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[quote=Anonymous]BTDT. Two things mentioned that I think are a waste are consulting with a pediatrician and going to the ER. You have a psychiatrist. The pediatrician isn’t going to know more about resources than the psychiatric community. And the ER will evaluate for suicidal behavior which presumably your psychiatrist already does and has deemed inpatient unnecessary.

Like a PP I didn’t find anything that worked. Self harm was only one of the issues (we were also dealing with violence and suicide attempts and some other stuff). We tried outpatient psych from several different providers, therapy from a couple of different providers, inpatient (I think &gt;10 times some of which were involuntary) at four different hospitals - some transferred my kid, IOP, something else that was twice a week several hours a day outpatient, a couple of rounds of residential treatment and probably more than I can remember. Self harm stopped when they were ready to stop not in response to treatment.

FWIW, the best medication management we got was from a PNP. That has been the most effective treatment though some other things were necessary to ensure survival. Maybe because by that point my kid was more receptive.

Good luck OP. [/quote]

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