by Azadeh Amirsadri
In my current line of work as a therapist, when I see teenagers, at first they usually present with generalized anxiety disorder, or depression, or both. Parents bring a child in to tell me about all the things not going well, from bad grades and a messy room, to general disrespect and rudeness. This is usually not cause for concern from my point of view and I usually tell them I am not a behaviorist, but can help them get closer to their child and see what else is going on. Most parents, but not all, want a change in their child’s behavior. “He doesn’t turn in his work in school, she eats in her room and leaves the dishes there, etc.” When I meet with parents, I do a general intake and get a picture of how this family functions and communicates with each member to get a better snapshot of what is going on. That is if the parents are open with me. Many times, I get one version of how the family functions and come to find out rather quickly that the narrative shared with me is not exactly how things are.
June (not her real name) is 16 and a half years old and a junior in high school. I have been seeing her on and off, since she was 14 years old, when her father and grandmother brought her in. She has been on ADHD medication since she was in elementary school and because of her moodiness, her grandmother and father were wondering about anti-depression medication. June had a psychiatrist who was seeing her every three months for medication consultation.
When I first met her father and grandmother, the mother and her son could not tolerate to be in the same room at the same time, and the tension between them was palpable. I thought what it must be like for June to live in a house with these two people who barely spoke or looked at each other. Two parental figures, separated in the same house yet tied together for life. I realized quickly that I had to speak to them separately to see what issues they were bringing in and what goals and results they were hoping for. Both said they wanted June to communicate more with them, spend less time in her room and participate in school, both academically and socially. Her grandmother spoke about June’s mother, in rather vague terms and said she didn’t have a relationship with her. Read more »












Nick Brandt. Zaina, Laila and Haroub, Jordan, 2024. From The Echo of Our Voices – The Day May Break.

