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."
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“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."