In November 2023, after I had given a stress illness presentation to the Irish Law Society in Kilkenny, a woman approached me to ask if I would give her son a consultation. Mark, who was ten years old at the time, had been experiencing ‘tummy aches’ for 18 months. They began when three new children joined his school and started bullying him, and the adults he had trusted were unable to put a stop to it. He had since moved school, but was still feeling pain, which was worst in the morning, or when thinking about going to school the night before. He was still under stress as he had moved to a Gaelscoil, or Irish-speaking school, with a limited knowledge of Irish. He was now taking grinds, or extra tutoring, to improve. The pain was intermittent, but Mark had been consistently withdrawn, no longer the carefree child he used to be. He was assessed by a gastroenterologist, who concluded that PPD was the likely diagnosis.
His mother asked if I could help, but my immediate thought was that meeting the boy myself would be counter-productive. If the diagnosis was PPD, then I believed that Mark didn’t need another expert involved, he needed to be reassured and to feel safe. It seemed to me that the best people to do that were his parents, so I proposed that I could teach them how to help their son. Working with Mark’s mother also allowed me to understand the impact his parents’ attitude to his pain, and the way they dealt with their own stress, had on him.
I taught his mother the principles of Resolving Chronic Pain, and identified what was appropriate to pass on to Mark, how to deliver the information and the importance of the care-giver’s nonverbal communication. Through our sessions, his mother concluded that her son was still feeling the hurt of the previous bullying situation, and needed time to get over it. She and her husband also needed to rebuild his trust after they had been unable to make the bullying stop. He needed reassurance that things would be ok, and help to relax at his new school and to focus on positive experiences there.
After our second session, Mark’s mother wrote: “After Mark's experience with the bullying, we need to build up his trust and confidence in himself and expressing his opinion. It would have been shattering for him to see that neither his parents nor his teachers could fix the bullying problem. Thankfully, a lot of repair can happen quite quickly.”
Mark’s mother also identified that she wanted to work on her own stress, as Mark may have been picking up on her concern over his tummy aches.
After six weeks of sessions and exercises, Mark’s pain was resolved. He no longer complained of tummy aches, and attended school without needing encouragement. His confidence increased noticeably both at school and at home, and his parents recognised his old ‘joyous’ self.
After the fourth session his mother wrote: “We discussed how Mark has not had any tummy cramps since before the Christmas holidays, and has been happy going in to school this week - a miracle! Mags explained there may be blips going forward as Mark learns to navigate new experiences but it’s okay to be euphoric now! Mark is doing so well, with absolutely no pain…”