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<blockquote data-quote="zba189" data-source="post: 378241"><p>difficult child is nearing the end of his stay at the Residential Treatment Center (RTC). husband and I had an appointment with his team on Monday. The way things stand now, he will be released from Residential Treatment Center (RTC) in the next two weeks (this is mainly insurance based) and then moving into a day treatment program for a few weeks. </p><p></p><p>They have diagnosed a mood disorder not otherwise specified and anxiety not otherwise specified. They have left open the possibility of NonVerbal Learning Disorder (NVLD) or Aspergers HF. His psychiatrist has said that they are unsure if he has a mood disorder in addition to NonVerbal Learning Disorder (NVLD), Aspergers or if one or the other is stand alone. He has a neuropsychologist scheduled for the middle of October.</p><p></p><p>He came home for an actual home visit last week and did well. He has now become more demanding about our visits. We don't tell him when we are coming or if we are going off campus when we do visit. This seems to spike his anxiety as well as our nightly phone calls with him. He cries and has mentioned he is having trouble sleeping at night because he is lonely (his anxiety at bedtime was an issue here at home as well). Should these be things that I should address with his team?</p><p></p><p>They trialed him on Concerta, but haven't given us the results. His therapist claims she saw no change but his psychiatrist has not weighed in. He is still taking Risperdal.</p><p></p><p>Is there anything that stands out to you that I should ask his team? It is hard for me to weigh the fact that the little boy that we checked into the psychiatric hospital is different than the little boy that husband and I have been around in the last few weeks. On that same train of thought though, we can see that some of the same issues that pushed us to this point are still very much there. They gave us a safety plan, that when written down seems like great goals but they are very much dependent on T's ability to use the tools he has learned in the few weeks to make it work. husband and I know that our parenting style will have to be tweaked as well. Things will not be perfect, they never have been but I'm hoping that they might be better or more manageable or even just that we have a clearer idea of what is going on with him in certain situations. I have an appointment scheduled with a new therapist and a psychiatrist for when he is released so I feel like I have my ducks in a row with those things. I feel like we have done everything we can to help T, but at the same time it is so very stressful to be so far down the path and realize we are just starting.</p></blockquote><p></p>
[QUOTE="zba189, post: 378241"] difficult child is nearing the end of his stay at the Residential Treatment Center (RTC). husband and I had an appointment with his team on Monday. The way things stand now, he will be released from Residential Treatment Center (RTC) in the next two weeks (this is mainly insurance based) and then moving into a day treatment program for a few weeks. They have diagnosed a mood disorder not otherwise specified and anxiety not otherwise specified. They have left open the possibility of NonVerbal Learning Disorder (NVLD) or Aspergers HF. His psychiatrist has said that they are unsure if he has a mood disorder in addition to NonVerbal Learning Disorder (NVLD), Aspergers or if one or the other is stand alone. He has a neuropsychologist scheduled for the middle of October. He came home for an actual home visit last week and did well. He has now become more demanding about our visits. We don't tell him when we are coming or if we are going off campus when we do visit. This seems to spike his anxiety as well as our nightly phone calls with him. He cries and has mentioned he is having trouble sleeping at night because he is lonely (his anxiety at bedtime was an issue here at home as well). Should these be things that I should address with his team? They trialed him on Concerta, but haven't given us the results. His therapist claims she saw no change but his psychiatrist has not weighed in. He is still taking Risperdal. Is there anything that stands out to you that I should ask his team? It is hard for me to weigh the fact that the little boy that we checked into the psychiatric hospital is different than the little boy that husband and I have been around in the last few weeks. On that same train of thought though, we can see that some of the same issues that pushed us to this point are still very much there. They gave us a safety plan, that when written down seems like great goals but they are very much dependent on T's ability to use the tools he has learned in the few weeks to make it work. husband and I know that our parenting style will have to be tweaked as well. Things will not be perfect, they never have been but I'm hoping that they might be better or more manageable or even just that we have a clearer idea of what is going on with him in certain situations. I have an appointment scheduled with a new therapist and a psychiatrist for when he is released so I feel like I have my ducks in a row with those things. I feel like we have done everything we can to help T, but at the same time it is so very stressful to be so far down the path and realize we are just starting. [/QUOTE]
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