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Small Complaint About "Family" Therapy...
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<blockquote data-quote="klmno" data-source="post: 332017" data-attributes="member: 3699"><p>Oh I understand so much I probably could have written this post! One thing they can try is the behavior contract, but honestly, that is useless with my son and I hear it's not so effective with many difficult child's. If your psychiatrist is with a public agency he might be recommending it because of the efforts you are making to get more intense help. I say that because in our state at least, you have to "prove" that outpatient therapy has not been effective before getting inhome therapy (usually a behavior contract), then they look at a Residential Treatment Center (RTC) placement. But that's just here- it might not be the case where you are.</p><p></p><p>As far as any therapy, in my humble opinion it all boils down to how good the therapist is, if they "get" the type of issues you/your family is having, and if you have a good rapport with them. It took several tries to find that when I was looking for myself as a young adult. I have tried all over this town with difficult child and still have never found a good fit- either for him individually or for family therapy. They had good ones in his psychiatric hospital but he couldn't stay in there long. And I got a little validation on this opinion when I had his MDE done and the lead person- a specialized psychiatrist- said the problem is not that complicated but the problem will be finding a therapist who can and will do it with a child this age and who can be effective. I never knew how "right" that would turn out to be.</p><p></p><p>A couple of family tdocs actually made things MUCH worse between difficult child and me. They would pride themselves on being able to "get to the problem" by hitting our rawest nerves/emotions in the typical 50 min session, then send us home like we were supposed to be fine until a week or so later when we'd have another session. That never worked with us. It lead to physical aggression from difficult child, or a psychiatric hospital stay, or him cutting himself, or another arrest for him. You'd think they'd have enough sense to know that when it's a difficult child this just isn't something to pride yourself on- it's what I'm trying to stay away from, not instigate.</p><p></p><p>All I can say is that I feel for you- I have flat out refused to go thru it again.</p></blockquote><p></p>
[QUOTE="klmno, post: 332017, member: 3699"] Oh I understand so much I probably could have written this post! One thing they can try is the behavior contract, but honestly, that is useless with my son and I hear it's not so effective with many difficult child's. If your psychiatrist is with a public agency he might be recommending it because of the efforts you are making to get more intense help. I say that because in our state at least, you have to "prove" that outpatient therapy has not been effective before getting inhome therapy (usually a behavior contract), then they look at a Residential Treatment Center (RTC) placement. But that's just here- it might not be the case where you are. As far as any therapy, in my humble opinion it all boils down to how good the therapist is, if they "get" the type of issues you/your family is having, and if you have a good rapport with them. It took several tries to find that when I was looking for myself as a young adult. I have tried all over this town with difficult child and still have never found a good fit- either for him individually or for family therapy. They had good ones in his psychiatric hospital but he couldn't stay in there long. And I got a little validation on this opinion when I had his MDE done and the lead person- a specialized psychiatrist- said the problem is not that complicated but the problem will be finding a therapist who can and will do it with a child this age and who can be effective. I never knew how "right" that would turn out to be. A couple of family tdocs actually made things MUCH worse between difficult child and me. They would pride themselves on being able to "get to the problem" by hitting our rawest nerves/emotions in the typical 50 min session, then send us home like we were supposed to be fine until a week or so later when we'd have another session. That never worked with us. It lead to physical aggression from difficult child, or a psychiatric hospital stay, or him cutting himself, or another arrest for him. You'd think they'd have enough sense to know that when it's a difficult child this just isn't something to pride yourself on- it's what I'm trying to stay away from, not instigate. All I can say is that I feel for you- I have flat out refused to go thru it again. [/QUOTE]
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