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orphanage

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.

Matan said “snow”

Broke his arm at gan this week, awwww, baby

The good news is that Matan’s speech is improving, but not quickly enough. He was evaluated to determine the best pre-school special education program he will need next year. In addition to speech and emotional development, he also needs help with fine motor skills and general development. While we believe he was in a “better” orphanage, but he was still one of 12 children who lived in a very small room with almost no stimulation except their interactions with each other. Even today when he is in a new space he likes to go around and touch everything in the room.

During the two years that have flown by since we adopted him he’s been in speech and occupational therapy on a regular basis. But apparently this hasn’t been enough. We don’t have a prognosis of how he’s expected to do next year, with the full support of a special education staff, but I’m sure the small group of only 10 children, and rigorous occupational and speech therapies on site will help him vastly improve on his current delays. At least I hope so.

He continues to be a charming and adorable little boy. Everyone loves him, and he’s friendly and generous. But he can play with his trucks and tractors all day, and dislikes being challenged by other activities. We are so lucky that he has Karen. She plays with him, talks to him, and in general acts as a guide. He adores her and I can’t imagine how much more delayed he would have been without a big sister.

Yes, after drafting the above post, I got a call from Matan’s pre-school that he appears to have injured his arm and should see a doctor right away. Turned out to be a double fracture above the wrist. Poor kid didn’t understand why I wouldn’t remove his cast at night so he could go to sleep. He’s getting used to it now.

25th percentile!

In just over a year, Matan has jumped from being under the bell curve to 25th percentile in height, weight and circumference. He’s also showing significant improvement in both gross and fine motor skills, and age appropriate play. But we’re stuck with speech. The speech therapist is now working with him every week, but I sense a lack of chemistry between her and Matan. I’ve asked to be transferred…

Yesterday we had our appointment with the developmental pediatrician at the clinic for child development. That is where Matan gets his occupational and speech therapies. We were originally referred there because when we first brought him home, his muscles were weak and he could barely walk a few steps before tiring and reverting to a crawl. Amazingly, after only a few visits to the physical therapist, mostly to train me, he graduated and no longer required phys. therapy. But since we were already in the system, they did a full work up which led us to the occupational and speech therapists.

I’ll know more once we get the full physician’s report. She said it was hard to make a determination since he was uncooperative with her during our 1.5 hour appointment so she’ll be relying on a report that his pre-school is submitting next week.

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.

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.

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.

Attachment in adoption

Threeofus

All parents spend an inordinate amount of energy focusing on their children’s development. Adoptive parents must have an extra energy source since they accomplish the impossible – they obsess even more than biological parents. Our main concerns? The twin pillars of successful integration; attachment and development (all types).

When we adopt toddlers from orphanages, we need to be aware that these children probably never had the opportunity to attach to any parent figure. We noticed that staff is rotated so that infants rarely encounter the same caretaker for any length of time. When we adopt the child as a toddler, he is already far behind his peers both emotionally and physically. One key to building a successful adoptive family is ensuring that the adoptive child develops attachment to the adoptive parents. Poor attachment leads to inability to maintain healthy relationships.

I believe that all orphanage babies will have attachment issues. The only question is how long, and what it may take, to achieve healthy attachment.

Attachment was a key issue my sister and I discussed while she was here. Karen took a very long time to attach to us, to me specifically. It was definitely more than a year before I felt that she really wanted me to comfort her, and that I wasn’t just the most convenient person around to do so at any given time. Matan is very different. He seems to have attached to me very quickly. The speed alone has me concerned since it seems to me that it is normal to face attachment issues with these kids. I’d like to think that Matan had better caregivers, it certainly looked like it from what I could see. But I’m concerned that his attachment may not be as deep as Karen’s. Maybe because her’s was earned through hard work by all of us. His attachment seems almost miraculous, too good to be true.

For anyone planning to adopt internationally, I recommend reading up on attachment issues. One of the more useful books I read was “Attaching in Adoption: Practical Tools for Today’s Parents” by Deborah D. Gray

Post adoption euphoria

Hanging out on a Saturday in the park with friends

Hanging out in the park with friends

It is almost 2 months since we brought Matan home from Lugansk, Ukraine. Looking back, this has been a really wonderful time for all four of us as we become a complete family.

I look at Matan, who lived his first 1.5 years in a single room where he and 11 other children slept, ate and played. His routine was as unchanging as his caretakers were changed. It appears to me that caretaker turnover is considered important by the Ukrainian baby homes so that a child doesn’t become “too” attached to one person. According to my research, the children would be MUCH better off if they were allowed to bond with caretakers. Most of the women who work in the baby homes do care about the children, but it’s a job, and they want to feed, clean and “care for” the children and then go home for the day.

So this little boy, who has never been exposed to sun, rain, wind, or any other outdoor phenomena is suddenly ripped from his safe room, and forced into a strange new world where he suddenly finds himself living with 3 crazy people who are always yelling gibberish at each other. His daily routine is gone, the only food he has ever known is gone, and he wishes he could understand why “they” let him touch some stuff, but not other stuff. Why is he permitted to put some things in his mouth (teething ring), but when he puts other, brightly colored and interesting objects into his mouth, ‘ma gets nutty and tries to pull it out.

Adding Matan to our family has felt really “easy” compared to our first adoption. This is partly because we are more experienced, but mostly a function of the differences in character between Karen and Matan. They each have something special in them that makes me melt. Karen is smart, headstrong, and very sensitive, loving and affectionate to those closest to her. Matan is cute and sweet and as even tempered as an almost 2 year old can be. I still have so much to learn about him. It has been pure joy to watch him go from a confused child who had no idea what wind on his face felt like to a little boy who seems to have grown comfortable with his surroundings and his place in our family.

The greatest thing to come out of this whole adventure is to see Karen chasing Matan around the apartment with both of them screeching in joy. I can’t believe that they actually seem to get along well most of the time. Looking back, it is clear that Matan was our Karma, or Mazal. We expected a girl, but found him and fell in love. It was unexpected, and the seemingly very randomness of how we were matched with both of our children reminds me every day how very lucky we are.