“We should have done more sooner and there have been interventions before, however. There is more that we could have done, but there was also a support network around her. We should have taken more responsibility earlier but we cannot take sole responsibility. We would not have paid for private therapy immediately.”
“My opinion at the time was that if domestic abuse work were further along, she may have expressed it differently. That might happen now to reflect some learning.”
“Due to her own distress, at times, the mother cannot perceive her daughter’s needs and though not intentionally, thus, cannot function as a consistent, protective figure for K. In moments of conflict or need, her decisions can be, therefore, to protect herself even at the expense of her daughter because of the projection mechanisms and this can lead to her daughter being exposed to potential harm as a result of the relationships she engages in, romantic or otherwise, including exposure to conflict and the risk associated with the behaviours of others around her.”
“In my professional opinion, without reparation of Ms P’s mental health difficulties and resolution of her past traumas, she will remain at risk of engaging with problematic relationships with submissive behaviours that could restrict her ability to anticipate and act on the risks posed by others. And her high levels of psychological distress can compromise her capacity to intermittently meet the needs of her daughter consistently, particularly at times when her own mental health deteriorates.”
“No justice was served. I was not listened to in Norfolk or Newham.”
“It is likely that she will require practical and therapeutic support over a sustained period to enable the long-term modification of dysfunctional schemas of self and others as well as ensuring stability and change.”
“Ms P need to demonstrate her commitment to the funded therapy with [name redacted], as at the time of writing, there were two missed appointments since the beginning of August when sessions commenced. This will need to be carefully monitored as without Ms P bravely addressing her own past trauma some of which related to her relationship with her mother and siblings, then, sadly, the likelihood that this will continue to impact her own emotional well-being and subsequently impact K by not being able to prioritise the child’s emotional needs.”
“Her current presentation indicates a decline in her mental health when compared to the previous assessment in 2022. She exhibits high levels of psychological distress, low mood, symptoms of trauma associated with developmental life events that have taken place in recent times. She exhibits a range of intrusive experiences which reflect post-traumatic reactions and symptoms, including upsetting memories that are easily triggered by current events as well as repetitive thoughts that are easily triggered and intrude into her awareness. The origin of these intrusions lies in her childhood trauma and are associated with her adult decisions and the relationships he has engaged in.”
“Without the means for self-soothing, the mother is vulnerable to mood swings, problems in inhibiting the expression of anger and strong emotions, and she has a relative inability to move from a dysphoric state without demonstrating externalising behaviours such as aggression or avoidance. She can, therefore, be seen as moody and emotionally reactive and can overreact to negative or stressful events.”
“In my assessment, Ms P is still a very loving parent who clearly wants to provide good care for her daughter but has had difficulties in doing so because of her own insecure attachments, childhood developmental trauma and significant mental health difficulties. Her high levels of distress can compromise her capacity to meet the needs of her daughter if her own mental health deteriorates.”
“Ms P requires psychological intervention in her own right in view of her mental health problems and disruptive personality traits. In terms of treatment, I would recommend she engages on a course of psychotherapy, preferably, integrative therapy that incorporates trauma treatment and cognitive work. This should be administered by an experienced, qualified clinical or counselling psychologist with access to this report which would be helpful in terms of understanding the formulation of her complex difficulties. It is anticipated this work will require not less than a year of weekly sessions, although this might not be sufficient for her to progress and will need to be re-evaluated independently of her therapeutic process. Sadly, in my professional opinion, in view of her difficulties in recent months and the additional trauma she has experienced, I do not consider that this treatment can take place with K in her care as the safety of the child will be compromised until she has made sufficient progress.”
“In my professional view, it won’t be until Ms P has processed her trauma and addressed the dysfunctional aspects of her mental health and personality that she can consistently prioritise her daughter’s needs over her own.”
“Ms P still presents with unresolved childhood trauma resulting from the exposure to the care that she had that was physically, emotionally and sexually abusive. This is reiterated in multiple assessments but the crux is (a) that Ms P did not and does not have the benefit of parenting which would have helped her to develop security, confidence and secure attachments; and (b) the implications are ongoing as the impact of trauma is ongoing. As a result, Ms P is unable to manage her emotional regulation and attachment behaviours and, therefore, sadly, unable to provide the emotional parenting experience that K needs. That’s not Ms P’s fault, but it is a sad outcome of a sad childhood.”
“…is we need to be cautious about how much we expect therapy to be a cure. This is a long-term intensive problem and this is a trauma-based, sad problem. If this therapy can start tomorrow, whether she would be able to engage and benefit from it, it is intensive and traumatic work and K could not be in her care while she does it. That’s a lot of trust placed in a difficult and complex process, and we can’t guarantee that the end would be right. It’s a long time for K to wait. The mother has had some support and K might have to wait two years.”