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<blockquote data-quote="klmno" data-source="post: 296476" data-attributes="member: 3699"><p>Thanks, ML!</p><p></p><p>Ok, difficult child has been evaluation'd by a total of 6 psychiatrists (if you caount the ones from the phosps) and one clinical psychiatric over the past 3 years. Five diagnosis's were in the mood disorder category and one was adjustment disorder. Several had disruptive behavior listed as a secondary diagnosis. The trial off the medications was to help determine which mood disorderr or if it was adjustment disorder because everyone who had dealt with difficult child seemed to agree it was along those lines and the bad conduct was a result, not the cause. Also, if difficult child is BiPolar (BP), then this should clarify and help get the sd and legal authorities on board with it.</p><p></p><p>The educational psychiatric approached this in the report like the primary problem is CD with a secondary intermittent depression. I somehow can't wrap my brain around her being right and all the other profs being wrong just based on her report when the report had errors in areas of background info and left out certain facts- like she picked and chose which facts to include but both were equally important, she chose the ones that supported the "he's just a bad kid" position. And when she's an educ psychiatric who works for the sd, not a clinical psychiatric.</p><p></p><p>It might turn out to be correct, but it's going to take more than this one report by her before I accept it. </p><p></p><p>difficult child was a basketcase yesterday. As it turns out, they did discuss the absence of lithobid for several days with the psychiatrist and he told them to just take difficult child off of it, so he went cold-turkey off the lithobid. I don't know if it is recent stressors or the sudden removal of lithobid meaning he is BiPolar (BP) or meaning his brain is just adjusting to the sudden removal instead of having it titrated but he was clearly having stability issues so I called the tddoc this morning and just got off the phone with her. She's going to talk to him today and call me back. Also, it could be a good thing if this opened the door to them being able to access difficult child therapuetically. Anyway, at least it is starting to reveal what I see and hear at home, whatever that turns out to be.</p><p></p><p>I think things still could end up with people getting more on the same page. The educ psychiatric said she had not consulted difficult child's therapist- the Department of Juvenile Justice therapist who he's seeing now- and she seemed surpprised that I asked if the therapist could come to the iep meeting to review the report. It seems odd to me that the evaluation would not have taken the opinions/assessments of the therapist into consideration if the educ evaluation is trying to cover/question a diagnosis for mental illness and make recommendations for future therapy outside of school. Also, I read reports from a couple of others on the IEP team and they are not entirely consistent with the findings of this educ psychiatric. One was reporting on school progress now and says difficult child behaves well but does have weaknesses in verbal skills and organization and planning- this is reported from those actually at school. Another says that difficult child tries hard and gets along well with others but does exhibit enough emotional difficulties necessitating extra supports through an IEP. Those seem to be consistent with other findings- it just seems to me that the educ psychiatric report is the "odd ball" so I can't see assuming that it's the correct one. </p><p></p><p>I don't think there is ANY question in any other mental health prof's mind that something besides poor behavior is intermittently going on with difficult child and it's apparently becoming evident to those working with difficult child in school, too. This situation now with difficult child being unstable might shed some additional light. The therapist asked what I thought about continuing to leave difficult child off lithobid and I asked her to evaluation that and help determine if difficult child's current state was adjustment to medication removal (temporary), a good thing allowing therapuetic work, or an indicator that difficult child is definitely BiPolar (BP). Of course, this will have to be looked at for a few days or maybe a couple of weeks and discussed with the psychiatrist. I'm going to put a lot more confidence in what they say than iin what the educ psychiatric said. She saw difficult child a couple of hours one day, then a couple of hours on another, went thru his sd record and apparently only glanced at info I provided and the Department of Juvenile Justice record of charges. That's it.</p><p></p><p>When the therapist calls back today, I think I'll tell her about the results of this report and see if she's in agreement.</p></blockquote><p></p>
[QUOTE="klmno, post: 296476, member: 3699"] Thanks, ML! Ok, difficult child has been evaluation'd by a total of 6 psychiatrists (if you caount the ones from the phosps) and one clinical psychiatric over the past 3 years. Five diagnosis's were in the mood disorder category and one was adjustment disorder. Several had disruptive behavior listed as a secondary diagnosis. The trial off the medications was to help determine which mood disorderr or if it was adjustment disorder because everyone who had dealt with difficult child seemed to agree it was along those lines and the bad conduct was a result, not the cause. Also, if difficult child is BiPolar (BP), then this should clarify and help get the sd and legal authorities on board with it. The educational psychiatric approached this in the report like the primary problem is CD with a secondary intermittent depression. I somehow can't wrap my brain around her being right and all the other profs being wrong just based on her report when the report had errors in areas of background info and left out certain facts- like she picked and chose which facts to include but both were equally important, she chose the ones that supported the "he's just a bad kid" position. And when she's an educ psychiatric who works for the sd, not a clinical psychiatric. It might turn out to be correct, but it's going to take more than this one report by her before I accept it. difficult child was a basketcase yesterday. As it turns out, they did discuss the absence of lithobid for several days with the psychiatrist and he told them to just take difficult child off of it, so he went cold-turkey off the lithobid. I don't know if it is recent stressors or the sudden removal of lithobid meaning he is BiPolar (BP) or meaning his brain is just adjusting to the sudden removal instead of having it titrated but he was clearly having stability issues so I called the tddoc this morning and just got off the phone with her. She's going to talk to him today and call me back. Also, it could be a good thing if this opened the door to them being able to access difficult child therapuetically. Anyway, at least it is starting to reveal what I see and hear at home, whatever that turns out to be. I think things still could end up with people getting more on the same page. The educ psychiatric said she had not consulted difficult child's therapist- the Department of Juvenile Justice therapist who he's seeing now- and she seemed surpprised that I asked if the therapist could come to the iep meeting to review the report. It seems odd to me that the evaluation would not have taken the opinions/assessments of the therapist into consideration if the educ evaluation is trying to cover/question a diagnosis for mental illness and make recommendations for future therapy outside of school. Also, I read reports from a couple of others on the IEP team and they are not entirely consistent with the findings of this educ psychiatric. One was reporting on school progress now and says difficult child behaves well but does have weaknesses in verbal skills and organization and planning- this is reported from those actually at school. Another says that difficult child tries hard and gets along well with others but does exhibit enough emotional difficulties necessitating extra supports through an IEP. Those seem to be consistent with other findings- it just seems to me that the educ psychiatric report is the "odd ball" so I can't see assuming that it's the correct one. I don't think there is ANY question in any other mental health prof's mind that something besides poor behavior is intermittently going on with difficult child and it's apparently becoming evident to those working with difficult child in school, too. This situation now with difficult child being unstable might shed some additional light. The therapist asked what I thought about continuing to leave difficult child off lithobid and I asked her to evaluation that and help determine if difficult child's current state was adjustment to medication removal (temporary), a good thing allowing therapuetic work, or an indicator that difficult child is definitely BiPolar (BP). Of course, this will have to be looked at for a few days or maybe a couple of weeks and discussed with the psychiatrist. I'm going to put a lot more confidence in what they say than iin what the educ psychiatric said. She saw difficult child a couple of hours one day, then a couple of hours on another, went thru his sd record and apparently only glanced at info I provided and the Department of Juvenile Justice record of charges. That's it. When the therapist calls back today, I think I'll tell her about the results of this report and see if she's in agreement. [/QUOTE]
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