Update--we tried the point/reward system in Transforming and I don't know that we are doing very well with it. Unfortunately DD is capable of losing a LOT of points in a very short time when agitated, so even when her day is mostly good, the negatives rack up fast when she is having an episode. She appears motivated by the system, but also very frustrated. It seems to be reinforcing her belief (IDK if she really believes this, but she says it) that she is "bad."
I am being as generous with the positive points as I can without giving her points for breathing.
In fact, we had one of the most disturbing episodes from her yet over the break--she was repeatedly rubbing her knuckles very hard across a rug, and when I asked her what she was doing, she said she was trying to give herself a carpet burn because she's bad.
