Reply to Intensive Outpatient and PHP Choices

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, you really need to talk to the psychiatrist urgently. This is an after-hours, don't-have-an-appointment situation but your  If your kid is expressing suicidal ideation -- "I really don't want to be around anymore" -- that's a do not pass go, do not collect $200 scenario and the safest place for him is an inpatient unit -- which you get to after going to an ER.

My teenager did two tours at Dominion inpatient, one two years ago and one a year ago. She then went to Newport PHP after the first one and Dominion IOP after the second one. I agree with PP that Dominion IOP is a hard no -- the therapists are young and inexperienced and we left after less than a week (but we had a back-up plan) -- but the inpatient was what she needed at the time, as unfun as it was. I don't have experience with the Dominion PHP, but if it's staffed by the same people as the IOP, then also hard no.

Please do call the psychiatrist first thing tomorrow -- it's good to be proactive but you absolutely need professional guidance on this and you absolutely need to keep your kid safe. [/quote]

OP: I did call his psychiatrist and they can’t get him in until next week. Frustrating, especially since we pay quite a bit and it’s not covered by insurance. I’ve talked to several places and most have agreed that he’s not a danger to himself. He’s happy as a clam at home, it’s school stressors and reactiveness to rejection from peers at school that prompt  these big feelings for him. He’s at home for now but that’s not sustainable forever and he needs to finish out 6th grade. [/quote]

One of the biggest challenges with this age is that they mask a lot.  If he is expressing suicidal ideation, I guarantee you he is not happy as a clam at home.  I know you were just saying that as an expression.  But as a parent who had been continually blindsided when our DD gives us the impressions and cues different from her internal reality, please be on guard for suicidal ideation triggers at home too.  [/quote]

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