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Tests tomorrow and docs the rest of the weekUPDATE
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<blockquote data-quote="LittleDudesMom" data-source="post: 54997" data-attributes="member: 805"><p>So, we were up and early to the doctor with 15 minutes to spare. The educational consultant took him in first, gave him a standard computer adhd test.. Was finished in 15 minutes. I gave him the parent report and the IEP before he and difficult child went in and he said he would run through them while difficult child was on the computer.</p><p></p><p>difficult child came back out and then, about five minutes later the psychiatrist came out. We all, difficult child, educ cons, psychiatrist and myself sat in her office for a little over an hour. Both the psychiatrist and the educational consultant were impressed with the parent report! They asked tons and tons of questions of both difficult child and me The psychiatrist, she, kept going back to second grade when difficult child had his first rage. She was very much focused on the fact that his concerta had been upped a week prior to his first rage and he was not taken off of it for another several weeks.</p><p></p><p>The Easy Child said he wanted to get copies of the testing from the school (which I will drop off tomorrow) before he made any recommendations. He also indicated that he may retest difficult child.</p><p></p><p>Easy Child left and difficult child, psychiatrist and I talked a little more. She said that she felt he did not present, nor was there family history, nor were there classic signs of an emerging or present mood disorder. She felt he was adhd/combined/impulsive and probably "high strung" and "hard wired". Some of the techniques for dealing with this will come with maturing, and some he will have to be taught. She would not yet rule out some mood issues, but she would need to look deeper.</p><p></p><p>She felt there was a strong possibility that some of the behaviors in second grade were induced by the stimulants and the signs of depression were reactions to the judgment he felt by teacher and students. </p><p></p><p>Many of the issues he deals with are "standard" for his current diagnosis. What she is preliminarily suggesting is a removal of all his medications, once discussed with current psychiatrist (the remeron is being trialed down and should be stopped by this weekend anyway, the adderall I don't give in the summer, which leaves the 25 mg of seroquel), who we have an appointment with on Thur. She felt he may benefit from a different type of medication than the adderall - Wellbutrin is what she is thinking. </p><p></p><p>Nothing is finalized yet - she's going to look over the parent report a little more and read over her notes. The Easy Child will study the test results. I have to call the peddoc because, back in 2001 when difficult child was first diagnosis'd with adhd, he was given a stimulant that I discontinued after about 4 days because he had such severe crashing. He was banging his head against the wall saying he was mad at himself. I can't remember the medication, it seems like so long ago.</p><p></p><p>She said we could try it for a couple weeks during the summer rather than wait for school to start.</p><p></p><p>So that is where we stand. I mentioned the anxiety and she indicated that that can also come along with adhd. She discussed some of his anxieties with him. He was not as open as I hoped he would be but, that's a difficult child!</p><p></p><p>So I should hear a more formal report by next Friday. If you read all the way to the end here, thanks!</p><p></p><p>Shaoron</p></blockquote><p></p>
[QUOTE="LittleDudesMom, post: 54997, member: 805"] So, we were up and early to the doctor with 15 minutes to spare. The educational consultant took him in first, gave him a standard computer adhd test.. Was finished in 15 minutes. I gave him the parent report and the IEP before he and difficult child went in and he said he would run through them while difficult child was on the computer. difficult child came back out and then, about five minutes later the psychiatrist came out. We all, difficult child, educ cons, psychiatrist and myself sat in her office for a little over an hour. Both the psychiatrist and the educational consultant were impressed with the parent report! They asked tons and tons of questions of both difficult child and me The psychiatrist, she, kept going back to second grade when difficult child had his first rage. She was very much focused on the fact that his concerta had been upped a week prior to his first rage and he was not taken off of it for another several weeks. The Easy Child said he wanted to get copies of the testing from the school (which I will drop off tomorrow) before he made any recommendations. He also indicated that he may retest difficult child. Easy Child left and difficult child, psychiatrist and I talked a little more. She said that she felt he did not present, nor was there family history, nor were there classic signs of an emerging or present mood disorder. She felt he was adhd/combined/impulsive and probably "high strung" and "hard wired". Some of the techniques for dealing with this will come with maturing, and some he will have to be taught. She would not yet rule out some mood issues, but she would need to look deeper. She felt there was a strong possibility that some of the behaviors in second grade were induced by the stimulants and the signs of depression were reactions to the judgment he felt by teacher and students. Many of the issues he deals with are "standard" for his current diagnosis. What she is preliminarily suggesting is a removal of all his medications, once discussed with current psychiatrist (the remeron is being trialed down and should be stopped by this weekend anyway, the adderall I don't give in the summer, which leaves the 25 mg of seroquel), who we have an appointment with on Thur. She felt he may benefit from a different type of medication than the adderall - Wellbutrin is what she is thinking. Nothing is finalized yet - she's going to look over the parent report a little more and read over her notes. The Easy Child will study the test results. I have to call the peddoc because, back in 2001 when difficult child was first diagnosis'd with adhd, he was given a stimulant that I discontinued after about 4 days because he had such severe crashing. He was banging his head against the wall saying he was mad at himself. I can't remember the medication, it seems like so long ago. She said we could try it for a couple weeks during the summer rather than wait for school to start. So that is where we stand. I mentioned the anxiety and she indicated that that can also come along with adhd. She discussed some of his anxieties with him. He was not as open as I hoped he would be but, that's a difficult child! So I should hear a more formal report by next Friday. If you read all the way to the end here, thanks! Shaoron [/QUOTE]
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