Prior to yesterday's appointment, I went online and signed up for a 1 on 1 session with this therapist because I know she continues to see my daughter. That appointment is this Thursday. I think she already knows why I left the session because I briefly spoke to her about my daughter's behavior during sessions previously. All she had to say on the matter was that she never had to lay down rules before.......okay, but she clearly does in our situation, but hasn't? This women is just some random therapist who my daughter hooked up with after attending an IOP for continuing care because she was available during a time slot that we both knew would continue to work once my daughter starting attending cosmetology school. There's nothing in her background that indicates that she's even BPD "informed", and it's been proven time and time again that nothing can get accomplished in sessions exclusively due to my daughter's words and behavior. For instance, during a time period that my daughter and I weren't really having any major issues, the session started out fine, but when I brought up the subject of my daughter getting a part time job and wanted to discuss a timeline by which she'd do that or I would stop payment on her internet bill (this was after she moved into the apartment but before she was attending school), all hell broke loose, and then she (my daughter) decided to end the call. It's always the same thing. She doesn't want to be held accountable for anything, big or small.
I plan on just letting the therapist know that I won't be attending any more family sessions as nothing productive takes place and it isn't good for my daughter or me to continue to engage in this way. I'm also going to remind her that my daughter has a legitimate BPD diagnosis that was a very long time coming with numerous doctors, Psychologists, and therapists all reaching the same conclusion over a 5 year period--- a diagnosis that my daughter doesn't want to face. I'll also let her know that the therapy she really needs is DBT (as I think should be very clear by her ongoing behavior in family therapy sessions) and that I've become aware that DBT is now being used to help expectant mothers mitigate challenges with hormones, and I really think it would be in my daughter's best interest if she'd (the therapist) encourage her to start practicing DBT, even if only for that reason. I can't control how this therapist decides to proceed with my daughter, but I do know if she's not engaging with my daughter appropriately given her diagnosis that she can't help her and could potentially make matters worse.
Rolling things back about a year, after my daughter was removed from my house following about the 4th inpatient hospital stay she was pink-slipped into by law enforcement, I had put up a boundary that I ended up dropping, where I told her that I'd communicate with her only when a therapist was present, and only when she engaged appropriately. This was just as she was entering a 3 month online IOP (in her apartment) where they were supposedly doing DBT. I say "supposedly", because many programs incorporate aspects of DBT but it's not really a comprehensive "adherent" program that operates as Marsha Linehan dictates it should. Perhaps if I would have stuck to that boundary, my daughter and I would at least be able to engage in a healthy way with a therapist in between.... maybe not.
Today I decided to discontinue sessions with my current (personal) therapist and pivot over to a DBT practice that truly specializes in BPD and runs an adherent DBT program as well as offers individual therapy. It's a practice that my daughter was let go from about 4 years ago because she wouldn't do any DBT "homework" and wasn't complying with any aspect of the program. My current therapist is nice, and a Phd, but I'm really not getting what I need from her. I want to work with someone who is in the trenches when it comes to BPD, knows all the skills backwards and forwards, and can help me navigate the challenges I continue to face with my daughter in an informed way. So I called and they recommended that I work with a particular therapist who works with parents of pwBPD. It was explained to me that this BPD parent coaching is sort of like family therapy without having another family member there, which sounds like a good fit--- I hadn't even mentioned my inability to have family sessions with my daughter. The practice doesn't take insurance and the sessions aren't inexpensive but I'm starting to feel a little better better knowing that I'll have a solid resource for individual therapy/counsel that I really need.


