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<blockquote data-quote="smallworld" data-source="post: 172612" data-attributes="member: 2423"><p>I'm sorry if I wasn't clear. I didn't mean separate tdocs; I meant separate sessions with the same therapist for you and for difficult child (not sharing the same session).</p><p> </p><p>I may have told you that my middle daughter fell through the cracks with a completely dysfunctional psychiatrist/therapist team. The psychiatrist only saw her for 15-minute medication checks once a month, and the therapist blamed all my daughter's anger, aggression, suicidal talk and OCDish cleaning frenzy on bad parenting. And the psychiatrist and therapist never once talked to one another on the phone! When I finally asked the psychiatrist point-blank if Paxil could be contributing to my daughter's totally out-of-character behavior, the psychiatrist said no. But husband and I had our suspicions and sought a second opinion. Good thing we did because it was the Paxil.</p><p> </p><p>At that point, we decided that the psychiatrists who prescribed the medications also had to do the therapy so they could get good first-hand observations on what was going on. In this day and age of managed care, I know this arrangement is unusual, but we have been fortunate to locate three psychiatrists who practice intergrated care for our three kids. So we absolutely do not deal with tdocs at all.</p><p> </p><p>We as parents are not privy to a lot of what goes on behind the closed door of our kids' therapy sessions, but we do have our own sessions from time to time in which we talk about how to parent our children with significant mood issues. In general terms, I know that the psychiatrists talk with our kids about their feelings, what triggered those feelings, coping strategies to deal with unpleasant feelings, etc. I think they use a variety of methods, not just one, but some of it is based in Cognitive Behavioral Therapy.</p><p> </p><p>Because my kids are relatively stable on medications (we still need to do some medication changes on my youngest daughter), we don't deal with major cycling, rages or unsafe behavior at this point. So some of what you are asking about just doesn't pertain in our case.</p><p> </p><p>Good luck. I hope you find exactly what you're looking for.</p></blockquote><p></p>
[QUOTE="smallworld, post: 172612, member: 2423"] I'm sorry if I wasn't clear. I didn't mean separate tdocs; I meant separate sessions with the same therapist for you and for difficult child (not sharing the same session). I may have told you that my middle daughter fell through the cracks with a completely dysfunctional psychiatrist/therapist team. The psychiatrist only saw her for 15-minute medication checks once a month, and the therapist blamed all my daughter's anger, aggression, suicidal talk and OCDish cleaning frenzy on bad parenting. And the psychiatrist and therapist never once talked to one another on the phone! When I finally asked the psychiatrist point-blank if Paxil could be contributing to my daughter's totally out-of-character behavior, the psychiatrist said no. But husband and I had our suspicions and sought a second opinion. Good thing we did because it was the Paxil. At that point, we decided that the psychiatrists who prescribed the medications also had to do the therapy so they could get good first-hand observations on what was going on. In this day and age of managed care, I know this arrangement is unusual, but we have been fortunate to locate three psychiatrists who practice intergrated care for our three kids. So we absolutely do not deal with tdocs at all. We as parents are not privy to a lot of what goes on behind the closed door of our kids' therapy sessions, but we do have our own sessions from time to time in which we talk about how to parent our children with significant mood issues. In general terms, I know that the psychiatrists talk with our kids about their feelings, what triggered those feelings, coping strategies to deal with unpleasant feelings, etc. I think they use a variety of methods, not just one, but some of it is based in Cognitive Behavioral Therapy. Because my kids are relatively stable on medications (we still need to do some medication changes on my youngest daughter), we don't deal with major cycling, rages or unsafe behavior at this point. So some of what you are asking about just doesn't pertain in our case. Good luck. I hope you find exactly what you're looking for. [/QUOTE]
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