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ODD Battle - Tired, Confused, and Weary
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<blockquote data-quote="BusynMember" data-source="post: 102473" data-attributes="member: 1550"><p>Hi, Paul. Welcome to the board.</p><p>ODD rarely stands by itself and in my opinion he sounds like more than just ODD. Does your fiance or the boy's father have any psychiatric or substance abuse issues? These are big red flags for possible mood disorders, and Clonadine wouldn't help enough nor do these kids respond to traditional behavioral interventions. They really need to be medically stabilized. Add to that the fact that this kid may have a predisposition to mental illness and was sexually abused and I think you need a lot more than a counselor and Clondine to try to help him. He isn't a bad kid (as you noted). He may not be in total control of his behavior. </p><p>I highly recommend a neuropsychologist exam. To many of us on this board, NeuroPsychs do the best evaluations--they certainly do extensive testing and can spot things that other professionals can't or don't take the time to find. Until you know what is really wrong, you can't help him. Plus if the child has had ten years of instability even your love and stability doesn't guarantee he can overcome it. All kids have different abilities to handle stress. If a child (or adult) is genetically predisposed to psychiatric or neurological problems and does not handle stress well, then love won't cure him. He really needs another evaluation and in my opinion he needs a child psychiatrist after that to decide on the medications. Counselors just aren't adequate for problems of this magnitude, at least not by themselves. Since you mentioned certain disorders, I would NOT want to medicate this child for ADHD. I think this behavior is also beyond ADHD, but you need a neuropsychologist for that. CD is usually the result of untreated mental illness and in my layman's opinion, no, he isn't there yet. My guess (and there is nothing beyond it other than a guess--I have NO credentials) is he possibly suffers from childhood bipolar disorder. How was his early development? I'd also want to test him to see if he's on the autism spectrum. That's where the neuropsychologist comes in. If he has a mood disorder medications for ADHD will make him worse. It's important to try to nail it right. Yes, I know it's hard and my heart goes out to you. I'm the mom of four adopted kids who has had a lot of experience with difficult children, and I can pass along what worked for us. And it's all JMO.</p></blockquote><p></p>
[QUOTE="BusynMember, post: 102473, member: 1550"] Hi, Paul. Welcome to the board. ODD rarely stands by itself and in my opinion he sounds like more than just ODD. Does your fiance or the boy's father have any psychiatric or substance abuse issues? These are big red flags for possible mood disorders, and Clonadine wouldn't help enough nor do these kids respond to traditional behavioral interventions. They really need to be medically stabilized. Add to that the fact that this kid may have a predisposition to mental illness and was sexually abused and I think you need a lot more than a counselor and Clondine to try to help him. He isn't a bad kid (as you noted). He may not be in total control of his behavior. I highly recommend a neuropsychologist exam. To many of us on this board, NeuroPsychs do the best evaluations--they certainly do extensive testing and can spot things that other professionals can't or don't take the time to find. Until you know what is really wrong, you can't help him. Plus if the child has had ten years of instability even your love and stability doesn't guarantee he can overcome it. All kids have different abilities to handle stress. If a child (or adult) is genetically predisposed to psychiatric or neurological problems and does not handle stress well, then love won't cure him. He really needs another evaluation and in my opinion he needs a child psychiatrist after that to decide on the medications. Counselors just aren't adequate for problems of this magnitude, at least not by themselves. Since you mentioned certain disorders, I would NOT want to medicate this child for ADHD. I think this behavior is also beyond ADHD, but you need a neuropsychologist for that. CD is usually the result of untreated mental illness and in my layman's opinion, no, he isn't there yet. My guess (and there is nothing beyond it other than a guess--I have NO credentials) is he possibly suffers from childhood bipolar disorder. How was his early development? I'd also want to test him to see if he's on the autism spectrum. That's where the neuropsychologist comes in. If he has a mood disorder medications for ADHD will make him worse. It's important to try to nail it right. Yes, I know it's hard and my heart goes out to you. I'm the mom of four adopted kids who has had a lot of experience with difficult children, and I can pass along what worked for us. And it's all JMO. [/QUOTE]
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