Reply to Extreme reactions to insinuating weakness

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[quote=Anonymous]My kiddo had aggressive and threatening behavior from extreme anxiety, so it's possible. There also sounds like an element of shame and anxiety over having attention. Have you had an evaluation? Therapy might be difficult if she can't tolerate a challenging discussion, so it's possible that if this behavior is related to anxiety, medication may lower the anxiety level enough to benefit from therapy. (But you need an eval first.)

As far as how to respond to the behavior, we really needed parent coaching for this type of thing. And I would say you need a next-level type of parent coaching - a therapist who is used to disruptive behaviors. Some therapy practices offer Parent Management Training which is a specific curriculum for managing challenging, disruptive behaviors based on the work of Alan Kazdin. We found it extremely helpful. If you can't find that, we have also found that a therapy practice that offers DBT programs (not just DBT-informed) will also have therapists who are trained in helping parents with more extreme behaviors.

I will also add that although this behavior started only at home, it did eventually start to creep into other parts of life at age 14 so now is the perfect time to get the ball rolling. There were some big social impacts for my DD when things happened in front of friends.[/quote]

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