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For the immediate, change you appraoch to addressing the behaviors. If you need her to sit and you know she will throw a fit, tell her to sit in the chair and be sure to yell alot. Hey, if she yells, she did what you told her, if she doesn't, she did what you wanted. Either way, you win.
As for the wanting to talk. "Oh honey, what you have to say is so very important. Here's some paper. Please write it ALL down so I don't miss anything. How many sheets of paper will you need?" If she just continues to yell, keep adding paper. She's done with the consequence when all papers are full front and back.
Then, see about finding a good attachment therapist to address the trauma and past issues and the attachment to fix the source of the problem.
The p-doc might be right about the meds. For attachment, there are no workable meds. Most of my kids had no response to being medicated. The ones that did also had other brain issues like bi-polar or schizephrenia type stuff.
Glad you have respite available.
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WELL-BEHAVED WOMEN RARELY MAKE HISTORY
charred witch
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