(This is going to be a long post and I might ask MN to delete after a few hours!)
Disclaimer: My DD doesn’t seem to have any identity or sexuality related issues nor any neurodiversities but she has seen a variety of mental health professionals.
Her difficulties arose after surviving serious illness (she has anxiety and PTSD type symptoms that have sometimes made her borderline agoraphobic and she struggles to relate to classmates after being in hospital/off school for over a year, followed by two years on the extremely clinically vulnerable list for covid). My DD started out with the hospital psychosocial service (under the CAMHS umbrella) where we saw three different clinical psychologists (due to maternity leaves!) and post-covid moved to seeing Thrive in Education, where we have again seen three different people, the first one my DD didn’t gel with, the second worked solely with me (due to my DD’s rejection of her colleague) and the third is based in a particular secondary school (we are about to start with a fourth due to changing schools).
The time period covered is year 2 (peak illness year) year 3 (peak covid year) year 4 (still a bit covidy) year 5, year 6 and now beginning of year 7.
We moved from the hospital psychosocial service to Thrive in Ed during year 4 and I saw the distance CBT-type person through the summer holidays into year 5. At the end of year 6 and through that summer my DD saw the Thrive practitioner who is attached to the secondary school my DD was given on national offer day, a school we hadn’t applied for and didn’t want, this practioner was amazing for keeping my DD engaged with education because we were very close to school refusal at that point).
IME the professional (whether hospital based or school based, qualified psychologist or Mental Health Practioner has always had very open comms with me (first appointment usually parent-only, second appointment both parent and child, then child only with check-ins between pro and parent via phone).
if something comes up that DD is reticent to share at home (usually for fear of making me sad/worried or because she is a bit scared of my ex/her dad) then the pro helps with that disclosure (by building confidence and then being present for an appointment with both child and parent).
Any risk factors such as self harm would be shared with me by phone immediately.
School counsellors (eg Place 2 Be) do not seem to do any of this (my DS saw one who was only slightly less than useful years ago, but my ASD/ADHD DS really enjoyed building lego in the counsellors room rather than being in boring classes 😆) and my DsD was literally encouraged to explore trans identity after saying she hated her newly emerging figure. Counsellor encouraged her to come out as trans which actually made it harder to intervene on what was really happening (an emergent restrictive eating disorder after sexual assault and focal aware seizures due to unrecognised epilepsy). If she were my bio daughter/I had parental responsibility I would take legal action against the school and Place 2 Be.
if my DsD had encountered the sort of services my DD has (where parents are pretty consistently kept in the loop) it would’ve given the counsellor (and her parents) a much wider picture, rather than everyone only ever having just part of the whole story, which sent everyone down a pointless cul de sac and ruined the parent/child relationship for a number of years.