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General Parenting
4yr old with adhd, odd and mood disorder
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<blockquote data-quote="SRL" data-source="post: 76217" data-attributes="member: 701"><p>Welcome Whalesongs. </p><p></p><p>I'd be hesitant in making medication suggestions without knowing the extent of your child's behavioral problems or the type of assessments that were done and what has been tried in terms of therapies or interventions.</p><p></p><p>In general, I always suggest that parents get the most thorough evaluations for their child that they can prior to going down the path of using medications primarily to manage their kids. If the child is young, you shouldn't rely on a counselor or psychiatrist or general psychologist alone, as assessments don't tend to be as thorough at this young age as needed with those specialty areas. Usually better is a developmental pediatrician or a pediatric neuropsychologist. We suggest this route because we've seen way to many kids misdiagnosed and mismedicated at young ages if the assessment wasn't thourough. (For instance, a neuropsychologist will typically do 10-15 hours of parent interviews and testing before diagnosing.) Accurate diagnosis is critical when considering medications and you want to make sure up front because honestly most all the disorders we see come through here look like some variation of Mood Disorders when the children are very young. </p><p></p><p>Many of us have been helped a great deal by a book entitled "The Explosive Child" by Ross Greene. At the top of this board you can find more information about the book. If other issues are present such as speech delay or differences, sensitivities to foods or clothes, social problems, etc. these all contribute to behavioral problems and evaluation helps to identify those and address them properly.</p><p></p><p>In the end some children will need medication to function, but unless the situation is critical with a very unstable child I'm all for thorough evaluation and non-medication interventions first in young children.</p></blockquote><p></p>
[QUOTE="SRL, post: 76217, member: 701"] Welcome Whalesongs. I'd be hesitant in making medication suggestions without knowing the extent of your child's behavioral problems or the type of assessments that were done and what has been tried in terms of therapies or interventions. In general, I always suggest that parents get the most thorough evaluations for their child that they can prior to going down the path of using medications primarily to manage their kids. If the child is young, you shouldn't rely on a counselor or psychiatrist or general psychologist alone, as assessments don't tend to be as thorough at this young age as needed with those specialty areas. Usually better is a developmental pediatrician or a pediatric neuropsychologist. We suggest this route because we've seen way to many kids misdiagnosed and mismedicated at young ages if the assessment wasn't thourough. (For instance, a neuropsychologist will typically do 10-15 hours of parent interviews and testing before diagnosing.) Accurate diagnosis is critical when considering medications and you want to make sure up front because honestly most all the disorders we see come through here look like some variation of Mood Disorders when the children are very young. Many of us have been helped a great deal by a book entitled "The Explosive Child" by Ross Greene. At the top of this board you can find more information about the book. If other issues are present such as speech delay or differences, sensitivities to foods or clothes, social problems, etc. these all contribute to behavioral problems and evaluation helps to identify those and address them properly. In the end some children will need medication to function, but unless the situation is critical with a very unstable child I'm all for thorough evaluation and non-medication interventions first in young children. [/QUOTE]
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