Help for 22 year old daughter in a very dark place mentally

[Anonymous]

I need help! My questions are all around helping an adult child with depression. My poor girl has had her share of trauma and a recent attempt to end things. She's beautiful and smart and the world seems to be too much for her. I'm broken and almost dead on the inside myself and i need to survive to help her. Are there any psychiatrist worth recommending that have training in adolescents and young adults? (Her previous one, Dr. C at Washington Nutrition and counselling group was absolutely terrible.) We have bcbs and need to find a provider that takes insurance as were going out of pocket/out of network for a dbt program for her. She's been in therapy and it's mostly been crap. Therapists that just phone it in, don't take notes, ask the same questions repeatedly leaving her to wonder if they just forget or weren't even paying attention the first time they asked. It's so sad how many she's tried and hasn't liked them. fwiw, I share her sentiment. I haven't found one for myself that I thought was great.

I have done my share of digging and just when you think you've found a good one there are awful reviews. A consulting psychiatrist told us about Washington Interventional Psychiatry which has doctors with great bios charges $600 for the first consultation and $350 for each follow up and has some meh reviews.

I've just read about TMS for antidepressant resistant depression and curious if anyone has tried this in their family and has any feedback? We tried ketamine and after her third session, she tried to end things the next day, and I pushed her to try this.

Life shouldn't be this hard and joyless. thanks for any leads or hope.

[Anonymous]

I am very sorry. It sounds like she needs inpatient treatment. Have you spoken with your insurance company about the facilities that they cover? Her psychiatrist should be advocating for placement.

[Anonymous]

https://www.childadultpsychiatry.com
Dr. Ella is wonderful. She listens, validates and is very thoughtful. She's very direct and at the same time compassionate.

I absolutely understand what you are saying about psychs phoning it in and the $ drain and have been there. We are lucky to have found her.

We pay up front and get reimbursed from our plan.

[Anonymous]

We also had great experience with Dr. Ella

[Anonymous]

Mark Sakran is amazing.

[Anonymous]

My 20 year old had a good experience with the outpatient program at Compass Health Center in Silver Spring. When we were working with them, they took BCBS and Cigna, which helped defray the costs significantly. They were recommended by DC’s psychiatrist when we felt more intensive help was needed.

I’m sorry this is happening to you and your daughter. Please make sure you have someone you can talk to yourself. Being the parent of an adult child struggling with depression and suicidal thoughts is a very hard, and often lonely, place to be.

[Anonymous]

OP, what does she want? Her best bet is to go to the hospital and check herself in. From there, she will have access to psychiatrist, therapist and medications. She will also have a treatment plan, resources and recommendations upon leaving. Therapist are all talk. That is great for some people but for me, it was horrific and triggered me more. Medication was best and yes, with that, it is trial and error.

[Anonymous]

I am very sorry.
This is with love, as someone who was once in your daughter's situation.
It isn't your job to save her. I understand you think it is, that you must.
But actually, you can't. Trying will kill you emotionally.
It is a chemical thing.
Medication may help. Time may. Medication or inpatient treatment buys that time.
I was In the ICU at 21. That was over 50 years ago. 💚

[Anonymous]

Have you thought about physically taking her out of wherever she is that is giving all these cues to remind her of her depression? Can you Airbnb somewhere nice?

Does she have access to a suicide method?

Re: getting worse after ketamine, it is normal to get worse before you get better

[Anonymous]

Take her to an emergency hospital with psychiatric unit.
There is a psychiatric center for young adults near Baltimore that the hospital could send her to.

[Anonymous]

The name is Sheppard Prat.

[Anonymous]

Have you looked at Shepard Pratt? It may be too far for you but they offer many treatment programs. Maybe one would help your daughter. ( I had a friend with treatment resistant depression who was treated there successfully years ago)

[Anonymous]

I don't live in the Dc area anymore, but has she had genetic testing done? My entire family has struggled with mental illness (including myself and my daughter who is also 22). She shouldn't be on any meds without understanding her body & brain. We've had wonderful care from integrative doctors - mental & physical health

[Anonymous]

Look into TMS. LIFE CHANGING!!

[Anonymous]

Anonymous wrote:Look into TMS. LIFE CHANGING!!

I don’t have direct experience with it but know it can covered by insurance which likely means it has been found to be effective and beneficial.