Elizabeth is a single mom by choice. She had yearned for a child for a very long time and had to go through many procedures to have Mireille (5), the HSCs featured in the introduction to this chapter. Elizabeth had spent a lot of time fantasizing about the close bond they would have—being on their own, together—and how happy she would make her child. But now Elizabeth finds herself totally exhausted. She feels suffocated by Mireille whose needs seem to be endless. “If I try to gather a moment of space to regulate myself, which sometimes I need to do to avoid becoming punitive or yelling, it intensifies her distress. She will follow me and come into my physical space. I can feel how desperate she is for my comfort, which I’m absolutely willing to give her, just once I’ve calmed myself down.” Mireille also ruminates. When Elizabeth says they can’t go to the playground because it’s raining, Mireille will whine and mope, talk incessantly about how much she’s missing the swings…for hours. She will get a tiny scratch and nurse and complain about it for the entire day.

Mireille protests every limit Elizabeth tries to set, such as no screens during mealtimes and not snacking all day. Elizabeth finds herself often caving on these limits even though she knows this isn’t good for Mireille. They’re late to school every day which is becoming a problem. The teacher reports that Mireille is calmer and more engaged when she arrives on time. Joining the class late is dysregulating. She’s out-of-sorts on those days.

Mireille’s meltdowns are so epic that Elizabeth worries she’s too fragile to tolerate not getting what she wants. She’s afraid that Mireille’s anger in these moments will taint the strong, connected relationship she’s trying to build with Mireille—her number one priority. Further, Elizabeth can’t tolerate seeing Mireille in distress as she (mistakenly) equates it with being unhappy. She focuses all her energy on rescuing Mireille from any discomfort. She hopes that constantly filling Mireille’s cup will make her feel safe, secure and loved, and make her a happy and content child.

By the time Elizabeth comes to see me, she’s beginning to see that this approach isn’t making Mireille more content. In fact, she’s becoming more demanding and the stress in their relationship is growing—the exact opposite of the connection she’s trying to forge with Mireille. That’s how she knew it was time to seek help. Through our work, Elizabeth gained the following insights:

• Mireille is actually a very competent child who is quite resilient. At school and with other adults, she is able to manage disappointment and frustration and regulate her big emotions.

• This demand for constant connection may be what Mireille wants, but this kind of unhealthy attachment is not what she needs. ⁠It’s also not healthy for Elizabeth to feel suffocated by Mireille—to have no personal space, to feel like Mireille is trying to control her, and that she’s feeling AT Elizabeth. This is not enabling her to be the mom she wants to be for Mireille.

• Mireille may want to be in charge, but that’s also something that’s not good for her or what she needs. This dynamic has resulted in unhealthy outcomes for Mireille, like getting to school late, too much screen time and too many sweets. She and Mireille are also locked in protracted power struggles which is causing Elizabeth great despair and worry.

• The lack of limits is what is causing so much stress in the family and is the biggest obstacle to solidifying the close, trusting relationship Elizabeth so badly wants with Mireille.

With this change in mindset, Elizabeth makes the following changes: