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Now What? Need Advice on Who to see next...
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<blockquote data-quote="smallworld" data-source="post: 148776" data-attributes="member: 2423"><p>Hi Julie, I hope SRL comes along soon and confirms or refines what I'm going to recommend.</p><p> </p><p>I personally wouldn't trust a diagnosis made by a social worker. Mood disorders should really be diagnosed by a board-certified child psychiatrist (some may disagree with me, but I have three children with various flavors of mood disorders and all other mental health professionals missed what was truly going on with them). I also wouldn't trust a diagnosis of ODD made by anyone in a child this young. It is obvious that your son exhibits oppositional behavior (like most of the kids on this board), but ODD rarely stands alone and I strongly suspect another disorder is fueling his oppositional behavior. </p><p> </p><p>I know you don't want to go through another evaluation -- you've already been through so much -- but I'm not sure you've really nailed what's going on with Sam. With anxiety, impulse control challenges, language issues and lagging social skills (and smarts!), I think you need to rule in or out Autistic Spectrum Disorder. Psychiatrists frequently miss Autism Spectrum Disorders (ASD) so I would recommend an evaluation with a developmental pediatrician, a neuropsychologist or a multidisciplinary team at a children's or university teaching hospital. You could also call your local Autism Society and see who the staff would recommend as a good local specialist to see. </p><p> </p><p>It sounds as if you have a very caring school team. Way To Go on advocating for Sam's needs!</p></blockquote><p></p>
[QUOTE="smallworld, post: 148776, member: 2423"] Hi Julie, I hope SRL comes along soon and confirms or refines what I'm going to recommend. I personally wouldn't trust a diagnosis made by a social worker. Mood disorders should really be diagnosed by a board-certified child psychiatrist (some may disagree with me, but I have three children with various flavors of mood disorders and all other mental health professionals missed what was truly going on with them). I also wouldn't trust a diagnosis of ODD made by anyone in a child this young. It is obvious that your son exhibits oppositional behavior (like most of the kids on this board), but ODD rarely stands alone and I strongly suspect another disorder is fueling his oppositional behavior. I know you don't want to go through another evaluation -- you've already been through so much -- but I'm not sure you've really nailed what's going on with Sam. With anxiety, impulse control challenges, language issues and lagging social skills (and smarts!), I think you need to rule in or out Autistic Spectrum Disorder. Psychiatrists frequently miss Autism Spectrum Disorders (ASD) so I would recommend an evaluation with a developmental pediatrician, a neuropsychologist or a multidisciplinary team at a children's or university teaching hospital. You could also call your local Autism Society and see who the staff would recommend as a good local specialist to see. It sounds as if you have a very caring school team. Way To Go on advocating for Sam's needs! [/QUOTE]
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