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diagnosis changed from ADHD to Asperger's - FRUSTRATED!
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<blockquote data-quote="seriously" data-source="post: 449754" data-attributes="member: 11920"><p>It's good that you are pursuing help for him.</p><p></p><p>I think the diagnosis you were referring to in your earlier post was:</p><p></p><p>Schizoaffective Disorder</p><p></p><p>This is a psychiatric disorder that has both mood and psychotic features.</p><p></p><p>It will be interesting to see what the outpatient psychiatrist thinks is going on. Did you get a copy of his discharge summary from his hospitalization? If not, I would try to get one for your records and to share with the new doctor. Or at least make sure that she has gotten a copy from the hospital directly. A 2 week long inpatient stay is a pretty long stay these days and they should have had plenty of chance to observe his behavior and work with him before diagnosing him with that.</p><p></p><p>Here's some links to info on Schizoaffective Disorder for you to look at in case it is helpful for you. If you're familiar with this diagnosis it may make it easier for you to talk with the new psychiatrist about what she thinks is going on with him.</p><p></p><p> <a href="http://www.mayoclinic.com/health/schizoaffective-disorder/DS00866" target="_blank">http://www.mayoclinic.com/health/schizoaffective-disorder/DS00866</a></p><p><a href="http://www.mayoclinic.com/health/schizoaffective-disorder/DS00866" target="_blank"></a></p><p><a href="http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=87235" target="_blank">http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=87235</a></p><p><a href="http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=87235" target="_blank"></a></p><p><a href="http://emedicine.medscape.com/article/294763-overview" target="_blank">http://emedicine.medscape.com/article/294763-overview</a></p><p></p><p>It is very complicated to diagnose a child/adolescent when there are developmental issues like Aspergers AND psychiatric disorders like Bipolar. And there's a lot of overlap of symptoms between Autism Spectrum Disorders (ASD)'s and both schizophrenia and bipolar. It is not at all unusual for psychiatrists to give a very general diagnosis like Mood disorder not otherwise specified because they want to wait and see how the child's symptoms (sx) change over time and whether they get better as the child gets older.</p><p></p><p>Here's an article about diagnosing Asperger's that also talks about other conditions that have similar signs and symptoms and that must be ruled out or at least considered before an autism diagnosis is given (this process is called differential diagnosis)</p><p></p><p><a href="http://apt.rcpsych.org/content/7/4/310.full" target="_blank">http://apt.rcpsych.org/content/7/4/310.full</a></p><p></p><p>Do you know how much experience the new psychiatrist has with diagnosing austism spectrum disorders and treating kids with both Autism Spectrum Disorders (ASD) and psychiatric conditions? If not, you might ask her about this. For example, you might ask roughly how many kids with both she is currently seeing in her practice. She shouldn't be offended at all and I would ask not only about her experience but any special training she's had for working with kids with both diagnoses.</p><p></p><p>You can also ask for additional screening at school and through your local Regional Center to confirm the Autism Spectrum Disorders (ASD) diagnosis.</p><p></p><p>All the best</p></blockquote><p></p>
[QUOTE="seriously, post: 449754, member: 11920"] It's good that you are pursuing help for him. I think the diagnosis you were referring to in your earlier post was: Schizoaffective Disorder This is a psychiatric disorder that has both mood and psychotic features. It will be interesting to see what the outpatient psychiatrist thinks is going on. Did you get a copy of his discharge summary from his hospitalization? If not, I would try to get one for your records and to share with the new doctor. Or at least make sure that she has gotten a copy from the hospital directly. A 2 week long inpatient stay is a pretty long stay these days and they should have had plenty of chance to observe his behavior and work with him before diagnosing him with that. Here's some links to info on Schizoaffective Disorder for you to look at in case it is helpful for you. If you're familiar with this diagnosis it may make it easier for you to talk with the new psychiatrist about what she thinks is going on with him. [URL="http://www.mayoclinic.com/health/schizoaffective-disorder/DS00866"]http://www.mayoclinic.com/health/schizoaffective-disorder/DS00866 [/URL] [URL="http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=87235"]http://www.nami.org/Template.cfm?Section=By_Illness&Template=/TaggedPage/TaggedPageDisplay.cfm&TPLID=54&ContentID=87235 [/URL] [URL]http://emedicine.medscape.com/article/294763-overview[/URL] It is very complicated to diagnose a child/adolescent when there are developmental issues like Aspergers AND psychiatric disorders like Bipolar. And there's a lot of overlap of symptoms between Autism Spectrum Disorders (ASD)'s and both schizophrenia and bipolar. It is not at all unusual for psychiatrists to give a very general diagnosis like Mood disorder not otherwise specified because they want to wait and see how the child's symptoms (sx) change over time and whether they get better as the child gets older. Here's an article about diagnosing Asperger's that also talks about other conditions that have similar signs and symptoms and that must be ruled out or at least considered before an autism diagnosis is given (this process is called differential diagnosis) [URL]http://apt.rcpsych.org/content/7/4/310.full[/URL] Do you know how much experience the new psychiatrist has with diagnosing austism spectrum disorders and treating kids with both Autism Spectrum Disorders (ASD) and psychiatric conditions? If not, you might ask her about this. For example, you might ask roughly how many kids with both she is currently seeing in her practice. She shouldn't be offended at all and I would ask not only about her experience but any special training she's had for working with kids with both diagnoses. You can also ask for additional screening at school and through your local Regional Center to confirm the Autism Spectrum Disorders (ASD) diagnosis. All the best [/QUOTE]
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diagnosis changed from ADHD to Asperger's - FRUSTRATED!
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