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<blockquote data-quote="claymama" data-source="post: 5980" data-attributes="member: 3276"><p>Hi Sheila,</p><p></p><p>Thanks for your thoughtful response.</p><p></p><p>difficult child is in a self-contained ED classroom and has mostly 1:1 support (there are 5 children in the class, one head teacher and three aids). The classroom is low-stimulant, designed by a brain-based learning specialist.</p><p></p><p>He receives Occupational Therapist (OT) services 2x/week.</p><p></p><p>His diagnosis is very much in flux right now because he has so many crossover symptoms. We are trying to narrow it down by seeing which medication works. Right now his psychiatrist is leaning away from the Pervasive Developmental Disorder (PDD)-not otherwise specified (which actually came from the evaluation done by our old school district, not difficult children psychiatrist or neuro-psychologist) and leaning towards the BiPolar (BP) diagnosis, with ADHD as a comorbid condition (based on family history and difficult child's reaction to stimulant medications). We started Abilify yesterday evening, so we'll see how that goes. </p><p></p><p>He has many, many triggers and sometimes there is no easily discernible or preventable trigger. For instance, he can be triggered by remembering something that happened 6 months ago. So, while prevention can sometimes be accomplished, some of the acting out comes from way out in left field, landing us in the midst of a meltdown or defiant episode with no warning.</p><p></p><p>It's frustrating, but at least I'm pretty confident that the school is willing to work with us for difficult child's best interests.</p><p></p><p>Thanks again!</p></blockquote><p></p>
[QUOTE="claymama, post: 5980, member: 3276"] Hi Sheila, Thanks for your thoughtful response. difficult child is in a self-contained ED classroom and has mostly 1:1 support (there are 5 children in the class, one head teacher and three aids). The classroom is low-stimulant, designed by a brain-based learning specialist. He receives Occupational Therapist (OT) services 2x/week. His diagnosis is very much in flux right now because he has so many crossover symptoms. We are trying to narrow it down by seeing which medication works. Right now his psychiatrist is leaning away from the Pervasive Developmental Disorder (PDD)-not otherwise specified (which actually came from the evaluation done by our old school district, not difficult children psychiatrist or neuro-psychologist) and leaning towards the BiPolar (BP) diagnosis, with ADHD as a comorbid condition (based on family history and difficult child's reaction to stimulant medications). We started Abilify yesterday evening, so we'll see how that goes. He has many, many triggers and sometimes there is no easily discernible or preventable trigger. For instance, he can be triggered by remembering something that happened 6 months ago. So, while prevention can sometimes be accomplished, some of the acting out comes from way out in left field, landing us in the midst of a meltdown or defiant episode with no warning. It's frustrating, but at least I'm pretty confident that the school is willing to work with us for difficult child's best interests. Thanks again! [/QUOTE]
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