Annie’s second day of ABA therapy
An Annie angst fanfic for @1-wonder-1’s SLH AU
CW for restraint and a little SIB
“Annie, come on, you have to go to therapy with Dr. Moon.”
That Wednesday, after breakfast and medication, Annie had been dreading ABA.
Zooble sighed, rubbing between their eyes where their nose bridge would be.
“I’m not fighting you on this. You either come with me, or Dr. Moon will come and get you.”
Annie stiffened a bit at the last sentence, squeezing their monkey tighter.
They then began to follow Zooble to the psychiatric unit, where Dr. Moon’s office was.
Zooble opened the door, and Annie reluctantly went in.
“Hello, Annie, how are you doing?” She asked calmly, going over to door and shutting it, but not before waving to Zooble.
“..tired.” They hummed. Per Dr. Abel’s prescription, Ativan was given to Annie during breakfast, along with lunch and dinner. It often kicked in quick, leaving the rag doll calmer.
“How about you try a couple things on for me, alright?” Dr. Moon took Annie’s hand and led them to her desk.
On the table, there was a pair of long fingerless gloves, knee pads, and a cap with a strap on it.
“Can you hold out your arms, please?”
Annie stood still, but put their monkey down on the table and held their arms out. Dr. Moon slipped the sleeves over Annie’s arms. Then she removed Annie’s shoes and AFO brace and pulled the knee pads on them.
“What are these?” They asked, Dr. Moon put their shoes and AFO back on. She picked up the cap and placed it on Annie’s head, strapping the straps under their chin.
”Its protective gear, so you don’t have to be held if and when you bite or hit.”
“Oh.” Annie hummed, picking their monkey back up and sitting down at the table.
“Today, we’re going to practice some calming down skills, okay?”
Annie just replied with a small ‘okay’, resting their hand on their palm.
”Good, good, now.” Dr. Moon cleared her throat.
“First, when you feel like you need to bite or punch, you can ask a staff member—like Caine or Zooble—to help you get a chew necklace, or a weighted blanket, or a fidget. Okay? You can also put your hands together and squeeze them.”
Dr. Moon modeled putting her hands together, interlocking her fingers. Then she took Annie’s hands and showed them how to do it.
“Hands together.” She states, trying to get the teen to understand to do this or to do it when someone says this. As ‘safe hands’ was too vague for Annie.
“Hands together.” Annie repeated, Dr. Moon patted them, “Good.”
Dr. Moon handed Annie a laminated visual sheet with what she had just explained. It had both words and pictures describing what do when Annie was feeling understimulated or overstimulated.
Visuals were helpful for Annie, so Dr. Moon making them made the instructions easier to understand.
“Okay, Annie, we’re going to do something else. We’re going to try your conversation skills. Alright?”
Annie nodded, and Dr. Moon spoke a bit gentler.
“Now, I want you to say ‘okay’ or ‘yes’, or anything that lets me know you heard me. I want you to use your voice.”
Annie looked away, but looked back and replied with “okay.”
“Good job, okay, now,” Dr. Moon adjusted her glasses.
“I want you to tell me how you feel about…monkeys.” She tapped Annie’s monkey plush on the head.
The teen smiled a bit, and placed their monkey in their lap.
“Monkeys! I like monkeys. Did you know that the biggest monkey is the Mandril? It is 3ft tall! And the smallest monkey, the Pygmy Marmoset, can fit in the palm of a hand. Also did you know that monkeys are only considered monkeys if they have tails, of course, not including lemurs; but chimpanzees, orangutans, and chimpanzees aren’t monkeys—“
Dr. Moon placed a palm out onto Annie’s hand.
“Annie, that’s not a conversation. A conversation is back and forth. Like me asking questions or making remarks, along with you talking.”
Annie furrowed their brows, feeling shameful and a bit frustrated.
They were obviously getting a bit antsy, and they began to put their hands together and squeeze them like how Dr. Moon showed them. This signaled to the psychologist that they were about to engage in SIB.
“Okay, okay, we can take a break.” Dr. Moon began to guide Annie to the floor, as this was safer than the table. She switched the lights off and walked back over to Annie; who had already stood up and was clenching their fists.
“Annie, please sit back down—No, no no no. Hands together.” Dr. Moon had attempted to lower the rag doll back down to the floor, only to be met with swatting from them.
Dr. Moon began to distance herself from them, keeping the situation from escalating.
Annie didn’t actively try and hit her on purpose, so no one was getting hurt. That’s all that mattered.
Annie continued to pace back and forth, obviously frustrated with themselves and everything.
Eventually, Annie was extremely tuckered out. They plopped on the floor, signing ‘sorry’ by turning their fist in a circle on their chest.
“I forgive you, but it’s not okay what you did, and you absolutely cannot hit me.” Dr. Moon said calmly, coming over to Annie and placing her hands on their shoulders to keep them down and sitting.
“For your safety and mine, you’re going to keep sitting here until you calm down. Understood?”
Annie shrugged their shoulders to try and get her hands off, but she didn’t budge. Keeping her stance kneeled down.
Annie groaned, beginning to kick the floor a little. The psychologist remained silent, beginning to lower herself to the floor.
Annie began to wriggle around, trying to push her away; But not necessarily hurt her.
“Let me go!” Annie cried, making Dr. Moon hesitate, but continue with trying to get them to stay in place.
Annie slammed their palm against the side of their head, luckily, their hat protected them.
Suddenly, Annie landed a couple swift kicks in her stomach. Okay, definitely escalating.
Dr. Moon, not wanting to risk Annie headbutting her if she decided to do a sitting basket hold; lowered them to be laying face up on the floor, and held their torso between her knees; not putting any weight on them, though.
It was one of the more restrictive techniques. The only reason Dr. Moon didn’t do something less restrictive is because Annie had already become too overwhelmed and could not calm down on their own from this or be redirected.
The teen began to try and pull Dr. Moon off of them quite aggressively. Tugging roughly at her white coat with anger. This only resulted in their hands being held down.
“Annie, take a deep breath. I’ll let you go in a moment.” She spoke calmly, gently, even though she was being a bit rough with the rag doll.
Unfortunately for Dr. Moon, Annie was not calming down, if anything they were getting more aggravated.
“Shhh…shhhh….” Dr. Moon soothed, trying to provide some calm in the hectic moment.
Eventually, Annie stopped fighting, only crying now. Dr. Moon got off of them, allowing them to sit up.
“I hate you.” Annie mumbled. They never said they hated anyone, and Dr. Moon of anyone? Of course, she stayed calm, not reacting to the comment.
Dr. Moon stood up, reaching for her radio and speaking into it.
“Zooble, I’ve decided to cut the session short. Annie got a bit aggressive, and I think it would be best if they took a break in their room.”
Within a couple minutes, Zooble came in, and saw Annie on the floor. They had a pissed off look on their face and was hugging their stuffed monkey.
“Hey, come on, let’s go to your room.” Zooble persuaded, beckoning Annie up by waving their hand.
Annie glared at them, but stood up. They followed Zooble out the room.
Zooble remained silent as they led Annie towards the hallway where the patients rooms were. They opened their door, and slightly nudged the rag doll in.
It was surprising what Zooble heard on the phone: Annie being aggressive towards staff? They were usually only this way towards themselves. And towards Dr. Moon of all people?
“Sit down, we need to talk.” Zooble said, trying to be as calm and casual as possible.
Annie sneered a bit, but sat in the bed anyways.
“Hey, look at me. I understand you were frustrated. But that’s not an excuse to hit or kick anyone. There are still consequences to your actions.”
Annie loosened their shoulders, what they did sinking in.
“Now, you’re going to stay in here and think about what you did. I’m not mad at you, but you need to understand that what you did is not okay.” Zooble kept that gentle tone, but, god, they sounded like Caine.
Zooble went to the door, closing it behind them and locking it shut with their keys.