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Defiant or Bipolar - 15 year old daughter is out of control
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<blockquote data-quote="soapbox" data-source="post: 522269" data-attributes="member: 13003"><p>Hi, and welcome.</p><p>I'm another one who doesn't put much stock in ODD, except as a placeholder... it does flag behavior as an issue, but doesn't provide any info that would help solve the problem. So... in general, ODD seems to mean "we have to dig deeper"... but, because that takes time, at least there is SOME flag that says "there is a problem".</p><p></p><p>What kind of evaluation(s) are you waiting for?</p><p>Who did the ADHD diagnosis? What medications were tried?</p><p></p><p>ADHD is another strange diagnosis... I'm not saying it's not real (I'm in trouble if it's not... I literally LIVE in the world of ADHD), but... there are other things that look like ADHD - and sometimes ADHD doesn't even look like itself (and gets missed). </p><p></p><p>Things that caught my attention in your post were that she got the ADHD diagnosis fairly early in school, but medications didn't help. And then... school went downhill from there.</p><p></p><p>Auditory Processing Disorders (APD) = auditory processing disorder. Actually, there are a number of them, and while the original, classical form involves difficulty processing verbal language, other auditory issues can be serious as well without impacting language development. Even more interesting, symptoms for Auditory Processing Disorders (APD) are extremely similar to symptoms for ADHD... plus, you can have both ADHD and Auditory Processing Disorders (APD). If she hasn't had a Speech Language Pathologist (SLP) evaluation, it is probably worth doing... but make sure they test for the full range of APDs and not just language issues... If they are testing for auditory figure ground, they are probably testing for the rest.</p><p></p><p>Auditory Processing Disorders (APD) generates significant mental fatigue. The more energy you spend trying to catch the words, the less energy there is to catch the meaning... and the more difficult school - and life - become. It can impact sleep quality. Definitely impacts behavior if not caught early and dealt with appropriately. Does not respond to medications... but there are interventions (like a personal FM system) and accommodations (written instructions, one-on-one for new concepts, etc.) that do work.</p><p></p><p>There are other possibilties too, but this post is getting long enough!</p></blockquote><p></p>
[QUOTE="soapbox, post: 522269, member: 13003"] Hi, and welcome. I'm another one who doesn't put much stock in ODD, except as a placeholder... it does flag behavior as an issue, but doesn't provide any info that would help solve the problem. So... in general, ODD seems to mean "we have to dig deeper"... but, because that takes time, at least there is SOME flag that says "there is a problem". What kind of evaluation(s) are you waiting for? Who did the ADHD diagnosis? What medications were tried? ADHD is another strange diagnosis... I'm not saying it's not real (I'm in trouble if it's not... I literally LIVE in the world of ADHD), but... there are other things that look like ADHD - and sometimes ADHD doesn't even look like itself (and gets missed). Things that caught my attention in your post were that she got the ADHD diagnosis fairly early in school, but medications didn't help. And then... school went downhill from there. Auditory Processing Disorders (APD) = auditory processing disorder. Actually, there are a number of them, and while the original, classical form involves difficulty processing verbal language, other auditory issues can be serious as well without impacting language development. Even more interesting, symptoms for Auditory Processing Disorders (APD) are extremely similar to symptoms for ADHD... plus, you can have both ADHD and Auditory Processing Disorders (APD). If she hasn't had a Speech Language Pathologist (SLP) evaluation, it is probably worth doing... but make sure they test for the full range of APDs and not just language issues... If they are testing for auditory figure ground, they are probably testing for the rest. Auditory Processing Disorders (APD) generates significant mental fatigue. The more energy you spend trying to catch the words, the less energy there is to catch the meaning... and the more difficult school - and life - become. It can impact sleep quality. Definitely impacts behavior if not caught early and dealt with appropriately. Does not respond to medications... but there are interventions (like a personal FM system) and accommodations (written instructions, one-on-one for new concepts, etc.) that do work. There are other possibilties too, but this post is getting long enough! [/QUOTE]
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