Your daughter's situation is progressing but you are not getting any real answer to the problem. Tackling the situation is going to be another challenge altogether - and this is what you need. Reading through your post, there's not only the issue of your daughter's misdiagnosis, there are other issues that are delaying her care. Your daughter is displaying a variety of behavioural symptoms which you discuss in full detail. The time has come for her to receive the appropriate psychological help that can pinpoint the root cause, then address the behaviours involved. Ideally - one way or another - your daughter needs the services of a counsellor who actually understands her condition. At the moment, your daughter appears to be having consultations with professionals, yet not really getting any positive results that can help her to move forward. Does the social worker understand your daughter's condition? Did the professionals who assessed your daughter understand her condition? The social worker and counsellor were only working with her virtually. Let's be honest. Your daughter can't be overly inspired by these consultations if she's missing the appointments. People with mental health issues do really need a physical, trustworthy 'one-on-one' or 'group' interactive approaches to their treatment. Sadly. The Covid19 pandemic has caused problems here. Your daughter is now in need of regular counselling with someone that understands and can meet her psychological needs. Firstly. The appropriate counsellor - whether working alone or with other professionals - will want to fully understand your daughters behavioural routine. Counselling will help your daughter to explore why this is happening to her, such as looking into when it all started in the first place. That is one important area to be explored in counselling. It's looking much deeper at the 'root cause' and also exploring the emotions surrounding the condition. At this point in time - and best to be honest - your daughter is not really being dealt with by people who actually understand her condition. This is where she now needs a professional who is qualified to understand her needs. Even without an official medical diagnosis, your daughter will still benefit from counselling. Her condition may not have an explanation and certainly it will not be cured overnight. However. Her condition can be managed with the appropriate professional care and advice. She could also learn some 'self-help' techniques through counselling, health services or further reading. There may even be group meetings available. Another area that will need to be addressed is your daughter's aggressive behaviour toward you. She is taking out her anger and frustrations in life out on you at home as though it is some form of emotional release. From what you have written, your daughter seems to have difficulty when it comes to interacting with people. Every time your daughter feels offended by anyone she'll express this frustration when she returns home. This could be another area that can be explored in counselling, such as learning to understand that people can behave in different ways and it may not be a personal affront to her. Your daughter may benefit from further reading on being more assertive and building confidence with other people. At this point in time, your daughter is benefitting from being a fifteen year old girl, living at home with you. Incidents such as the 'face mask scenario' will be tolerated for now. However. As your daughter gets older others will not be quite as tolerant. This may be worth bearing in mind the next time you help her with something like taking the face mask off. Politely remind her that she may be able to do that herself from now on. It may also be borne in mind that your daughter appears to be in control of how she behaves and is able to consciously make decisions before acting upon them. You could well be assuming rightly when you believe that she tells people what she believes they want to hear. Deep down inside. Your daughter does appear to lack self-confidence with people. When people behave in a way that she feels offended, she 'brings those emotions home' and then releases her anger upon you. She claims to be able to change who she is. This could be a way 'masking over' her true self when dealing with people. It can be a way of 'hiding'. When also dealing with health professionals, her behaviour is likely to be quite exemplary. From what you have written. It's also likely that your daughter tells you (even blames you) about her frustrations/disappointments with people such as the counsellor, youth pastor, social worker and so on. Any frustration with her fellow class students will be 'brought home' to you as well.....And so on...... In all fairness....There is the question....Do the health professionals really know how your daughter behaves at home?...... The doctor at the hospital wanted a word with your daughter alone. Fair enough. However. Your daughter will have been 'a different person' with the doctor. This will also be with other professionals and people in general outside of your home. There seems to be an issue here. How your daughter behaves at home differs greatly to her behaviour outside. Does she tell the social worker/ counsellor about this behaviour? It's easier for her to miss an online appointment with the social worker by turning the 'off' button, then tell you about how the social worker isn't helping. This could be the reason for her aggressive behaviour towards you. This anger and frustration that builds up inside her, is caused by her difficulty in dealing with people outside the 'safe' boundaries of home. Sounds harsh, but it is much easier/safer for her to be aggressive towards you. She knows this as well. This may also be the reason for her 'hitting and banging herself'. How can she express those inner frustrations?.....This is another area where your daughter could benefit from a trustworthy counsellor who understands this. Your daughter is very conscious of other's behaviour towards her - or what she feels is toward/about her - yet at the same time cannot express herself to other people, other than yourselves. At the moment, your daughter is only fifteen years old. One downside as she gets older will be the realisation that her behaviour will not be tolerated by others. Though the chances are, she knows this already. The time has come for her to at very least co-operate with the social worker and be available for all appointments. Your daughter seems to be very intelligent and may benefit from channelling her energy into her schoolwork. Could she be encouraged to join an after-school club if available? Encourage her to continue with any hobbies such as the piano, as this could be another way of helping her to focus her intelligent mind on being productive. People such as your daughter can have the ability to be creatively talented. It's a difficult situation for you here because the problem seems to lie at the fact that you are not really getting the appropriate professional help for your daughter. Everything you describe in your post could really benefit from the help of a psychological professional who can understand and work with your daughter. You seem to be dealing with people who are not able to work through the problems your daughter has and appreciate that she is in need of this help. Although repeating this, your daughter is now in need of regular counselling in order to work through her issues and also needs to build some confidence/assertiveness when with other people.
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