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General Parenting
Whats the right diagnosis and order of treatment?
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<blockquote data-quote="ducky8888" data-source="post: 570010" data-attributes="member: 15714"><p>Thanks everyone for the information. A little history, I have known the mother for a very long time (18 years) and have no intentions on going anywhere. About difficult child: mom and dad had a rocky relationship. even when they were married (divorce was when difficult child was around 3yo) father was distant, if not absent. Behavior started around 3yo (around the same time father left). Father is bi-polar, narcissistic, and pathological liar (in and out of jail for fraud). Father has been absent for the majority of their lives, recently takes the kids every other weekend for a day and a half. Reports from the father are that difficult child does not have the severe obessions and tantrums that he has when with his mother. He also spends a night a week with his paternal grandmother. I also frequently send her off for time away. Its still not enough as he has tantrums 2-3 mornings a week, mild tantrums daily after school and at least one tantrum (food related) at some point throughout the evening. For school, he attends a special school for children like him because he has been expelled from all public schools. Even in his current school he is often kicked from the transportation van, has broken windows during weekly meetings, and is frequently restrained for aggressive behavior towards teachers and students. His education is significantly sub-par. His reading and math skills are very, very low. He has had a psychiatric evaluation, in which he was tested for intelligence, temper and behavior. The report states he is very low intelligence, bordering on retardation, but that the tests were not completed because of the difficult child's frustration while testing and inability to complete the tests. He does not have any friends to speak of. Most children in the neighborhood wont befriend him (they are all friends with his younger brother). He doesnt talk much about school, so I assume he doesnt have any close friends there. difficult child has excellent gross motor skills (riding a bike at a young age, coordinated dance moves, all siblings are the same), but very very poor fine motor skills (hand writing and using tools makes him frustrated quickly). He really enjoys music (the louder the better), but so far I have not seen or heard of any sensory issues.</p></blockquote><p></p>
[QUOTE="ducky8888, post: 570010, member: 15714"] Thanks everyone for the information. A little history, I have known the mother for a very long time (18 years) and have no intentions on going anywhere. About difficult child: mom and dad had a rocky relationship. even when they were married (divorce was when difficult child was around 3yo) father was distant, if not absent. Behavior started around 3yo (around the same time father left). Father is bi-polar, narcissistic, and pathological liar (in and out of jail for fraud). Father has been absent for the majority of their lives, recently takes the kids every other weekend for a day and a half. Reports from the father are that difficult child does not have the severe obessions and tantrums that he has when with his mother. He also spends a night a week with his paternal grandmother. I also frequently send her off for time away. Its still not enough as he has tantrums 2-3 mornings a week, mild tantrums daily after school and at least one tantrum (food related) at some point throughout the evening. For school, he attends a special school for children like him because he has been expelled from all public schools. Even in his current school he is often kicked from the transportation van, has broken windows during weekly meetings, and is frequently restrained for aggressive behavior towards teachers and students. His education is significantly sub-par. His reading and math skills are very, very low. He has had a psychiatric evaluation, in which he was tested for intelligence, temper and behavior. The report states he is very low intelligence, bordering on retardation, but that the tests were not completed because of the difficult child's frustration while testing and inability to complete the tests. He does not have any friends to speak of. Most children in the neighborhood wont befriend him (they are all friends with his younger brother). He doesnt talk much about school, so I assume he doesnt have any close friends there. difficult child has excellent gross motor skills (riding a bike at a young age, coordinated dance moves, all siblings are the same), but very very poor fine motor skills (hand writing and using tools makes him frustrated quickly). He really enjoys music (the louder the better), but so far I have not seen or heard of any sensory issues. [/QUOTE]
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Whats the right diagnosis and order of treatment?
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