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<blockquote data-quote="klmno" data-source="post: 236369" data-attributes="member: 3699"><p>Thank you all so much. Your understandding of what I'm going thru and difficult child is going thu is remarkable and very much appreciated.</p><p></p><p>The last time I talked to his psychiatrist about this sort of thing (instead of strictly medications, letter for county help, etc), psychiatrist said "well, it could all be manipulation". When difficult child did the stuff last night until he got the cigs, I thought it was just manipulation, too, but after the other actions and wordss, I don't- at least not all of it. It sunds and looks to me like he is really struggling, even though at some times he is manipulating me to get what he wants, he's battling not to do that at other times.</p><p></p><p>But, as I mentioned on another thread, anytime difficult child is symptommatic, psychiatrist acts like its ODD on top of other things instead of that we need better treatment for the "real" issues. He has always been that way and it took me a long time to realize why I felt like I was getting conflicting messages from him, and tdocs- they are that way too. Now, I just think it's psychiatrist's philosophy and the nature of tdocs. I do understand and agree that difficult child can learn to control and manage and prevent a lot of things that he can's right now, but I don't think he's going to learn that by punishment being the sole or primary means of "teaching".</p><p></p><p>SW, I had no idea that there were psychiatrists around who would see a patient that often and work that closely with them to get medications right. If I could get necessary supports in place to help with things (this is not going to be done by just an in-home therapist), I would have no problem with difficult child staying home. There seem to be a lot of variables with that though-like, what if we can't get it, if we can get it and end up with a cm who has no understanding of BiPolar (BP) or just wants to focus on a behavior contract, etc.</p><p></p><p>Anyway, at this point, I'm begging to see if I can get anything for him/us. Whatever I can get does not appear to be my choice and according to that funding coordinator, the only way for me to get any supports (in or out of home) and have any input, is to get in front of the county team without a specific therapy being recommended or ordered by anyone first. I've tried to get referrals like that and psychiatrist's is, therapist's is somewhat, but psychiatric hospital's just said "intensive in-home services". I'm hoping that with the other 2 letters, maybe the judge can see that it isn't mst. If it was mst being recommended, they would have said that.</p></blockquote><p></p>
[QUOTE="klmno, post: 236369, member: 3699"] Thank you all so much. Your understandding of what I'm going thru and difficult child is going thu is remarkable and very much appreciated. The last time I talked to his psychiatrist about this sort of thing (instead of strictly medications, letter for county help, etc), psychiatrist said "well, it could all be manipulation". When difficult child did the stuff last night until he got the cigs, I thought it was just manipulation, too, but after the other actions and wordss, I don't- at least not all of it. It sunds and looks to me like he is really struggling, even though at some times he is manipulating me to get what he wants, he's battling not to do that at other times. But, as I mentioned on another thread, anytime difficult child is symptommatic, psychiatrist acts like its ODD on top of other things instead of that we need better treatment for the "real" issues. He has always been that way and it took me a long time to realize why I felt like I was getting conflicting messages from him, and tdocs- they are that way too. Now, I just think it's psychiatrist's philosophy and the nature of tdocs. I do understand and agree that difficult child can learn to control and manage and prevent a lot of things that he can's right now, but I don't think he's going to learn that by punishment being the sole or primary means of "teaching". SW, I had no idea that there were psychiatrists around who would see a patient that often and work that closely with them to get medications right. If I could get necessary supports in place to help with things (this is not going to be done by just an in-home therapist), I would have no problem with difficult child staying home. There seem to be a lot of variables with that though-like, what if we can't get it, if we can get it and end up with a cm who has no understanding of BiPolar (BP) or just wants to focus on a behavior contract, etc. Anyway, at this point, I'm begging to see if I can get anything for him/us. Whatever I can get does not appear to be my choice and according to that funding coordinator, the only way for me to get any supports (in or out of home) and have any input, is to get in front of the county team without a specific therapy being recommended or ordered by anyone first. I've tried to get referrals like that and psychiatrist's is, therapist's is somewhat, but psychiatric hospital's just said "intensive in-home services". I'm hoping that with the other 2 letters, maybe the judge can see that it isn't mst. If it was mst being recommended, they would have said that. [/QUOTE]
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