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Psychiatric Disorder? Hmmm.
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<blockquote data-quote="emotionallybankrupt" data-source="post: 314568" data-attributes="member: 8226"><p>I really consider it a kindness that the personality disorders are not diagnosed until the age of 18. I think the diagnosis brings a social stigma, a complication in qualifying for insurance benefits, and a reluctance for many counselors to take on the challenge. The prognosis is not good, patient compliance is frequently a problem, and I think a lot of counselors burn out with these patients. People like success, and I don't think the counselor of an antisocial patient is likely to find a lot of success. DBT seems to show a lot of promise with borderline, for those patients who are willing to make the commitment to do the work, but what is there for the antisocial--or for that matter, what is there for ANY patient who denies any responsibility for the problem? Or that they have a problem?</p><p> </p><p>In also makes sense, I think, to hold out as long as possible before dropping such a heavy diagnosis, in hopes that maybe the symptoms will ease as the patient gets to the other side of the teenage years and all the natural rebellion that goes along with that phase of life.</p><p> </p><p>In my case, I think difficult child MAY at some point feel remorse for the abuse to her younger sister, because while she found her to be an aggravation, she was not an authority figure, and therefore not an obstacle. For the time being, however, difficult child maintains that her younger sister says she is scared when she is not, complains over nothing, etc.--just to get attention and to get difficult child in trouble. As long as she can justify/deny her behavior in this way, there is really no room for remorse. Ironic to me that she is calling her SISTER a liar!</p><p> </p><p>The situation with me is different. She feels no remorse for what she has done to me, because she believes I deserve what I got, for standing in her way. difficult child in fact stated the gist of that from time to time, and I believe in those cases, she was telling the truth.</p><p> </p><p>By the way, it's also interesting to me that substance abuse has never been an issue in the case of my difficult child. She had a brief period of very limited experimentation--probably of a fairly typical sort among teens--and that was that. Finished. I am VERY thankful, of course, but it seems strange to me that, in the middle of all the other outrageous behavior, this is apparently one standard she has set for herself and held to. Yes, I have praised her for that over and over.</p></blockquote><p></p>
[QUOTE="emotionallybankrupt, post: 314568, member: 8226"] I really consider it a kindness that the personality disorders are not diagnosed until the age of 18. I think the diagnosis brings a social stigma, a complication in qualifying for insurance benefits, and a reluctance for many counselors to take on the challenge. The prognosis is not good, patient compliance is frequently a problem, and I think a lot of counselors burn out with these patients. People like success, and I don't think the counselor of an antisocial patient is likely to find a lot of success. DBT seems to show a lot of promise with borderline, for those patients who are willing to make the commitment to do the work, but what is there for the antisocial--or for that matter, what is there for ANY patient who denies any responsibility for the problem? Or that they have a problem? In also makes sense, I think, to hold out as long as possible before dropping such a heavy diagnosis, in hopes that maybe the symptoms will ease as the patient gets to the other side of the teenage years and all the natural rebellion that goes along with that phase of life. In my case, I think difficult child MAY at some point feel remorse for the abuse to her younger sister, because while she found her to be an aggravation, she was not an authority figure, and therefore not an obstacle. For the time being, however, difficult child maintains that her younger sister says she is scared when she is not, complains over nothing, etc.--just to get attention and to get difficult child in trouble. As long as she can justify/deny her behavior in this way, there is really no room for remorse. Ironic to me that she is calling her SISTER a liar! The situation with me is different. She feels no remorse for what she has done to me, because she believes I deserve what I got, for standing in her way. difficult child in fact stated the gist of that from time to time, and I believe in those cases, she was telling the truth. By the way, it's also interesting to me that substance abuse has never been an issue in the case of my difficult child. She had a brief period of very limited experimentation--probably of a fairly typical sort among teens--and that was that. Finished. I am VERY thankful, of course, but it seems strange to me that, in the middle of all the other outrageous behavior, this is apparently one standard she has set for herself and held to. Yes, I have praised her for that over and over. [/QUOTE]
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