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What a difference a year makes

Equine_therapyA year ago we were beginning to despair of finding anything that would help K behave like a normal first grader and stop the fits of rage that were ruining everything. I remember sitting up one night talking to her after weeks of hitting and acting out on an almost daily basis at school. She said, “Mommy, I don’t want to be like this”, in a sad, sad voice that seemed devoid of any hope. DH and I were also afraid to hope anymore. Her behavior, always a problem, had gotten steadily worse since beginning first grade. Two solid years of therapy and she only seemed more unhappy, her behavior more extreme.

Today it’s like we’ve scrubbed away a dirty film of anger and self hate to reveal an amazingly mature and empathetic eight year old. She has friends, does well in school, excels in sports and is becoming more social. I don’t really know how we managed to get from there to here, but a lot of things have changed. We “gave in” and put her on meds. That alone made a huge difference, but the anger was still there, it was just less extreme. We finally managed to end the relationship with a therapist we didn’t feel great about, and instead K is focusing her time on riding therapy. I’m not suggesting one is better than another, just that after three years of therapy with no breaks at all, perhaps the focus on a more physical therapy is what she needed.

We chose riding therapy because of the focus on animals. She’s hysterically afraid of animals. When we first went to the stables, she was completely on edge since chickens, dogs, cats and horses seemed to appear out of nowhere. I asked her if she wanted to go back to the car, but she said she wanted to “deal with the challenge”. She’s been going for more than a month now, enjoys it and is more relaxed around the animals. She still hates the chickens though.

The fear of animals goes back for as long as we can remember. I think it may be related to her first time ever seeing crowds of people walking and riding bikes, and dogs and children seeminly running in circles all around her.

When we first brought her home, we didn’t get any specific advice on integrating an orphanage child into our modern lifestyle. Today I know that both my children suffer from different effects of being denied sensory experiences. Both have issues related to sensory integration. Both dislike loud noises and crowds. When we adopted her, Karen had never been outside of the baby home grounds, and rarely left the single room that acted as both playroom, dining room and bedroom. She had never been in a car until we took her to get passport photos at age 2. She had never touched, or even seen a live animal.

We brought her back to Israel and our first full day home was sunny and warm. We made plans to meet up with another local couple who had shared our adoption journey. Both our families arrived home from Kiev on the same day. We were happy to follow their lead and meet them at the park with both our newly adopted children.

We met in a crowded Tel Aviv park full of people and animals, all moving faster than K had ever seen before. It must have overwhelmed her because after we got home she went into shock, refusing food and water, and lay on the floor with a blank look on her face. Our acupuncturist, Dr. Barak, advised me to put on a Russian language tv station so she would hear something familiar. Karen is a survivor and eventually snapped out of it. But it seems that the fear of dogs may be left over from that critical time when we exposed her to too much stimulation before she was ready for it.

Last year, when the phone rang, we always worried it was the school or an angry parent. “What did K do now?”. She still has fights with other children, after all, she’s still our strong-willed K, but today it’s always an issue of how she managed to turn the situation around, or at least to maintain self control. Adults who work with her often comment on how self aware she is for an 8 year old. She learned the hard way, but seems to have gained so much from the struggle.

Finally, K’s missing adoption photos, for real this time

First I teased. But now I am posting the photos of our first few weeks in Ukraine in January/February of 2007, when we first adopted the big K. The second set of photos was posted last year, here. I only just found this set of negatives during our move. We didn’t have a digital camera with us, so the photos were 35mm.

We spent the first three days in Kiev waiting for an appropriate referral. After spending two full, grueling days sitting side by side trying to look like Time’s parents of the year, we were exhausted, depressed, and DH was completely unable to keep anything down. After the inconvenience, we were lucky to have a great facilitator who drove us all the way from Kiev to Kremenchuk, where K’s baby home was located. It’s about a 4-5 hour drive.

The photos show her evolution from a closed and distrusting little girl with a hard face, to a more open and happy look once she began getting used to us. She’s even more open in the second roll of film, which I posted here.

Edited to add: photo of a caretaker holding Karen. What makes it interesting is to notice that there are toys, a television and a transistor radio in the background. Although broken, the toys are mainly for show. Likely the TV as well. Most likely the radio was used to provide music. We noticed that both Karen and Matan really enjoyed music. In fact, it’s one of the first things that could hold their attention when they each first came home. We think they were both exposed to music, and it was probably one of the main sources of sensory stimulation.

Karen’s 2007 adoption

I didn’t have the opportunity to blog Karen’s adoption. We had no Internet connection, and frankly, were too freaked out to do much of anything useful. We didn’t have a digital camera with us, and I used an old 35 mm. Just this week I finally put the first set of negatives on a disc to store digitally. Posting some of my favorites here.

We spent 33 days in Ukraine in January/February 2007 to adopt K, then 25 months old. She didn’t especially like me, and interacted better with DH at first. She warmed up to me later.

One year ago…in Lugansk

We met a tiny little boy who could barely walk 2 steps without tipping over. At 21 months, he weighed in at 8.45 kg/18.6 lbs. and his height was only 75 cm/29.5 inches. Our doctor examined him and found him in good health except for his size and development, which were under the bell curve. We’ve spent the last 12 months feeding him the most nutritious food possible, with meals as frequent as every 2 hours, at times.

I’m happy to update that today he weighs in at 12.5 kg/27.5 lbs and 90 cm/35.4 inches. He is now in at least the 15th percentile on the charts I was given. His developmental delays continue to close the gap as well. He’s now climbing stairs by switching feet, right then left, instead of relying on only one foot to ascend the incline each time. I know, it doesn’t sound like much to non parents, but I, like most, get so excited by the change.

Karen will soon be six, and she’s very tall and muscular. She and I now wear the same sock size….and she’ll be up to my shoe size in no time. I expect to start losing boots shortly…She’s now weighs 25 kg/55 lbs and is 4 feet tall!

I related our first vist with Matan on Dec. 27, 2009, here.

10 essential items for Ukraine adoption trips

People seem to like lists a lot.   I also remember my panic, even with extensive international travel under my belt, when forced to pack for a trip of unknown duration where I could have found myself stuck in a remote village for more than a month.

Keep in mind that you may find yourself spending lots of time with nothing to do.  You need to stay busy and stay connected since your friends and family provide a lifeline to sanity when you are going through an international adoption.

So here’s my top ten list:

  1. Books – we were unable to find English reading material anywhere, even in major cities.  Pick long books, at least 3 of them.  Some recommendations:      Shantaram ~ Gregory David Roberts;  The Source ~ James A. Michener; World Without End or The Pillars of the Earth ~ Ken Follett; Shogun or Noble House ~ James Clavelle;  An Instance of the Fingerpost ~ Iain Pears.  Please feel free to list your own recommendations in the comments section. You may also want to bring along a book about adoption. I brought Attaching in Adoption: Practical Tools for Today’s Parents~Deborah D. Gray. Links featured below.
  2. Portable DVD player – we took this with us primarily for Karen, but it was nice to have when we rented an apartment with no DVD and no TV in English.
  3. DVDs – you will not find anything in English. All non-Russian movies are dubbed.
  4. Laptop computer – yes it’s a hassle, but we found we were able to get Internet in most rented apartments, after a lot of hassles.  But it was our lifeline.  Since even most  TV cable companies offer nothing in English, we found that the only way we could keep up with news and stay in contact with our support network at home was via the laptop.  We Skyped on a daily basis and kept up on news, email,  blog.  the laptop also served up games for Karen and DH to play.
  5. iPad, if available.  You should even be able to use this to buy ebooks to read in iPad’s great reader options.  Note however that buying items online from Ukraine may be difficult, especially if you did not notify your bank of your travel plans ahead of time.
  6. Quality toys – Fisher-Price, bring from home.  Cheap Chinese electronic toys are readily available at local shops.  Bring at least one toy as a primary gift to your new child.  We found bringing a pack of balloons kept toddlers happy and playful.
  7. A full course of antibiotics for each person travelling with you.  Consult your doctor to determine what will work best for the type of problems you are most likely to encounter.  We took amoxicillin for Karen and Axetil for us adults. Luckily we did not use any of it.
  8. Ensure you have enough money on your Skype account to call freely.  You may not be able to add money later on since credit card transactions originating in Ukraine may be blocked as suspicious.
  9. Xanax and 2 months of any prescription meds you take on a regular basis.  You may find yourself in extremely stressful and emotional situations.  Unless you are completely unflappable in the face of adversity, you will want Xanax as a backup.
  10. Extra gifts, mostly for women.  Especially appreciated are known brands of perfume and cosmetics.  My Dior gifts were very popular.  Although you will already be packing gifts for the baby home director and your facilitator, always have extra gifts available for translators, or anyone else who may be involved in helping you.  Boxes of chocolate can be purchased locally.  These are good for the team of caretakers.

Book links:

Search and you shall find

Karen, before

Karen, before

Today, someone arrived here after searching for “delayed physical development in toddlers in orphanages”. This is an issue that most potential parents consider when making the decision to adopt internationally. I hope the person searching comes back and reads this post. Better yet, if anyone wants my direct feedback, send me a question and I’ll do my best to respond.

Nearly all institutionalized children will suffer some level of physical, mental and emotional underdevelopment. Not only do they lack the love and affection given by birth parents, but they also tend to have diets poor in protein. Most countries with orphanages and children available for adoption are also poor, so their is little funding for enrichment. Caretakers may be numerous, but they can only care so much for children they see on a rotating basis.

But the good news is that most children thrive after being adopted by caring parents. I just think about the difference in how much my kids eat when they are nurtured compared to how I saw them eat when in the baby home. When my youngest indicates he doesn’t want anymore, I let him leave the table, but I still run after him with the bowl and spoon to try and finish out the serving I intended for him. That would never happen in the baby homes I saw.

And then there is love. I don’t know if scientists have quantified how love increases development, but I’ve read studies that even plants thrive when spoken to. If kindness affects a plant, how much more will a child thrive with love and affection.

I’ve seen Karen go from being severely underdeveloped in everything except her willpower, to become a healthy strong little girl who is on par with her peers in almost everything. Like many children, she even exceeds in some areas like athletics. On the other hand, she remains emotionally underdeveloped. See the featured post on emotional development here.

Physical development is only one piece in the whole child. Mental development is also often considered, but few people think about emotional development prior to adopting. From my experience, emotional development is the toughest to overcome, but I plan on doing it eventually.

Adoption – delayed emotional development

KarenExplains

Here’s another post about parenting difficulties, especially those faced by parents of children adopted from orphanages. Both my children pose challenges, but Karen has been especially difficult for us at times. She still seems to cycle in and out of moods where she regresses and seems to act like a 2-3 year old.

Most of us know that children from orphanages have many types of delays. We are used to having those issues dealt with by doctors and specialists. Some PT, good nutrition and healthy physical activity and the child improves quickly. Emotional delays are harder to deal with and continue to affect the child long after speech and physical delays have been resolved.

With Karen, behavioral triggers can be any new, especially emotional, development in her life. A hurtful scene at gan, and suddenly we have a few weeks of hitting, intentionally breaking things, destroying clothes, etc. Ok, some are funny, like when she puts her feet on the table while she’s eating just to see if I still have the energy to say, once again, “Karen, please take your feet of the table”; “feet with shoes off the furniture”; “please stop wiping your hands on your clothes while you are eating. There is a reason you have a napkin”. These are the funny ones. Not so funny is when she’s intentionally rough with Matan, or says really hurtful things under her breath. I stopped taking her to the supermarket after she whispered, “You’re stupid”, while standing in line and staring at the checkout clerk.

Lately, I’ve been reading some good books on adoption which my sister sent me when we got home with Matan. I wish I had read some of them earlier, much earlier, like maybe 3.5 years ago when we adopted Karen. One theme I’ve found very relevant is the thesis that adopted childrens’ emotional age will depend on how long they have been with their adoptive family. This is a rough estimate, but means that if Karen was adopted at age 2, and today she is 5, then her emotional age is around 3. That would account for her meltdowns over minor issues, especially those resulting from fights with girlfriends who are usually more emotionally mature.

Right now I’m reading “Parenting Your Internationally Adopted Child – from the first hours together through the teen years”. I strongly recommend it to anyone considering an international adoption. Includes good case studies that follow the development of a small group of internationally adopted toddlers.


Parenting Your Internationally Adopted Child is a wonderful, thoughtful resource for adoptive parents. As both a therapist and a parent, Patty Cogen offers valuable, practical advice with hands-on suggestions and great tips. This is a book that will grow with you as you navigate your parenting journey. –Carrie Kitze, author of We See the Moon and I Don’t Have Your Eyes

Ukraine adoption info

Entrance to Kremenchuk Baby Home

Entrance to Kremenchuk Baby Home

Many of the Google searches that send people here deal with information about specific orphanages in Ukraine.  I originally began blogging Dec. 2009, just before we left Israel to adopt a sister for Karen. When I look again at the posts from the time we were in Ukraine, and the frustrations we paddled through, I can understand why people planning an Eastern European adoption would want to read about our experience.

For those people who are visiting the site to learn about our adoption experience, I recommend you start reading here: http://www.zendette.com/2009/12/02/almost-in-kiev/ It seems that it is rather hard to start at the very beginning of the blog, as I’m missing some navigation links on this new blog, but I think if you start on the link above, you should be able to access the “whole story”, of our trip to Ukraine to adopt a sister for Karen, which eventually turned into a trip to adopt a brother instead.

In addition, if anyone has specific, personal questions about adoption and you don’t want to post in the comments, then feel free to contact me via the contact form.

If you are looking for information on specific baby homes, the only ones we have visited are Kremenchuk, Pryluky and Lugansk Baby Homes.  We did the have opportunity to spend almost a month in Kremenchuk, and even longer in Lugansk.  Our visit to Pryluky was very short, but I was quickly impressed by the renovations done there.  The building was beautiful, but I didn’t have a chance to see what the living conditions were like for the children.

This blog goes into great detail about the Lugansk Baby Home because I was able to record my daily impressions during the month-plus that we spent visiting Matan while he still lived there.   I was satisfied with the care he received since it appeared to be better than the care Karen received at the Kremenchuk  Baby Home.

I have provided far fewer details about Kremenchuk Baby Home since I wasn’t recording my daily impressions in a blog.  I plan to write  at least  one blog post about Karen’s adoption so that I can at least have some written material should she later ask why her adoption wasn’t covered.

We adopted Karen back in February 2007, when she was 2.1 years old.  We spent the majority of the time in Kremenchuk, with only 4 nights in Kiev.  We were totally shell-shocked by the whole experience, and DH vowed he would never set foot in Ukraine again.   I’m glad DH has an open mind and was willing to go back for a second adoption.

If you have specific, personal questions about adoption and you don’t want to post in the comments, then feel free to contact me via the contact form.

Then and now

These photos are intended to give you some idea of how Karen has changed from baby home child who could barely smile, to the happy, if loud and sometimes obnoxious little Israeli girl she has become.

When you adopt a toddler, you adopt their past

Love is: Mama gets a 4-handed backrub.

Love is: Mama gets a 4-handed backrub.I’ve spent a while digesting the story of the adoptive mother who returned her adopted son to Russia. She had him placed, alone, on a flight to Russia with a note explaining why she could no longer parent him. She claimed he was a danger to her and her family, and that the baby home lied to her about his emotional status.

I originally hesitated posting because there are so many variables, and we really don’t have enough details to evaluate the adoptive mother’s behavior. It is sad that she didn’t examine other options. However, I can also understand her anguish and the enormous amount of stress she must have been under.

Often, people think that adopting a child will be just like giving birth to a baby, except you get to skip the early years. It doesn’t work that way. Adoptive parent have to remedy each and every one of those early years that the child lived in a coercive and cold environment. Remedy is much harder than raising the child properly in the first place.

There seems to be a myth, among people unfamiliar with adoption issues, that adopted children will be so happy to finally have a home, that they will be grateful and loving. Nothing could be further from my own experience. Actually, with Matan, at least in the beginning, he did seem grateful and relieved to have “found” his family.

However, to say that our first year with Karen was difficult would be an understatement. She is a very bright and challenging little girl today. When we brought her home, she was angry, rebellious and violent. She hit, kicked and bit us, especially me. She never allowed me to hold or cuddle her in the beginning. It wasn’t until over a year that I really began to feel love and affection towards her. That is a hard thing to write, but I think it’s important that new adoptive parents and potential adoptive parents are aware that they are not alone if they are feeling beyond challenged in the first year or beyond.

You can read more about attachment in adoption here.

Shortly after we brought Karen home, I was on various lists of adoptive parents. At the time, it seemed to me that the adoptive mothers where thrilled and that except for some developmental issues, all the mothers seemed positive and didn’t seem to be suffering through emotional issues. I find it hard to believe, based on the real life adopted children I know, that so many of the posters were totally content during the first year. Were they in denial, or did they really feel that emotionally, the family was doing well? Of course, it is possible that they really did have no issues, and their children attached to them quickly, and that their homes were full of love and light.

I just felt it was important to let anyone considering international adoption know what they are getting into. It isn’t all love and light, but it does offer the potential for a deep and loving family, even if you do need to work on emotional issues as they arise with age and development.