I am entering in my third month of my internship experience, and I am amazed and lost at the things I have learned and am experiencing. Let me start with a little more insight into where I am interning at:
The facility is a residential treatment center. They have about 11 cottages, which are the areas that the girls live at when they are not in school. This facility has a school on campus that has a gym, library, cafeteria and classrooms. All of the credits that the girls earn while attending this facility can be transferred and used for their graduation of high school. A lot of the girls are from Colorado but a lot more of them are from out of state, mostly California but there are few other states in the mix. These girls are from age 12-19 and have extreme behavior disorders and a lot of them have experienced things I still cannot fathom. Most of the girls have been diagnosed as suffering from Conduct Disorders and Oppositional Defiant Disorders, among many other things. These are both disorders that, as the names show, display acting out, being in trouble with the law, not making the right decisions, bullying and many other things. Conduct Disorder is actually something that could lead to Anti-Social Personality Disorder once the person has reached the age of 18. At this facility we have 2 transition cottages that help the girls learn how to manage outside in reality once they leave the facility. The cottage area I work in is very different and definitely specialized and structured.
I work in the TLC area, Treatment and Learning Center, which is a separate building that also includes the
IU, Intensive Unit. The
IU department is like a time out area, there are 6 rooms that have nothing in them, some have cement platforms and all have drains on the floor so they can be hosed down if need be. This is the area that the girls go when they are acting out or request that they go there when they are in need of space/time out. There is a small window on the door so the girls can be monitored to make sure that they are remaining safe, and if they want to run or hurt anyone the door is held to ensure they stay safe and inside.
The TLC are has 12 rooms I believe that have cement platforms that girls sleep on, the platforms do have a "mattress pad" (I can't think of the proper name right now) so they can sit and sleep as comfortably as can be. This area is used to house the girls who act out beyond management for their cottages and regular staff members. The staff that works at TLC/
IU are amazing and very well trained; especially to work with this specific client load. These girls act out the most extreme and perform a lot of self-harming activities.
At least once (but normally more) a day I hear a girl act out, get taken to
IU and she sits in the room screaming at the top of her lungs and swearing at the staff members and about herself. At first I had a hard time getting used to this, but now, it has become normal for me, I expect it. I may not always understand it, but I am getting more and more used to it as the days go on. These girls are just so upset and angry inside that they have no other way to express themselves.
My girls:
My first girl is a 16year old
African-
American girl with conduct disorder and enjoys lying... a lot. I think our first like 5 sessions have been nothing but lies. She also is a little
narcissistic so she likes to talk about herself a lot and likes to build herself up. She has a great sense of humor, but can be loud and very
un-focused. She is definitely a challenge and can be very tiring.
My second girl is also a 16year old
African-
American girl with conduct disorder and intermittent explosive disorder (extreme acts of rage). She has a hard time with talk therapy and insight into why she has anger and what she can do instead of acting out. I have a harder time with her because of her inability to have insight...so the more recent plan has been to start playing games with her. She will be able to learn small social skills and learning how to converse with people.
My third girl is a 15year old
African-
American girl who has oppositional defiant disorder and is an extreme self-harmer. She chooses to self harm by using her teeth but she also uses erasers and crayons. She is a very sweet girl with a good sense of humor and I find her very
like able. However, she does consider herself to be vindictive and if she targets someone, she means it. I have been able to really build a trusting relationship with her and I really enjoy meeting with her.
I have 2 more girls but I haven't met with them yet. I will begin meeting with them this following week.
The first girl became a resident of TLC after she attacked a staff member and gave her a
concussion, this girl has no remorse for the incident. She just turned 17 and is at risk for anti-social personality disorder with sociopath tendencies.
The second girl self-harms a lot but she is very artistic. I don't know as much about her yet, but I think she will be very interesting to meet with and with her artistic abilities it will open the door for a lot things in therapy.
I think that although each girl hasn't had the greatest backgrounds or current state, they all have some great assets and personalities. That is the greatest thing to focus on with these girls and something to key in on from the beginning. It really helps you to build
report with them. Through this experience I have had a really hard time with the self-injury aspect of things. I understand it on paper, but sitting with it, hearing it and seeing it is very hard for me. I have a really hard time understanding the process and reasons. You just want to scream "STOP" and have it be done with, but it isn't that easy. Sometimes they can go weeks without self harming and then they take a phone call from home that is upsetting and they go back to square one. I have found this internship to be shocking, frustrating and amazing. Although every day is difficult to see and hear the things that I do, I enjoy it. I have actually felt a "calling" if you will to this place and these girls.
In the beginning I never thought I would want to work with any adolescents, especially adolescent girls...but now I am starting to think this may be exactly what I want to do. These girls need someone who is there when everyone else isn't, their support system has been torn apart for numerous reasons and they need to gain back a childhood and life that will be better than what they have had. I am not sure what it is but I feel drawn to this place, although it is hard, I sometimes wish I could be there more.
On a more personal note...this internship has opened my eyes to so many things in me and around me. I have began to notice more behaviors among people around me and really honed in on it, which in some cases, I wish I didn't notice the behaviors but at the same time it is helpful to me. I have also started to look at my support system...I have few friends and I really have few friends that I can talk to about this internship. People don't want to hear what I am going through, they can't stomach it sometimes and they don't understand it. They don't know what to say. Right now I am lost because I can't see my therapist until April (she just had a baby). I sometimes feel like she is the only one I can be truly honest with and she will understand it because she has been through it. Even people in my classes can't understand, their internships are less high-stress and extreme as mine, even talking about it in class they say things that shows they don't get it. It is hard walking around with all of these emotions and questions inside and no one wants to hear about it.
Looking back to
what I said about having few friends, I don't have many people I can just call and talk to. I have noticed that I really have a hard time trusting people...I know where most of it stems through but I think over the last 3 years of being in Colorado have increased my lack of
trust in friends because I feel like a lot of them have let me down. I am afraid to open up to people and let them in...I'm afraid they will let me down, judge me and so many other things. I miss the friendships I used to have where I was ignorant to the lack of reality in the friendships I thought I had. So few of those friendships were TRUE friendships, they lacked something that I never saw until now. As you can see this internship has been trying on me in so many ways. I want to call someone and talk about my excitement or my disappointment of the day and in the end I have no one to call. It's hard. A lot of people just think I am in an internship sitting there listening, and yes that it is what I am doing, but it is so much more. People would be
surprised how much listening takes out of you, especially when it is hearing and seeing what I am seeing while I am there. It's hard for me because people don't understand, my only outlet right now is this blog because I can get it out and most of the people I know don't even read it...probably because they don't care or the classic reason "I am too busy." I am experiencing an emotional roller coaster non-stop because of the internship itself, what it is bringing out and just dealing with daily life. I sometimes feel like I have no where to turn when I need it.