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Struggling with 5 year old Explosive in school
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<blockquote data-quote="SRL" data-source="post: 156332" data-attributes="member: 701"><p>Dreambeliever, if he's only been through a school evaluation and has seen a school counselor then I think you need to pursue a private evaluation. Do you have health insurance? Our experience is that school evaluations and child psychiatrists may be important components of assessment/treatment but NOT the way to go if you're looking for full answers.</p><p> </p><p>The anxiety that you are describing is extreme. My child went through this and it's extremely debilitating, not to mention difficult on the child and family. This-or any number of other reasons-could what's behind the behaviors at school. What I'd like to see for you is to see your pediatrician and request a full evaluation at a university or children's hospital. You want him seen by a developmental pediatrician or pediatric neuropsychologist, plus occupational therapy. </p><p> </p><p>Is there any mental health history in the biological family?</p><p>Beyond the behaviors and anxiety, has he had any other developmental differences: speech delays, very early speech, fine motor skills, overly sensitive to clothing or foods, transition problems, etc?</p><p> </p><p>What kind of doctor is prescribing the Risperdal? If it's not working, call the office back and let him/her know. There are many medications out there but Risperdal is one that the younger ones seem to tolerate better than some of the others so I wouldn't discount it entirely. He may not be at therapeutic dosage...or it may not be the right medication for him.</p><p> </p><p>If it's the end of the year and he goes to three different places you won't get a behavioral intervention plan in place for this spring. You would need to talk to his case manager and try to get it incorporated for his IEP for next fall, or for summer school if he'll be attending.</p></blockquote><p></p>
[QUOTE="SRL, post: 156332, member: 701"] Dreambeliever, if he's only been through a school evaluation and has seen a school counselor then I think you need to pursue a private evaluation. Do you have health insurance? Our experience is that school evaluations and child psychiatrists may be important components of assessment/treatment but NOT the way to go if you're looking for full answers. The anxiety that you are describing is extreme. My child went through this and it's extremely debilitating, not to mention difficult on the child and family. This-or any number of other reasons-could what's behind the behaviors at school. What I'd like to see for you is to see your pediatrician and request a full evaluation at a university or children's hospital. You want him seen by a developmental pediatrician or pediatric neuropsychologist, plus occupational therapy. Is there any mental health history in the biological family? Beyond the behaviors and anxiety, has he had any other developmental differences: speech delays, very early speech, fine motor skills, overly sensitive to clothing or foods, transition problems, etc? What kind of doctor is prescribing the Risperdal? If it's not working, call the office back and let him/her know. There are many medications out there but Risperdal is one that the younger ones seem to tolerate better than some of the others so I wouldn't discount it entirely. He may not be at therapeutic dosage...or it may not be the right medication for him. If it's the end of the year and he goes to three different places you won't get a behavioral intervention plan in place for this spring. You would need to talk to his case manager and try to get it incorporated for his IEP for next fall, or for summer school if he'll be attending. [/QUOTE]
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