In a new interview, on the heels of the 21-year-old's decision to sell a sex tape for $1.5 million, Dr Drew said: "If she would have called me for advice, I would have told her not to do this."
"But she is not my patient, she is not my kid," the MTV/VH1 and HLN star told radio program Zach Sang & The Gang.
"Farrah is making horrible, horrible choices. Let's say she takes that $2 million and opens a restaurant, which has always been her dream, how are you going to talk a 21, 22-year-old out of that? I just don't know."
In a statement after the sale of her tape, entitled Farrah Superstar: Backdoor Teen Mom, the single mom alluded to using the financial windfall to support her "culinary business endeavors."
“I am very pleased with the outcome and to have this opportunity to be an entrepreneur in another unexpected light in my life," Farrah said.
"Jenelle, I don't think, would be any different whether she was on Teen Mom or not. She needs long term treatment. She is a Lindsay Lohan style situation," he said.
Dr. Drew lamented the pair's recent headline-making issues, but said he was often powerless to effect change on the young women, noting: "I am going to give them messages they don't want to hear and then they don't call me back."