Follow-up on "When a Child Hurts Himself"

Last Tuesday we had a great discussion about kids who harm themselves.  It was in response to a question Lori sent to me in April – or so I thought.  While I try to stay organized, my life has been chaotic, so sometimes we’ve had Tuesday Topics, and sometimes not.  This week I decided to go back to some of the older questions that have been sitting in my “Upcoming Tuesday Topic” folder.

I was tempted to overlook the oldest emails — figuring the people who sent those questions had long ago given up.  I also felt a little sheepish and had a secret hope that they had forgotten all about their emails, or thought perhaps I had never received them.  No, on both accounts, I was just disorganized, and now, a little embarrassed.

I forged ahead and posted the oldest one in the folder, a question sent by Lori in April.  Then I sent her this email,

I am finally back to doing Tuesday Topics and posted yours today.  I know you sent it to me in April – and you’ve probably come a long way since then.  I would actually love to hear how it is going and if your son is still struggling with hurting himself.
Forgive me for not sharing your question sooner – I’ve been trying to keep my head above water.  I’m pretty sure you know what I mean.
She sent a kind reply and then graciously told me that she sent me that question in April 2011, not 2012.  Then I was even more embarrassed.  Once I recovered (a little), I emailed and asked how her son is doing now and she wrote a wonderful reply that I want to share because it gives us a perspective on the change that has occurred in the 18 months since she initially sent her question (which she wrote when her son had been home six weeks).
I have good intentions of plowing through the Tuesday Topic questions I currently have and plan to post one weekly.  If you have a question you would like me to share, email it to me at  Please help me by putting Tuesday Topic in the subject line.  I will make my best effort to post it within the next two years — just kidding!  I’ll try to post them in order.
A very special thank you to Lori, for being gracious and taking the time to write this update.  You can read more about Lori’s family on her aptly titled blog, Goodbye Ordinary.
I have been thankful for Lisa’s blog and all that I learn here from her personal writing, the things she shares from other sources, and the ability she has given us as readers to ask a question and get feedback from lots of moms who are dealing with similar issues.  What a blessing this little corner of the web has been!

I had emailed Lisa with a question quite some time ago which she recently posted as a Tuesday Topic.  She feels horrible about how long ago it actually was, but nothing is ever a coincidence.  I think the timing was perfect.

As stated in the question she posted, I had written her in April of 2011 – six weeks or so after our son came home with us from India.  He was six and a half years old.  To say that we were completely overwhelmed by the arrival of our son would be an understatement.  It was apparent that he had “issues” that we had not dealt with in our adopted daughters who were ten and six years old in 2008 when we brought them home.

The experience was day and night in many ways.  Our girls spoke almost no English.  That was both hilarious and scary!  My husband and I laugh about our unique attempts at communication.  The girls went into a rebellious pushing back against us after a few weeks – exactly what you would expect.  We moved through working on their behavior and attachment and things progressed in a positive way – of course with setbacks along the way.  It was not easy by any means, but we always saw improvement and never had a reason to doubt they were attaching to us and we were moving in a positive direction.  It went well enough that we decided to embark on another adoption.

Our son arrived three years later in March 2011.  He had been learning English and was very accomplished using it.  We thought this was wonderful because we were able to communicate right away.  He cried the first night for the ladies at the orphanage which we thought was a great sign that he was grieving for them.  After that, he really never seemed to look back.  He was happy, outgoing, and inquisitive.  We enjoyed our time with him in India.  At home, the girls welcomed him with open arms and showered him with love and attention.  Things at home seemed odd.  There was very little conflict with us.  We did see concerning behaviors like the self hurting, and complete lack of impulse control, but he really tried his best to “be good”.   The warning bells should have been sounding.

They did begin to sound about six months after he came home.  We weren’t really sure how to put our finger on what was bothering us.  He was a busy guy and in some ways I think we focused on the wrong behaviors as signs of what was going on.  We realized that he showed very little emotion and when he did, it was off the scales.  By about eight months home we realized it was serious.  My husband and I talked with each other and both expressed our feeling that our son treated us like we were orphanage workers.   I wrote a pleading email to a therapist I had seen in the past.  I knew she had professional experience with adopted kids, but she also grew up in a home with older internationally adopted siblings.  I laid out all the issues that we were experiencing with our son and asked, “Do I need help, or does he need help?”

The list of behaviors that concerned us was pretty long.  The therapist mentioned attachment issues and said we should have him evaluated and tested and gave me a recommendation of a psychiatrist to see.  I ran and grabbed my copy of “Attaching in Adoption” by Deborah Gray and read Foster Cline, M.D.’s  list on page 81, “Checklist for Symptoms of Attachment Disorder”.  I could check almost every one of the items on that list.  What was interesting to me is that we saw the behavior, but we did not see the root of the problem.  We immediately took her advice and made the appointment.

There is a feeling of helplessness that comes over you when you realize that the issues your child is dealing with are so far beyond your experience and knowledge it isn’t even measurable.  Why wouldn’t you go to a professional, who has been trained and has experience in dealing with issues that you cannot even label?  We needed someone to tell us what was going on and how to deal with it.  Our faith has always been an integral part of our decision process.  God designed and created the brain in all its intricacies and beauty.  Unfortunately, sin has polluted our world and things happen to change and distort the creation.  How many times have you sat and pondered how the circumstances in your children’s lives have shaped them in negative ways?  It is heart breaking.

God has also given people different talents and abilities.  We don’t do surgery on ourselves when we have appendicitis.  We learn to find the right help at the right time for each situation and, of course, we consider the advice, pray about it, seek second opinions and ultimately try to make the best decision we can for our children.

When my husband and I sat and listened to the diagnosis of our son, we were floored.  Not because we heard something we had not already suspected.  But, hearing it all laid out is so overwhelming.  I am a person who likes to have a plan.  I can tackle pretty much anything if I can research it, read about it, talk with people who have experience with it, and I have a list in front of me that tells me what to do.  Sometimes life is just not that cut and dried.  Bummer!

Having a diagnosis does not declare a sentence on your child.  That doctor may have a lot of knowledge and experience, but they do not control the universe.  We serve a Sovereign God Who does though.  That is such a comfort.  When you hear that diagnosis and the recommendations for treatment you take a deep breath and you talk with your spouse every second you can possibly spare and you pray like your life depends on it and then you put one foot in front of the other.  You do your best to listen to what you are told and to filter that through what you know about your child – because let’s face it – no one knows your child better than you do.  You take each step with help from the professionals, your own conscience, and the guidance of the Holy Spirit and you pray.  Ultimately, healing for your child will come through God’s intervention.

I recall a conversation with one of my kids about obeying God.  They said they had been praying that they would obey, but were still sinning.  I reminded them that we pray for God’s help and strength to resist temptation and obey, but we still make a choice in how we live.  God does the work in us through His grace with our cooperation.  That is how I see us moving forward with our child’s care.   The Lord is in complete control of the outcome and we see His hand guiding us as we make decisions and we do our best.  This verse describes the tension in that statement perfectly:  Therefore, my beloved, as you have always obeyed, so now, not only as in my presence but much more in my absence work out your own salvation with fear and trembling, for it is God who works in you, both to will and to work for his good pleasure.  Philippians 2:12-13

We are working with a therapist and trying to address our son’s attachment and anxiety issues.  At times the well that is his past life experiences which have contributed to who he is today seems very deep and dark.  Trauma has changed his brain and we will do all we can to help bring healing to him and give him a future and hope.

We have seen some tiny glimmers of hope that things are changing with our son.  I often tell families who are just embarking on their adoption journey that they need to think of their work with their child in terms of a marathon and not a sprint.  You have to prepare yourself that things may not turn out the way you had hoped they would.  My husband and I remind ourselves all the time that we adopted our children for their sake and not for ours.  We also remind ourselves that it is our job to obey what the Lord is leading us to do (in this case adopting a child) and remember that the outcome is not in our hands.  We may plant, water, and nurture a seed, but we do not make it grow.  I actually find that very comforting.


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Let me introduce myself. Russ and I are the parents of twelve children by birth and adoption, and sometimes more through foster care. I'm the creator of One Thankful Mom which has been as much of a gift to me as to my readers. In 2011 I became a TBRI® Pracitioner* and have lived and breathed connected parenting ever since. I'm deeply honored to be the co-author, together with the late Dr. Karyn Purvis, of The Connected Parent; it is her final written work. I love speaking at events for adoptive and foster parents. I'm also the co-founder of The Adoption Connection, a podcast and resource site for adoptive moms. I mentor and encourage adoptive moms so you can find courage and hope in your journeys of loving your children well.


  1. sleepyknitter
    October 21, 2012

    Beautiful, helpful post. Thank you! I am always, always, always wanting to read stories of how parents searched for and found answers that appear to be working, and when the parent builds that response on a foundation of faith and Scripture, it is just that much more helpful to me. Parenting these children is so very hard! It is tremendous encouragement to me to read other people's stories.


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