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Author Topic: trouble getting help for 18 year old daughter  (Read 707 times)
Chrissy70

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« on: December 29, 2014, 06:54:22 PM »

Brief history about our family.  We have 3 children, our 3rd is adopted.  Our middle daughter who is 18 takes a lot of our energy.  Beginning about age 2 we have had issues.  She would have outbursts and prolonged "tantrums" that would disrupt all aspects of life.  Once she was in school we almost immediately saw that she had trouble with friendships and teachers.  She was diagnosed in 1st grade with ADHD.  She has been on every medication and seen so many counselors that I can't even remember how many.  She also went through months of neurofeedback.  All with no success.  But we kept being told that all the symptoms were ADHD related.  She graduated high school by the grace of God and a lot of help from me.

Starting her senior year we began to see an escalation of her destructive behavior.  Drugs and alcohol, running away.  Now that she is 18 she thinks she is an adult, she thinks that we have no say in her life.  She had a job for a few months after graduating and was doing well at it.  She had a falling out with a couple of coworkers and her boss then a failed personal relationship and it has been down hill ever since.

I began seeing a counselor in May to help me deal with the issues she has brought into our house. After a month or so my counselor offered me information about BPD and said he thought she may have this disorder.  Within a few hours of research on the subject, I realized that my daughter had been misdiagnosed for so many years with ADHD.  Everything is beginning to become very clear.  It all fits, she has all the criteria for diagnosis.  We have been able to get her to start with a new counselor to try to help her with her extreme anxiety.  Hoping that she would give her the diagnosis and get her into DBT therapy.  So far the counselor thinks she just is an immature teenager that needs to grow up. 

How do we get her to open up to the counselor and stop telling her what she thinks she wants to hear without pushing her further away. Right now we live in a constant state of fear that we will say something that will make her run again.  I am an enabler and my husband is the complete opposite with unrealistic expectations.  We are parents that need help?  We are frustrated that with all the time and money we have spent trying to help her that no one has ever questioned that she may have BPD or offered us this diagnosis.  What do we do next?
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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
Ziggiddy
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« Reply #1 on: December 29, 2014, 10:49:26 PM »

Hi Chrissy70

and  Welcome

It is a very hard thing to deal wBPD or BPD like traits and your struggle is understandable.

As a parent you want to do all you can to help your daughter while also providing her with a framework in which she has freedom and room to grow.

In the end we are all responsible for our own decisions and no matter how much we wish our kids would make healthy decisions that would lead to happiness and peace, often they don't and sometimes we need to learn to let them live with the consequences of their actions - hard as that is.

I am really impressed that you reached out for professional help for yourself as well as for support here.

At this stage it is worth focussing your energies on working out your own responses to what is obviously a very painful situation and then learning to apply these lessons to your r/ship with your daughter.

you may not be able to make her open up to her counsellor - really it's the counsellor's job to provide room for that kind of therapeutic bond - and not every counsellor is going to be a good fit) but you CAN lead by example by working with your own counsellor as honestly as you can.

I would recommend if you haven't already, to look into our resource library here. The more educated you an get in management tools the quicker you can work toward reducing conflict and getting some peace back into your life.

here are links to some material you may find useful to help you deal with this special child:

Tools to Reduce Conflict with a person suffering from BPD (3 minute instructional video)

https://bpdfamily.com/portfolio-child

Do let us know what you make of it and keep us posted on your thoughts - it really helps to talk it out

best wishes

Ziggiddy

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SlyQQ
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« Reply #2 on: December 29, 2014, 11:13:21 PM »

For various reasons an age a diagnosis may not be forthcoming this does not mean your counsellor can not or you can not treat her appropriately. Unfortunately i am in a similsar posistion though have for a long time knew it was BPD having said that if you mention this to my 18yo she may well tear your eyes out depending on her mood a diagnosis may or may not be helpful but you can still help realistically the outlook is not good though
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maxen
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« Reply #3 on: February 25, 2015, 09:35:18 AM »

hi Chrissy70    how have things been? i'm wondering if you've had the chance to read the links Ziggidy posted, or if there's any news about your daughter's counseling sessions? please keep us posted!
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Chrissy70

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« Reply #4 on: February 27, 2015, 02:15:42 PM »

I have been asked for an update.  My daughter has not progressed in a positive way at all.  She was seeing a "specialist counselor" who was supposed to get her the final diagnosis and get her into DBT therapy.  This has not gone as planned at all.  She hasn't gathered enough information from our daughter to make the diagnosis yet.  Partly because she has not been keeping her appointments regularly and second because my daughter was telling her surface stuff.  Not getting into the real issues.  So we have yet to get her officially diagnosed and get her help.  She continues to self medicate every day with marijuana (we hope that is all).  She is hanging around with the worst of the worst people.

We have been treating her differently though and I don't know if it is helping or letting her get away with too much.  She comes home most every night, so we are thankful for that.  She pretty much is home to sleep and that is it.  She looks like she is completely exhausted all the time she is home. Its almost impossible to get her out of bed in the morning for work.  So far she hasn't missed any days, but I know its coming soon.  We are keeping the conflict down by not disagreeing with her.  So, she always wins.  Not the best plan, but for now she is keeping her rage down at home. 

Just getting by right now trying to figure it out.  Am I right by not telling her that we think she is BPD or discussing it with her? I feel like I am getting mixed signals on that.  Some say don't label them others say they can feel relieved to know that there could be answers to the feelings they are feeling.  So confused!
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lbjnltx
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we can all evolve into someone beautiful


« Reply #5 on: February 27, 2015, 03:16:03 PM »

I have been asked for an update.  My daughter has not progressed in a positive way at all.  She was seeing a "specialist counselor" who was supposed to get her the final diagnosis and get her into DBT therapy.  This has not gone as planned at all.  She hasn't gathered enough information from our daughter to make the diagnosis yet.  Partly because she has not been keeping her appointments regularly and second because my daughter was telling her surface stuff.  Not getting into the real issues.  So we have yet to get her officially diagnosed and get her help.

 

This is the most frustrating part of getting therapy.  Lack of attendance and the superficial aspect of participation. 

Do you attend sessions with her?  Would she allow it?  Our therapist was open to either and I usually attended up until my daughter was almost 18.  At that point she attended with her soon to be live in boyfriend.

Have you made your daughter aware of the importance of attending therapy and tying it to a consequence/motivator?  Like... .if you want us to continue to provide_____________it will be necessary for you to attend therapy on a regular basis.

She continues to self medicate every day with marijuana (we hope that is all).  She is hanging around with the worst of the worst people.

Expressing concern for her (without judgement) is really all you can do Chrissy70.  If she is bringing persons of questionable character to your home or bringing illegal items/substances into your home then you have the option of setting boundaries regarding these.

We have been treating her differently though and I don't know if it is helping or letting her get away with too much.  She comes home most every night, so we are thankful for that.  She pretty much is home to sleep and that is it.

While I understand that you are worried about her and what she is doing/not taking care of self by getting enough rest... .could you for your own well being take those hours when she is absent and use them to practice self care?

  She looks like she is completely exhausted all the time she is home. Its almost impossible to get her out of bed in the morning for work.  So far she hasn't missed any days, but I know its coming soon.

I know you have many many worries and concerns,  it is helpful to self is we don't worry about a) what isn't happening b) what we can't do anything about.  Easier said than done... .I know.

  We are keeping the conflict down by not disagreeing with her.  So, she always wins.  Not the best plan, but for now she is keeping her rage down at home.

There is a specific skill taught here to tell someone something they don't want to  hear in the most healthy/helpful/non damaging way:

S.E.T

When we allow our adult children to make their own choices the follow up to that is to allow the natural consequences of their own choices to come to them.  It is ok to offer support, advice when requested, and to validate their feelings... .rescuing from the natural consequences of their choices is usually not a good idea. 

Just getting by right now trying to figure it out.  Am I right by not telling her that we think she is BPD or discussing it with her? I feel like I am getting mixed signals on that.  Some say don't label them others say they can feel relieved to know that there could be answers to the feelings they are feeling.  So confused!

Yes, I think you are right by not telling her.  That may best come from a trained professional who reaches that conclusion.  Whether or not learning what their diagnoses is will be helpful or devastating is what the professional will need to determine before he/she makes the decision to tell the patient or not tell the patient.

Treatment need not be hindered by the absence of a diagnoses.  Learning coping skills to deal with intense emotions doesn't require a diagnoses. 

Hope my feedback helps you on your journey.



lbj
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livednlearned
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« Reply #6 on: February 28, 2015, 12:17:59 PM »

I have been asked for an update.  My daughter has not progressed in a positive way at all.  She was seeing a "specialist counselor" who was supposed to get her the final diagnosis and get her into DBT therapy.  This has not gone as planned at all.  She hasn't gathered enough information from our daughter to make the diagnosis yet.  Partly because she has not been keeping her appointments regularly and second because my daughter was telling her surface stuff.  Not getting into the real issues.  So we have yet to get her officially diagnosed and get her help.

 

This is the most frustrating part of getting therapy.  Lack of attendance and the superficial aspect of participation. 

Do you attend sessions with her?  Would she allow it? 

I was curious about the same thing, Chrissy70. It can also be helpful to you, having access to the therapist to see how he/she interacts with your daughter. Things I was too nervous to say, my son's psychiatrist will say. And S13 will be open to questions that he might not tolerate from me.

Would your D see a condition of your material support (letting her live with you rent free) be attendance at therapy together? Even for just a portion of the session, perhaps in the beginning 10 minutes or so. Or at the end.
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Chrissy70

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« Reply #7 on: March 09, 2015, 09:22:10 AM »

Thanks for all your feedback.  I had a conversation with her last week about attendance at counseling appointments.  She said that she has had enough with seeing counselors and would never go to another one again.  I asked what her frustration was and she said no one is helping her with her anxiety or helping her understand her crazy emotions.  I told her they couldn't help her unless she was open and honest.  She said she had been and she was done.

While she was going I tried on several occasions to go to an appointment with her, but she refused.  The newest counselor has no background or history with her and only knew what she has been willing to share.  So she saw normal 18 year old rebellion not anything more.  My D was frustrated by again being told she just needed to grow up and start being more responsible.  So frustrating.  Now I am not sure where to go from here.

I just want to scream at the top of my lungs "I know whats wrong and I want to help you"  but apparently that is the last thing I am supposed to do.  So, I sit back and watch her destroy her life.

This has been such a long battle and now that I have some answers and have made the connections to BPD, I just want to find the "Right" people to help her, but I can't seem to find anyone interested in "really" talking to her.  So much harder now that she is 18.
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livednlearned
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« Reply #8 on: March 09, 2015, 11:34:28 AM »

I wonder if this book might provide some help?

I'm Not Sick I Don't Need Help

There is a review here:

https://bpdfamily.com/message_board/index.php?topic=61716.0

Based on some of the reviews from members here, it sounds like you are a step ahead because your D can say what it is that she wants help with -- she knows that the anxiety and crazy emotions are difficult for her. That's a plus that she is self-aware and not too guarded to share that with you.

I did a lot of searching for my son's second psychiatrist -- I had a feeling what he would need and kept asking and looking until I finally found the right fit. It took 4 months to get in just to talk to him, and then 4 visits with S13 to do an evaluation. Only then did the psychiatrist meet with me for a second visit to discuss his treatment plan, and give me a diagnosis. The first therapist was a lot less structured in that sense, and because I was going through a high-conflict divorce, she seemed a a bit fretful. For good reason, I can see now. My son didn't really connect with her.

I guess I can identify in some ways with your D's experience. Some T's are so much better than others, or they connect better with some clients than others, and have real expertise that can make a big difference.

In the beginning, I just looked for someone who was available and had credentials, and can see now that this might work for some, but not if you have a skeptical child.
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