What do you mean by “reapproach the IEP”? I admit this is all very new to me, but I feel like school has been pretty great. What would an advocate do beyond what we already have? As for ABA- does that require a diagnosis in order for it to be covered? I feel like for our daughter, more than half of the issue is her personality and her automatic opposition to everything, and resistance to accepting her limitations and accepting help. She sees both as a failure. She won’t even take that first initial step. Thanks for weighing in with your experience. |
| I’m normally anti boarding school, but it seems the structure and removal from the toxic family dynamic (not a shot at you OP) seems like it could be really beneficial. |
I’m not ruling this out entirely. But I’m heavily leaning toward not doing the private evaluation. We’ve already spent so much time and money, and frankly I think we’ve used up what limited good will our daughter had in cooperating with the school evaluation which took up a lot of her time, as well as the therapy sessions we have been forcing her to attend. |
This really interesting as she said something really similar to her sibling yesterday. That basically humans don’t innately have emotions like love or guilt - that they are forced/taught onto humans. And she has said at other times that she has never truly felt sorry about anything, so when she says it, it is a lie. Im terrified of reading this book because I don’t want to discover my daughter is a sociopath. Have I had that thought and wondered? Yes, many times. But I never settled on it as a truth. I believe she’s under the daily stress of being in flight or fight mode which makes her incapable of feeling anything other than anger. |
Thanks so much for sharing your experience. It sounds like you were able to make a lot of pretty tough decisions. Hoping for the best for your family. Yes it’s so hard. I feel like we are at a crossroads for when things can either start to get really bad or we can start to make progress. Not sure yetwhat that road will look like for us. |
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New poster here.
Don't read the sociopath book. You and your husband need immediate expert advice on how to handle her and probably therapy as well. I recommend finding a therapist that can do the parent part of DBT for Children with you. We have a similar DD and shifting our behavior even 10-20% made a big difference ultimately with her behavior. Our DD is much better now and I think that is due to 1. our learning how to manage her, 2. time and maturity, 3. therapy and DBT training that DD ultimately got. |
The other thing is that she says she experiences no fear. I don’t completely understand this. Id describe her as pretty fearless. And she is completely obsessed with horror. But she does have fears or anxiety about doctors- which she denies- she says she is just angry and visualizing hurting them. She just operates very differently. |
| DH and DD are both autistic. It’s really as simple as that. Get a full evaluation and move forward with the right tools. |
I know nothing about DBT. Looking into it, it appears to be recommended for individuals who self harm or are suicidal, but I don’t think our daughter struggles with either of these. At least not yet. She externalizes everything. She takes no accountability. It’s all anger and blame directed at everyone around her. There is no inward anger. Do you still think it’s a solution for her? We do plan on shifting to family therapy instead of individual therapy for her. |
The school evaluation determined she doesn’t quite meet the criteria for autism. I do honestly think it’s something that presents a lot like autism in many ways, but it’s different. I think she likely has DH’s traits that are similar to autism- and some of the personality traits. But then she also has some of my adhd traits, which causes a lot of frustration for her because she knows she is smart and yet she gets easily stuck. And I think it’s the combination that is truly problematic. Because DH can’t be taught- he needs to figure out everything for himself. He has never let me teach him anything. He slept through all of his med school classes and yet was able to pass with flying colors because he had the ability because he’s a genius. She does not have that same ability. |
The school evaluation is not sufficient. You need a private autism screening like the ADOS-2. Trust me when I say from personal experience that undiagnosed ASD is rampant among doctors and their children. Stay in touch with his med school/residency friends and you’ll see… |
All his friends from med school are divorced. They are definitely all ND and are different. But not sure autism fits. They are all very successful in their work life. I will think about the ADOS-2 but I think we need to wait at least another year. We’ve had so many healthcare expenses that’s not covered by insurance as well as other unforeseen costs. And I am pretty sure our daughter will not cooperate with yet another evaluation. |
Looking into it, I just saw that the test takes an hour or less so maybe it is something our daughter might cooperate for. Expensive, but maybe worthwhile if it turns out she actually has autism. Otherwise it would be a waste. Also DH’s siblings all have certain struggles but they are all so different. All divorced. All very gifted and extremely successful in their work life. The one has remarried. I think people are just so different and hard to categorize. It does seem like very gifted individuals struggle more in other areas of their life. I am gifted as well but less so than DH, and I’ve definitely had my share of struggles. |
| Lady, she’s autistic. She’s not a sociopath, she sounds like a textbook autistic 14 yo (living horror is so common) and is behaving like autistic teens behave when they are under supported and incredibly anxious and feeling out of control. Others have successfully walked this path before. You have gotten some pretty good advice on this thread - a strong IEP, DBT therapy, a neuropsych evaluation for her, a psychiatrist for meds. Also therapy for you. You seem resistant to some of the good suggestions offered - I realize you are tired overwhelmed but take some baby steps. Good luck. |
| *loving horror* |