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psychiatrist appointment undie resolution
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<blockquote data-quote="Fran" data-source="post: 184292" data-attributes="member: 3"><p>Terry, what a difficult time you are having. I think puberty is like pouring gasoline on a small fire. It's explosive, intense and difficult to figure out how to put it out. </p><p></p><p>As far as the "authority" which is psychiatrist, I think he was presenting what he thought was balanced opinion. He did a good job of not dismissing your concerns. The goal of course, is for him to look at difficult child and figure out what's going on and how to help him. The whole idea of treating the behavior even if we don't have an understanding of where it is coming from is what they tell us mom's when they don't have a clue. They have something to work on behavior but they have nothing in terms of cause. </p><p></p><p>in my humble opinion, get a second opinion with the whole evaluation. What's wrong with a second opinion? other than it's threatening to those who tend to carry professional credentials. If your husband had something physically wrong and he got a lot of vague answers to questions you can bet your bottom dollar that he would research, get 2nd and 3 rd opinions before he let a professional intervene with surgery or toxic chemicals. Why is he tough on you for doing the same thing? His attitude will not cure difficult child. If he doesn't like your efforts then ask him what he would do and let husband figure out a plan and see if he gets better results and answers. The whole "flavor" of the week is thrown around a lot but its because we are all searching for answers to questions that weren't asked a generation ago. Although it may seem we are looking for causes, I think we are looking for answers and a direction to help the kids. It''s the only way our knowledge base will get larger. Asking questions is the way to research and knowledge for ourselves and for professionals. Don't let them pooh pooh you. Your approach is different than husband's and the psychiatric doctor. Doesn't make it wrong. </p><p></p><p>My son also, doesn't fit a mold. He is very outgoing, gregarious, kind hearted and social. He makes eye contact and is sincere. Doesn't mean his "brain wrinkle" doesn't interfere with function and learning. </p><p></p><p></p><p>"Following are the attributes that stand out. I agree, my son does not have the speech affectation, the stare, lack of expressions, or other <em>obvious</em> traits of Asperger's. (And the dr did agree that he had some similiarities, but again, not the whole ball of wax.)</p><p> </p><p><strong><em>Unusual Patterns of Behavior</em></strong></p><p> </p><p><em>The unusual responses of children with PDDNOS to the environment take several forms. </em></p><p> </p><p> </p><p> </p><p><strong><em>Resistance to change</em></strong></p><p> </p><p><em>Many children are upset by changes in the familiar environment. Even a minor change of everyday routine may lead to tantrums. Some children line up toys or objects and become very distressed if these are disturbed. Efforts to teach new activities may be resisted. <span style="color: Red">My son has difficulty with change if he is not prepared or presented with time to make the change. If he is forewarned and prepared he does ok. </span></em></p><p> </p><p> </p><p> </p><p><strong><em>Ritualistic or compulsive behaviors</em></strong></p><p> </p><p><em>Ritualistic or compulsive behaviors usually involve rigid routines (e.g., insistence on eating particular foods) or repetitive acts, such as hand flapping or finger mannerisms (e.g., twisting, flicking movements of hands and fingers carried out near the face). Some children develop preoccupations; they may spend a great deal of time memorizing weather information, state capitals, or birth dates of family members. <span style="color: Red">My son had minimal hand flapping but he has grown out of it since puberty but his biggest problem is no ritual or pattern. He is all over the map with routines. Big problem with normal morning hygiene or night time routines. His particular learning style seems to immerse himself in a topic and when done (weeks, months) then moves on. He doesn't keep an obsession or interest forever. </span></em></p><p> </p><p> </p><p> </p><p><strong><em>Abnormal attachments and behaviors</em></strong></p><p> </p><p><em>Some children develop intense attachments to odd objects, such as pipe cleaners, batteries, or film canisters. Some children may have a preoccupation with certain features of favored objects, such as their texture, taste, smell, or shape.<span style="color: Red"> Other than collecting gadgets(smoke machine, light that throws stars on the ceiling in the dark, etc) he doesn't really have an attachment that interferes with his life. </span></em></p><p> </p><p> </p><p> </p><p><strong><em>Unusual responses to sensory experiences</em></strong></p><p> </p><p><em>Many children may seem underresponsive or overresponsive to sensory stimuli. Thus, they may be suspected of being deaf or visually impaired. It is common for such young children to be referred for hearing and vision tests. Some children avoid gentle physical contact, yet react with pleasure to rough-and-tumble games. Some children carry food preferences to extremes, with favored foods eaten to excess. Some children limit their diet to a small selection, while others are hearty eaters who do not seem to know when they are full.<span style="color: Red">If there is too much noise or several conversations, difficult child will get overwhelmed but has none of the other symptoms suggested. </span></em></p><p><em><span style="color: Red"></span></em></p><p><em><span style="color: Red">So we don't have what is typical but difficult child is unusual and overly friendly or intrusive with his involvement. I don't believe he is anything clear cut but AS with mood disorder is the closest they can come up with. Add his learning disabilities and his inability to master academics in a functional way and we have a guy who struggles to fit in. </span></em></p><p><em><span style="color: Red"></span></em></p><p><em><span style="color: Red"><span style="color: Black">I suspect you will have a lot of frustrating days with difficult child but it's unfortunate that you have to be frustrated with husband and the professionals also. </span></span></em></p><p><em><span style="color: Red"><span style="color: Black">Ask yourself what is your goal for difficult child? What steps can you implement to get you there. Be ready to understand that you may not be able to fix everything and that difficult child is a kid under all the behaviors. Keep loving him and reinforcing that you aren't the bad guy here. </span></span></em></p><p><em><span style="color: Red"><span style="color: Black"></span></span></em></p></blockquote><p></p>
[QUOTE="Fran, post: 184292, member: 3"] Terry, what a difficult time you are having. I think puberty is like pouring gasoline on a small fire. It's explosive, intense and difficult to figure out how to put it out. As far as the "authority" which is psychiatrist, I think he was presenting what he thought was balanced opinion. He did a good job of not dismissing your concerns. The goal of course, is for him to look at difficult child and figure out what's going on and how to help him. The whole idea of treating the behavior even if we don't have an understanding of where it is coming from is what they tell us mom's when they don't have a clue. They have something to work on behavior but they have nothing in terms of cause. in my humble opinion, get a second opinion with the whole evaluation. What's wrong with a second opinion? other than it's threatening to those who tend to carry professional credentials. If your husband had something physically wrong and he got a lot of vague answers to questions you can bet your bottom dollar that he would research, get 2nd and 3 rd opinions before he let a professional intervene with surgery or toxic chemicals. Why is he tough on you for doing the same thing? His attitude will not cure difficult child. If he doesn't like your efforts then ask him what he would do and let husband figure out a plan and see if he gets better results and answers. The whole "flavor" of the week is thrown around a lot but its because we are all searching for answers to questions that weren't asked a generation ago. Although it may seem we are looking for causes, I think we are looking for answers and a direction to help the kids. It''s the only way our knowledge base will get larger. Asking questions is the way to research and knowledge for ourselves and for professionals. Don't let them pooh pooh you. Your approach is different than husband's and the psychiatric doctor. Doesn't make it wrong. My son also, doesn't fit a mold. He is very outgoing, gregarious, kind hearted and social. He makes eye contact and is sincere. Doesn't mean his "brain wrinkle" doesn't interfere with function and learning. "Following are the attributes that stand out. I agree, my son does not have the speech affectation, the stare, lack of expressions, or other [I]obvious[/I] traits of Asperger's. (And the dr did agree that he had some similiarities, but again, not the whole ball of wax.) [B][I]Unusual Patterns of Behavior[/I][/B] [I]The unusual responses of children with PDDNOS to the environment take several forms. [/I] [B][I]Resistance to change[/I][/B] [I]Many children are upset by changes in the familiar environment. Even a minor change of everyday routine may lead to tantrums. Some children line up toys or objects and become very distressed if these are disturbed. Efforts to teach new activities may be resisted. [COLOR=Red]My son has difficulty with change if he is not prepared or presented with time to make the change. If he is forewarned and prepared he does ok. [/COLOR][/I] [B][I]Ritualistic or compulsive behaviors[/I][/B] [I]Ritualistic or compulsive behaviors usually involve rigid routines (e.g., insistence on eating particular foods) or repetitive acts, such as hand flapping or finger mannerisms (e.g., twisting, flicking movements of hands and fingers carried out near the face). Some children develop preoccupations; they may spend a great deal of time memorizing weather information, state capitals, or birth dates of family members. [COLOR=Red]My son had minimal hand flapping but he has grown out of it since puberty but his biggest problem is no ritual or pattern. He is all over the map with routines. Big problem with normal morning hygiene or night time routines. His particular learning style seems to immerse himself in a topic and when done (weeks, months) then moves on. He doesn't keep an obsession or interest forever. [/COLOR][/I] [B][I]Abnormal attachments and behaviors[/I][/B] [I]Some children develop intense attachments to odd objects, such as pipe cleaners, batteries, or film canisters. Some children may have a preoccupation with certain features of favored objects, such as their texture, taste, smell, or shape.[COLOR=Red] Other than collecting gadgets(smoke machine, light that throws stars on the ceiling in the dark, etc) he doesn't really have an attachment that interferes with his life. [/COLOR][/I] [B][I]Unusual responses to sensory experiences[/I][/B] [I]Many children may seem underresponsive or overresponsive to sensory stimuli. Thus, they may be suspected of being deaf or visually impaired. It is common for such young children to be referred for hearing and vision tests. Some children avoid gentle physical contact, yet react with pleasure to rough-and-tumble games. Some children carry food preferences to extremes, with favored foods eaten to excess. Some children limit their diet to a small selection, while others are hearty eaters who do not seem to know when they are full.[COLOR=Red]If there is too much noise or several conversations, difficult child will get overwhelmed but has none of the other symptoms suggested. So we don't have what is typical but difficult child is unusual and overly friendly or intrusive with his involvement. I don't believe he is anything clear cut but AS with mood disorder is the closest they can come up with. Add his learning disabilities and his inability to master academics in a functional way and we have a guy who struggles to fit in. [COLOR=Black]I suspect you will have a lot of frustrating days with difficult child but it's unfortunate that you have to be frustrated with husband and the professionals also. Ask yourself what is your goal for difficult child? What steps can you implement to get you there. Be ready to understand that you may not be able to fix everything and that difficult child is a kid under all the behaviors. Keep loving him and reinforcing that you aren't the bad guy here. [/COLOR][/COLOR][/I] [/QUOTE]
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