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<blockquote data-quote="flutterbee" data-source="post: 116903"><p>How confusing and frustrating for you.</p><p></p><p>Unfortunately, in the field of mental health this is what many of us have experienced. There are no definitive tests that can say that yes, this is what you're son is dealing with so we tend to get a lot of different opinions. Many of us have also found that some doctors seem to specialize in certain disorders and, therefore, have a disproportionate amount of patients with that diagnosis. </p><p></p><p>You're trusting your gut. That's good. If you lack confidence in this psychiatrist, find another. I would really push for a neuropsychologist evaluation (done by a neuropsychologist). We got more answers in a few hours of testing (generally 6-12) then we did in years of tdocs and psychiatrists (therapist is therapist/counselor psychiatrist is psychiatrist). Impulse control is in the frontal lobe part of the brain (if memory serves) and a neuropsychologist might be able to indicate just exactly where he is struggling.</p><p></p><p>by the way, if this psychiatrist is suspecting bipolar, an antidepressant is not the way to start treatment. An antidepressant could cause an unstabilized bipolar patient to become manic. I know you don't think he's bipolar, just throwing that out there. Bipolar should be treated by mood stabilizers and only add in AD's when it's stable. Some can never tolerate AD's.</p><p></p><p>Bottom line is to trust your gut. If you don't feel comfortable with this psychiatrist, find another.</p><p></p><p>Hang in there.</p></blockquote><p></p>
[QUOTE="flutterbee, post: 116903"] How confusing and frustrating for you. Unfortunately, in the field of mental health this is what many of us have experienced. There are no definitive tests that can say that yes, this is what you're son is dealing with so we tend to get a lot of different opinions. Many of us have also found that some doctors seem to specialize in certain disorders and, therefore, have a disproportionate amount of patients with that diagnosis. You're trusting your gut. That's good. If you lack confidence in this psychiatrist, find another. I would really push for a neuropsychologist evaluation (done by a neuropsychologist). We got more answers in a few hours of testing (generally 6-12) then we did in years of tdocs and psychiatrists (therapist is therapist/counselor psychiatrist is psychiatrist). Impulse control is in the frontal lobe part of the brain (if memory serves) and a neuropsychologist might be able to indicate just exactly where he is struggling. by the way, if this psychiatrist is suspecting bipolar, an antidepressant is not the way to start treatment. An antidepressant could cause an unstabilized bipolar patient to become manic. I know you don't think he's bipolar, just throwing that out there. Bipolar should be treated by mood stabilizers and only add in AD's when it's stable. Some can never tolerate AD's. Bottom line is to trust your gut. If you don't feel comfortable with this psychiatrist, find another. Hang in there. [/QUOTE]
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