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<blockquote data-quote="klmno" data-source="post: 193239" data-attributes="member: 3699"><p>I think this intern is convinced that I am causing the erratic behavior and anger issues, instead of it being mania and raging. So, while I'm looking for help with mood cycling issues, intern is starting down the road of "well, if Mom changed, difficult child wouldn't have these issues". I think difficult child cannot learn to deal with mood cycling (whether to prevent it, cope with it, or treat it) if he is taught to blame someone else for it. Right now, difficult child is confused and needs to be taught and lead. Now that medications have difficult child relatively stable, difficult child even teeters on being in denial about all of it. I don't think he needs a therapist who doesn't acknowledge that difficult child cycles. (Intern told difficult child "forget BiPolar (BP)- I'm not here to deal with that stuff- tell me what bugs you about your mom" Then, after difficult child said a couple of things-typical teen things- intern says "see, you do have things you need to work on", like he just went thru all that to prove to me that we should be doing family therapy and forget what I had been telling him. I resent it- if he felt that way, this was an inappropriate way to get that point across, in my humble opinion. I felt he manipualted difficult child and hadn't leveled with me. I felt like he threw out my goals to try to prove his goals were more important. Neither psychiatrist's recommendations included this type of therapy, he had no reason to try to prove a different route with me. )</p><p></p><p>Or, at least he must convinced that I am triggering all this in difficult child and although, after learning about techniques, etc., I do see that changing some things can prevent or help de-escalate things. And, that is a therapuetic goal of mine- intern knows that as well. But, primary triggers are coming from other things- most of them outside our house- I'm pretty sure it isn't my cigarettes or roast. LOL!!</p><p></p><p>Intern did know about these things- that's why I went to him 5 times alone before taking difficult child in. Intern TOLD me he would give difficult child psychoeducation about mood cycling because one of my frustratioons with previous tdocs is that no one had done that and I would have thought it would be first on the list after getting a BiPolar (BP) diagnosis- or at least after identifying that mood cycling was going on. I had also told him that we'd had bad experiences with tdocs up to this point and I wanted to get straight whatever was going awry prior to bringing difficult child into the picture- so we discussed previous situations and I told him that if I'm viewing this wrong or misinterpreting, then I'd rather meet with him a few times alone to work through that first to make sure we were on the same page. He is the one that wanted to go ahead and meet difficult child. </p><p></p><p>PS the court order says "juvenile to continue in counseling until released by therapist". It doesn't order family therapy- the judge has been given written documentation from 2 highly respected psychiatrists of the things that happened in fall, 2005, and difficult child's diagnosis and medications and the documentaion includes the statement that difficult child is not diagnosis'd with conduct disorder. difficult child goes to counseling without a fuss and answers questions, talks, etc. </p><p></p><p>I've been trying to pursue what I have because I really believe it would help and make a difference in difficult child's life and future. But I can drop him off and let him chat with any therapist and it would meet the court order. I have not pursued that route because I wanted difficult child to have faith that we could find a therapist that could provide help in the areas that difficult child has problems with. I didn't want to do anything to teach difficult child to "play the system". But at this point, although I still have the same objectives, maybe we should do what it takes to meet the court order just to get that behind us, then, if we can meet the other objectives some other way it won't matterr.</p><p></p><p>This intern asked difficult child about 5 times "so, tell us what bugs you about your mom"- difficult child hadn't said his mom bugged him, but after being asked that 5 times, he came up with his list of stuff- which I had told therapist ahead of time that this is what it would be. LOL!</p></blockquote><p></p>
[QUOTE="klmno, post: 193239, member: 3699"] I think this intern is convinced that I am causing the erratic behavior and anger issues, instead of it being mania and raging. So, while I'm looking for help with mood cycling issues, intern is starting down the road of "well, if Mom changed, difficult child wouldn't have these issues". I think difficult child cannot learn to deal with mood cycling (whether to prevent it, cope with it, or treat it) if he is taught to blame someone else for it. Right now, difficult child is confused and needs to be taught and lead. Now that medications have difficult child relatively stable, difficult child even teeters on being in denial about all of it. I don't think he needs a therapist who doesn't acknowledge that difficult child cycles. (Intern told difficult child "forget BiPolar (BP)- I'm not here to deal with that stuff- tell me what bugs you about your mom" Then, after difficult child said a couple of things-typical teen things- intern says "see, you do have things you need to work on", like he just went thru all that to prove to me that we should be doing family therapy and forget what I had been telling him. I resent it- if he felt that way, this was an inappropriate way to get that point across, in my humble opinion. I felt he manipualted difficult child and hadn't leveled with me. I felt like he threw out my goals to try to prove his goals were more important. Neither psychiatrist's recommendations included this type of therapy, he had no reason to try to prove a different route with me. ) Or, at least he must convinced that I am triggering all this in difficult child and although, after learning about techniques, etc., I do see that changing some things can prevent or help de-escalate things. And, that is a therapuetic goal of mine- intern knows that as well. But, primary triggers are coming from other things- most of them outside our house- I'm pretty sure it isn't my cigarettes or roast. LOL!! Intern did know about these things- that's why I went to him 5 times alone before taking difficult child in. Intern TOLD me he would give difficult child psychoeducation about mood cycling because one of my frustratioons with previous tdocs is that no one had done that and I would have thought it would be first on the list after getting a BiPolar (BP) diagnosis- or at least after identifying that mood cycling was going on. I had also told him that we'd had bad experiences with tdocs up to this point and I wanted to get straight whatever was going awry prior to bringing difficult child into the picture- so we discussed previous situations and I told him that if I'm viewing this wrong or misinterpreting, then I'd rather meet with him a few times alone to work through that first to make sure we were on the same page. He is the one that wanted to go ahead and meet difficult child. PS the court order says "juvenile to continue in counseling until released by therapist". It doesn't order family therapy- the judge has been given written documentation from 2 highly respected psychiatrists of the things that happened in fall, 2005, and difficult child's diagnosis and medications and the documentaion includes the statement that difficult child is not diagnosis'd with conduct disorder. difficult child goes to counseling without a fuss and answers questions, talks, etc. I've been trying to pursue what I have because I really believe it would help and make a difference in difficult child's life and future. But I can drop him off and let him chat with any therapist and it would meet the court order. I have not pursued that route because I wanted difficult child to have faith that we could find a therapist that could provide help in the areas that difficult child has problems with. I didn't want to do anything to teach difficult child to "play the system". But at this point, although I still have the same objectives, maybe we should do what it takes to meet the court order just to get that behind us, then, if we can meet the other objectives some other way it won't matterr. This intern asked difficult child about 5 times "so, tell us what bugs you about your mom"- difficult child hadn't said his mom bugged him, but after being asked that 5 times, he came up with his list of stuff- which I had told therapist ahead of time that this is what it would be. LOL! [/QUOTE]
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