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[quote=Anonymous][quote=Anonymous]OP here. Thanks for all the DBT recommendations. We have never tried that and it sounds like it might be helpful. There is family history of depression, anxiety, and adult-onset psychosis (which may be linked to bipolar disorder - exact diagnosis has never been figured out because it responds very well to medication). I will also say that the intensification of her symptoms coincided with an episode of cyberbullying that I didn't find out about until much later (it was not that severe but happened while Covid restrictions were still in effect and she was somewhat isolated, which I think heightened the impact).[/quote]

OP many pre-teen and young teen kids that were home during Covid have cyber bullying and grooming and assault histories that come out in later years. Many young kids on Discord were groomed. So much porn and fishing and bullying on various sites parents had no idea about. Many of these kids were impulsive undiagnosed ADHDer’s who didn’t know it was wrong to start.

I would look into CPTSD for her.

And yes look to get her evaluated for ADHD or AUD. And PMDD is very prevalent in female ADHD.

And you can see if maybe a non stimulant would work. Clonidine, Intuniv, Strattera might be options. Many teen girls with emotional regulation issues do well on Lamictal. Small doses titrated up slowly.

Lots of options. Don’t give up! [/quote]

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