Elsi
Well-Known Member
Good luck, Drew. this is tough. I will say that Autism Spectrum Disorders (ASD) is underdiagnosed in girls, and often presents differently than in boys. (Hence my late in life diagnosis.) I had stellar grades in school and was not a behavior problem. I was a mess socially. Especially as I approached and went through puberty. I was years behind my body in emotional and social awareness and skills. Not saying it's definitely Autism Spectrum Disorders (ASD) - Generalized Anxiety Disorder (GAD) and/or depression can lead to plenty of problems on their own. But I wouldn't rule it out based on her earlier evaluations without further exploration, most likely with a neuropsychiatrist specializing in Autism Spectrum Disorders (ASD). Autism Spectrum Disorders (ASD) girls can be uniquely vulnerable during the puberty years which could explain why she went from shy to more defiant during that time period. But of course many other disorders first present during puberty as well.
Issues such as refusing to brush her teeth are concerning. Severe depression can result in an inability to perform basic acts of self care. Or sensory problems may lead someone to avoid certain things - e.g. not liking the feel of the toothbrush against the teeth or the way the toothpaste foams in the mouth. It's hard to know what is causing the issue until she's willing to explore it further with you or a psychiatrist. If it is depression or Generalized Anxiety Disorder (GAD), she may be a candidate for medications which could turn things around for her. If it is a sensory processing disorder or Autism Spectrum Disorders (ASD), she'll need to work hard to find accommodations and workarounds for the issues that provoke anxiety or uncomfortable sensations. Either way, she has to be willing to put the work in with a counselor or psychiatrist. It sounds like this is really needed regardless of whether she agrees to a part time job.
The other issue that sticks out for me in your posts is the conflict with the former best friend. It sounds like there is definitely more to that story than she's told you, and I am curious as to why it was recommended in counseling that you not explore that. It sounds like something she needs to explore at some point.
I know for me, because I was behind my peers socially and often unsure of how to behave or what my place was in a social situation, I took things to heart that other more confident kids would have just blown off. I didn't know the difference between friendly teasing and hostile bullying, and tended to either be way too trusting, resulting in getting hurt, or take everything way too seriously, missing opportunities to connect and be part of the group. I definitely did not know how to navigate boys, flirting and relationships. I always felt unsure and off balance. I knew I was considered weird, and always assumed that if things were not going well with peers it was my fault. It became part of my core identity, being the girl no one wanted to sit with at lunch and no one invited to parties. Feeling that way makes entering any kind of new social situation extremely hard. She may be perseverating about past mistakes or even just perceived mistakes in an unhealthy way, without being able to move on. If she has suffered from social ostracism at school (which can be a pretty common occurrence with teen girls, and one she wouldn't necessarily tell you about) that can be hard to recover from. It gets inside you and becomes who you think you are. It's been more than 30 years since high school for me, and even now I can't think too much about those years without getting emotional.
I'm pulling for her. I want to see her find herself and get past whatever is holding her back now.
Issues such as refusing to brush her teeth are concerning. Severe depression can result in an inability to perform basic acts of self care. Or sensory problems may lead someone to avoid certain things - e.g. not liking the feel of the toothbrush against the teeth or the way the toothpaste foams in the mouth. It's hard to know what is causing the issue until she's willing to explore it further with you or a psychiatrist. If it is depression or Generalized Anxiety Disorder (GAD), she may be a candidate for medications which could turn things around for her. If it is a sensory processing disorder or Autism Spectrum Disorders (ASD), she'll need to work hard to find accommodations and workarounds for the issues that provoke anxiety or uncomfortable sensations. Either way, she has to be willing to put the work in with a counselor or psychiatrist. It sounds like this is really needed regardless of whether she agrees to a part time job.
The other issue that sticks out for me in your posts is the conflict with the former best friend. It sounds like there is definitely more to that story than she's told you, and I am curious as to why it was recommended in counseling that you not explore that. It sounds like something she needs to explore at some point.
I know for me, because I was behind my peers socially and often unsure of how to behave or what my place was in a social situation, I took things to heart that other more confident kids would have just blown off. I didn't know the difference between friendly teasing and hostile bullying, and tended to either be way too trusting, resulting in getting hurt, or take everything way too seriously, missing opportunities to connect and be part of the group. I definitely did not know how to navigate boys, flirting and relationships. I always felt unsure and off balance. I knew I was considered weird, and always assumed that if things were not going well with peers it was my fault. It became part of my core identity, being the girl no one wanted to sit with at lunch and no one invited to parties. Feeling that way makes entering any kind of new social situation extremely hard. She may be perseverating about past mistakes or even just perceived mistakes in an unhealthy way, without being able to move on. If she has suffered from social ostracism at school (which can be a pretty common occurrence with teen girls, and one she wouldn't necessarily tell you about) that can be hard to recover from. It gets inside you and becomes who you think you are. It's been more than 30 years since high school for me, and even now I can't think too much about those years without getting emotional.
I'm pulling for her. I want to see her find herself and get past whatever is holding her back now.