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13 year old in psychiatric ward for first time
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<blockquote data-quote="keista" data-source="post: 465010" data-attributes="member: 11965"><p>Welcome to the board!</p><p></p><p>It all started to sound EXACTLY like son, but then it got different - very different.</p><p></p><p>I"m stuck on the Asperger's diagnosis. It definitely sounds like possible Autism Spectrum Disorders (ASD), but not Asperger's, but again it could be Asperger's co-morbid with something "more serious" I say this only because a criteria for Asperger's is average or above average intelligence. Having it identified at a relatively young age and having good school supports <em>usually </em>results in at or above grade level functioning despite any other issues. IOW he can be failing classes, because he forgets to hand in or do homework, doesn't follow through with projects etc (although the supports should be helping with these things) BUT that intelligence gets them through on the standardized tests. Of course, that's assuming that he had proper supports in the testing environment. It's a bit semantic picking it apart, but then again no, since not all Autistics respond to the same interventions and supports the same way - depends where they are on the spectrum.</p><p></p><p>Anyway, my son was pretty much diagnosed by the school as well. At 13 entering 7th grade, he got hit with depression - HARD. He was Baker Acted (involuntary commit) by a school resource officer for simply expressing his suicidal thoughts - no real threat. At least for that day, that completely pulled him out of his depressive funk - what kid doesn't want to ride in a police car, get a tour of the local lock up and then ride in an ambulance? He had a BLAST. He wasn't even kept for 24 hrs. Unfortunately as soon as he had to head to school again, he was down again. His Aspie self was just having an insanely difficult time transitioning to middle school. I got him on medications (Abilify) and we instantly had a "functioning" kid.</p><p></p><p>A few questions about the psychiatric unit he is in. <span style="color: #ff0000">Is it just crisis stabilization or is it for longer term diagnosis and treatment?</span> If it's just crisis, I would take what they say with a grain of salt and then move forward as quickly as possible for full evaluations or finding a long term treatment center if you think he needs it. If it is a potentially long term place, then push for any and every evaluation they are willing to do.</p><p>The big problem if this is just a crisis unit is that, in my experience, all they seem to concern themselves with is what's happening at the moment. My DD1 went to a crisis unit this summer, and their suggestion was MDD. Yes, thank you, that is NOT what she has. No, we can't rule it out 100%, but currently absolutely, possitively, NOT her diagnosis. AND their only medication suggestion was to add an SSRI. This was AFTER I told them that we've tried 3 different ones and she had a BAD REACTION to 2 of them an intolerable side effects to the third. So anyway, how you deal with this psychiatric hospital depends a lot on if it's crisis or long term.</p><p></p><p>So yes, I think your plan is good, and if you don't think the medication and dosage is right, question, question, question! Unfortunately with ALL of these medications, with both children AND adults, it's like a **** shoot. You need to wait and see. Hope you get luck, if not, spot issues as soon as possible, advocate for changes when necessary. Last January, DD1 complained of feeling like a guinea pig with all her medication changes. I don't blame her, but even though she was on some bad ones, I feel, overall, she's better off now for having been on them. Despite the bad reactions, some of them also had positive resuts (yeah, at the same time - how messed up is that?) and during these positive times she got to experience "normal", so now she knows how things "should" be (by the way she's had mental health issues since birth but were only truly problematic and identifiable starting at age 7)</p><p></p><p>Welcome again. <img src="/community/styles/default/xenforo/smilies/emoticons/notalone.gif" class="smilie" loading="lazy" alt=":notalone:" title="notalone :notalone:" data-shortname=":notalone:" /></p></blockquote><p></p>
[QUOTE="keista, post: 465010, member: 11965"] Welcome to the board! It all started to sound EXACTLY like son, but then it got different - very different. I"m stuck on the Asperger's diagnosis. It definitely sounds like possible Autism Spectrum Disorders (ASD), but not Asperger's, but again it could be Asperger's co-morbid with something "more serious" I say this only because a criteria for Asperger's is average or above average intelligence. Having it identified at a relatively young age and having good school supports [I]usually [/I]results in at or above grade level functioning despite any other issues. IOW he can be failing classes, because he forgets to hand in or do homework, doesn't follow through with projects etc (although the supports should be helping with these things) BUT that intelligence gets them through on the standardized tests. Of course, that's assuming that he had proper supports in the testing environment. It's a bit semantic picking it apart, but then again no, since not all Autistics respond to the same interventions and supports the same way - depends where they are on the spectrum. Anyway, my son was pretty much diagnosed by the school as well. At 13 entering 7th grade, he got hit with depression - HARD. He was Baker Acted (involuntary commit) by a school resource officer for simply expressing his suicidal thoughts - no real threat. At least for that day, that completely pulled him out of his depressive funk - what kid doesn't want to ride in a police car, get a tour of the local lock up and then ride in an ambulance? He had a BLAST. He wasn't even kept for 24 hrs. Unfortunately as soon as he had to head to school again, he was down again. His Aspie self was just having an insanely difficult time transitioning to middle school. I got him on medications (Abilify) and we instantly had a "functioning" kid. A few questions about the psychiatric unit he is in. [COLOR=#ff0000]Is it just crisis stabilization or is it for longer term diagnosis and treatment?[/COLOR] If it's just crisis, I would take what they say with a grain of salt and then move forward as quickly as possible for full evaluations or finding a long term treatment center if you think he needs it. If it is a potentially long term place, then push for any and every evaluation they are willing to do. The big problem if this is just a crisis unit is that, in my experience, all they seem to concern themselves with is what's happening at the moment. My DD1 went to a crisis unit this summer, and their suggestion was MDD. Yes, thank you, that is NOT what she has. No, we can't rule it out 100%, but currently absolutely, possitively, NOT her diagnosis. AND their only medication suggestion was to add an SSRI. This was AFTER I told them that we've tried 3 different ones and she had a BAD REACTION to 2 of them an intolerable side effects to the third. So anyway, how you deal with this psychiatric hospital depends a lot on if it's crisis or long term. So yes, I think your plan is good, and if you don't think the medication and dosage is right, question, question, question! Unfortunately with ALL of these medications, with both children AND adults, it's like a **** shoot. You need to wait and see. Hope you get luck, if not, spot issues as soon as possible, advocate for changes when necessary. Last January, DD1 complained of feeling like a guinea pig with all her medication changes. I don't blame her, but even though she was on some bad ones, I feel, overall, she's better off now for having been on them. Despite the bad reactions, some of them also had positive resuts (yeah, at the same time - how messed up is that?) and during these positive times she got to experience "normal", so now she knows how things "should" be (by the way she's had mental health issues since birth but were only truly problematic and identifiable starting at age 7) Welcome again. :notalone: [/QUOTE]
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