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Newbie with a difficult child
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<blockquote data-quote="SRL" data-source="post: 59034" data-attributes="member: 701"><p>Which is better would really depend on the qualifications and skills of the individual specialist. Professionals that look good on paper can turn out to be duds, and visa versa. </p><p></p><p>A neuropsychiatrist is a psychiatrist that delves more deeply into neurology. This is not a common specialty area used by parents who visit here so I really can't offer much of an opinion but there is a definition below. This comment "Psychiatrists or neurologists with many years of extensive clinical, educational, and scientific experience in the field of neuropsychiatry may also merit this specialty designation": makes me a little nervous since it suggests doctors may be able to just attach it to their qualifications, since it's only recently become a formally approved medical subspecialty. </p><p></p><p></p><p>"Neuropsychiatrist:</p><p>Neuropsychiatry is the medical specialty committed to better understanding brain-behavior relationships, and to the care of individuals with neurologically based cognitive, emotional, and behavioral disturbances. </p><p></p><p>What is a neuropsychiatrist? A neuropsychiatrist is a physician (M.D. or D.O.) qualified to practice neuropsychiatry by virtue of either 1) primary training in either psychiatry or neurology followed by a period of at least one year of fellowship training in neuropsychiatry/behavioral neurology, or 2) formal residency training in both psychiatry and neurology. Psychiatrists or neurologists with many years of extensive clinical, educational, and scientific experience in the field of neuropsychiatry may also merit this specialty designation. </p><p></p><p>Which patients are best served by neuropsychiatric consultation or treatment? The Neuropsychiatrist treats people with neurologic illness and cognitive, emotional, or behavioral problems; individuals with combined psychiatric illnesses and neurologic conditions; and individuals with atypical or refractory primary psychiatric disorders in which there is concern that an underlying neurological condition may be causing the "psychiatric" symptoms." </p><p></p><p>As for psychologists, there is a wide range of degrees and skills. Check specifically for one that lists pediatric neuropsychology--you may have to check out clinic or hospital links to find a description of the specialists. </p><p></p><p>I would call the insurance back and ask if they have a developmental and behavioral pediatrician in the system or a pediatric neuropsychologist. If they don't, ask what the process is to get an evaluation approved. Thihs should allow you to check out all your options. </p><p></p><p>Parents of special needs children in the area are usually excellent resources to find out about the various professionals in the area. Check to see if there's a group of parents meeting in your area. School districts sometimes sponsor such groups. Even if you don't suspect Autism an area Autism Society might be able to give you some local direction. This can be an excellent resource and can turn up some options you might not think about. For instance we have a top notch ADHD/ADD clinic in our region that does such a thorough and excellent job in diagnosing that I'd be comfortable in referring a parent there whose child had ADHD and any other combination of issues (including Autism, Bipolar, Sensory Integration Disorder (SID), etc) because I have complete confidence they'll get to the bottom of whatever is there. I wouldn't make that recommendation to the general public though because I know it to be true of our local clinic only.</p></blockquote><p></p>
[QUOTE="SRL, post: 59034, member: 701"] Which is better would really depend on the qualifications and skills of the individual specialist. Professionals that look good on paper can turn out to be duds, and visa versa. A neuropsychiatrist is a psychiatrist that delves more deeply into neurology. This is not a common specialty area used by parents who visit here so I really can't offer much of an opinion but there is a definition below. This comment "Psychiatrists or neurologists with many years of extensive clinical, educational, and scientific experience in the field of neuropsychiatry may also merit this specialty designation": makes me a little nervous since it suggests doctors may be able to just attach it to their qualifications, since it's only recently become a formally approved medical subspecialty. "Neuropsychiatrist: Neuropsychiatry is the medical specialty committed to better understanding brain-behavior relationships, and to the care of individuals with neurologically based cognitive, emotional, and behavioral disturbances. What is a neuropsychiatrist? A neuropsychiatrist is a physician (M.D. or D.O.) qualified to practice neuropsychiatry by virtue of either 1) primary training in either psychiatry or neurology followed by a period of at least one year of fellowship training in neuropsychiatry/behavioral neurology, or 2) formal residency training in both psychiatry and neurology. Psychiatrists or neurologists with many years of extensive clinical, educational, and scientific experience in the field of neuropsychiatry may also merit this specialty designation. Which patients are best served by neuropsychiatric consultation or treatment? The Neuropsychiatrist treats people with neurologic illness and cognitive, emotional, or behavioral problems; individuals with combined psychiatric illnesses and neurologic conditions; and individuals with atypical or refractory primary psychiatric disorders in which there is concern that an underlying neurological condition may be causing the "psychiatric" symptoms." As for psychologists, there is a wide range of degrees and skills. Check specifically for one that lists pediatric neuropsychology--you may have to check out clinic or hospital links to find a description of the specialists. I would call the insurance back and ask if they have a developmental and behavioral pediatrician in the system or a pediatric neuropsychologist. If they don't, ask what the process is to get an evaluation approved. Thihs should allow you to check out all your options. Parents of special needs children in the area are usually excellent resources to find out about the various professionals in the area. Check to see if there's a group of parents meeting in your area. School districts sometimes sponsor such groups. Even if you don't suspect Autism an area Autism Society might be able to give you some local direction. This can be an excellent resource and can turn up some options you might not think about. For instance we have a top notch ADHD/ADD clinic in our region that does such a thorough and excellent job in diagnosing that I'd be comfortable in referring a parent there whose child had ADHD and any other combination of issues (including Autism, Bipolar, Sensory Integration Disorder (SID), etc) because I have complete confidence they'll get to the bottom of whatever is there. I wouldn't make that recommendation to the general public though because I know it to be true of our local clinic only. [/QUOTE]
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