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DuddyH
DuddyH, BA, MA,
Category: Mental Health
Satisfied Customers: 154
Experience:  Counselor; Behavioral Consultant
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Hello,my 16 yr old daughter, started cutting at 13; she suffers

Resolved Question:

Hello,my 16 yr old daughter, started cutting at 13; she suffers from depression, just found a note where she writes how much she hates herself, and feels like she just wastes space, and is good for nothing, and wants to kill herself. She is smart, beautiful, talented and doing good in school. She has a boyfriend who loves her, and tries to help her with her low self esteem issues. she didn't cut anymore since she started dating him 3 months ago, but relapsed again this week. she told him about it, and promised not to cut again.I took her to a couple of lcsw but she says they didn't help. Also took her to a holistic doctor, who did a few blood tests, and said she lacks magnzium, iron, folic acid which could also cause depression.I asked the doctor about going to a psichiatrist, and she asked my daughter but she says she doesn't want to start taking depression medication. She tells her bf about having nightmares, and how she feels like she has two personalities.Do you have any advice, I don't know what can I do to help her.
Thank you very much.
Submitted: 2 years ago.
Category: Mental Health
Expert:  DuddyH replied 2 years ago.

DuddyH :

Welcome, I'm a professional counselor and behavioral-consultant. I'd like to ask a few questions to better understand the situation your describing with your daughter.

DuddyH :

First, I'm really sorry to hear that you and your family are going through this right now.

DuddyH :

I would want to start by getting the best possible clinical picture of what's going on with your daughter. I think it's fantastic that you've taken her for medical testing. A functional medicine and/or environmental medicine referral can often be very helpful for ruling out sensitivities and conditions that other medical specialists may miss out on.

Customer:

Hi, thank you for your help

DuddyH :

As far as counseling goes, it sound's like working with a specially trained behavioral therapist may be more helpful. When adolescent self injury is an issue, one of the best forms of therapy and assessment can come from a therapist trained in dialectical behavior therapy. What kind of training did the LCSWs have?

Customer:

I am not sure on their training, one was referred to e by a friend who is a psiachiatrist, and second one I found from available providers from health plan

DuddyH :

Well given the self injury and the report around personalities, it may be very helpful to access a therapist who is DBT trained. DBT is an evidence-based therapy that's been adapted for children and adolescents. Such a therapist would be ideally suited to assess your daughter with the best available approach around self injury and related problems.

DuddyH :

Let me get you some links on DBT and then we can chat about how to find a therapist in your area...back in a few moments...

DuddyH :

Here is a great overview of DBT for adolescent girls: http://www.cdcbt.com/problemsadolescents.html

DuddyH :

Please read it over and let me know your thoughts...

Customer:

Sure, thank you

DuddyH :

Have you had a chance to review that short link?

Customer:

Yes, thank you

Customer:

I see what you are saying about DBT

DuddyH :

I'm not suggesting that your daughter needs an intensive intervention or therapy, but I am suggesting that DBT therapist would be an ideal person to help you define her needs from a clinical perspective. What are your thoughts?

Customer:

I agree, reading about BPD shows me exactly her symptoms

DuddyH :

In addition to trying to find a therapist in your area, do you have any other questions I might help you with?

Customer:

What should I as a parent do meanwhile? any advice on how to talk to her?

Customer:

She is a junior in highschool, lots of stress and pressure with college looming

DuddyH :

To tell you the truth I think you should prioritize clinical assessment, we're not permitted to provide any kind of clinical assessment or diagnosis at JustAnswer, and it's really impossible to do so, on a simple online question and answer service like this. But let me do a resource search for you. I'll be back in a few moments...

Customer:

Thank you very much. Please let me know about a therapist

DuddyH :

No problem. May I ask what city and state you're in?

DuddyH :

Also, does your insurance limit you to a specific list of therapists or is there general coverage for qualified therapists?

DuddyH :

Also, here's one more good link on self injury, suicide prevention and safety planning: http://www.med.monash.edu.au/psych/research/teams/hpbm/download/solutions-parents.pdf

Customer:

Ringwood,NJ,07456

Customer:

My insurance has a list of providers..

DuddyH :

Are you limited to select from that list?

Customer:

correct..

DuddyH :

Well if you're limited to that list, I would contact your insurance company and ask specifically about which therapists on the list are are fully trained as DBT therapists. Let me do a quick search for you as well, in your area. Back in a few moments again....

DuddyH :

Are you near West Milford?

Customer:

yes

DuddyH :

Sorry for the delay, I'm looking for therapists and programs in your area. Here is a program in NJ but I'm not sure of it's distance from you. I'm going to keep looking. Thank you so much for waiting: http://www.genpsych.com/dialectical-behavior-therapy

Customer:

np, thank you

DuddyH :

I really like how that program integrates and trains family members! Back in a few...

DuddyH :

This therapist is trained in DBT and psychologist. She offers a free phone consultation (hard to come by!) so you can ask about resources in your area and suggestion related to insurance: http://therapists.psychologytoday.com/rms/name/Denise_A_Deluca_PsyD,ATR-BC_Pine+Brook_New+Jersey_104987

DuddyH :

Back again shortly...

Customer:

Thank you very much.

DuddyH :

These guys are in Westchester. I'd call or e-mail them as well for resources in your area: http://www.cognitivebehavioralconsultants.com/

Customer:

thank you; Did you find anybody in West Milford?

DuddyH :

These are the only 2 resources I can find in your immediate area, but they are not explicitly trained in DBT or CBT. It may be helpful to contact them as well, but to ask explicitly about DBT therapists or programs in your area: http://therapists.psychologytoday.com/rms/prof_results.php

DuddyH :

I'm going to check one other resource. Back in a few moments...

DuddyH :

Ok I've found 2 more strong resources. A great teacher once told me to always go to the best person in your field to get info. So I went to Dr. Marsha Linehan's site. Here is the a list of DBT providers in New York state. New Jeresy is not listed. But at least you can contact these affiliate sites for resources in your area. Often there are well trained therapists and specialists in small towns and rural areas who are not listed on major online resources. There's also a great DBT educational link I'm including:

DuddyH :

DBT clinical resource directory NY: http://behavioraltech.org/resources/crd.cfm

DuddyH :

DBT Educational Resource: http://www.dbtselfhelp.com/html/linehan_dbt.html

DuddyH :

Wow, that took a while. It's usually much easier when someone lives in a major city. Sorry for the delay.

Customer:

Thank you so much for all your help. When I click on save & exit it wil save this chat?

DuddyH :

Yes, once you press the green "Accept" button and pay for our time working together, the chat will automatically be saved for you to return and review. Have I answered your question ok today?

Customer:

Yes, very helpful. Thank you again for your time.

DuddyH :

You're very welcome. I wish you and your daughter the very best! Take care.

Customer:

ty

DuddyH :

You are most welcome.

DuddyH, BA, MA,
Category: Mental Health
Satisfied Customers: 154
Experience: Counselor; Behavioral Consultant
DuddyH and 2 other Mental Health Specialists are ready to help you
Expert:  DuddyH replied 2 years ago.
Just thought I'd follow up to see how things went and to find out if you had any other questions I can help you with. I hope the resources we discussed were helpful.

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