Diva's been on Lexapro for about 2 months, with noticeable improvement. The psychiatrist I found also does therapy, and she refuses to talk to him. He's not going to fill scripts without the therapy, which is something I *absolutely* agree with. I'm not willing to have her on medications unless she starts working on her baggage, which would fill a cargo plane. Her "problem" with therapy is that she "doesn't trust anyone" - because of thank you and me. Umm... yea, okay, whatever. I can't even begin to unravel her convoluted thinking because.... well, it rivals thank you in the bad old days. Even getting her to admit to psychiatrist that the Lexapro has helped, and knowing that no more scripts would be given without the talk therapy, wasn't enough to get her to stick with it. been there done that with- thank you. Can lead a kid to therapy but can't invest them. I kinda got the sense yesterday that her adamant insistence to psychiatrist that she can't "trust" me and that's why she can't/won't do talk therapy was ... I don't know, just another dig at me? I'm the reason she's such a mess and I'm the reason she can't/won't get help. I don't know - could just be maternal paranoia, but sheesh.... took all my strength not to just tell her to grow up and start dealing with- her own stuff rather than keep on blaming me, but ... whatever. Strategies for getting her to participate? She really truly is a mess, and there's really no reason for her to continue on this way (reason meaning help is available, not that there's no reason for her to be a mess). Carrot/stick approach won't cut it - like thank you, I suspect she has a very high tolerance for misery and would happily cut off her nose to spite me. I'm not sure why I even factor into this at this point but it is what it is. I probably should have barred her from talk therapy - she'd be begging to go. So I've got a severely depressed kid who refuses any therapy whatsoever and is unwilling to work on getting past her so-called reason, and is utterly and absolutely in misery. This is talk therapist #2 down. She refuses to consider trying again. Who's got the magic phrase that will get her to at least think about helping herself????