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An Angry Vent about a doctor (long)
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<blockquote data-quote="Marguerite" data-source="post: 360050" data-attributes="member: 1991"><p>Confuzzled, I still see Pervasive Developmental Disorder (PDD) issues but I agree, there sounds to be more here. And the ADHD label could be getting in the way. As for the ODD - forget it. It's a description, nothing more. It also is getting in the way of a real diagnosis. Because ODD is a result, not a cause.</p><p></p><p>I think you need a multidisciplinary approach, with various specialisations talking to one another and if possible getting their heads together.</p><p></p><p> She does sound like she has significant language issues - expressive. Especially when agitated. </p><p></p><p>The lying - it's not too complex for Pervasive Developmental Disorder (PDD). Especially the insistence that she is right and nobody is believing her. However, the ongoing insistence in the face of alternative evidence - either she is not able to understand (especially when agitated) the evidence against her lie, or she now believes it herself. Which tells me she probably IS, at least at times, out of touch with reality.</p><p></p><p>As for her needing to show you things, needing to see things - I believe you need to give way on this, complete,y for a while. Just see what happens if you do. Because I don't think she is doing this to be annoying, I think she really needs to do this. I don't know why, but it seems to be part of the puzzle. You say she knows what is in the fridge already before she looks, but has to look anyway - how do you know she knows already? Or do you assume that she SHOULD know, because she only looked five minutes earlier? Her inability to know and need to look, could be connected to the apparent ADHD, the information not being laid down in memory due to inattention (at the brain level). ADHD is a great deal more than a kid simply being distracted. At the level of the brain, it can be quite nasty, in what the child has to deal with.</p><p></p><p>Stimulant medications, if not really right for her, could be a big part of the problem. But if they happen to be right for her, they won't be making her worse. Stimulant medications when given appropriately for ADHD have a paradoxic, calming effect. They are actually stimulating an otherwise faulty switch in the brain that now is switching off the impulsivity (allegedly). </p><p></p><p>Frankly, the ADHD in this sounds to me like at some stage a doctor was clutching at straws or perhaps taking a revolving door approach to this kid, shoving the medications at her because she seemed to be similar to the last ten kids who walked through his door.</p><p></p><p>But girls are different in how they express ADHD and Pervasive Developmental Disorder (PDD). Plus you can have co-morbidity in a number of conditions.</p><p></p><p>I agree with confuzzled - you need someone good, someone who doesn't always diagnose the same thing in every patient. So avoid, if you can, the specialist who seems to specialise in Pervasive Developmental Disorder (PDD), or in ADHD. Or even BiPolar (BP). If you can, find a clinic that has a range of disciplines in it. She needs a Speech Pathologist, she needs a neuropsychologist assessment and she needs a pediatric psychiatrist or similar. Probably more.</p><p></p><p>If you feel it's just too much to try and find such a place, or they're too far away - then think about how your life will be if you DON'T find such a place to help you with answers. The effort involved is an investment in your child. I'm probably preaching to the choir with this one.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 360050, member: 1991"] Confuzzled, I still see Pervasive Developmental Disorder (PDD) issues but I agree, there sounds to be more here. And the ADHD label could be getting in the way. As for the ODD - forget it. It's a description, nothing more. It also is getting in the way of a real diagnosis. Because ODD is a result, not a cause. I think you need a multidisciplinary approach, with various specialisations talking to one another and if possible getting their heads together. She does sound like she has significant language issues - expressive. Especially when agitated. The lying - it's not too complex for Pervasive Developmental Disorder (PDD). Especially the insistence that she is right and nobody is believing her. However, the ongoing insistence in the face of alternative evidence - either she is not able to understand (especially when agitated) the evidence against her lie, or she now believes it herself. Which tells me she probably IS, at least at times, out of touch with reality. As for her needing to show you things, needing to see things - I believe you need to give way on this, complete,y for a while. Just see what happens if you do. Because I don't think she is doing this to be annoying, I think she really needs to do this. I don't know why, but it seems to be part of the puzzle. You say she knows what is in the fridge already before she looks, but has to look anyway - how do you know she knows already? Or do you assume that she SHOULD know, because she only looked five minutes earlier? Her inability to know and need to look, could be connected to the apparent ADHD, the information not being laid down in memory due to inattention (at the brain level). ADHD is a great deal more than a kid simply being distracted. At the level of the brain, it can be quite nasty, in what the child has to deal with. Stimulant medications, if not really right for her, could be a big part of the problem. But if they happen to be right for her, they won't be making her worse. Stimulant medications when given appropriately for ADHD have a paradoxic, calming effect. They are actually stimulating an otherwise faulty switch in the brain that now is switching off the impulsivity (allegedly). Frankly, the ADHD in this sounds to me like at some stage a doctor was clutching at straws or perhaps taking a revolving door approach to this kid, shoving the medications at her because she seemed to be similar to the last ten kids who walked through his door. But girls are different in how they express ADHD and Pervasive Developmental Disorder (PDD). Plus you can have co-morbidity in a number of conditions. I agree with confuzzled - you need someone good, someone who doesn't always diagnose the same thing in every patient. So avoid, if you can, the specialist who seems to specialise in Pervasive Developmental Disorder (PDD), or in ADHD. Or even BiPolar (BP). If you can, find a clinic that has a range of disciplines in it. She needs a Speech Pathologist, she needs a neuropsychologist assessment and she needs a pediatric psychiatrist or similar. Probably more. If you feel it's just too much to try and find such a place, or they're too far away - then think about how your life will be if you DON'T find such a place to help you with answers. The effort involved is an investment in your child. I'm probably preaching to the choir with this one. Marg [/QUOTE]
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