Does anyone know of an in-patient program/s that can help work through trauma?

[Tia]

My 16 - year-old adopted niece has lived with me and my husband for 2 years. She was taken away from her birth mother at age 4 because of the meth use and physical/sexual abuse in the home. She was adopted at age 5 and diagnosed with BPD, DID, PTSD,  depression and drug/sex addictions at age 14.  

In addition to taking a PNES/mood stabilizer (lamotrigine), antidepressant (prozac), PTSD reducer (Prazosin) and antipsychotic (Seroquel), she is starting her third years of DBT therapy and hit-and-miss 12-step work.  We added EMDR and nuerofeedback in October to help her reprocess her childhood trauma. She recently dropped out of school due to stress, so we are putting her education on the back-burner while she begins working on the cause of her trauma.

I would like to ride the tidal waves for 3-6 months to see if the treatments above will help improve her symptoms, but if they don't - or I can't keep up with the theraputic demands - I will need to find a long-term in-patient program that focuses on Development Trauma Disorder.  :)oes anyone know of an in-patient program/s that can help TEENS work through trauma?

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

[Sunfl0wer]

Hey, sorry I do not know of inpatient programs. I imagine hardest thing on that list would be the DID as less T are proficient with this so I would google DID inpatient centers.

Just wanted to reply cause I'm over 40 and recently figured out I have DID (actually it is DDNOS for me) and I can only imagine that it is likely that the therapy, and trauma work, can also stir stuff up, maybe not, idk.

I have been in therapy a lot of my life.  I imagine treating the BPD and other symptoms are more tricky with the DID cause often if I am being treated for depression, I simply switch, and well, can appear somewhat cured.  Or only Parts of me are participating in the treatment, other Parts dormant and such.  Or the dissociation can be so bad that I simply can forget, recall, then forget again to do stuff, including using coping strategies.

So my guess is to see who is good with DID FIRST, as many may say DBT is good for BPD, yet the DID, IMO, overrides all else often, and it is pretty much expected that if the facility does DID, they are familiar with BPD, cause there is a strong comorbidity there in many cases.

Hopefully that makes sense in some way.
Just wanting to express, relate to your struggle.
Dissociation is frickin tricky crud to deal with from any perspective, imo.

[Sunfl0wer]

Oh, forgot... .
Wanted to also explain, my therapy IS helping.
I started EMDR, but this got a bit tricky.  It was stirring stuff up and I had trouble, but can't exactly tell you what cause I cannot recall exactly.  I just know after trying a bit of the EMDR, my therapist said that we should try some ACR (Affective Circuit Resetting, it is similar to EMDR in that it is same bilateral stimulation affect, the focus though is chatting about general representations of things like fear, shame, and "resetting" them.) because it would help the EMDR go better without too much stirring up stuff.  After the ACR, we are going to work first with preverbal trauma instead of recent stuff with EMDR.  So last session I was to focus on conception or such, then 0-3 years I think is coming.  Just sharing this cause I know it is not easy to find a therapist proficient with the use of EMDR for DID patients, and many DID persons have a poor affect to the therapy, and do not realize that there is a bit of more skill and competence involved and ability to change what is happening during the course of session to suit the Dissociative patient.  We often have to change things up as Parts of me learn to try to mess with the treatment.  Overall, I want to be less dissociative, but Parts of me are struggling, scared, don't want to hear horrific stuff and such... .So I am glad my T handles the obstacles Parts bring up, and takes it in stride and all... .

DID is hard stuff, I know this is a BPD site, yet sorry for ramble, Parts of me perk up, relate, and want to chat on the topic that seems so not well understood at all.

[Tia]

Thank you, SunflOwer! Your insight is helpful!      I went to an Al-Anon meeting today to remind myself that this is my live-in niece's recovery program. The meeting reminded me to be loving and to avoid contolling, criticizing or shaming other people. Recovery takes emotional strength and our emotional strength ebbs and flows. We are all doing the best that we can.

I have a lot of confidence in her DBT and EMDR therapists.  The EMDR therapist is proceeding slowly and working on learning the parts of self and how to assimilate them before moving on to truama work.  I will check into ACR and ask her T about it.  Her T recommended neurofeedback and a book called The Body Keeps The Score.  I think both have been helpful for us.  Everyone is telling me that residential care isn't geared for DID and BPD recovery, but I would like to have more options if she needs more care than we can provide.

[Sunfl0wer]

Glad you have support for you!  That will be important always!

I have a lot of confidence in her DBT and EMDR therapists.  The EMDR therapist is proceeding slowly and working on learning the parts of self and how to assimilate them before moving on to truama work.  I will check into ACR and ask her T about it.  Her T recommended neurofeedback and a book called The Body Keeps The Score.  I think both have been helpful for us.  Everyone is telling me that residential care isn't geared for DID and BPD recovery, but I would like to have more options if she needs more care than we can provide.

My therapist unfortunately will not be able to map out my system for proceeding.  Systems are all so unique and individual.  Some more clear and compartmentalized, others less so.

The Body Keeps Score is awesome! (Even tho I have yet to complete it cause some Parts blind me from learning some things... .Still working on Inner Communication)

The book we are working in is: Coping with Trauma Related Dissociation.  Seems to be the standard guide for this or such. 

I'm glad you feel confident with her treatment!

I think the ACR was for if the standard EMDR is having issues. 

I believe there ARE DID inpatient places.  You would need to google some DID forums or such to see which ones folks like and why.  I have heard mixed stuff.  Some people have talked about it really doing little for the long term integration of a System, but was more geared on teaching basic tools to re stabilize for safety for discharge to continue long term work outside vs really getting to the meat of the issues at once.  Yet, hard to say as I didn't read a whole bunch on that topic.

Idk, much about the neuro feedback for DID, thanks, I'll look into that one!

[Tia]

I will read Coping with Truama Related Dissociation.  Thank you!  I've streamed presentations by van der Kolk, and they are helpful for me.  He has a lot of work in The Body... ., so I am taking my time reading it. The book, like recovery, takes time to process. Some things you just can't rush through!
The T recommended NeurOptimal® neurofeedback.  We were told that it will repair and development neuropathways that will help her brain function at a healthier level. Itnosna passive treatment. She relaxes with ear clips and headphones on during the hour session. She usually sleeps during the sessions and is energetic after the session. Her T specifically recommended NeurOptimal® because the software does the adjustments instead of the clinicians. She has had 6 of 36 sessions we committed to so far.  I'll keep you posted. 

I know a lady who recommended the EMDR therapist my N is using.  She said EMDR with this T in her 30's was a miracle because she was able to reprocess her childhood truama in a way that allowed her to put it in the past and more foreword with a happy life. I know a second lady who also used EMDR in her 50's because she would cry all the time. She said after 44 years of crying, she was able to reprocess the truama that triggered it, and she rarely cries in the past 12 years. It make sense that the brain and nervous system can stucturally change do to truama, but we also need to remember that it can get better, too.  I hope you believe in and receive healthy miracles in your life. 

[Sunfl0wer]

Thank you Tia for sharing your info!

Sounds like you know a lot of stuff that I have not experienced, and definitely worth my research, thank you greatly!

(Unfortunately, Parts of me actually stop me from learning certain things and cause us to maintain on a specific path.  Lots I do not understand, but my Inner System seems to grasp, then not share with me.  So anyway, my point is, that I am grateful, and I have saved the info you mentioned.  Specifically I am interested in the neurofeedback, yet, internally, am not allowed to pursue at this time.  They tell me to stick with current course of T, to not get side tracked, if that makes any sense.  Anyways, I won't delve into it too much as this is not a DID site, therefore may be confusing to readers, and I don't have PM at this point, sorry.)

Anyway, just wanted to pop back and encourage you to continue posting.
Often many others do post to welcome new ones, very warmly and such.
I suppose the whole DID topic may mean others can feel "out of their league" or such, and have remained quiet.  I hope not.

It is helpful to post on specific stuff that comes up... .even after expressing general issues. Often others can offer valuable support and direction on specific issues.

Anyways, keep posting.
Just remember that imo, when getting advice on BPD vs DID, the difference, from my research/reading is that with DID, the solutions get more complicated.  :)ID can inherently have some BPD traits, (or not) or have comorbid BPD or one Part/alter may have BPD only, etc.  Just, I think it is important to realize that in testing both subjects, those with DID seem to be MORE symptomatic in all areas than most mental illnesses.  So it will be more tricky than "simply BPD." ( as if BPD were simple)

Also, thanks for the encouraging examples! Yes, my own therapy has been working wonders, quite simply too, just certain Parts caution me to not get too excited or too invested in feeling success of any kind... .so I'm kinda left to mute my excitement/progress.