This is an interesting disorder. Typically they are 14-17 year old females from upper middle class families. They are control freaks, obsessive compulsive, master manipulators, they are enabled by their mother, They are smarter then average. They attempt to control their environment, With this client base I involve the individual first and gain their trust. At that point I start to involve the parental figures. Giving all of them the tools needed to have a full life.