This is such a sad scenerio and I realize it is torture for you as none of the solutions is very satisfactory for either you or Miley. Miley has always been a favorite of mine and I know of a specific difficult decision you had to make because of your need to protect and care for her. I am holding out hope that *these episodes will pass*. I don't know how long this has been going on already, but sometimes things do unexpectedly change for the better.

ETS's suggestion sounds like an excellent one to try.