I have little support as I work privately and have no partners. This is the main reason I decided to post here. It is comforting having others ideas and input into a situation I feel a bit unsure about. I have been seeing her daily for the past week to try to avoid hospitalization, which at this point I feel would set her back a bit. (unless she, her parents or I feel her psyscical health and safety is jeopardized). I had a psychiatrist consult with her and he told me that she is very knowledgeable and matter of fact about "safe" subjects. Pretty much anything that doesn't involve herself. Obviously her body image is distorted and self- esteem in painfully low. He said we could try medication changes but because of the number of meds she's already tried and the pattern in which they work well for a short period of time and then they stop, he says whatever is bothering her is overriding the medication effects at this point. I've noticed that she is very sensitive to noises and tones of voice. Her description of yelling is any raised voice. She jumps at the slightest sounds and actually has to catch her breath to calm down. She has a brother and 2 sisters varying in ages from 14-20, her being second oldest at 18. They seem very well adjusted and spirited- aside from usual teenage angst have no mental health issues. Her sister who is 16 was hospitalized with her with spinal meningitis - her case was less severe. I left todays session after explaining to her that we are a team and I'm there to help her with whatever she needs. Her response was 5 minutes worth of crying and telling me not to care about her for she's just not good inside. My heart goes out to her. She's a lovely girl with sad eyes who has obviously been through so much. However my gut says that somewhere in there she really wants to get better. "To be like my sisters. To feel like them. To be normal. And maybe even happy."- as she put it. We'll keep trying.
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