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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, what kind of therapy has she been doing?  [b]I just learned in DBT family therapy today that we are supposed to enforce serious consequences if DC threatens to self-harm[/b].  That is manipulative and dangerous behavior that shouldn’t be reinforced.  True urges to self-harm should be brought to parents in advance of DC taking action so we can help them use their self-regulation skills before it escalates.  Have you looked into DBT?  It might be a good time to transition to it now that you’re between therapists.  [/quote]

NP. By consequences, does your therapist mean that you should take the kid to the ER? [/quote]

Quite the opposite.  Consequences like taking away electronics, losing privileges for using self-harm or suicide as a threat.  Self-harm threat in this example is crying wolf.  You shouldn’t reinforce that behavior by taking directly to ER.  Should get DC to use distress tolerance skills before or call DBT therapist if skills don’t work.[/quote]

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