The doldrums

Today a 10 year-old female presented with “severe headaches”. After a full evaluation, it seemed she was suffering from migraines.

As we were winding down the visit, the mother asked to speak with me alone. The father and children left the room and she immediately began pacing back and forth.

“When I was pregnant with her, I did some drugs. Nothing hard. I didn’t know I was pregnant though. I think that is why she is having headaches…..Also, when she was first born, I couldn’t bond with her. I don’t know what is wrong with me. Why wouldn’t a mother feel close with her child?”

She then began to cry.

Over the next 20 minutes, we discussed depression and I reassured her that she is doing a great job raising her children. It was obvious both children saw their mother as a loving and protecting figure, but she saw herself as negligent and callous.

I hope she reaches out and gets psychological help.

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