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Supporting a Child in Therapy for Borderline Personality Disorder
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Author Topic: how do I cope with resistance to therapy of any kind -- "I'm fine"...?  (Read 380 times)
Frazzledmomma
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What is your sexual orientation: Straight
Who in your life has "personality" issues: Child
Posts: 2


« on: November 02, 2017, 05:42:21 PM »

My 14 year old who exhibits BPD characteristics (has other long-established mood disorder diagnoses since 7). She has a long history of resistance and unsuccessful therapy of all kinds.

We are trying DP. Again.

She went 2 times, her father and I continued to go. She refuses to continue, refuses individual therapy, has had years of non-results. (recent hospitalization revealed a formerly unknown trauma 3 years ago, but her tendencies pre-date that--it's only gotten worse since then)

her cynicism is deep and there is no leverage to reward or punish for anything. Nothing motivates her. Nothing matters. Her meds have been evaluated, her psychiatrist insists therapy is the missing link.

Our latest therapist sat there stupid in our last session, shocked by what she saw -- clinicians have no clue how to help. Who trains these people? THis is the 12th? 13th? 14th? therapist we've blown through -- they quit because they have no idea what to do.

Everything they say is scripted. It's clear they don't live this hell and when I ask for actual success stories I get nothing but stock language about DBT being the standard therapy. I want success stories. I want hope. Clinical evidence made human. Actual cases from real people who get better.

I'm not seeing it. Everything we're given is "strategies" -- living in a state of daily crises of varying magnitude don't permit strategies, which are by definition big-picture, long term.

Anyone have TACTICS to use to parent her and get her bought in to a) accepting her moods, attitudes and behaviors are actually not ok, and b) getting her to participate in therapy?



 
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Our objective is to better understand the struggles our child faces and to learn the skills to improve our relationship and provide a supportive environment and also improve on our own emotional responses, attitudes and effectiveness as a family leaders
Mamadukes

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What is your sexual orientation: Straight
Who in your life has "personality" issues: Child
Posts: 28


« Reply #1 on: November 03, 2017, 07:19:23 AM »

My diagnosed son 27 finally did a "partial hospital program," which was 5 days a week, 5 hours a day, group plus individual work, DBT and maybe also some MBT. This program was a game changer. It felt like a miracle. All is not well now, months later -- far from it -- but the experience of that program gave us very serious new hope, and he gained some skills that are definitely sticking with him. So look forward to his next treatment venture, whatever it will be.

We've been dealing with his symptoms and terrible struggles for 13 years. It all takes time, and BPs famously come and go from treatment. This is a protracted and desperately painful process so much of the time. That has been our experience so far.

I feel very clear that one of the most important things is for those who love the BP to learn as much as we can about the disorder. Keep learning, keep practicing the techniques. It can REALLY make a difference in the quality of life of everyone involved. Validation has sometimes produced startlingly positive moments. Whenever I see how effective good skills on my part are, I am encouraged to keep learning. This site, and www.borderlinepersonalitydisorder.com/, have loads of resources, and there are several excellent books that I've found extremely helpful. I recognize that I need to learn and practice the tools much much more. I am on the waiting list for a 12-week workshop, which is also offered online (see NEABPD link above, "Family Connections".

I agree, it is incredibly frustrating how hard it is to find optimal therapy and good resources. Bottom line: we're in this for the long haul, and it is very very hard.
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