Indy, right now I am just trying to get her to stop self destructive behaviors. She just came out of the hospital. This is a case of neglect, abuse, family history, adoption, and attachment problems. Her adoptive mom is wonderful, but it's a horribly stressful situation for her. I practically live at their home... two 1.5-2 hour visits a week.
You are right, most therapists avoid treating this diagnosis. it's a known "joke" in my profession. Especially psychiatrists, it seems. I've actually had a couple of clients who fit this description, although they were diagnosed as Bipolar Disorder.