DD has depression and non-epileptic seizures..Need wisdom of the hive in The Chat Board Posted September 22, 2014 I'd definitely rule out physical/hormonal (like the previously mentioned PCOS) causes first, and keep up with your nutritional supplementation, dietary changes, structure/routine, and physical activity plan.. Another avenue to consider - before looking towards the super intensive inpatient options, perhaps see if you have a dialectical behavioral therapy (DBT) center or therapist nearby? Depending on how its structured, it can be a pretty intensive, effective outpatient option. A lot of inpatient facilities are set up more for stabilization rather than long-term inpatient treatment, especially depending on insurance, financial means, etc. (sigh) - If you aren't in crisis mode, then I wouldn't go to inpatient as a first course of action - and one incident of self-harm, while certainly scary and not to be ignored, isn't exactly crisis mode. Especially since she is talking to you about it - But DBT is a really great option for complex issues, anxiety, depression, eating disorder, self-harm. And I wouldn't rule out meds completely, but ugh, sometimes finding the right one or the right combination can be so challenging.