Hi there,
I'm so sorry about your daughter, the situation must be really scary for you. I had a similar situation when my adult BPD stepdaughter attended college, right around the same time that I married her dad. She started using marijuana daily, experienced a crisis, made a first suicide attempt and landed in the hospital. By the way, after around a year of self-medication with marijuana, her executive function declined precipitously, and on top of her wild mood swings and bouts of unbridled rage, she was paranoid and delusional. On some occasions when under extreme stress, she seemed to lose touch with reality.
Like your daughter, my stepdaughter was in and out of McLean. I felt that the treatments there helped stabilize her, and yet, she wasn't really "ready" to do the real work of therapy at first. Since she was technically an adult, she felt she could do "anything she wanted," and she generally didn't want to do the recommended follow-up, because she wanted to do other things. I'm not sure if her executive functioning was intact enough for her to apply for treatment programs, make appointments or execute the administrative side of arranging for her own care. In a way, I felt like McLean "dropped the ball" once she was discharged, believing that a young adult can manage her own care by herself, and make rational decisions about follow up. Sure, her dad and I wanted her to get follow-up care, but at the time she was belligerent and uncooperative. Her dad, in a FOG of fear, obligation and guilt, allowed her stay at our home for an extended period, basically on "vacation," while sleeping the days away, using marijuana and being disrespectful to us. Eventually he let her re-enroll in college, because that's what she wanted to do, but against our better judgment, because she wasn't demonstrating that she was in a good place when living with us. Alas, that was basically setting her up to fail. And this cycle--falling apart, withdrawing from college, getting a little treatment to stabilize, living at home on "vacation," going back to school, repeated. Each repeat was worse than the last on.
I will follow up with more later. In the meantime, take a deep breath. Things can get better if your daughter takes therapy seriously (and stops using marijuana in my opinion). McLean has great programs, provided that she's "ready."




