I have an alarm set on my phone to contact Jude’s teacher daily during his conference period. The doctor increased the clozapine last Thursday and we already see noticeable changes. Yesterday, his teacher said he had taken two naps, but was alert when awake. He didn’t make it sound like he slept the day away and I’m hoping some of the grogginess wears off as his body adjusts to the higher dose. One of the first changes we noticed when we decreased the clozapine a few months ago was increased activeness. On the old dose, Jude went straight to sleep when it was bedtime, but as we started to go down, he was staying awake longer and getting up and down after we put him to bed. During this last home visit, bedtime was a breeze and I’m very grateful for all of us.

I saw zero agitation over the weekend when he was here. He accepted all my redirections without any aggression, verbal outbursts or push back. We were concerned that he may protest going back after the visit was over, being that this was his first trip home after the postponed move, but he didn’t. When it was time to return, he said, “two days.” For some reason, that is the time that imprinted into his brain after we decided to push pause on his move back. I think it’s because the day I told him that we would not be bringing him home, was two days away from his scheduled move back. “No,” I said, “five days Jude. Daddy will pick you up from school on Friday if you have a good week.” He said, “ok” and got into the truck without hesitation. It’s a knife in my heart to disappoint him, but I know that he can’t call the shots. We love him deeply and are forever committed to make decisions that protect him, even if they kill us emotionally.

The comments in response to our decision hurt. I try not to let them affect me, but I’ve accepted my inability to do that.

“How can you put that kind of pressure on him? One behavior, and the whole thing is called off?”

The truth is, I don’t know if it’s right for us to put that kind of pressure on him. Can he control himself? Does he, or will he ever, understand consequences? This is a polarizing topic in the autism community and I’m not dying to know what everyone thinks about it. From day one, I’ve been parenting this precious son of mine blindfolded, grasping through the dark as I bump and stumble along. I will never claim to be an expert on him, much less autism itself. But today, right now, the reward of coming home for good behavior seems to be resonating with him. Working? I don’t know. Resonating? Yes. I’ll take any crumbs I get on this journey and do what I can with them. But again,

I dare not claim to be an expert or impose my successes with my son upon you and your autism experiences. I wish everyone would allow me the same grace, but I can’t enforce that.

I asked someone on our medical team if reducing the clozapine was a mistake, she responded that for Jude, clozapine isn’t poison, it’s a miracle drug. That sent a rush of peaceful reassurance through my mind and hushed the fear of what its affects could possibly have on my son’s body long term. Today is all I have. I must make his life livable today and entrust the number of Jude’s days to God.

My heart goes out to all of you struggling with the same decisions. You’re not alone and I hope this space has given you a little relief knowing that. Let the outsiders hate, but remember that the minority who are actually living this, get you. Life lessons don’t always have to be learned from personal experience. If we exert a little humility and a listening ear, we might not only learn something new, but find that we were wrong about things we once felt so certain. I pray that our harsh critics slow down enough to exit the highway of absolutism and get on the road of humility that leads to understanding.

7 responses to “How is Jude after the clozapine increase?”

  1. sweetspowerful73a7db144c Avatar
    sweetspowerful73a7db144c

    I just wanted to let you know that you are an inspiration for me while I am also navigating special needs parenting. Your openness has helped me so much when I feel all alone in this journey! Do not EVER let anyone try to make you feel bad about the decisions you are making for your child. No one knows the pain of raising a child with special needs & I will never understand how someone can talk down to anyone on this journey. Pray for you every day mama you are doing awesome!!

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    1. Thank you so so much for this comment. It deeply encourages me!

      Liked by 1 person

  2. Never, ever let the outside voices be louder then the beats of your heart. Unless someone has walked in your shoes, they have no right to their opinion. Our granddaughter is autistic, not to the same degree as Jude, but challenges can be faced everyday. Her life thrives on routine and if it’s upset, even for a minute, meltdowns can happen. I have cried with the daughter many days because she thinks she is not doing her best, but she is. She advocates for her child when she needs to, seeks out answers and always does what is best for her child nd her family. It is definitely not a walk in the park everyday but she loves her child unconditionally, just like you all love Jude. I have been praying daily for you all and am thankful for His answering with a wonderful weekend for Jude and the family that loves him.

    You are never, ever alone. God bless

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  3. Wanda Settlemyre Settlemyre Avatar
    Wanda Settlemyre Settlemyre

    I’m the Aunt to 2 special needs children, my husband and I are honored to fill the gaps as grandparents. The ignorance I hear when I speak of our precious children age 8 and 9 is unbelievable. People who don’t live the struggle physically and emotionally don’t have a clue. I applaud every person struggling to make a difference in a special needs life.

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  4. My mother in law has been on it for years, she’s been able to function at a level she normally would not . She’s almost 75 and has very few health problems. You are such a wonderful writer and I’m sure it’s a great outlet. Keep it up !

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    1. That is extremely encouraging to read! Thank you for complimenting my writing. It has become a passion of mine and is therapeutic.

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  5. Have you ever had Jude tested for a genetic cause for his behaviors? My 4.5 year old son is aggressive and will bite and hit and break things (like his father’s windshield with his forehead) and was having occasional mild seizures so we did the ‘behind the seizure’ free test from Invitae and learned our son has de novo Syngap1 and fit every description of the diagnosis. It has help us find our community, a reason for his many delays, and medications/doctors that work with Syngap1 patients.

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