|
As difficult as this is, confidentiality laws prevent the therapist from speaking to you, without your D signing a release of information. Since it appears she has not signed, the therapist can not respond to you, even if the therapist wanted to.
While some therapists may be willing to hear/read your concerns, others may feel this is an overstep. It is also likely the therapist will tell your D you contacted them, and this may backfire with your D feeling that you have influenced the T against her.
Therapy can be effective but only as much as the person is willing to be open about their issues and to work with the T. Not all pwBPD are able to do this. In addition, they may experience shame over their issues and be invested in hiding them, and combined with a victim perspective, they may share their feelings with the therapist from this, while presenting what they want the therapist to see. If you speak to the therapist, this may be seen as a threat to your D and she may not want to continue with the therapist.
I know you want the best for your daughter and want her to be well, and yet, none of this has any impact on the confidentiality laws. I experienced a similar situation with my BPD mother. She controlled the narrative in her world and how she wanted people to perceive her and this included therapists and what was discussed was strictly confidential. We could not and did not communicate with them.
Children don't have this kind of situation with a parent but at some point when the parent is elderly, adult children are asked or expected to begin to step in and help. My parents had the same doctor- and while my father allowed me to speak to the doctor to help him keep up with his medicines and if I had concerns. My BPD mother did not consent, so I could speak to the doctor about my father but not my mother.
At some point after my father passed away and my BPD mother was elderly, a friend advised her to make me POA. Even then, she refused to allow me to have any financial or medical information, and eventually allowed me some of it, but also had, at times, told the nurses to not speak to me.
Why? Because for her, she needed to be the one to decide what others saw and knew. She knew I knew more than that, and that I was concerned about her, and so my speaking to them would be threatening to that. I also don't know what she told her family and friends about me, and so that was part of her narrative. They mainly knew me through whatever she told them.
This was even with her friends. I went to visit her once and her friends invited us out with them. She told me she wanted to go alone. She didn't even want her friends to get to know me. I realized that she needed her circle for her own support, and so, it was best to leave them to be her circle. Same for the therapist- she needed to have control over that entirely.
We assumed the therapy wasn't working because, it didn't change her BPD or her relationships with us. However, what we can't know is if it helped her at all from the position of being emotionally supportive to her. Maybe it did. We did know that for any chance for her to be motivated to go- we had to stay completely out of it.
There's a double edge to paying for the therapy. One is that you want her to have it and so you provide it. However, since you are paying for it, your D has no "skin in the game". She has nothing to lose by wasting the time, because, it's not her money invested. If she isn't motivated, then it's not going to make a difference.
There is a genuine fear if you and your H hold to boundaries due to how much your D can escalate. My mother could too. I didn't want any harm to her. I had to reconcile that if she escalated to the point of endangering herself, I'd have to call 911.
You are in a no win situation here in terms of your D seeing this not from victim perspective. If you want some accountability and if you pull back. Your choice now is to continue paying and keep out of what is her confidential situation- or decide this is not an expense you and your H are willing to pay. She is an adult and so if she wanted to have therapy, she'd find some way to attain it. Some places have sliding scale fees, if she's on your health insurance or is eligible for a low cost one herself, there may be some that accept it. One idea is to make this decision based only on you and your H's situation, and what the two of you perceive as progress or not.
|