Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health
This answer was rated:

Are there inpatient /outpatient programs available to my

22-yearold daughter, who is struggling...
Are there inpatient /outpatient programs available to my 22-yearold daughter, who is struggling with depression, weight issues, and severe body image problems? Right now she is in the bathtub crying and lying down...no water, clothes on, and banging her head on the tub side.
She has seen several therapists but doesn't seem to make any progress with anyone. I have insurance that could cover a portion of the cost.
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 10 minutes by:
8/14/2012
Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2,568
Experience: ADHP(NC), DEHP(NC), ECP, UKCP Registered.
Verified
NormanM :

Hello, I'm Norman. Are you ready to chat?

NormanM :

I see that you are still offline, so I'm going to switch this to Question and Answer mode

Ask Your Own Mental Health Question
There are programs available which would help your daughter, and if you tell me where in the US you live, I shall do some research for you.

In the meantime, I'd like to know too if she is currently taking medication, and if so, what and how much.

Does she take her meds as prescribed each day?

What kind of therapy has she had?

Regards, Norman.
Ask Your Own Mental Health Question
Customer reply replied 5 years ago
She has taken meds while undergoing therapy...usually stayed on them for several months, but eventually went off of them...claimed they weren't helping much and were contributing to weight gain. I don't think she's taken any anti-depressants for 8-12 months.

She has seen 4 different therapists, as I recall. Started with the first one at age 14...only a few weeks. A second woman at about age 17...saw her for about 1 year, at a time when she had been cutting herself. I don't remember if there was another one...
She had a panic-type, stressed out event associated with work and we counseled her to take some time off, if needed. She ended up taking 10 months off work. She began seeing but the most recent, a male psychologist, about 2 years ago. After about 4-6 months she complained about his attitude toward her.

She invited me to one session with him because she said he didn't think she was "trying" hard enough to get better. She has a habit of laughing when nervous, and he misunderstood and said something about her not being serious. When I was at the session, he appeared to me to be completely out of touch with her thinking and feelings. She quit going to him shortly thereafter because of his unsympathetic/non-understanding "judging attitude." Later she went off the meds.

I have tried to help her find another therapist (my insurance) but she won't see a woman (she feels they are judging her body) and she doesn't think male therapists can understand her feelings about herself. (From my reading, I notice some correlation between her symptoms and body dysmorphic dysfunction, as well as anxiety.) She has related having a traumatic experience as a 12-year old, which she won't tell me the details of...I infer from what she says that is was not rape, but was a situation at a teen party where she felt sexually violated in some way.

Once she got very drunk at home, and called the sheriff's office to report the incident. They arrived and talked with her...then me, and reported that she said her parents didn't believe that anything had happened to her. I told the officer that we hadn't known that anything had happened until years later...there wasn't anything we could do at that point. She claimed the person who offended was not known to her...a friend of someone she knew at the party. Had I known, I would have believed...and would have tried to do something about it then. Her memories and beliefs around this incident aren't consistent.

I assume her therapy has all been cognitive behavioral therapy, but I don't know. She is very private about these things and doesn't discuss it with me...since she's an adult, I only know what she volunteers.

She functions for periods of time, but we always come back to body image issues, trouble losing weight, inability to handle stress at work, and self-medicating with regular alcohol after work. She doesn't think she has any problem with alcohol. Tonight, after losing her temper at us about how HOT the weather is, stress at work (we are her regular sounding board, and she verbally dumps her stress on us each night...yes, she is still living with us due to economics) she started crying and got into the bathtub with clothes on, laid down and cryed loudly there for about 45 minutes. She also began banging the side of the tub in a regular pattern. Another 15 minutes went by. I checked on her several times...asked her to get out of the tub.

A few minutes ago she quit crying, straightened herself and took her keys to go out to drive. I tried to delay her...this incident is not completely unusual.
Your daughter is in urgent need of professional help It seems to me that she needs to get back to medication and therapy. If she does not, she is just going to get worse, I'm afraid.

This must be the main thrust of your approach. Get her to accept that there is a problem, that help is available and she needs to take it.

This is a very difficult situation, and to be honest, there is no simple solution.

Until someone with a problem accepts that there is a problem, they won’t do anything about solving it. That’s the first hurdle. The second is convincing them that help is available, and that the should accept it.

Sustained gentle persuasion is at least part of the answer. Just being there to listen, and letting the person know that you are there for them may let them build up enough trust inside themselves to begin to deal with it.

You may not to be able to solve their problem, or for that matter understand how they feel, but just listening and letting them talk can be really helpful.

Getting people to open up can be difficult. It has to be done sensitively so that the person does not feel put down or alienated. A gentle approach like ‘It must be difficult feeling as you do. Perhaps we could talk about it? is often the best start.

Choose your time and place carefully if possible so that the person feels as safe and as comfortable as possible.

Try to make sure that the person feels that you are on their side, and try to use ‘open questions’ – ones that don’t allow a simple “Yes” or “No” answer.

Don’t try to give them solutions, because as they open up and talk, the person begins to find their own solutions.

Good beginnings are:

Where – 'Where did that happen?'

When – 'When did you find out……?'

What – 'What else was happening?'

How – 'How did you feel?'

Can you tell me…….

How are you feeling? This helps to get past the bare facts of a situation, and lets people

begin to look at their inner turmoil.

Don’t push hard or try to tell them what they MUST do – give them space and time to talk.

There are some things you can do, and here are some tips:

What you can say that helps:

I’m here for you – you’re not alone.

What causes these thoughts and feelings is a real illness, and it can be treated..

You may not believe it now, but someday, this will pass and you’ll feel differently.

I care about you and want to help, even if I don’t really understand what you are going through right now, how you feel, and what you’re thinking

Don’t ever give up – just hang on one more minute or hour – whatever you can.

You are important to me. Your life is important to me, and to everybody who knows you

I’d like you to tell me what I can do now to help you.

We can get through this together

Don’t say:

Cheer up- it could be worse

Quit worrying about it – you’ll be fine

Your just imagining it, it’s all in your head.

Everybody feels like this sometimes

You’ll just have to help yourself

I’d have thought you would be better by now.

Get over it and snap out of it.

Grow up and act like an adult.

What’s the matter with you anyway?


You’ll also find some helpful information here:

http://www.familyaware.org/

Also the Samaritan’s web site in the UK here is a mine of useful information which will help you, as is the National Suicide Prevention line (in the USA), which you will find here.

Ultimately, of course, a person can be hospitalized against their will, but only under the strictest of circumstances.

The laws of committal vary from State to State, but in general there are broad similarities.

Committal is a legal means of providing individuals with emergency services and temporary detention for mental health evaluation and treatment when required. It can be voluntary or involuntary.

A voluntary committal is when a person 18 years of age or older, or a parent or guardian of a person age 17 or under, applies for admission to a facility for observation, diagnosis or treatment freely and of their own accord

An involuntary committal is when a person is taken to a facility for involuntary examination.

This can only be done when :

There is reason to believe that he or she is mentally ill and because of his or her mental illness

The person has refused voluntary examination and

The person is unable to determine for himself or herself whether examination is necessary and without care or treatment, and the person is likely to suffer from neglect or refuse to care for himself or herself and such refusal could pose a threat of harm to his or her well being;

and there is a substantial likelihood that without care or treatment, the person will cause serious bodily harm to himself, herself or others in the near future as evidenced by recent behavior.

A person may not be detained for more than 72 hours.

A law enforcement officer may take an individual to a facility for evaluation if he has reason to believe that the individual's behavior meets the statutory guidelines for involuntary examination.

If a person is willing to swear in a Petition for Involuntary Examination that he has personally witnessed an individual causing harm to themselves or others, an "ExParte" for an Involuntary Examination can be made.

A person may not be detained for more than 72 hours on primary committal.

These are general guidelines, and you should get legal advice as to what specifically applies in your State.

If you can tell me where you live, I can check what programs are available in your area.

Ask Your Own Mental Health Question
Customer reply replied 5 years ago
We live in Nevada City, California. It is about 50 minutes to drive to Sacramento. I do not want to have my daughter forced into a facility, but at times when she's been most low, she had indicated a willingness to consider a residential program where she could "get away" for awhile and try to work on her issues. Most programs are for addiction issues first---she hasn't demonstrated a big problem with alcohol. We need someone who can work with her on body dysmorphic dysfunction and possibly PTSD...one therapist told her she thought she could be suffering from PTSD.
Leave this with me please and I'll get back tomorrow. It may take me several hours to sift through the information so please do not expect an immediate response.
Ask Your Own Mental Health Question
The three best options I could find for you are:

http://www.cognitivebehaviorexperts.com/menu.asp

http://crestwoodbehavioralhealth.com/programs.html

http://www.sedop.org/

I suggest that you have a look at their websites then inteview them thoroughly on the phone before making any decisions. Make sure you write out all the qustions you need to ask beforehand, so that nothing is missed!

Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2,568
Experience: ADHP(NC), DEHP(NC), ECP, UKCP Registered.
Verified
Norman M. and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Is there any other information you need?
If not, would you be so kind as to rate my answer?
Regards, Norman.
Ask Your Own Mental Health Question
Ask Norman M. Your Own Question
Norman M.
Norman M.
Norman M., Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA
Category: Mental Health
Satisfied Customers: 2,568
2,568 Satisfied Customers
Experience: ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Norman M. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,568 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have sever PTSD and panic attacks. As of late they have
I have sever PTSD and panic attacks. As of late they have become debilitating. I'm having to skip work. Nightmares almost every night. … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I take 30mg Oxazipam (Serapaz) for panic disorder. My
I take 30mg Oxazipam (Serapaz) for panic disorder. My doctors are away because of Christmas and my attacks have been strong. I have found Lorazipam (1mg=15mg Serapax or 2mg =Serapax) to be unsuitable.… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I have anxiety and recently think it is playing tricks with
Second opinion] Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I have been suffering from severe anxiety and panic attacks.
i have been suffering from severe anxiety and panic attacks. I use to get them a long time ago and now they are back full force!!! ii can hear my heartbeating in my ear and I am ready to go over the e… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have been on Lorezpam for panic attacks since 2000. I was
I have been on Lorezpam for panic attacks since 2000. I was diagnosed with a panic disorder. In 2014 I had knee replacement surgery and had problems. I take Vicodin 5/375 for my knee pain 3 per day. I… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
I feel stressed, I don't know if my stress levels are normal
Hello , I feel stressed , I don't know if my stress levels are normal or do I need to seek medical help … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I suffer from social anxiety, insomnia, panic attacks, and
Hi, My name is***** suffer from social anxiety, insomnia, panic attacks, and ocd. I had a doctor for a while, when i had health insurance. I lost my insurance, and she changed practices and can't see … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
170 satisfied customers
I have a new job. It's highly stressful and I work hours
I have a new job. It's highly stressful and I work long hours sometimes 15 a day. I'm starting to have what I think are panic stacks. What do I do? … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I have a history of health anxiety and panic. I went to hear
Hi. I have a history of health anxiety and panic. I went to hear a band Saturday and smoked about 5 cigarettes. I never smoke! I am very health conscious with diet, running, etc. I did smoke a few in … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have anxiety disorder and panic attacks. Lately when I get
I have anxiety disorder and panic attacks. Lately when I get worked up or irritated if I yell or feel anger I almost instantly get a dizzy feeling like I will faint or something. One of my biggest sym… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
Broke my wrist on 4/23 and stared having panic/anxiety
Broke my wrist on 4/23 and stared having panic/anxiety attacks. Cast removed but still getting attacks everyday. Dr prescribe hydroxyl inexpensive and busprine which made me worse. I've gone cold turk… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
768 satisfied customers
I have panic/anxiety disorder. After many years on Xanax Xr
I have panic/anxiety disorder. After many years on Xanax Xr (1 mg. twice daily) my new psychiatrist convinced me to taper completely off the xanax xr, using klonopin 3 times daily (.5 .5. 1mg) while t… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Anxiety and panic attacks sometimes, if i,am dealing with a
if i,am dealing with a lot of stress or i,am about to have a medical procedure soon i get very nervous. … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x