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<blockquote data-quote="pepperidge" data-source="post: 461659" data-attributes="member: 2322"><p>Malika,</p><p></p><p>There is full blown Fetal Alcohol Syndrome (FAS) and then is fetal alcohol effects. Facial features can be present but often it would take a skilled developmental pediatrician with lots of experience to do the measurements. And there is not necessarily huge developmental impacts. It is worth keeping in mind as an alternative to a major mental health disorder like bipoilar. Some of the learning issues may be caused by some alchohol or exposure, or not.</p><p></p><p>You are right that a lot of these diagnosis have overlapping symptoms. I think the diagnosis (diagnosis) is really not so important as to focus on what exactly are the symptoms or issues and whether any of them can be improved by medicine.</p><p></p><p>There is another diagnosis being talked about by professionals called emotional dysregulation disorder. I think certainly my youngest fits that--he has such a hard time modulating feelings of anger, frustration etc. I think that his in utero alchohol exposure is a major contributing factor. That and his impulsiveness. We see progress but it is slow. </p><p></p><p>One thing that I have learned with him is that he is pretty black and white (and no, he isn't on the spectrum). If we give an inch one night then that just opens up the door the next night for negotiation etc. You said it was a constant struggle and it is. I think this kids need more structure and routine than we ourselves need. The more structure and routine you can build in (like for us, it is always bath before tv in the evening for example) the less prone they are to negotiation and thus anger etc. </p><p></p><p>We had a therapist once who likened it to slot machines. They play you like slot machines all the time, hoping that the 1 time out of a million you will give in to whatever they are asking for. So don't be a slot machine....</p><p></p><p>I think you will have to resign yourself to lots of temper tantrums and continual testing. He needs you to be that structure and boundary and model for emotional regulation. It truly s@cks sometimes.</p></blockquote><p></p>
[QUOTE="pepperidge, post: 461659, member: 2322"] Malika, There is full blown Fetal Alcohol Syndrome (FAS) and then is fetal alcohol effects. Facial features can be present but often it would take a skilled developmental pediatrician with lots of experience to do the measurements. And there is not necessarily huge developmental impacts. It is worth keeping in mind as an alternative to a major mental health disorder like bipoilar. Some of the learning issues may be caused by some alchohol or exposure, or not. You are right that a lot of these diagnosis have overlapping symptoms. I think the diagnosis (diagnosis) is really not so important as to focus on what exactly are the symptoms or issues and whether any of them can be improved by medicine. There is another diagnosis being talked about by professionals called emotional dysregulation disorder. I think certainly my youngest fits that--he has such a hard time modulating feelings of anger, frustration etc. I think that his in utero alchohol exposure is a major contributing factor. That and his impulsiveness. We see progress but it is slow. One thing that I have learned with him is that he is pretty black and white (and no, he isn't on the spectrum). If we give an inch one night then that just opens up the door the next night for negotiation etc. You said it was a constant struggle and it is. I think this kids need more structure and routine than we ourselves need. The more structure and routine you can build in (like for us, it is always bath before tv in the evening for example) the less prone they are to negotiation and thus anger etc. We had a therapist once who likened it to slot machines. They play you like slot machines all the time, hoping that the 1 time out of a million you will give in to whatever they are asking for. So don't be a slot machine.... I think you will have to resign yourself to lots of temper tantrums and continual testing. He needs you to be that structure and boundary and model for emotional regulation. It truly s@cks sometimes. [/QUOTE]
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