She hasn't been doing cognitive therapy yet as she doesn't have the core resources necessary for that to be effective. Her therapist has been working with her, when difficult child will allow it, on resource building. difficult child has almost zero insight. We are still working to help her make the correlation between her physical symptoms, i.e., upset stomach, shortness of breath, with her anxiety/panic. Because of how antagnostic difficult child is with therapy, her therapist really takes it slow and carefully weighs her words with difficult child. Otherwise, it's major rage/meltdown/shutdown.
As far as earning something in exchange for therapy/medications, difficult child takes that to an entirely different level. She sees it only as a means to an end.
There is a good friend of mine that difficult child really likes and who has a very calming influence on difficult child. She also used to babysit difficult child from the ages of 4-7 so they have a very good relationship. I'll see if she'll talk to difficult child and see if she can get anywhere.
