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Teens Diagnosed With PDD-NOS, Emotional Pain. On CBT, Seroquel, Anti-anxiety And Anti-depressant Medicine. Advice?

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Posted on Tue, 15 Oct 2013
Question: What "help" is best for a teen with self-injurious behavior (ie cutting, ED) and who has a diagnosis of PDD-NOS? She receives CBT, is on anti-anxiety and anti-depressant medication, as well as low-dosage (100mg) of Seroquel, as sleep aids, and mood-stabilisers. She is not improving, and if anything, is becoming more withdrawn and has tried to manipulate her way out of any situation that might cause her to confront her self-belief of inadequacy (eg school avoidance, social avoidance, lashing out at those closest (ie family). She is in deep emotional pain, and yet has much love and support around her. Anything concrete we should try? Any experts we should consult? Thanks!
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Answered by Dr. Payman Hajiazim (5 hours later)
Hi there, thanks for asking. When she has some eating issues and also the other factors that you have described, she may take advantage of family psychotherapy which deals with issues of autonomy. It is really appreciated that you and the family is supportive for her. Meanwhile she need to find a way to have more control on her own issues. CBT does not deal with these issues and she needs psychodynamic oriented family therapy which you can ask about from her CBT therapist. I wish her and the family the best.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Payman Hajiazim

Psychiatrist

Practicing since :2000

Answered : 634 Questions

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Teens Diagnosed With PDD-NOS, Emotional Pain. On CBT, Seroquel, Anti-anxiety And Anti-depressant Medicine. Advice?

Hi there, thanks for asking. When she has some eating issues and also the other factors that you have described, she may take advantage of family psychotherapy which deals with issues of autonomy. It is really appreciated that you and the family is supportive for her. Meanwhile she need to find a way to have more control on her own issues. CBT does not deal with these issues and she needs psychodynamic oriented family therapy which you can ask about from her CBT therapist. I wish her and the family the best.