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<blockquote data-quote="susiestar" data-source="post: 409030" data-attributes="member: 1233"><p>Try Mozart for bedtime instead of the waterfall cd. I cannot STAND the various waterfall, ocean,whale, etc... nature sounds. I either have to pee - bad or they put my every nerve on edge waiting for something to attack me. I am NOT joking. I am not paranoid except about bugs. All bugs who enter the house MUST be killed. As a kid I was quite positive that if they were not they would go get their entire families to come and get me. I despise bugs. The ONLY bugs that enter our home are suicidal ones. Period. No negotiations. I knew in my head that bugs would not do that but NOT in my emotions. I coudl control it and not show it much but it was a real problem for me.</p><p> </p><p>My husband loves the nature sounds stuff. The last time (and first time) he turned on a waterfall sound while I was asleep they had just put me on a sleeping medication and I wet the bed. I was about 30 years old - incredibly embarrassed and very unhappy with him. I TOLD him why I didn't want the sounds on - that they made me have to pee - but he had to have it proven. </p><p> </p><p>You really need a team of professionals to tease this apart. We can give ideas and opinions but we don't know her. You don't have enough info on the subtle differences of the various problems. What you are going to end up with, in reality, is a whole bunch of different problems. She doesn't have "just" bipolar or "just" ODD or "just" Aspergers. She has a lot of all of them. If you do not tackle the biological part with medications for aggression, mood swings and paranoia and obsessing, you are NOT going to have a child who is ABLE to participate in therapy to the degree needed. The CBT guy sounds really good. Get him to work with you on the price. It sounds like he will enjoy the challenge she presents - esp if you can get her to agree to work with him. For some tdocs that alone is worth more than you pay (told to me by several tdocs who are friends) and a child who is a true challenge is more interesting than all the other kids who have parents who won't follow consistent rules, etc... One therapist friend said that kids like ours that do not respond to sticker charts and contracts and the like are rare and 90%+ of the practice is kids who have parents who have no clue of consistency or boundaries and have just created spoiled brats. Those are not a challenge to treat, or much fun, because the parents undermine so much of what happens. difficult children, on the other hand, are a real challenge once the therapist learns that we really have tried all the normal stuff and been super consistent, etc... - it gives them a real sense of challenge. </p><p> </p><p>I thought the first friend who said this was nuts. Truly funny farm ready, Know what I mean?? THen other friends, incl some who don't know the first one and her friends, said the same thigns. Patients like our difficult children are the ones they are more ready to cut their rates for. They are the patients that books are written about, that tdocs form long term bonds with and that they get a sense of real accomplishment from.</p><p> </p><p>Not all tdocs are like that, but they are out there. I think the one you found may be - but don't ask him up front right away. Except about sliding scale or gettign approved by your ins co.</p><p> </p><p>There isn't one answer or one medication that will help your difficult child. She is just way way too complex and too ill for that. Work on the parent report - I meant what I said if you need help editing it or making it sound businesslike or whatever. </p><p> </p><p>There may be an Aspie component, or a high functioning autism component. But you won't be able to pick just one.</p></blockquote><p></p>
[QUOTE="susiestar, post: 409030, member: 1233"] Try Mozart for bedtime instead of the waterfall cd. I cannot STAND the various waterfall, ocean,whale, etc... nature sounds. I either have to pee - bad or they put my every nerve on edge waiting for something to attack me. I am NOT joking. I am not paranoid except about bugs. All bugs who enter the house MUST be killed. As a kid I was quite positive that if they were not they would go get their entire families to come and get me. I despise bugs. The ONLY bugs that enter our home are suicidal ones. Period. No negotiations. I knew in my head that bugs would not do that but NOT in my emotions. I coudl control it and not show it much but it was a real problem for me. My husband loves the nature sounds stuff. The last time (and first time) he turned on a waterfall sound while I was asleep they had just put me on a sleeping medication and I wet the bed. I was about 30 years old - incredibly embarrassed and very unhappy with him. I TOLD him why I didn't want the sounds on - that they made me have to pee - but he had to have it proven. You really need a team of professionals to tease this apart. We can give ideas and opinions but we don't know her. You don't have enough info on the subtle differences of the various problems. What you are going to end up with, in reality, is a whole bunch of different problems. She doesn't have "just" bipolar or "just" ODD or "just" Aspergers. She has a lot of all of them. If you do not tackle the biological part with medications for aggression, mood swings and paranoia and obsessing, you are NOT going to have a child who is ABLE to participate in therapy to the degree needed. The CBT guy sounds really good. Get him to work with you on the price. It sounds like he will enjoy the challenge she presents - esp if you can get her to agree to work with him. For some tdocs that alone is worth more than you pay (told to me by several tdocs who are friends) and a child who is a true challenge is more interesting than all the other kids who have parents who won't follow consistent rules, etc... One therapist friend said that kids like ours that do not respond to sticker charts and contracts and the like are rare and 90%+ of the practice is kids who have parents who have no clue of consistency or boundaries and have just created spoiled brats. Those are not a challenge to treat, or much fun, because the parents undermine so much of what happens. difficult children, on the other hand, are a real challenge once the therapist learns that we really have tried all the normal stuff and been super consistent, etc... - it gives them a real sense of challenge. I thought the first friend who said this was nuts. Truly funny farm ready, Know what I mean?? THen other friends, incl some who don't know the first one and her friends, said the same thigns. Patients like our difficult children are the ones they are more ready to cut their rates for. They are the patients that books are written about, that tdocs form long term bonds with and that they get a sense of real accomplishment from. Not all tdocs are like that, but they are out there. I think the one you found may be - but don't ask him up front right away. Except about sliding scale or gettign approved by your ins co. There isn't one answer or one medication that will help your difficult child. She is just way way too complex and too ill for that. Work on the parent report - I meant what I said if you need help editing it or making it sound businesslike or whatever. There may be an Aspie component, or a high functioning autism component. But you won't be able to pick just one. [/QUOTE]
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