Treatment Abuse, Behavior Modification, Thought Reform > The Troubled Teen Industry

Teens with Personality Disorders

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Anonymous:
Suicide rate for BPD's is 10%, 25% if the patient also has Panic Disorder.

Admission to a "troubled teen" behavior modification program would be *STRONGLY CONTRAINDICATED* for a patient with BPD.

BPD's are serious risks of suicide in response to stress.  Stress is *very* bad for them.  Troubled teen BM programs provide stress by the truckload.

If your BPD teen needs hospitalization while waiting for the medication to kick in, it needs to be in a real mental hospital or real regular hospital instead of a program.

Current evidence indicates that regardless of whether a particular patient's BPD is genetic or environmental or some combination of both, BPD is biological---a malfunction of the limbic system in the brain.

Medicate first, then CBT or DBT *while medicated* may help increase the patient's functionality in daily life.

Reduce stressors.  Your BPD child is *not* mentally normal and shouldn't be expected to have to cope with the same level of stress a normal person would.  The less stress on your child, the less maladaptive behavior you will have while you're waiting for the medication and CBT or DBT to do their things.

Anonymous:
Anon, thank you very much for providing this information.  I hope it may also be useful for others who are facing the dilemma of how to best help a child suffering from BPD.  All things considered, it's clear a behavior mod program would NOT be an appropriate treatment modality.

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