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<blockquote data-quote="InsaneCdn" data-source="post: 467552" data-attributes="member: 11791"><p>Welcome.</p><p></p><p>This is a complex child. If it were simple, you'd have found answers already.</p><p></p><p>Therefore... I second the need for a comprehensive evaluation. In fact, get every evaluation that even remotely makes sense. Because... there are many hidden things that can cause huge problems.</p><p></p><p>You mention ADHD - its a diagnosis that can come with a LOT of baggage in the form of co-morbid conditions... learning disabilities and Developmental Coordination Disorder (DCD) are very common. But its also a diagnosis that can in fact be "something else". For example, many kids who are Asperger's or Autism Spectrum Disorders (ASD) have strong ADHD traits. If its "just ADHD", then common ADHD interventions work (basic medications, and a few accommodations at school) - and yes, a kid can be "just ADHD" - I have one like that. Yours is not... and I have one like that, too.</p><p></p><p>Mood disorders are tricky. First, there's the whole primary/secondary situation... some, like Bi-polar, are not secondary disorders. But depression and anxiety can be either primary or secondary. Its kind of like the chicken or the egg question... which came first? If the mood disorders came first, they can cause all sorts of other issues especially if interventions are not working. BUT all kinds of other issues, especially if not caught or interventions are not working... can definitely cause severe anxiety and/or depression. And it will NOT necessarily be obvious which came first.</p><p></p><p>This is why the comprehensive evaluation is so important. This is the opportunity to go digging for "other things" that may also be a problem. If there are none (possible, but not as likely), then at least you've answered the chicken-or-egg question. If there ARE other things, then you go after those (we'll teach you how to be a warrior mom) and deal with everything possible... including trying to handle the moods.</p><p></p><p>Please start a parent report - its not called exactly that, but its easy to find in Site Help and Resources. Its a great way to pull together everything you already know, in a format that is useful to everyone who has to evaluate your child.</p><p></p><p>I'm curious... did her problems get worse when she started school? and worse again with starting grade 4? If so... the probability of motor skills issues and learning disabilities is VERY high. In which case, try and get an Occupational Therapist (OT) evaluation done as well - and before the comprehansive, if possible. Info from the Occupational Therapist (OT) testing will be useful to the one doing the comprehensive evaluation.</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 467552, member: 11791"] Welcome. This is a complex child. If it were simple, you'd have found answers already. Therefore... I second the need for a comprehensive evaluation. In fact, get every evaluation that even remotely makes sense. Because... there are many hidden things that can cause huge problems. You mention ADHD - its a diagnosis that can come with a LOT of baggage in the form of co-morbid conditions... learning disabilities and Developmental Coordination Disorder (DCD) are very common. But its also a diagnosis that can in fact be "something else". For example, many kids who are Asperger's or Autism Spectrum Disorders (ASD) have strong ADHD traits. If its "just ADHD", then common ADHD interventions work (basic medications, and a few accommodations at school) - and yes, a kid can be "just ADHD" - I have one like that. Yours is not... and I have one like that, too. Mood disorders are tricky. First, there's the whole primary/secondary situation... some, like Bi-polar, are not secondary disorders. But depression and anxiety can be either primary or secondary. Its kind of like the chicken or the egg question... which came first? If the mood disorders came first, they can cause all sorts of other issues especially if interventions are not working. BUT all kinds of other issues, especially if not caught or interventions are not working... can definitely cause severe anxiety and/or depression. And it will NOT necessarily be obvious which came first. This is why the comprehensive evaluation is so important. This is the opportunity to go digging for "other things" that may also be a problem. If there are none (possible, but not as likely), then at least you've answered the chicken-or-egg question. If there ARE other things, then you go after those (we'll teach you how to be a warrior mom) and deal with everything possible... including trying to handle the moods. Please start a parent report - its not called exactly that, but its easy to find in Site Help and Resources. Its a great way to pull together everything you already know, in a format that is useful to everyone who has to evaluate your child. I'm curious... did her problems get worse when she started school? and worse again with starting grade 4? If so... the probability of motor skills issues and learning disabilities is VERY high. In which case, try and get an Occupational Therapist (OT) evaluation done as well - and before the comprehansive, if possible. Info from the Occupational Therapist (OT) testing will be useful to the one doing the comprehensive evaluation. [/QUOTE]
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