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General Parenting
Whats the right diagnosis and order of treatment?
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<blockquote data-quote="buddy" data-source="post: 569983" data-attributes="member: 12886"><p>I agree with mwm, making an appointment with a neuropsychologist would be very helpful. Obsessions are the thinking part.....compulsions are the behaviors. Some people do the cleaning orderly type but sounds like this boy gets ideas in his head ( obsessions).then is compelled to act (compulsions). </p><p></p><p>This is quite common in many conditions and yes autism spectrum is one of the options. Does he have a social life? Does he or has he ever been able to pretend play in a creative way (as opposed to imitating shows or people and playing chase or other non imagination games). Does he act overly sensitive to taste sound textures etc? Does he seek out touching things or other sensory input?</p><p></p><p>If he is on the spectrum it would explain the "selfish " behaviors because many people with autism need specialized direct teaching to learn how to take the perspective of another person especially if that conflicts with what the person with Autism Spectrum Disorders (ASD) wants. </p><p>Of course there are many other issues this could be and we.can't diagnose here, I think you just hit some red flags for those of us who live and work with that particular issue. 1) he obsesses about his interests 2) unable to take perspective of another 3) meltdowns when things don't happen as he pictured it in his mind 4) the.first diagnosis. Before the underlying one is adhd + ODD + anxiety very often. </p><p></p><p>I hope his mother is willing to have a complete evaluation done. A typical psychiatrist or psychologist does not do the in depth testing that looks at both mental health and neuro developmental issues. A neuropsychologist evaluation is quite long and usually very helpful. Regretting not having explored all options when behavior is so compromised is a terrible feeling and the older a child gets without appropriate therapy the harder to undo patterns. </p><p>My best to her!</p></blockquote><p></p>
[QUOTE="buddy, post: 569983, member: 12886"] I agree with mwm, making an appointment with a neuropsychologist would be very helpful. Obsessions are the thinking part.....compulsions are the behaviors. Some people do the cleaning orderly type but sounds like this boy gets ideas in his head ( obsessions).then is compelled to act (compulsions). This is quite common in many conditions and yes autism spectrum is one of the options. Does he have a social life? Does he or has he ever been able to pretend play in a creative way (as opposed to imitating shows or people and playing chase or other non imagination games). Does he act overly sensitive to taste sound textures etc? Does he seek out touching things or other sensory input? If he is on the spectrum it would explain the "selfish " behaviors because many people with autism need specialized direct teaching to learn how to take the perspective of another person especially if that conflicts with what the person with Autism Spectrum Disorders (ASD) wants. Of course there are many other issues this could be and we.can't diagnose here, I think you just hit some red flags for those of us who live and work with that particular issue. 1) he obsesses about his interests 2) unable to take perspective of another 3) meltdowns when things don't happen as he pictured it in his mind 4) the.first diagnosis. Before the underlying one is adhd + ODD + anxiety very often. I hope his mother is willing to have a complete evaluation done. A typical psychiatrist or psychologist does not do the in depth testing that looks at both mental health and neuro developmental issues. A neuropsychologist evaluation is quite long and usually very helpful. Regretting not having explored all options when behavior is so compromised is a terrible feeling and the older a child gets without appropriate therapy the harder to undo patterns. My best to her! [/QUOTE]
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Whats the right diagnosis and order of treatment?
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