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<blockquote data-quote="mammatwo" data-source="post: 317867" data-attributes="member: 8381"><p>Since he is under 18, the psychiatric will not daignose ASPD. They only diagnose that in post-teens. ODD and conduct disorder are the "kid" versions of ASPD. He was diagnosed at the start of all of their therapy as ODD, with possible Borderline (BPD).</p><p></p><p>We live in the northwest. Mom and both kids are all now in therapy. Mom has insurance for the three of them through school now that she's started classes. So they're pretty well covered, but even if they weren't we'd figure out a way. The doctor they see now is pretty good, and seems to have hope that therapy and counseling may help. I don't know if I agree that he can be ok without medications but I guess it's better to try first!</p><p></p><p>His life has been INCREDIBLY unstable. I think his mom and I are the only people besides his maternal grandmother, that he has known for more than a year or two. His maternal GM is very manipulative, alternately spoiling and unkind, unpredictable, as well. And yes I agree I think it is in the family for sure. The biodad was abusive, both kids have witnessed abuse of their mom and likely been abused as well.</p><p></p><p>Mom is very dramatic but keeps it pretty well in check with the kids- I really think that all of her stability is focused on them. She is in therapy for it and has just started medication. The psychiatrist for the kids has them both getting talk therapy but no medications yet. I can see ODDS heading that direction soon though as his temper and anxiety are pretty out of control.</p><p></p><p>His mom and I are both agreed on how to go about things and her mental state has come leaps and bounds this year- it seems though that as she and his brother get healthier he just gets worse and worse. I really worry about him.</p><p></p><p>I was a troublemaker as a kid. I was diagnosed with ODD/ASPD as a teen. With years of therapy and (continuing!) medication, going through a ton of psychiatrists over the years, I finaly was told that I was suffering from PTSD from a similarly unstable and abusive childhood. I've managed to have healthy relationships and steady work and stability in my life as an adult thanks to adults who helped me at his age...I guess for me seeing him go through all this triggers that, I recognize those feelings and just want to find ways to help. I know that he's got serious, serious troubles but I also know that there is always hope if not for things to be perfect (HA) then at least for things to be a little bit better for him, a little bit healthier.</p><p></p><p>Family therapy is helping his mom a lot and his brother but it just seems harder and harder for him to cope, as we all get more peaceful he gets more anxious. As his mom gets more able to cope he seems to have more trouble interacting with her, as his brother gets more calm and happy he gets more angry. During the abusive situations he always seemed more in control than he does now, and I am hoping that as we learn skills to deal with him it will improve...</p><p></p><p>Thanks again for the quick response, I was expecting no replies at first seeing as how it's a weekend...I had to go too and make some dinner, we had chili...now ODDS is at his friends' house for a sleepover. He was fine over dinner so I let him go, so his brother could have a night of calm I guess.</p><p></p><p>Any advice, from anyone, is much much appreciated.</p></blockquote><p></p>
[QUOTE="mammatwo, post: 317867, member: 8381"] Since he is under 18, the psychiatric will not daignose ASPD. They only diagnose that in post-teens. ODD and conduct disorder are the "kid" versions of ASPD. He was diagnosed at the start of all of their therapy as ODD, with possible Borderline (BPD). We live in the northwest. Mom and both kids are all now in therapy. Mom has insurance for the three of them through school now that she's started classes. So they're pretty well covered, but even if they weren't we'd figure out a way. The doctor they see now is pretty good, and seems to have hope that therapy and counseling may help. I don't know if I agree that he can be ok without medications but I guess it's better to try first! His life has been INCREDIBLY unstable. I think his mom and I are the only people besides his maternal grandmother, that he has known for more than a year or two. His maternal GM is very manipulative, alternately spoiling and unkind, unpredictable, as well. And yes I agree I think it is in the family for sure. The biodad was abusive, both kids have witnessed abuse of their mom and likely been abused as well. Mom is very dramatic but keeps it pretty well in check with the kids- I really think that all of her stability is focused on them. She is in therapy for it and has just started medication. The psychiatrist for the kids has them both getting talk therapy but no medications yet. I can see ODDS heading that direction soon though as his temper and anxiety are pretty out of control. His mom and I are both agreed on how to go about things and her mental state has come leaps and bounds this year- it seems though that as she and his brother get healthier he just gets worse and worse. I really worry about him. I was a troublemaker as a kid. I was diagnosed with ODD/ASPD as a teen. With years of therapy and (continuing!) medication, going through a ton of psychiatrists over the years, I finaly was told that I was suffering from PTSD from a similarly unstable and abusive childhood. I've managed to have healthy relationships and steady work and stability in my life as an adult thanks to adults who helped me at his age...I guess for me seeing him go through all this triggers that, I recognize those feelings and just want to find ways to help. I know that he's got serious, serious troubles but I also know that there is always hope if not for things to be perfect (HA) then at least for things to be a little bit better for him, a little bit healthier. Family therapy is helping his mom a lot and his brother but it just seems harder and harder for him to cope, as we all get more peaceful he gets more anxious. As his mom gets more able to cope he seems to have more trouble interacting with her, as his brother gets more calm and happy he gets more angry. During the abusive situations he always seemed more in control than he does now, and I am hoping that as we learn skills to deal with him it will improve... Thanks again for the quick response, I was expecting no replies at first seeing as how it's a weekend...I had to go too and make some dinner, we had chili...now ODDS is at his friends' house for a sleepover. He was fine over dinner so I let him go, so his brother could have a night of calm I guess. Any advice, from anyone, is much much appreciated. [/QUOTE]
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