than I really understood at first. It took me some time to ascertain that my role was not to deepen those relationships - it was to honor them, and to supplement them by cultivating a deep relationship with him myself.

NOT TRUE AT ALL: Adoption is just another way of making a family.
People used to say this to us a lot. They don't anymore - LOL. I feel strongly about this one: older child adoption, particularly traumatized older child adoption, is very profoundly different than other ways of making a family. I think talk about how "it doesn't matter where a child came from" is total nonsense, and worse, invites adoptive parents to feel very isolated when their experiences have nothing to do with those of their friends raising bio kids. I've found that I need friends who neither think it tragic/horrifying that T has "problems", nor that we are "saviors" for adopting him, nor that what we're doing is "just like" traditional parenting. I find it much more helpful to think of parenting traumatized older children as a kind of extreme sport, a pursuit one should train for in a specialized and rigorous way, and something one should expect to hurt, sometimes a lot.

TRUE: A child will grow and change at his own pace.
I'm certain after nearly two years with T that the surest path to insanity is to try to "fix" a traumatized, troubled kid. He will grow and change as he is able, when he is ready, and we are just like fertilizer, providing the nutrients he needs to do that work. There is no other alternative. I cannot prod, poke or provoke him to change. I must not "need" for him to change. And at exactly the moment that I give up completely and think things can't possibly continue as they are, he will change. T made me realize that children are change. That's their nature. The added complexity of raising an older kid with a trauma history is that T's development is extremely unpredictable. We can't pick up a book about time-tested wisdom for helping him navigate from teething to toddlerdom. He is all over the map. He jumps back and forth by years, sometimes decades, in a single day. He's like a cat that is sometimes a kitten and sometimes a lion and sometimes a house cat.

NOT SO TRUE: As transracial adoptive parents, you are going to need to work hard to make sure the child stays connected to his culture.
That's sound advice in general, like a lot of what we encountered before we were T's parents. T made this one very easy for us. We fretted over it a lot before he came to live with us, and it turned out to be very low on our list of things we ought to have worried about. He has a robust, healthy sense of himself as an African American young man, and he has no problem letting us know what we need to know in order to facilitate that. His friends are all Black, he takes African American studies classes, and we frequently talk about race and racism at home. We didn't have to work hard to keep him connected - he showed us where to hook up and that was it. He is interested in our cultural identities and expects we're equally interested in his. In this way, being his parent has qualities very much like a deep friendship or a marriage - he came to us already formed in some ways, and we fit our differences together.

NOT SO TRUE: the child will test you over and over again.
At various times when we've been going through some difficulty or other, someone (a therapist, a caseworker) has said "Oh, he's testing you," or even asked him directly "Are you testing them?" I find that somewhat simplistic. I'm sure it's often true that kids test their adoptive parents, in extreme ways. But in our case, I know in my gut that T is rarely testing us with his misbehavior. He misbehaves because he has faulty self-control. It has nothing to do with us. I think it's important to recognize that.

TRUE: the child is doing the best he can.
I'm a broken record on this one as any reader of this blog knows. But this simple statement by Foster Cline is my constant mantra. It is so true. Once in awhile, when we're really having a tough time, I even say to T "I know you're doing the best you can." It is so important to keep this in mind. I wish his teachers and his social worker would operate from the same assumption - it would change everything.

NOT SO TRUE: adopted kids feel grief about being adoption.
In our parenting training, we were counseled a lot not to be too quick to celebrate adoption, because it is, at best, a mixed blessing and kids naturally grieve the loss of their birth family. I think this advice conflated two different events - the loss of birth family, and adoption. For T, there was a very long lapse of time between losing his birth family and "getting adopted" (in his mind, he "got adopted" when he moved in with us) - time he spent in multiple group foster homes. So for him, adoption is a huge accomplishment. It truly carries no stigma, and has little to do in his perception with losing his birth parents. He feels he proved something to the world. Adoption represents escape from foster care and everything he associates with foster kid status. Of course he feels enduring grief about losing his birth family. My point is simply that the grief and his feelings about adoption are two entirely separate things - as I suspect they might be for other older children coming from extended foster care.

My list could go on and on...I'll stop here, but please feel free to add your own thoughts and I'll probably continue this list over time.

Just Words

After the massive meltdown I described in my last post, things moved rather quickly. We got an intake appointment with a cognitive behavioral therapy program specializing in child trauma, and we also got T into an alternative school that seems like it's going to be a really good place for him.

The principal of the new school took the kids on an orientation tour. She showed them the restrooms and explained that they are a) safe, b) extremely clean and c) always locked, only to be unlocked by a hall monitor when you have been officially excused for a break. This sounds like a small thing, but for complicated kids coming from a large urban high school where the bathrooms are a shadowy setting for drug deals, gang graffiti and filth, this is a big deal. Safety is everything to kids like T, as are clear rules and calm enforcement.

The principal also explained that the teachers have all been instructed never to agitate the kids, to find something positive to say in every interaction, and to call the parents whenever there is a disciplinary issue. She explained that she never suspends kids from school (hallelujah - I have been incensed by "trash cleanup in lieu of suspension" at the old school, which seems to turn at-risk kids into unpaid janitors). Classes have no more than ten kids, sometimes fewer.

I'm also grateful for the child trauma therapy program we found (and for the advice of people who commented on my last blog post who helped me clarify what we were looking for). We had a two-and-a-half hour intake interview. In layman's terms, I feel like this therapy program is hardcore. I appreciate their clear focus on core trauma, over behavioral symptoms.

I feel good about all this. I feel we have tapped into options that have been set up by knowledgeable people to help meet the extraordinary needs of kids like T. I commented to my mom today that I don't feel hopeful, per se; hope would suggest being attached to a particular desired outcome. I try to stay very aware that we are not trying to "fix" anything. Instead, I feel satisfied--that we are doing the best we can, that we are seeking out environments where T has the opportunity to develop and evolve, and that there are people out there who understand kids like him. In a weird way, we have achieved the only desired outcome we ever really had, which was for T to have a home with people who love and understand him, and to feel sufficiently secure that he can begin to sort out his past and define himself (which is no doubt going to continue to be a very messy and occasionally frightening process).

I realized through all this that I have been somewhat deferential to some of the professionals we've encountered along our path, and that T benefits when I am a loud, proud, assertive, knowledgeable advocate. I am reminded of Advocate Mom and her binder. Although I am an advocate mom myself, I have sometimes allowed the counselors and social workers we deal with to minimize or ignore his needs, leap to conclusions or recommend hasty solutions without paying enough attention to his abuse history. I thought that they knew better than I did, and to be honest, I also feared that they would judge me unfit in some way. His behavior can be very difficult, especially in public, and I can fall into an attitude of begging forgiveness for his misdeeds. In addition, becoming his parent has involved an obstacle course of home inspections, certifications, and other bureaucratic intrusions, and on some level, I reacted to that scrutiny with a certain defensiveness.

I am reborn after the last few weeks. I realize now that there are no answers, and that nobody has a more certain knowledge than I do about what T needs, even when I feel profoundly uncertain. I live with him, care for him, listen to him, argue with him, empathize with him, and I probably know him better than anyone has ever known him. To get him what he needs, I need to cut through the various agencies and bureaucracies involved by educating myself about their language and using their words to connect him up to the best quality services that are available. I had the help of a very good friend in doing that recently, backed up by some very thoughtful comments on this blog, and it really made a very big difference. Asking for "an elevated level of care" rather than just "help", for example, or knowing to request a "trauma-focused program" rather than just "therapy" makes all the difference in the world. At the end of the day, either words obscure, or they pinpoint complexity, and wielding them properly is very powerful.

Help

Well, it’s been quite a week.

As T unravels these past few months, we’ve experienced dramatic truancy, daily marijuana use (before and after school most days), and stealing, culminating with an arrest, for petty theft, on his birthday no less.

This week, we hit the wall. He was accused for the second time of stealing (from a teacher!), disrupting the classroom, and expelled from school. At home he was vengeful and full of rage, or withdrawn and disconnected. It’s hard to encapsulate in words, but the most alarming thing is that T is not a kid who is routinely delinquent – his nature is to be sensitive and soulful. His misbehavior has an aspect that hits you right in the gut – it feels wrong on an instinctive, animal level. Something is wrong! it screams. I suppose that’s a distinguishing quality of crisis.

Yesterday, in a tizzy, and with the help of a friend who happens to be an LCSW, I wrote a letter and emailed it to his past and present therapists and social workers. “I need help getting an elevated level of care for T” I said. It ended “We are committed to T but we urgently need help meeting his needs.”

By evening, we had an emergency psychiatric team on our doorstep. (Thanks, by the way, to his FORMER social worker, who was the only one who responded in a helpful way—we have yet to even hear back from his primary caseworker.)

I thought the problem was addiction and substance abuse. But last night I learned that I might be wrong.

They spent four hours here, talking to T, talking to us, searching his room, and formulating an opinion. Then they called us all together. It wasn’t what I expected. They said they considered hospitalizing him, because it’s clear he’s in crisis, but decided it wouldn’t help. He has PTSD and a hospital environment is likely to be overwhelming and frightening for him. They said that we are dealing with serious confusion stemming from sexual abuse, combined with puberty, and that kids like T often have their first major mental health crisis right about now. They said that his emerging sexuality combined with his abuse history lead T to fear he may hurt people and become a bad person. And so he is acting like a monster to try to save people from the harm he imagines he might do—and to try to get us to pay attention to what he can’t put in words.

I did not see that coming, though of course, as soon as they said it, it made perfect sense. They walked in and put their finger right on the raw nerve that is causing daily convulsions right now. Their skill and clarity were truly awe-inspiring. He has never discussed sexual abuse with a therapist before, and I'm the first adult he confided in about it. And yet it took these two doctors less than half an hour to identify the problem and open it up.

They had spare, direct advice for us. First, they said he feels safe with us and our home is the right place for him. He feels loved and secure here, they said, and that is part of why he is confronting his demons now. Second, they told me to adjust my expectations. “But he’s facing criminal charges!” I protested. They said yes, and there’s very little you can do about that. This is who he is and where you are right now. Deal with it.

They told us to let go of our desire to have him graduate from mainstream school. They said not to worry about the fact that his friends are dropouts and delinquents. “Those are the people he feels safe with, because he feels like he can’t hurt them or freak them out,” they said. They told us to let go of our attempts to treat the substance abuse, because it’s a symptom, not a cause. They told us to learn with him about the aftermath of sexual abuse and let him show his ugly bits. They said we must find ways to talk about what happened, and about sexuality, and help him do the same. They told us that “the human condition is to have both good and ugly feelings and thoughts” and to teach T that we are all complex in that way.

I learned so much last night. I learned that he wants help and he will comply. I learned that he trusts us. I learned that my expectations and sense of “normal” are getting in the way of recognizing his needs. We talked this morning, and he was calm, receptive and even grateful—I explained that the doctor talked to us about PTSD, that abused kids and soldiers who’ve been in wars often have PTSD, and that for now we need to make sure we reduce stress and avoid situations that are chaotic and noisy. He felt understood. He said he felt it might be best for him to be in a different school.

(As a side note, I have also learned this week that there is a HUGE difference in Los Angeles between Department of Mental Health programs and DCFS. That sounds like a bureaucratic distinction, but when you need somebody to help your troubled kid on a very bad day when the shit is raining down on your head, it’s a visceral thing. By using the right language, thanks to my friend, we got tapped into DMH, and to these two superhero ninja therapists in the middle of the night, after months of struggling with inadequate therapy and inattentive social workers.)

I don’t regret one moment I’ve spent with T. This week was horrible. I don’t know how we’ll find him a new school and a new therapist next week. I’m not sure I can stomach the external consequences that are being levied on him by people who know nothing of his story. But I understand that this is where we are, and I know that our job is to be his family. We are honest and we stand by each other in ways that I didn’t know were possible before. I am much stronger than I thought, and he is much more vulnerable than he realized. This kind of extreme parenting is exhausting, but I also find it to be soul-satisfying in its honesty, unpredictability and brutal acknowledgement of humanity in all its frailty and resilience. I find that happiness, for us, is not the avoidance of pain, but the acknowledgement of truth.

I love you I do this I'm sorry

I returned this week to Parenting the Hurt Child, an incredibly insightful book by Gregory Keck that I think every person should read regardless of who or whether they're parenting. His honesty and tolerance for complexity relax me.

Lately, it is more or less impossible to get T to go to all his classes, or to go to all of them without first stopping off to smoke marijuana. We do substance abuse counseling. We've tried escorting him to school. We talk to the administrators. We restrict privileges. We offer incentives. Nothing works.

Last night, we decided to take a night off. We made dinner, left it on the table (he was awol at dinnertime) with a note explaining our whereabouts, and went out. When we came home, he was asleep on the sofa in front of the front door. I tucked him in with our own quilt and went to bed.

This morning I heard footsteps. I opened my eyes and it was T. "Shhhh!" he said sternly. He bent over and kissed me on the forehead, patted the top of my head, and tiptoed out.

Sometimes his adorable gestures mean "Aren't I charming? Give me what I want!" (money, a ride, some slack). But in my half-awake state, it came to me immediately that this particular kiss on the forehead meant "I love you. I do this. I'm sorry."

That could be a tragic apology from a certain point of view, meaning something like: "I have a compulsive drug habit and no impulse control and I feel badly about it." Certainly we're up against one of those moments when you're just not sure the child is yet capable of changing old habits and destructive modes of thought. But from another point of view, he has made progress.

His responses to caring adults used to tend more toward silent statements like "I don't know you, who cares what you think?" From that point of view, "I love you, I do this, I'm sorry" is profound. In fact, it occurred to me that in this recent period of escalated misbehavior and delinquency, I've now received three gentle kisses--the first he's ever delivered.

He used to try occasionally to kiss me on the cheek - not at my request, but of his own volition (he arrived extremely physically reserved and we have always let him determine whether and how we share physical contact). When he began trying to show affection, he'd get close to my face and then he'd purse his lips and squint his eyes and say "Ew! Can't do it!" (I did find this totally hilarious.) But two weeks ago, I got a sudden peck on the cheek one day, out of the blue. About a week later, on a day when we were relaxed and had spent some time together, I got a tiny kiss on the tip of my nose. And this morning, a farewell peck on the cheek.

This is in marked and dramatic contrast to some of the other "feedback" we get from him, just in case it sounds like it's all sweetness and light at our house. Indeed, two nights ago, I asked him to work with me on his homework to get caught up in a class he's been cutting. He flatly refused to even try. I said, "what are you doing instead?" and he said, "I'm doing me. What the fuck does that have to do with you?" Obscene, yes.

I said as calmly as I could, "Wow I'm very sorry to hear that you feel that way," took his iPod, and closed the door. The next day I left a simple note on his door. It said, "The legal consequences for truancy are..(x,y,z). After 3 unexcused absences the court may place you on juvenile probation. You have more than 20 unexcused absences. This is your problem and you'll have to deal with it. We will withhold all privileges until you do. Love, Your Parents."

God bless Keck and others like him. Before bed, I re-read the sub-chapter "Children for Whom Nothing Works." I expected to see a description of our situation. T has none of the behaviors on that list, which begins with "injuring, mutating or killing animals on multiple occasions" (page 156, for anyone eager to check it themselves!). I rejoiced. We're not even there. T rocks our pet kitten in his arms and sings lullabies to her. Phew. His range of available behaviors is extremely broad, extending from frank delinquency to tender loving compassion for all the world's small creatures. That's the wonder and the challenge of him, the risk and the opportunity as he moves toward adulthood.

Apart

I do a lot of reading on parenting kids with Oppositional Defiant Disorder and ADHD. Over his many years in foster care, T has received several different diagnoses, all of which basically come down to the same profile of a kid who is severely stressed and unable to calm himself. I am not sure I really place value on diagnoses; something about the medicalization and medication of traumatized kids makes me very uncomfortable. However, the writing on parenting kids with profiles like ODD is often very thoughtful and helps me devise new strategies.

Today I read a nugget of wisdom I've been searching for all along:

"In some teenagers, ODD may represent a remnant of separation anxiety disorder, in which oppositional defiance reflects a reaction to feelings of ambivalence and anxiety that arise from the developmental move toward inde­pendence."

It was like an equation suddenly adding up; that is exactly what my gut tells me is going on with T much of the time. Many things make sense from that point of view: his anxiety and frequent refusal to attend school, his difficulty falling asleep by himself, his inability to regulate his feelings when he is outside of our presence, his annoying, anxious behavior toward his friends, his tendency to sabotage opportunities that would take him away from home.

In some ways, I think settling into a permanent home at the ripe old age of fifteen has actually exacerbated his separation anxiety and thus his misbehavior at school. I wouldn't be surprised at all if, unconsciously, he is kind of bummed about impending adulthood and would prefer to hit the pause button so he can fulfill some unmet needs first.

Separation anxiety can't even begin to account for an early childhood like his, with social workers coming in the middle of the night to remove you from your family suddenly and without warning, separating you from your siblings, and moving you from caregiver to caregiver (16 homes in 15 years). If separation anxiety includes worrying about losing someone/something/someplace to which you are attached, he is worrying over that every day, all the time. I suspect that when he leaves home for school each day, some deep instinctive part of him does not trust that home will still be there when he returns. He is defiant at school because he is extremely agitated.

Kids like T receive so many messages of failure. He is disruptive and challenging in the classroom, forgetful and unfocused on academics. From the F on an assignment he neglected to complete to "cleanup in lieu of suspension" for repeatedly getting up out of his seat during history class, his typical school week is full of negative feedback. That feedback feeds into an already negative self-perception that comes from being severely abused as a young child. And so the cycle continues, and on top of his agitation at being away from home, he experiences anxiety about his ability to control his own impulses and the impending shame and guilt that follow on misbehavior--all of which only serves to produce more misbehavior.

To counterbalance those messages of failure, at home it works well to offer him choices and suggestions for resolving conflicts and then reward him when he tries out a new strategy even if it's an awkward attempt. By trial and error, we've identified a few other techniques that seem to help:

- Asking for eye contact, as in "show me some eyeballs please." Even a split second's glance seems to interrupt the circuits in his head, especially if we can meet him with a gentle face.

- Staying physically close to him. When he is in a tantrum, the thing that guarantees that he'll completely come unglued is me walking away from him.

- Having talks in our bed. When he had his wisdom teeth out, we let him recuperate in "the big bed" during the day. It was eye opening. If we need to really hash something out, we all lounge around on our bed while we talk. Particularly if the message is difficult (the consequences of cutting class, for example), the physical proximity is soothing and he listens better.

- Shutting off television and video games an hour before bed. Invariably he spends this hour hanging over us and chatting about his day and tickling us and pulling our hair and making plans and generally reconnecting before sleep.

- Text messaging when we're apart. One of our basic house rules is "keep in touch" and he excels at this one, sending texts like little sonar messages to make sure we're still out there paying attention.

- Talking about the future. He love stories about what we'll do when we're old, or how we'll visit him when he lives on his own.

- Using requests like "let's see if we can get back to working together" or "take a minute to think about what I've said and then let's come together with a compromise" that suggest neither "let's do this my way" or "I give up, you win".

- Vacations in small spaces where we all have to pile in together - a long car trip, camping in a tent, heaping together in a hotel room. The more cramped the quarters, the more relaxed is T!

In our parenting classes, they often said "Parent the need, not the behavior." Opposition and defiance seem to me to be mostly behaviors; it's somewhat counter-intuitive to think the driving need is connection and reassurance, but the more we stumble upon what works, the more obvious that link becomes.

T Two

Recently we have been working on a theory that there are two T's. The first we call "T Number One." He is generally balanced, perhaps a bit mischievous, mostly compliant, and approaches life with reasonable moderation. He accurately perceives the world, and has the capacity for judgment. He is generally optimistic, or at least practical.

The second, "T Number Two", is self-destructive, angry, defiant, and extreme. He damages friendships and other relationships, and makes dangerous decisions. He has distorted, negative perceptions of the world.

This week, unfortunately, we started strong with T Number One, and then by Wednesday, we were living with T Number Two. That pattern isn't unusual - his number one trigger is school, and he rarely holds it together for an entire school week. I think often of the wisdom of something Foster Cline says: assume that the child is doing the best he can. T tries hard every week. It is agony for him to be unable to modify his self-destructive behavior. And this is the best he can do right now. We try to stretch the capacity of T Number One to hold it together, and right now we can't get past Wednesdays. If we get to Thursdays or - one can only hope! - Fridays by the end of his junior year, it will be a monumental achievement.

I don't mean that T literally has a split personality. In the professional writing on such subjects, I guess you'd say that T number one is "regulated" and T Number Two is "dysregulated." His periods of dysregulation come on like bad weather - you can see them approach, they are intense and disruptive, and they pass.

I love him so much and feel so much wonder at the progress he's made and the meaning he's brought to my life that I probably do not always state clearly how difficult it is to be his parent. I'd hate for any parent of a traumatized kid out there to feel like I'm having an easy time of it while they struggle. I am as vulnerable as anyone else and I feel beat up and victimized by his behavior sometimes. He is intensely angry for many very sound reasons, and that anger has festered in him for many years until he doesn't even know it's name and when it takes hold of him, he is formidably difficult and frankly abusive. I am a strong personality myself, an "alpha" as I have said before. And yet when he takes revenge because we've withheld his allowance because he's using it to buy drugs, or when he rages at me that he is going to tell the social worker on me because I have restricted his privileges after he was picked up by a truancy officer, I feel despondent and exhausted.

At those times, I do sometimes withdraw from him. I cannot always maintain the authoritative parental stance of being strong, wise and compassionate. I get rigid and angry. I want him to just go to school, to hold it together just for five days on end without getting high, cutting class, interrupting my workday with calls from the dean's office. I lose my ability to communicate compassionately.

When that happens, I wait. T Number Two is not reachable, but he also doesn't stick around for long. He is a construct, a puffed up angry false self, perhaps produced by extreme duress to protect a tender T Number One when he was younger and constantly under siege. Indeed, when the storm moves on, T is often unusually tender and communicative afterward. He is apologetic, but he's also very receptive. He reaches out with many little tendrils of attachment to make sure you are still there, and upon finding that you are, grows very soft.

I worry over how little time we have to try to help him learn to regulate his feelings and modify his behavior so that he can hold it together in the grown up world. He is okay when he is with us - weekends and holidays are invariably peaceful. But a child who cannot make it more than three days at school without a meltdown is likely to have similar difficulty holding a job, or getting through college. Someday soon, he will be out of high school, out of the foster care system, and (eventually) out of our home. He will have to make his way in a world that takes him at face value, doesn't know or much care about his history, and delivers harsh and sometimes long-lasting consequences. Preparing him for that world is a daunting challenge.