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What gives him the right?
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<blockquote data-quote="Sara PA" data-source="post: 173908" data-attributes="member: 1498"><p>What gives him the right are those initials after his name and/or his choice of occupation. What gives him the right to continue to do so is your willingness to pay him to.</p><p></p><p>Keep in mind that this is an almost totally subjective field. Virtually all diagnoses are made based on purely subjective decisions made by whomever has been selected to make those decisions. That's just the way it is. There is simply very little objective science to support any of these diagnoses. Consequently where one person making a diagnosis sees a neurobiological cause for certain behaviors, another may see a learned cause and a third may see something entirely different or a combination of many. </p><p></p><p>Very few of these diagnoses are written in stone and, even then, the physiological cause of those conditions is often totally unknown. Even in the case of an obvious diagnosis -- say...sever autism with all the stereotypical behaviors -- the cause of the disorder is unknown. There may be -- and likely are -- multiple causes for the behaviors and the same diagnosis.</p><p></p><p>Unfortunately, some doctors tend to see more of a certain disorder than other doctors do. Some doctors are thought to overdiagnose certain disorders/causes because of a personal bias -- a disorder within his family, an academic interest, etc. Absent objective diagnostic tools, there is no way to prove him wrong. I just heard someone refer to that phenomena as "If you're a hammer, everything looks like a nail." (She was talking about how sensory disorders are often misdiagnosed as ADHD because most doctors are more familiar with and know how to treat ADHD than sensory issues.) </p><p></p><p>I think when we get a diagnosis -- both those we like and those we don't like -- we should stop and truly consider whether or not it could be acurate or even partly so. Then our choices are to </p><p>1. embrace the diagnosis and meet it head on </p><p>2. consider the diagnosis a possibility and proceed cautiously with treatment while diligently watching for improvement or worsening of condition </p><p>3. reject the diagnosis and, if a discussion with the person making the diagnosis doesn't convince one of you to change your beliefs, find another therapist/doctor.</p><p></p><p>by the way, as for this diagnosis, the therapist missed the boat. It seems like he was very close to diagnosing Reactive Attachment Disorder (RAD) based on your putting your child in daycare and going back to work. If by some strange chance he's right and your child <em>does</em> have Reactive Attachment Disorder (RAD) or something closely akin to it, the problem, according to his logic, would have to be neglect or abuse on the part of the day care worker(s), not your normal act of placing your son in day care. Mothers have delegated care of infants to others for one reason or the other since the beginning of time. It doesn't make us bad mothers for doing so. Daycare workers are totally capable of caring for children in ways that don't cause Reactive Attachment Disorder (RAD)-like conditions and have been/are doing so for millions and millions of kids across the world. If he's right about why your son has behavioral problems (being in daycare), his placement of blame on <em>you</em> for going to work is totally off base. But then, there are those out there who don't see any problems with kids that they can't blame on the mother. <em>"If you're a hammer, everything looks like a nail.</em> Kinda makes you wonder about his relationship with his mothers... Could he be projecting his own issues onto your son?</p><p></p><p>One more thing.....when you change therapists/doctors because you disagree with the diagnosis and/or treatment, don't have the old therapist's/doctor's records forwarded to the new therapist/doctor. Provide accurate information to the new doctor about treatment/drug choices (name of drug, dosage, length of time taken, results seen, side effects experienced, reason for discontinuation), medical history of both the child and family, and clear, honest description of behaviors (don't leave anything out). Let the new therapist/doctor start fresh. Who knows what inaccurate or biased inforamtion the old therapist/doctor has in his records?</p></blockquote><p></p>
[QUOTE="Sara PA, post: 173908, member: 1498"] What gives him the right are those initials after his name and/or his choice of occupation. What gives him the right to continue to do so is your willingness to pay him to. Keep in mind that this is an almost totally subjective field. Virtually all diagnoses are made based on purely subjective decisions made by whomever has been selected to make those decisions. That's just the way it is. There is simply very little objective science to support any of these diagnoses. Consequently where one person making a diagnosis sees a neurobiological cause for certain behaviors, another may see a learned cause and a third may see something entirely different or a combination of many. Very few of these diagnoses are written in stone and, even then, the physiological cause of those conditions is often totally unknown. Even in the case of an obvious diagnosis -- say...sever autism with all the stereotypical behaviors -- the cause of the disorder is unknown. There may be -- and likely are -- multiple causes for the behaviors and the same diagnosis. Unfortunately, some doctors tend to see more of a certain disorder than other doctors do. Some doctors are thought to overdiagnose certain disorders/causes because of a personal bias -- a disorder within his family, an academic interest, etc. Absent objective diagnostic tools, there is no way to prove him wrong. I just heard someone refer to that phenomena as "If you're a hammer, everything looks like a nail." (She was talking about how sensory disorders are often misdiagnosed as ADHD because most doctors are more familiar with and know how to treat ADHD than sensory issues.) I think when we get a diagnosis -- both those we like and those we don't like -- we should stop and truly consider whether or not it could be acurate or even partly so. Then our choices are to 1. embrace the diagnosis and meet it head on 2. consider the diagnosis a possibility and proceed cautiously with treatment while diligently watching for improvement or worsening of condition 3. reject the diagnosis and, if a discussion with the person making the diagnosis doesn't convince one of you to change your beliefs, find another therapist/doctor. by the way, as for this diagnosis, the therapist missed the boat. It seems like he was very close to diagnosing Reactive Attachment Disorder (RAD) based on your putting your child in daycare and going back to work. If by some strange chance he's right and your child [I]does[/I] have Reactive Attachment Disorder (RAD) or something closely akin to it, the problem, according to his logic, would have to be neglect or abuse on the part of the day care worker(s), not your normal act of placing your son in day care. Mothers have delegated care of infants to others for one reason or the other since the beginning of time. It doesn't make us bad mothers for doing so. Daycare workers are totally capable of caring for children in ways that don't cause Reactive Attachment Disorder (RAD)-like conditions and have been/are doing so for millions and millions of kids across the world. If he's right about why your son has behavioral problems (being in daycare), his placement of blame on [I]you[/I] for going to work is totally off base. But then, there are those out there who don't see any problems with kids that they can't blame on the mother. [I]"If you're a hammer, everything looks like a nail.[/I] Kinda makes you wonder about his relationship with his mothers... Could he be projecting his own issues onto your son? One more thing.....when you change therapists/doctors because you disagree with the diagnosis and/or treatment, don't have the old therapist's/doctor's records forwarded to the new therapist/doctor. Provide accurate information to the new doctor about treatment/drug choices (name of drug, dosage, length of time taken, results seen, side effects experienced, reason for discontinuation), medical history of both the child and family, and clear, honest description of behaviors (don't leave anything out). Let the new therapist/doctor start fresh. Who knows what inaccurate or biased inforamtion the old therapist/doctor has in his records? [/QUOTE]
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