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Attention Seeking.....Cutting
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<blockquote data-quote="OTE" data-source="post: 9306"><p>Masta... how wonderful to hear from you... I often wonder how you're all doing. Seems like months ago and it's 2 years? I'm so impressed that you've managed to keep her in placements all this time. Is the citizenship issue resolved? So can she now apply for SSI which will give her better options for services when she is out of state custody (obviously because of charges which must have been very serious)?</p><p></p><p>I remember your story so vividly and it was so complex then. I'm sure her situation is even much more complex now, 2 years later. So I wouldn't even think about a diagnosis or medication recommendation from the little you've said.</p><p></p><p>But I agree with the above in terms of studies of cutters. NOT an attention seeking behavior. Sad that the foster mother doesn't know better. Most common to Borderline (BPD) and to girls vs boys. Done to focus the emotional pain on something tangible, something physical. Also, releases endorphins so they feel better after they cut. While depression can be co-morbid with Borderline (BPD), the idea of suicide is related to the depression, not to the cutting. What I mean is that cutting like you describe is not a pre-curser to auicide. But that doesn't mean that it won't be a result of the depression. Obviously teen suicides are sadly at high rates now.</p><p></p><p>So the cutting is a sign that the therapy and the therapeutic aspect of the group home are not working. If it were she would find another outlet for her emotional pain rather than cutting. I agree to bring it up in the next mtg, but I'd bring it up as the therapy needs to be improved in some way. Maybe she needs some sort of 24/7 person to call when she feels like cutting. So the pain is disolved in talking. I hear you that suggests that it's attention seeking and Borderline (BPD) kids are always looking for attention. But if the cutting is to be reduced...isn't there some kind of teen hotline she could call? There certainly are 800 suicide hotlines. But no teen therapy line? Maybe put her in group therapy so she meets other kids with similar issues who she could call? I also understand the Borderline (BPD) female need for male attention, she's looking for a guy to pay attention to her 24/7 no matter what he's doing. And very, very few are interested in that type of co-dependent relationship. So she's constantly disappointed with and by boys. Only thing I've seen work for that is to find her a platonic male friend with similar needs.</p><p></p><p>Other thing that is known to work for Borderline (BPD) in terms of therapy is DBT. Clearly she should be in DBT skills group therapy at least once a week for 2 hours at her age. If she's not I'd definitely demand that. DBT really is the only therapy documented to help Borderline (BPD) to my knowledge.</p></blockquote><p></p>
[QUOTE="OTE, post: 9306"] Masta... how wonderful to hear from you... I often wonder how you're all doing. Seems like months ago and it's 2 years? I'm so impressed that you've managed to keep her in placements all this time. Is the citizenship issue resolved? So can she now apply for SSI which will give her better options for services when she is out of state custody (obviously because of charges which must have been very serious)? I remember your story so vividly and it was so complex then. I'm sure her situation is even much more complex now, 2 years later. So I wouldn't even think about a diagnosis or medication recommendation from the little you've said. But I agree with the above in terms of studies of cutters. NOT an attention seeking behavior. Sad that the foster mother doesn't know better. Most common to Borderline (BPD) and to girls vs boys. Done to focus the emotional pain on something tangible, something physical. Also, releases endorphins so they feel better after they cut. While depression can be co-morbid with Borderline (BPD), the idea of suicide is related to the depression, not to the cutting. What I mean is that cutting like you describe is not a pre-curser to auicide. But that doesn't mean that it won't be a result of the depression. Obviously teen suicides are sadly at high rates now. So the cutting is a sign that the therapy and the therapeutic aspect of the group home are not working. If it were she would find another outlet for her emotional pain rather than cutting. I agree to bring it up in the next mtg, but I'd bring it up as the therapy needs to be improved in some way. Maybe she needs some sort of 24/7 person to call when she feels like cutting. So the pain is disolved in talking. I hear you that suggests that it's attention seeking and Borderline (BPD) kids are always looking for attention. But if the cutting is to be reduced...isn't there some kind of teen hotline she could call? There certainly are 800 suicide hotlines. But no teen therapy line? Maybe put her in group therapy so she meets other kids with similar issues who she could call? I also understand the Borderline (BPD) female need for male attention, she's looking for a guy to pay attention to her 24/7 no matter what he's doing. And very, very few are interested in that type of co-dependent relationship. So she's constantly disappointed with and by boys. Only thing I've seen work for that is to find her a platonic male friend with similar needs. Other thing that is known to work for Borderline (BPD) in terms of therapy is DBT. Clearly she should be in DBT skills group therapy at least once a week for 2 hours at her age. If she's not I'd definitely demand that. DBT really is the only therapy documented to help Borderline (BPD) to my knowledge. [/QUOTE]
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