Reply to how can a teen be made to confront faulty thinking if its never addressed- vent

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[quote=Anonymous][quote=Anonymous]DBT PP here.  You cannot expect her to knock out every issue one by one with a therapist.  DBT requires a change in mindset that allows you to accept that two truths can exist at the same time.  Also, you said she blows up at a perceived slight, and blames everyone (namely you) for making her upset.  But think of it as if she has lots of issues piling up and she is getting more emotionally dysregulated until finally, one small thing marks everything spill over the edge.  It wasn’t that big a thing but she was already close to spilling over, and then bam!  The goal should be to not reach that point, but to give her skills to lower her response to all the small slights that pile up so they don’t overflow.  It’s great that she’s reflective and insightful and willing to do the work.  Definitely read more about DBT. [/quote]

OP again. My frustration has been that exactly all of this is stuff I have always known.  I didn't even know it was a "thing" as a therapy approach, but more just strategies I developed independently over time.

What happened to DD was trauma, puberty, and untreated ADHD all came together at once. THen depression and anxiety got hold of her.

So we HAD to peel away the layers of issues before we could get to the intractable nugget of depression and then we got treatment for that and NOW there is everything that remains to me done.

It was just frustrating that no therapist ever bothered to notice her patterns, but then of course she was resisting, so they can't be mind readers!  And she also got frustrated no one was giving her things to do. They were, they just didn't make sense to her.

Another search on DBT therapists in Frederick County doesn't look promising, but I will expand my search since we are doing telehealth anyway.

THanks again everyone!![/quote]

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