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<blockquote data-quote="BusynMember" data-source="post: 160091" data-attributes="member: 1550"><p>Well, jmo, but depression IS a psychiatric problem, whether or not you take medications and substance abuse is a big red flag for mental health issues that are self-medicated. I'd still take her to a neuropsychologist. The therapist can only guess and doesn't know for a fact that she is doing this because of defiance. That's the problem with these issues--there are no blood tests. As of now, si nce she is not getting better, I would take her to a neuropsychologist for a more complete evlauation (and, trust me, it WILL be more intensive than any she's ever had). Perhaps she still has poor bladder control, can hold it in while outside, but it comes out when she's home. Whether she has ADHD or not, in my opinion she probably has more too and the entire picture should be treated for maximum benefits. At any rate, that's what I'd do if it were my child. Good luck, whatever you decide.</p></blockquote><p></p>
[QUOTE="BusynMember, post: 160091, member: 1550"] Well, jmo, but depression IS a psychiatric problem, whether or not you take medications and substance abuse is a big red flag for mental health issues that are self-medicated. I'd still take her to a neuropsychologist. The therapist can only guess and doesn't know for a fact that she is doing this because of defiance. That's the problem with these issues--there are no blood tests. As of now, si nce she is not getting better, I would take her to a neuropsychologist for a more complete evlauation (and, trust me, it WILL be more intensive than any she's ever had). Perhaps she still has poor bladder control, can hold it in while outside, but it comes out when she's home. Whether she has ADHD or not, in my opinion she probably has more too and the entire picture should be treated for maximum benefits. At any rate, that's what I'd do if it were my child. Good luck, whatever you decide. [/QUOTE]
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