The average weight for a six year old is about 45 pounds. Izaak tipped the scales at 62 pounds this week when they weighed him at the hospital. But don’t get the idea that this is a chubby kid - he has “slimmed”, even, as the doctor noted, having spent the last year converting every ounce of fat on his body into muscle. He didn’t do it intentionally, of course. An hour of happy dancing here, twelve hours there, and pretty soon his muscles are bursting their seams. He is a mighty force, when he wants to be, and growing mightier. The problem is that he often does want to be a mighty force, usually when he isn’t getting his way.
Two weeks or so before school ended in June, Izaak broke his teacher’s assistant’s nose when he kicked her in the face. It wasn’t malicious, it was unintended. He was frustrated and thrashing around as he is prone to do when in that mood and the TA was trying to calm him down and got her face in the wrong place at the wrong time. And BAM! One broken nose later.
He blackened my eye around the same time with a haphazardly thrown fist, and split his mother’s lip open one night when she was trying to get him to bed and he simply didn’t want to go. When he wants to use the computer his brother is using he has a very simple method of dealing with this: he grabs Gabe by the hair, pulls him to the floor and takes a seat in the newly vacated computer chair. He is a gentle giant, most of the time, but he does not take no for an answer graciously, and he is not the most patient turn taker. At least once a day, these days, he has been having fits in which he loses control of his temper completely, lashing out at the nearest person to him. This is almost always me. Almost. And you know something? It’s starting to hurt. The lashing out is not new for Izaak. He has been a mostly gentle giant all his life, but prone to sudden outbursts for as long. But the intensity of the outbursts has grown, as has the strength behind them.
All of which I say by way of trying to justify the fact that Izaak began taking an anti-psychotic medication this week even though he is only six years old. But believe me, I am not trying to justify it to you, rather to myself and to Izaak’s future self. I appeal especially to Izaak’s future self. The whole notion of medicating our son does not sit well with us at all, but it is not a decision that we came to lightly.
As I said, Izaak’s sudden mood shifts and accompanying outbursts are not a new phenomenon. He has been like this all his young life, and the subject of possible medication was first broached two years ago. We even went so far as to have a prescription filled in February 2006. Izaak was given one dose and I was so overcome with guilt about it that I couldn’t bring myself to sanction any further use of the drug. We hadn’t tried enough other options to run to the meds, I thought. And Charlene agreed. Since then, we have played with his diet, alternately suspecting lactose and sugar as the causal culprits in Izaak’s emotional volatility. We have had professionals working with him in house, in school, in hospital. We have tried regulating his sleep homeopathically. We have tried rewards and we have tried punishments. We have tried, very hard at times, just to hold it all together, not always entirely convinced that we could. And finally, this week, we gave in and tried medication for real.
The early prognosis is encouraging. Somewhat.
Izaak began the medication on Thursday morning, and on Friday I had the first violence free day with him that I have had in quite a while. He listened to what I said. He waited for things he wanted. he came inside when he had to come inside. He didn’t hit me, didn’t kick me, didn’t try to bite me once. That last sentence was such good news that it bears repetition. Not once on Friday did he hit, kick or bite me. And because turnabout is fair play, I didn’t bite him either.* It was a good day. A great one, even.
Friday night was another matter altogether. As some familiar with Izaak (and/or this blog) know, going to sleep and staying that way are not counted among Izaak’s favourite pastimes. On Friday, he had his usual bedtime of eight-eight-thirtyish-oh-jesus-is-it-nine-already-is-this-kid-ever-going-to-fall-asleep, but he was wide awake again at 1:30 in the morning, and determined to stay that way besides. Charlene and I have devised an imperfect turn taking system where Izaak’s nocturnal adventures are involved, and on this occasion Charlene was at bat. Three or so in the morning was when the furor roused me from my slumber, and the night that ensued was an all out war between me and Izaak, between Charlene and Izaak and between me and Charlene. It was a war that ended only when Izaak finally fell asleep in the minutes before sunrise, but one that Gabriel (who sleeps the sleep of the dead) was thankfully able to slumber through.
Saturday morning, the house was filled with surprisingly good spirits. We had all had a little bit of sleep, and the shock of the battles of the night before sat with both Charlene and I. We were Europe after the end of World War Two, collectively stunned that we could have committed such atrocities and newly resolved to work more closely together for our collective good. You know how you always hear that things could be worse? That night will remain in our family’s history as the night where nobody said that.
Saturday was bliss. Saturday night, near likewise, although he did go into a bit of a meltdown during which he kicked Charlene in the forehead and me in the throat.** But the tantrum was shorter than others, and less extreme. He was also somewhat difficult to get to sleep - the only place he was willing to lie down at all was on the living room floor, but (because we are gradually learning to choose our battles wisely), this is where we finally let him sleep. And he slept a solid eight hours (almost unheard of in Izaakland), enabling the rest of us to do the same.
Today is Sunday: so far, so good. The drug treatment is getting mostly positive, if tentative, reviews. Izaak remains cooperative and communicative, two adjectives I would not have associated with him last week. I am of mixed feelings regarding the use of the medication because I am afraid it will fundamanetally change who he is, when in fact all we need to do is modify the destructive behaviour patterns which - although alarming and problematic, are not by any means Izaak’s most pervasive characteristics. He is a happy child, and an artistic and musical one. I am afraid that the drug will make him placid instead of happy, lethargic instead of artistic, but there are no suggestions yet that it will have these effects. I am also afraid that he will have to take the medication for the rest of his life. I have to take a mind altering medication every day, myself, and though I am now resigned to the fact, I am still keenly aware that some dark but fundamental piece of me is missing and that the unmedicated me is pretty unbearable to be around. That’s not a sense that I care to pass on to my kids. We have decided on a six month trial with the drug for Izaak - barring the appearance of undesirable side effects. After the six months we will have the option of taking him off the medication, an option we have already decided to exercise. There is some hope that the medication will help enhance his language abilities and that, six months down the road, he will be better able to express his wants and needs, and so less likely to be subject to the dramatic tantrums that are almost certainly caused by his communication barriers. That is my greatest hope, in any case. That in half a year, we can say goodbye to the medication and the violence forever, but glad (and guilt free) that we used it, because of the healthy, happy superman it has left in its stead.
*For the record, I have never actually bitten Izaak, even if I have fancifully considered it from time to time as his teeth bear down into my flesh. I think this crosses my mind because of a story my father tells from when he was a young man and a horse trainer. There was a viciously mean horse that would bite any person who came near him. He one day sunk his horse teeth into my father’s flesh, whereupon my dad grabbed the horse’s head and suck his own teeth into the horse’s nose. As the story goes, the horse never bit again, and horse nose tastes like chicken.
**It is an indication of the standards in my house that I can describe a night as “near bliss” because I only got kicked in the throat once.