When I started my doctoral work years ago, I freaked out. I had trouble sleeping. My stomach was in knots all the time. I was a bit of a mess. I had struggled with depression for years, but anxiety wasn’t something that I had directly dealt with even if it probably lurked in my background. The lifestyle change of working and going to school full time was hard; I was terrified of failing. I really had a hard time, but my doctor helped me get on top of it.

I thought once I ended my program, that the anxiety would subside, but of course, Hope came along and the roller coaster called parenting made sure that anxiety became a long-term companion in my life. Still I have managed.

Everyone’s issue with anxiety is different, so when Hope was formally diagnosed with anxiety a year ago, I realized just how different our experiences with this challenge were. Her diagnosis wasn’t really a shock, but it did give me some context to try to understand what she was experiencing.

My symptoms, which really had a major impact on my life initially, were not what I would call debilitating. Comparatively speaking, I can give myself a pep talk, hit up Pinterest and read some power memes, do some meditation and breathing exercises and a few other things and function.

Hope cannot. Those coping strategies do not work for her. She has more somatic symptoms, meaning she genuinely doesn’t feel physically well. There’s the extraordinary negative, depressive talk that the anxiety triggers that just drags her down. There’s the desire to practice an escapist form of self-care by diving into the K-dramas for hours or days. There’s the unwillingness and/or inability to get out of bed.

It’s just so heavy that it crushes her. It’s sad.

And it’s sometimes hard to parent, super hard.

You want to acknowledge your kid’s limitations. You want to be sensitive and meet them where they are. But you also want to push them to develop some resilience. You want them to “get over it.” You want them to put things behind them and get on with their day.

I find myself sometimes just closing my eyes and taking a big breath to calm my frustration, sadness, anger, anxiety and other emotions so that I can focus. It’s tough because at Hope’s age, her run of the mill teen problems are legit and really issues for her—even if I think many of them are absurd at best. For a teen, these are real problems and real problems for Hope tax her capacity in ways that I have never experienced before. A lot of the times, I just don’t understand. Most of the time I just don’t understand.

I often approach Hope’s mental health challenges as I do like religious faith—either you believe they are real or you don’t. But as a natural contrarian, I have pushed back on my own religious beliefs and understanding of faith, so you can just imagine how I struggle to process things that stop Hope in her tracks. Even though I intellectually understand all of the trauma and drama; I understand the diagnoses, and I get the symptoms, I admit I find myself more often than not thinking, “Oh good grief, here we go again. Can’t you just get over it already?????”

She can’t, and she can’t help that.

I am good about not saying this out loud, but I have no poker face and I’m pretty transparent—Hope already knows I’m thinking it. Sometimes she’ll even say, “I know you don’t believe me.”

I say, “No, I believe you.” I know she isn’t lying; I just can’t wrap my head around why she can’t function anyway.

Yeah, I know, I know, but I’m keeping it real here. It’s tough. I’m tough. I know that my inability to just accept my daughter’s mental health issues is harmful to our relationship. But I also know that sometimes, Hope is shadier than an oak tree. I’m always suspicious. I’m quick to pounce, “Aha!!!!” It doesn’t help, but the reality is that over 3+ years, we’ve typically got a 50/50 ratio of truly affected behavior, and sometimes Hope really is just trying to get over on me, so I feel my suspicions are justified.

I’m on the road again this week. I left before dawn today. Hope was to see herself off to school this morning, but she didn’t. I know this because her school stalked me to tell me that she wasn’t in school. She texted that she didn’t feel good.

And then she ghosted me.

In the 7 hours of silence, while I was touring a facility and taking meetings, I have stewed over this development. I have called; I have texted. I have pondered various scenarios—none of which include Hope having a fever, vomiting, PMS, cramps, or the plague.

By early evening, I started replaying the weekend, searching for Hope’s triggers. I remembered some things that transpired. Would they trigger somatic symptoms such that she would beg off school for the second time in 3 weeks? Yep. Did my absence make it easier to blow it off? Absolutely. Is this an offense that requires a consequence? I don’t know. I just don’t know.

How do I feel about this?

I feel a lot of things…annoyed, frustrated, curious (since she wouldn’t call/text me back). I hate admitting that empathy, compassion, sadness are not at the top of the list of things that I initially feel in these moments. I hate that it takes me a while to get there.

I eventually talked to my daughter today. I could tell she was nervous; she knew I was going to ask some tough questions about skipping school. I did, and she stalled in answering. I shifted gears and asked her about how she was feeling emotionally. Tell me about your stomach ache. Tell me about what’s on your mind. And we got to the place we needed to get to. I got it. I just reminded her about some of our house rules (tell me before the school tells me!); reminded her that I love her.

Will tomorrow be better? I don’t know. Will it be just as hard? Very likely, yes.

Does that make me anxious?

Yeah.