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Unsettling realizations of Sammys future
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<blockquote data-quote="smallworld" data-source="post: 109615" data-attributes="member: 2423"><p>Dara, there are lots and lots of reasons children behave the way they do, and you're right that sometimes even the professionals can't explain why. My son is 14, has had two neuropsychologist evaluations confirming his mood issues, has been with the same very competent psychiatrist for two years, AND we were getting nowhere with medications. Because he completely shut down in school (wouldn't do any classwork or homework) this fall, he recently ended up in a day treatment program at a local psychiatric hospital.</p><p></p><p>For a few years, we've been unable to figure out one of my son's symptoms -- when he is being defiant, he smirks. He has told us that he doesn't do it on purpose, that it just happens. His pediatrician, his neurologist, his neuropsychologist and sometimes even his psychiatrist felt J was somehow enjoying being defiant and getting some gain from it. My husband and I weren't so sure because J is a very honest kid, and he kept asking us, "Why am I smiling?" On day 3 of the day treatment program, J's attending psychiatrist (who we've heard is very sharp and a great psychopharmacologist) told us his smirking while defiant is a symptom of mania. We were stunned because his outside psychiatrist said he was seeing only depression and no mania. The new psychiatrist decided to add a second mood stabilizer to augment his first to see if that would make a difference. It's still too early to tell for sure, but so far, so good.</p><p></p><p>husband and I are very astute observers and we know our kid well. Furthermore, J's been under a medical microscope (in a large metro area on the East Coast) for many, many years. But no one -- not us, not his medical team -- picked up what's been going on with J. This is all my long way of saying that sometimes things aren't as they appear, and it takes a very good diagnostician to put all the pieces together. I hope you have that opportunity when you take Sammy to Mayo. </p><p></p><p>Many gentle hugs to you tonight.</p></blockquote><p></p>
[QUOTE="smallworld, post: 109615, member: 2423"] Dara, there are lots and lots of reasons children behave the way they do, and you're right that sometimes even the professionals can't explain why. My son is 14, has had two neuropsychologist evaluations confirming his mood issues, has been with the same very competent psychiatrist for two years, AND we were getting nowhere with medications. Because he completely shut down in school (wouldn't do any classwork or homework) this fall, he recently ended up in a day treatment program at a local psychiatric hospital. For a few years, we've been unable to figure out one of my son's symptoms -- when he is being defiant, he smirks. He has told us that he doesn't do it on purpose, that it just happens. His pediatrician, his neurologist, his neuropsychologist and sometimes even his psychiatrist felt J was somehow enjoying being defiant and getting some gain from it. My husband and I weren't so sure because J is a very honest kid, and he kept asking us, "Why am I smiling?" On day 3 of the day treatment program, J's attending psychiatrist (who we've heard is very sharp and a great psychopharmacologist) told us his smirking while defiant is a symptom of mania. We were stunned because his outside psychiatrist said he was seeing only depression and no mania. The new psychiatrist decided to add a second mood stabilizer to augment his first to see if that would make a difference. It's still too early to tell for sure, but so far, so good. husband and I are very astute observers and we know our kid well. Furthermore, J's been under a medical microscope (in a large metro area on the East Coast) for many, many years. But no one -- not us, not his medical team -- picked up what's been going on with J. This is all my long way of saying that sometimes things aren't as they appear, and it takes a very good diagnostician to put all the pieces together. I hope you have that opportunity when you take Sammy to Mayo. Many gentle hugs to you tonight. [/QUOTE]
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