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13 year old in psychiatric ward for first time
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<blockquote data-quote="buddy" data-source="post: 466001" data-attributes="member: 12886"><p>I'm not a dr. but with my son , former clients, and training what I have seen is...(very simplistically and MHO of course)</p><p>Yes, they can do imaging tests like MRI, CAT scan etc. and many things can show up certainly. many small things dont. A PET scan can show how the little nerves/neurons in the brain are activated and excited under different physical conditions and cogntive tasks. That has helped diagnose many things now like even ADHD. (not fool proof as with anything) But, generally the medical history matching with the symptoms is what allows them to diagnose the brain trauma. That is what is unique about a good neuropsychologist. Their job is to really match how all of the different areas of the brain typically function with the known effects of damage to those areas. If they know of red flag events like lack of oxygen, even babies who have a bowel in utero which could signal distress, etc. they can investigate better....share everything with them! And of course knowledge of a physical injury to a specific part of the brain or evidence of a mass injury like loss of oxygen to all tissues or high pressures, etc. ( which can compress the whole brain) can help guide them in what to look for. They will explain what typically happens to people with injuries like that and what supports they may need. Then you are armed better for the future. If there are current symptoms, they can help connect the dots and help you to explain to the professionals working with you how it is a neurological deficit and needs to be addressed as such. If there is not any image or dr. report of specific injury, they can tell from the symptoms if it may be connected to the kinds of things reported in the medical history you provide, and the same kinds of ideas and instruction can be given to the other professionals. Of course there is much more to it but for me both as a mom and an Speech Language Pathologist (SLP) these have been the huge advantages of using a neuropsychologist. In general, they really are the best for understanding any neurological disabilities including autism and traumatic or acquired brain injuries among many, many other things. by the way, as an aside, difficult child and I now have an Ed. Pscyhologist who is just as good as that, is both an educational psychiatric and expert in brain injury. Also, just a good guy period...so it has been really nice for the last 3 years that way. He is the one who actually attends ALL iep team meetings AND reviews AND planning sessions. difficult child's waiver pays him to but he wouldn't have to go that far. There are some good ones out there.</p><p></p><p>(specific example: along with the brain injury my son has to frontal/temporal lobe...and high pressures he had for a long time....the mri now shows he has a shunken hippocampus. Neurologists are not overly concerned...but neuropsychologist helps explain that this is the are where certain memory functions are and some emotional regulation is... it was discussed more specifically than that, but you get the idea of how beneficial it is.) </p><p></p><p>Some treatment methods would be the same no matter the evidence of brain trauma for certain conditions. But there are also some specific cognitive habilitation methods that work best for brain injury and these sometimes get lost in the school systems. (very hard to separate those and it is super frustrating for school therapists behind the scenes, they wont usually admit that in meetings or in front of bosses obviously.) Schools are geared to work to help bridge the gap between disability areas and school functioning and it can be more problem solving than really rehab/habilitative except for kids with severe physical and develpmental disabilities...those look closer to outside rehab services sometimes. (of course if I had been your Speech Language Pathologist (SLP)...no problems ever!, tee hee just being a brat here!)</p><p></p><p>For us the main advantage is no one can claim that difficult child's behaviors and challenges are from lack of significant consequences/bad parenting, or that he is just seeking attention or being a rude child. Believe me, we hear that every year. There is not one single chance that they can claim his behaviors are not a "manifestation" of his disability (the due process term used if this is in question).</p></blockquote><p></p>
[QUOTE="buddy, post: 466001, member: 12886"] I'm not a dr. but with my son , former clients, and training what I have seen is...(very simplistically and MHO of course) Yes, they can do imaging tests like MRI, CAT scan etc. and many things can show up certainly. many small things dont. A PET scan can show how the little nerves/neurons in the brain are activated and excited under different physical conditions and cogntive tasks. That has helped diagnose many things now like even ADHD. (not fool proof as with anything) But, generally the medical history matching with the symptoms is what allows them to diagnose the brain trauma. That is what is unique about a good neuropsychologist. Their job is to really match how all of the different areas of the brain typically function with the known effects of damage to those areas. If they know of red flag events like lack of oxygen, even babies who have a bowel in utero which could signal distress, etc. they can investigate better....share everything with them! And of course knowledge of a physical injury to a specific part of the brain or evidence of a mass injury like loss of oxygen to all tissues or high pressures, etc. ( which can compress the whole brain) can help guide them in what to look for. They will explain what typically happens to people with injuries like that and what supports they may need. Then you are armed better for the future. If there are current symptoms, they can help connect the dots and help you to explain to the professionals working with you how it is a neurological deficit and needs to be addressed as such. If there is not any image or dr. report of specific injury, they can tell from the symptoms if it may be connected to the kinds of things reported in the medical history you provide, and the same kinds of ideas and instruction can be given to the other professionals. Of course there is much more to it but for me both as a mom and an Speech Language Pathologist (SLP) these have been the huge advantages of using a neuropsychologist. In general, they really are the best for understanding any neurological disabilities including autism and traumatic or acquired brain injuries among many, many other things. by the way, as an aside, difficult child and I now have an Ed. Pscyhologist who is just as good as that, is both an educational psychiatric and expert in brain injury. Also, just a good guy period...so it has been really nice for the last 3 years that way. He is the one who actually attends ALL iep team meetings AND reviews AND planning sessions. difficult child's waiver pays him to but he wouldn't have to go that far. There are some good ones out there. (specific example: along with the brain injury my son has to frontal/temporal lobe...and high pressures he had for a long time....the mri now shows he has a shunken hippocampus. Neurologists are not overly concerned...but neuropsychologist helps explain that this is the are where certain memory functions are and some emotional regulation is... it was discussed more specifically than that, but you get the idea of how beneficial it is.) Some treatment methods would be the same no matter the evidence of brain trauma for certain conditions. But there are also some specific cognitive habilitation methods that work best for brain injury and these sometimes get lost in the school systems. (very hard to separate those and it is super frustrating for school therapists behind the scenes, they wont usually admit that in meetings or in front of bosses obviously.) Schools are geared to work to help bridge the gap between disability areas and school functioning and it can be more problem solving than really rehab/habilitative except for kids with severe physical and develpmental disabilities...those look closer to outside rehab services sometimes. (of course if I had been your Speech Language Pathologist (SLP)...no problems ever!, tee hee just being a brat here!) For us the main advantage is no one can claim that difficult child's behaviors and challenges are from lack of significant consequences/bad parenting, or that he is just seeking attention or being a rude child. Believe me, we hear that every year. There is not one single chance that they can claim his behaviors are not a "manifestation" of his disability (the due process term used if this is in question). [/QUOTE]
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