Reply to Fairfax County Crisis Mobilization Unit

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[quote=Anonymous][quote=Anonymous]DC was hospitalized about 6 months ago for a suicide attempt. Did well with the hospitalization and antidepressant helped tremendously. History of depression, anxiety, and is on the spectrum. DC is an adolescent.

DC now refuses to take the medication and has deteriorated - very irritable, easily gets angry, spends most of the time in her bedroom, refuses to eat with us but will eat leftovers or fix something for herself. I took the cell phone away for 3 days and that did not make a difference, was just as irritable. DC has not socialized with friends for month. Currently approved for homebound instruction but is barely doing any work. Initially, DC would do about 3 hours of school/day, now barely anything, logs on for about an hour.  Refuses to see a therapist. We had a telemedicine appointment with the psychiatrist but refused to participate. Psychiatrist says if DC has suicidal ideation to take her to the ER. For now, psychiatrist doesn't think there's much that can be done because DC is not willing to cooperate with anything. DC not currently having suicidal ideation, does not appear to be a threat to herself or anyone. However, she needs psychiatric care and most importantly to get back on the antidepressant which was helping. I can't get DC to go through an intake for intensive outpatient or partial day hospitalization, I can't DC to take the antidepressant, I can't get DC to therapy. DC is too dysregulated at the moment to benefit from therapy.

Could the crisis mobilization unit help with this situation? Would they be able to get her to the ER for an evaluation? On the website, it says if the patient is unwilling to go for an evaluation, they can do that involuntarily. I'm at a loss on what to do. The situation is putting a strain on the whole family and I'm worried seeing DC deteriorating. [/quote]

I am not sure if crisis response would help because she's not in crisis. You need to talk with her psychiatrist about a better plan. Residential inpatient or partial may be needed? IDK.  If the psych isn't helpful you may need to get another one. [/quote]

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