The Texture Of Things

Notes on Therapy, Week #2

January 19th, 2011

In-home therapy is complicated in some ways. Like, you have to open yourself up, not just the emotions you are working on, but, um, your whole house. Yes, that includes all the dirty dishes you left on the table. And by “you”, I mean “me”, and by “dirty dishes on the table”, I mean “the mess throughout the entire house”.

Let’s just say that one good thing about starting up with S again is that she is familiar, a good friend, so I’m less worried about my house than I would be if our therapist were a stranger. And, frankly, I’m more concerned with getting to the bottom of things that if it so happens that S sees a pattern in our home that reveals a clue, then all the faster we go toward our goal. (Though, I feel kind of cring-y and twitchy thinking about how painful some of the work we are going to have to do will be. Stuff like refocusing meal times or rules or that sort of thing. Oy.)

Anyway, S came right after the tot got of the bus. The tot CHOWED a snack. She must have been starving. But, you know, as I think about it, the issue of familiarity comes up again. If it weren’t S, I wonder if she’d have eaten like that. I think not, because when there are people here, she generally doesn’t eat well. I wonder if she’s comfortable eating with S in a way that she isn’t with other, non-family people. I will mention this to S when I email her later.

During snack and after play, S and I chatted. More background stuff, details, and strategizing about how to put together the necessary releases for her to go observe the tot’s classroom someday. Then they went into the tot’s room to play with the baby dolls. The most salient thing that came out of the play was the tot’s reaction to S making one of the babies be scared of something. The tot called off the game temporarily and said, “All of my dolls are BRAVE.” So, she’s not ready to let down her guard and be scared with S, but it’s early, and that will come with time.

On the topic of procuring OT, let’s just say that I’ve called the two best contenders, and the wait lists are loooooooong. The place we went to before told me that because it’s been so long since we were patients there (2 years), we would be treated like new patients, and that means going to the end of a very long waiting line for after-school time slots — after all the current patients who are waiting for those times. The receptionist was not very warm, welcoming, or open to the idea of, say, putting me on that list. In our conversation, she created no openings for me to say, “Put me on the list.” I was brokenhearted to discover that the wait could be so long, but I called the other place, just in case.

The receptionist at The Other Place was warm and inviting from the get-go. She did admit that there can be quite a wait for those time slots (and their Saturday times), but she practically jostled me into giving her the info necessary for an OT to call me back with answers to my questions about approach, training, etc. The OT called me yesterday, and after hearing our story and talking through things like background, current therapy with S, and the tot’s school situation (lots of stress there!), she had the receptionist call back to schedule an in-person eval for this coming Saturday.


Provided I can get all the necessary fuzzy little ducks in their fuzzy little row, naturally, and that includes a prescription from the pediatrician.

No problem! Except — problem…. The nurse at the ped’s office called back with a hundred questions and a solid undertone of cynicism. I guess the first time we got a script for OT two years ago, the ped didn’t put anything in the chart, and last summer at the tot’s physical (when we happened to see a different doc, purely due to schedule availability) nothing was put in her chart then either. Now, we didn’t talk at length at that last physical about it because things were generally fine, but I DID ask about caloric intake because I was worried about the tot getting enough to eat. The doc gave her a little speech about eating lots of vegetables so she’ll be “big and strong”. You know the one? The speech that all grown ups give all kids at some point to drive home the message of “healthy food might not be your thing, but you still have to suck it up and eat it”? That one. But there’s nothing in the chart, so the nurse has to talk to both docs before she can write the script for a doc to sign. She says she’ll get back to me on Friday about whether they will write the script.


Bonus: Because of the rules with our new health insurance, I have to renew this prescription every 30 days. Let me tell you, I CAN HARDLY WAIT FOR THAT. Oy. Shoot me now.

Things to do/prepare for this week’s in-home therapy:
*work on OT paperwork
*get scary creature toys, like dinosaurs, sharks, etc.
*tidy the tot’s room

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