Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
192 Doctors are Online

Teens diagnosed with PDD-NOS, emotional pain. On CBT, seroquel, anti-anxiety and anti-depressant medicine. Advice?

User rating for this question
Very Good
Answered by

Practicing since : 2000
Answered : 634 Questions
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 She is not improving, and if anything, is becoming more withdrawn and has tried to manipulate her way out of any situation that might cause her to confront her self-belief of inadequacy (eg school avoidance, social avoidance,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!
Posted Thu, 16 May 2013 in General Health
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.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor