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<blockquote data-quote="smallworld" data-source="post: 142709" data-attributes="member: 2423"><p>I strongly believe that you need to rule out ALL medical (such as seizures), psychiatriatric (such as anxiety and depression) and developmental (such as Autism Spectrum Disorders (ASD)) disorders before settling on a diagnosis of ODD/CD. There is far too much overlap of symptoms among childhood disorders. It is very important to separate out the adolescent with a disorder whose maladaptive coping mechanism is oppositional/defiant/antisocial behaviors and the adolescent with a primary diagnosis of ODD/CD.</p><p> </p><p>To that end, I would recommend new evaluations with both a child/adolescent psychiatrist and a neuropsychologist to figure out exactly what you're dealing with. We on the board have found that regular psychologists tend to focus on the behavior and not the underlying cause behind it. You need to figure out if there is an underlying disorder fueling your son's ODD/CD behaviors. Only with an accurate diagnosis will you be able to put the appropriate interventions into place.</p><p> </p><p>If you were to go the treatment facility route at this point, I would recommend that it have a diagnostic as well as therapeutic component. It should also have a psychiatrist on staff in the event medications are needed. I'm not sure the facilities you described have those components as part of the treatment.</p></blockquote><p></p>
[QUOTE="smallworld, post: 142709, member: 2423"] I strongly believe that you need to rule out ALL medical (such as seizures), psychiatriatric (such as anxiety and depression) and developmental (such as Autism Spectrum Disorders (ASD)) disorders before settling on a diagnosis of ODD/CD. There is far too much overlap of symptoms among childhood disorders. It is very important to separate out the adolescent with a disorder whose maladaptive coping mechanism is oppositional/defiant/antisocial behaviors and the adolescent with a primary diagnosis of ODD/CD. To that end, I would recommend new evaluations with both a child/adolescent psychiatrist and a neuropsychologist to figure out exactly what you're dealing with. We on the board have found that regular psychologists tend to focus on the behavior and not the underlying cause behind it. You need to figure out if there is an underlying disorder fueling your son's ODD/CD behaviors. Only with an accurate diagnosis will you be able to put the appropriate interventions into place. If you were to go the treatment facility route at this point, I would recommend that it have a diagnostic as well as therapeutic component. It should also have a psychiatrist on staff in the event medications are needed. I'm not sure the facilities you described have those components as part of the treatment. [/QUOTE]
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