Author: jsmith

Watch Out for Burnout!

Watch Out for Burnout! The week before the Halloween mid-term break marks the very welcomed and much needed Halloween midterm break, but it also marks the start to the very busy period of work as school age children & teens start declining into burnout, especially those who are neurodiverse. What does burnout look like? Complete and utter exhaustion with a huge dollop of emotional turmoil on top. This overwhelming feeling that you cannot do anything that requires any amount of energy because you simply don’t have any more to give and just being awake is tiring enough. It’s the inability to engage in self-care skills, particularly hair washing and showering. It’s the withdrawal of communication and social interaction with friends in teens and young adults – through phones, gaming and in person because it simply takes up too much energy to talk or reply to a message. Younger children may refuse play dates, may experience periods of selective mutism, they may be unable to attend birthday parties and may be gravitating towards or shying away from their sensory supports. Their young muscles may ache like they have a flu, their throats may be sore, their heads might be pounding, they might feel unable to eat. Burnout can present with physical symptoms like flu which can be hard for parents and caregivers to decipher whether the child or teen has caught a viral infection or is in burnout. When children and adults are in burnout, their immune system is more vulnerable and therefore the two can coincide together, unfortunately – but it can also just be the physical presentation of burnout. During periods of burnout, children and teens may have a temporary regression is skills such as writing, drawing, reading and listening due to the brain prioritising what is spends its energy on. This temporary regression can cause huge feelings of frustration in children who do not understand why these tasks that they previously managed with ease are now intolerably stressful and difficult to do. They will need your support not only to manage this frustration but to also reduce the amount of tasks they have to do so that they can preserve their energy. Meltdowns and anxiety are at an all-time high during burnout out as the body and brain are so overwhelmed and the window of tolerance for communication, sensory stimuli and tasks are at an all-time low. Their inner-self talk will be destructive and they may present to the outside world like they are depressed. This is prime time for children and teens to experience days and weeks where they feel they cannot attend school because school demands getting dressed, communication, engagement, writing and social interaction which they simply do not have the energy to manage. In teens and adults, self-harm and suicidal ideation may be present during burnout. Self-harm occurs in neurodiverse people when their bodies and brains are so overwhelmed that they need sharp sensory input very quickly to regulate their nervous systems. Finding sensory tools that support this need for sharp input is important for managing intrusive thoughts. Burnout can feel like you are really stuck in the trenches, it can take weeks, months and sometimes years (for both adults and children) to recover from. Be patient, it will pass, with time and lots and lots of rest and try not to push yourself to return to the world too quickly. For support with burnout, reach out for neuro-affirming support from a specially trained neurodiverse practitioner, occupational therapist and ensure your GP is neuro-affirming to prevent any incorrect diagnoses such as depression/anxiety/borderline personality disorder. You can listen to my Podcast with Ciara Watson on Neurodiverse Burnout here. Back To Blog

Junior Cert 2025!

Junior Cert 2025! This year I had twelve female therapy clients in Junior Cert Year who wanted to sit their exams. In 2024, 10 of these teenagers had missed in excess of 120 days of school, most of them had attended for less than two weeks of their second school year. When they came into therapy, all of them were in neurodiverse burnout and were experiencing severe mental health challenges such as self-harm, suicidal ideation, eating disorders and had received late diagnosis’s of autism and/or ADHD as well as co-occurrences. Nine out of the twelve also have a PDA profile. All of them desperately wanted to be able to attend school. All of them wanted to sit their Junior Cert (I have many clients who don’t want to take their Junior Cert, and I fully support them in their informed decision also). Their focus was not on their studying beforehand, their focus is not on their results, their focus was being supported enough to be able to sit their exams, confident that they could achieve a pass, something many of them had been told by teachers/school staff that they would never achieve. Individualised support plans that accurately support each students needs can achieve what these clients have achieved today. Many of these twelve clients may never attend a full day of school or move away from a reduced timetable, they have proved it doesn’t matter. Eleven of these clients don’t do homework, again they have proved it doesn’t matter. Twelve of these clients didn’t start their studying for these exams until they had finished school four weeks ago, again they have proved it doesn’t matter. All twelve have different areas of support needs yet the schools had given them a generalised return to school program that wasn’t neuroaffirming or meeting their individual needs, setting them up for failure. All twelve voiced their needs, the areas they felt they needed support in and we worked to individualise their return to school plan and time and time again we altered it when needed until it was spot on and they were thriving. All twelve experienced some levels of burnout around Christmas time, before the February mocks and in their final weeks of school before the exams – however this time it was different, they understood themselves more, they put in place supports to get them through and limit the burnout, they understood taking a short break from school wasn’t failing – it was supporting themselves to enable them to go back a few days later. They knew their eating habits were reducing and changing because they were experiencing high stress, but they also knew their reliable comfort foods to get them through. They knew when to reduce social demands and when to increase their downtime. None of them reverted to self-harm, none of them experienced the crippling intrusive thoughts or suicidal experience they had in the previous school year. All twelve clients were determined to sit their junior cert exams….and today they all achieved it!!! There have been tears of relief and joy, powerful exhales, high fives, dances, celebratory air punches and the biggest proudest smiles in my therapy room this week and it has been incredible to be standing with these girls on their journey. Proud doesn’t even cut it, in awe is more accurate. Don’t ever write off a child’s ability to achieve or tell them that they won’t achieve what they want to. None of these children should ever have heard those words from their educators. They will prove you wrong when they get there anyway, in their own time and in their own way. Back To Blog