I think there were two issues going on here; the immediate biggie being a major depressive episode.
In that regard I think the parents were correct in getting treatment for the depression first as a triage type of situation. While the article did not say which drugs were being used, it sounds like there was a science-based (hopefully) MD behind that and they were trying to get the depression under control with drugs.
Having dealt with an adolescent going through a depressive event, this is not something I would wish on anyone. They are not just overwhelmingly sad, but they also become cruel in their misery. They hate everything and everybody. Nothing you say or do will be right. Everything and everyone is crap. No one cares and everyone hates me.
I can see these obvious signs of depression expressed in Leelah’s suicide note. It’s exactly what I dealt with, except that I was luckier with the outcome.
You make call after call to mental health professionals because you can see the signs and the critical mass. Getting a mental health professional is harder than it sounds. I never would have guessed that beforehand. Quite a few didn’t return our calls. Some of the public-run places wouldn’t take us because we weren’t impoverished and we had health insurance. Really?!?!
I took an emergency leave from work because this became a full time job.
I left polite, business-like, and very descriptive messages with more professionals than can be imagined. Most never called back. We found one (not religiously based) PhD who would see us that evening. After spending an hour with my child, she wanted to make an appointment for next week. To be frank, I didn’t think we had a next week unless something more than this happened. I’m sure my daughter finessed the counselor, in which case she wasn’t a very good counselor.
So somewhat clueless counselors exist everywhere.
We took her to an emergency psychiatric facility where the obviously overworked physician diagnosed her with depression, but they didn’t have room to keep her. Their advice was to get a private psychiatrist, bring her back if we couldn’t find one, or if something changed. Well, she was already “changed”, which is why we are here.
At this point my daughter absolutely hated me. She would find a phone and call and talk to her friend (imaginary or not, I don’t know) throughout everything. She would cast dagger-like looks and contemptuous snarls at me. She would say cruel things and recreate reality for fit her miserable narrative. It was all so bizarre and just plain incredible.
We were literally going through the yellow pages (remember those?) and calling psychiatrists who were within a reasonable commuting distance. Finally, one - exactly one - called us back and made an appointment for the next day.
We walked into a clean, sprawling waiting room. No one else was there. No reception desk, no staff. In a few minutes a very well-dressed doctor came out and brought us into the office. He really was an odd guy, who had his hand stuck in his waistband during the visit. Weird. Then I left so he could talk to my daughter. A short while later he brought me back in and gave us a prescription for a magic little pill at that time (it was the mid-nineties) called “prozac”.
He definitely wasn’t fooled by anything she said.
He gave us his number for emergencies and to call anytime if something gets worse. Otherwise, come back in 4 days.
Within 3 days we had my daughter back. The air pressure changed at home. Finally, we could breathe. We were lucky in that regard; she was extremely responsive to prozac. The dark cloud lifted. When we returned to the psychiatrist’s he observed the complete turnaround in her demeanor and appearance. He explained how that also impacts other people in the room - it makes them giddy too in the first week or two because, when SSRIs work initially (assuming they work in the patient), the patient is so up at first and the relief is so great that other people around them also feel “up”.
Btw, my daughter is a lesbian. Did that have something to do with the depression? I really don’t think so. They were separate events.
I had suspected she was a lesbian, but she has always been self-directed and self-possessed with the exception of the depression event. We’ve always had a respectful and playful relationship. She has never particularly cared what other people think. She is normally her own person. I admire that about her.
The depression changed that temporarily. Not only was she sad, but she was cruel, which was hurtful. I had to think beyond that, but the venom that came from her was completely out of character and not at all based in reality. I really hated her at that point in time, sad to say. When people say things like “it’s like they were possessed”, I understand what they mean.
Anyhow, I can just see the headlines if we weren’t so hypervigilant. Or lucky. A lot of this was just luck and hitting on the right things at the right time, despite the fact that it was like a Keystone Cops episode as far as getting professional help. Or, did she have just enough impulse control left to delay the almost-inevitable suicide event long enough to get treatment? I strongly suspect that she had decided to kill herself and that it was just a matter of time before she went through with it.
What if I let her go to a friend’s house because I thought it might be helpful to her, and she committed suicide because I let her out of my sight? Do I let her go to a friend’s house? She’s 17 years old and friends are very important at this stage of life. She’s miserable here and seems to feel that her friends might have something to offer. Even the normally simple things become tainted with all sorts of dark possibilities.
Even with our generally happy-go-lucky family attitude, I probably would have been gobsmacked at the time if she had announced that she was transgender. Nothing really prepares you for that. I probably would have had a startle response too. Deer in the headlights.
Being exposed to the subject a bit now, maybe it wouldn’t have been a completely off-guard moment like it could understandably be for so many, but it’s hard to say. Hindsight always affords you a luxury that you don’t have at the time.
She was always very boyish. She hated to wear dresses. The last time she wore a dress she was 8 years old and only because she was going to a wedding. She was always very physical and very athletic. She liked wearing her hair short, probably mostly because she hated having her hair washed and combed and that was always a battle. She preferred boy clothes to the traditional girl clothes. Using the criteria here, I should have had her in gender reassignment (if I had known better). But it turns out that she has never seen herself as a boy. She likes being female (except when she is menstruating, at which times many of us wish we were male); a somewhat butch female, but a female.
So how do you know what’s “right” and appropriate and what’s wrong prior to maturity and before kids have more self-awareness or even verbalize the concept? You don’t. You are probably guessing a bit either way except in all but the most blatant circumstances, if such a thing exists.
I don’t think that being gay or transgender makes you more fragile than everyone else. It’s the depression, a real biochemical brain disease, that makes you mentally fragile. Maybe the same thing (whatever it might be) that makes you gay or transgender also makes you more prone to depressive episodes. I don’t know. But you have to treat the depression first because it’s life-threatening.
I get the sense that these parents were somewhat gobsmacked. They didn’t try to beat her identity out of her, they didn’t throw her out of the house, there’s no evidence that they berated Leelah or were completely unsympathetic. Instead, they put her in counseling and she was on medications to try and get the depression under control. “Christian” counseling may or may not be a bad thing, depending on the denomination and the skill of the professional. I can’t say it would be my first choice, but I suppose it could work or at least help you to learn coping skills and how to communicate with other people, like your parents.
How many of us are perfect parents under less extreme circumstances? I look back and there were some things I could have done better. Not necessarily with this circumstance, which I thought I handled fairly well and never, ever want to go through again, but with other things and events. There are hosts of things I probably could have done better or differently.
This doesn’t sound like bad parenting to me. Maybe they weren’t clairvoyant enough, or maybe they were just clumsy and caught off guard and needed a little time to acclimate to the idea. They didn’t strike me as horrible based on the article.
It’s a tragic situation. There were flaws in execution on many sides. However, lots of adolescents and young adults unfortunately commit suicide, some for little or no apparent reason. Most are not gay nor transgendered, but all seem to be as equally righteous and determined in their suicide. It just seems like depression (or other disordered thinking) is the culprit in suicide, not any startle response by parents to something their kid announces.