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Getting an accurate diagnosis
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<blockquote data-quote="SRL" data-source="post: 411413" data-attributes="member: 701"><p>I wouldn't say that a neuropsychologist is critical. What is critical is to find the most reputable specialists that's reasonable in your region and circumstances and to make sure that the problem areas are included in the evaluation. How that looks is going to depend on where one lives, the resources one has, the issues the child has, etc. It t may be a developmental pediatrician, a neuropsychologist, a pediatric team or other specialists. It may also involve specialists such as speech/language pathologists, audiologists, neurologists, and occupational therapists. </p><p> </p><p>For instance, there's an ADHD/ADD clinic at a hospital in my area. A nurse from the team does the initial appointment with the parents only and from there assessment forms are sent out and it's decided what specialists (including a medical doctor) should be included on the team and appointments are scheduled with the various areas. When all the data is gathered and the reports are written, the parents and possibly the child meet for a final meeting to go over results and recommendations. They do a superb job--including referring out if needed--and I wouldn't hesitate to recommend them even if the child isn't a cut and dry case of ADHD.</p><p> </p><p> </p><p></p><p> </p><p>All human behaviors are on a spectrum, and to my way of thinking, the difference is that some behaviors cross over a line where they cause functioning problems for the individual. While some individuals may have textbook cases of Whatever, many do not. I've known of kids that have a whole bunch of autistic traits but happen to be more social...or more affectionate...or don't struggle with transitions as much as you might expect, etc. Their parents understand that the label was a tool to point them in the direction of getting help for the child. </p><p> </p><p>My experience has been that reliable professionals understand that. They use what is valuable out of the label and acknowledge the child is atypical for that particular diagnosis.</p><p> </p><p></p><p> </p><p>Have you seen the information on ADHD subtypes, with the one being ADHD-predominantly hyperactive-impulsive? This is the basis for making diagnoses here in the US. Do they not use the subtypes in France?</p><p><a href="http://www.cdc.gov/ncbddd/adhd/diagnosis.html" target="_blank">http://www.cdc.gov/ncbddd/adhd/diagnosis.html</a></p></blockquote><p></p>
[QUOTE="SRL, post: 411413, member: 701"] I wouldn't say that a neuropsychologist is critical. What is critical is to find the most reputable specialists that's reasonable in your region and circumstances and to make sure that the problem areas are included in the evaluation. How that looks is going to depend on where one lives, the resources one has, the issues the child has, etc. It t may be a developmental pediatrician, a neuropsychologist, a pediatric team or other specialists. It may also involve specialists such as speech/language pathologists, audiologists, neurologists, and occupational therapists. For instance, there's an ADHD/ADD clinic at a hospital in my area. A nurse from the team does the initial appointment with the parents only and from there assessment forms are sent out and it's decided what specialists (including a medical doctor) should be included on the team and appointments are scheduled with the various areas. When all the data is gathered and the reports are written, the parents and possibly the child meet for a final meeting to go over results and recommendations. They do a superb job--including referring out if needed--and I wouldn't hesitate to recommend them even if the child isn't a cut and dry case of ADHD. All human behaviors are on a spectrum, and to my way of thinking, the difference is that some behaviors cross over a line where they cause functioning problems for the individual. While some individuals may have textbook cases of Whatever, many do not. I've known of kids that have a whole bunch of autistic traits but happen to be more social...or more affectionate...or don't struggle with transitions as much as you might expect, etc. Their parents understand that the label was a tool to point them in the direction of getting help for the child. My experience has been that reliable professionals understand that. They use what is valuable out of the label and acknowledge the child is atypical for that particular diagnosis. Have you seen the information on ADHD subtypes, with the one being ADHD-predominantly hyperactive-impulsive? This is the basis for making diagnoses here in the US. Do they not use the subtypes in France? [URL]http://www.cdc.gov/ncbddd/adhd/diagnosis.html[/URL] [/QUOTE]
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