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pediatrician says diagnosis :V40.9 UNS MENTAL/BEHAVIORAL PROBLEM...
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<blockquote data-quote="Aimless" data-source="post: 639096" data-attributes="member: 17346"><p>Hi,</p><p>Our neurologist recommended that we take our then 8 yr old difficult child son to a neuropsychologist. BEST thing we ever did!!!</p><p></p><p>Neuropsychologist basically are solely interested in how the brain works, or doesn't, and how it manifests in the person's life. They do not do talk therapy and were not covered by our medical insurance but we opted to eat ramen noodles for a summer and go ahead with seeing the neuoropsych dr. First, the Dr. met with us to take a very, and I mean very, thorough medical, mental, social, emotional history of our difficult child. He asked the kind of really insightful, logical, and obvious questions that assured us that we finally in front of the right professional!</p><p></p><p>Then he talked a bit about how our info about our observations and experiences with our son are likely caused by executive function deficiencies and recommended the array of tests that would help to quantitatively measure just how our difficult child was in fact functioning. The then, with our approval, planned out a schedule to meet with and test our difficult child using a battery of testing tools that addressed the areas we saw as concerning. This will differ by child. Then he met with our difficult child about 8 times for 1-2 hours to perform tests. He then compiled a super resourceful report of the test findings that we have found very useful in sharing our difficult child's needs with schools and teachers. Our son was tested for speech language development, object/naming abilities, short term, long term, and working memory, visual and spatial abilities, rigidity, social skills, IQ, problem solving, coping skills, and more. We discovered that while he was anxious, he did not have ADHD, which surprised us and his teachers. We also discovered that his working memory was very limited while his long term memory was very advanced. We learned that his weakness in the executive functions of concept of time, planning, initiation, organization, and persistence were grossly under developed and were the likely cause of the avoidant, passive aggressive oppositional manner in which he met the world at large. </p><p></p><p>The whole neuropsychologist evaluation and treatment plan cost us roughly $5000 and about 9 months but it was well worth it. We are not wealthy folks and with 8 kids we needed answers and solutions fast because our difficult child's extreme behaviors and family interactions were escalating rapidly. Now he is 10.5 yrs old and still struggling with most of the same issues. The difference is that now we have a much better understanding of his capabilities and challenges. While it does not make enduring his odd, negative, cold and needy manner of interacting with our family any more enjoyable, at least we understand why he perceives the world this way. We are feeling a lot more confident about holding our boundaries, improving our timing, using rewards and consequences, and communicating with my husband and school staff about difficult child's need for structure, accountability, as well as compassion and grace, when appropriate.</p><p></p><p>I will be hoping and praying that you find a neuropsychologist in your area and that it is an affordable option. Blessings to you and your family. I hope that sharing our experience is encouraging to you. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="Aimless, post: 639096, member: 17346"] Hi, Our neurologist recommended that we take our then 8 yr old difficult child son to a neuropsychologist. BEST thing we ever did!!! Neuropsychologist basically are solely interested in how the brain works, or doesn't, and how it manifests in the person's life. They do not do talk therapy and were not covered by our medical insurance but we opted to eat ramen noodles for a summer and go ahead with seeing the neuoropsych dr. First, the Dr. met with us to take a very, and I mean very, thorough medical, mental, social, emotional history of our difficult child. He asked the kind of really insightful, logical, and obvious questions that assured us that we finally in front of the right professional! Then he talked a bit about how our info about our observations and experiences with our son are likely caused by executive function deficiencies and recommended the array of tests that would help to quantitatively measure just how our difficult child was in fact functioning. The then, with our approval, planned out a schedule to meet with and test our difficult child using a battery of testing tools that addressed the areas we saw as concerning. This will differ by child. Then he met with our difficult child about 8 times for 1-2 hours to perform tests. He then compiled a super resourceful report of the test findings that we have found very useful in sharing our difficult child's needs with schools and teachers. Our son was tested for speech language development, object/naming abilities, short term, long term, and working memory, visual and spatial abilities, rigidity, social skills, IQ, problem solving, coping skills, and more. We discovered that while he was anxious, he did not have ADHD, which surprised us and his teachers. We also discovered that his working memory was very limited while his long term memory was very advanced. We learned that his weakness in the executive functions of concept of time, planning, initiation, organization, and persistence were grossly under developed and were the likely cause of the avoidant, passive aggressive oppositional manner in which he met the world at large. The whole neuropsychologist evaluation and treatment plan cost us roughly $5000 and about 9 months but it was well worth it. We are not wealthy folks and with 8 kids we needed answers and solutions fast because our difficult child's extreme behaviors and family interactions were escalating rapidly. Now he is 10.5 yrs old and still struggling with most of the same issues. The difference is that now we have a much better understanding of his capabilities and challenges. While it does not make enduring his odd, negative, cold and needy manner of interacting with our family any more enjoyable, at least we understand why he perceives the world this way. We are feeling a lot more confident about holding our boundaries, improving our timing, using rewards and consequences, and communicating with my husband and school staff about difficult child's need for structure, accountability, as well as compassion and grace, when appropriate. I will be hoping and praying that you find a neuropsychologist in your area and that it is an affordable option. Blessings to you and your family. I hope that sharing our experience is encouraging to you. :) [/QUOTE]
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