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<blockquote data-quote="BusynMember" data-source="post: 247237" data-attributes="member: 1550"><p>Hi there. I adopted a child with the same background as your nephew. Absolutely get him a neuropsychologist evaluation. It is 6-10 hours of intensive testing and will tell you much more than anything you have ever heard. With his prenatal background in my opinion there is more going on than ADHD and medications alone are probably not going to do the trick. He also may have fetal alcohol spectrum features--obviously not the entire spectrum, but he could still be alcohol affected, which causes a whole other set of problems and a neuropsychologist would be the one to diagnose it if it's there. My son is on the autism spectrum (we were told he is ADHD at first), and they feel it was probably due to the birthmother's drug use, but they don't really know for sure. They DO know that kids of parents who abuse substances during pregnancy have a higher rate of various forms of autism. My son is high functioning so it took a while for him to get diagnosed. Also, if there is bipolar in the family tree, that can be looked at as well. So I definitely think a neuropsychologist (not a Neurologist, but a neuropsychologist) is a good way to go for our complicated kids who had poor prenatal care. I wouldn't trust a school district to diagnose. by the way, my son is doing great. Lastly, ODD is more a description of defiant behavior than a useful diagnosis. It rarely if ever stands by itself. Welcome to the board!</p></blockquote><p></p>
[QUOTE="BusynMember, post: 247237, member: 1550"] Hi there. I adopted a child with the same background as your nephew. Absolutely get him a neuropsychologist evaluation. It is 6-10 hours of intensive testing and will tell you much more than anything you have ever heard. With his prenatal background in my opinion there is more going on than ADHD and medications alone are probably not going to do the trick. He also may have fetal alcohol spectrum features--obviously not the entire spectrum, but he could still be alcohol affected, which causes a whole other set of problems and a neuropsychologist would be the one to diagnose it if it's there. My son is on the autism spectrum (we were told he is ADHD at first), and they feel it was probably due to the birthmother's drug use, but they don't really know for sure. They DO know that kids of parents who abuse substances during pregnancy have a higher rate of various forms of autism. My son is high functioning so it took a while for him to get diagnosed. Also, if there is bipolar in the family tree, that can be looked at as well. So I definitely think a neuropsychologist (not a Neurologist, but a neuropsychologist) is a good way to go for our complicated kids who had poor prenatal care. I wouldn't trust a school district to diagnose. by the way, my son is doing great. Lastly, ODD is more a description of defiant behavior than a useful diagnosis. It rarely if ever stands by itself. Welcome to the board! [/QUOTE]
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