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anouther ODD question
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<blockquote data-quote="smallworld" data-source="post: 141592" data-attributes="member: 2423"><p>I strongly believe that you need to rule out ALL medical (such as seizures), psychiatriatric (such as anxiety and depression) and developmental (such as Autism Spectrum Disorders (ASD)) disorders before settling on a diagnosis of ODD. There is far too much overlap of symptoms among childhood disorders, and the younger the child, the more difficult it is to sort out the diagnosis. It is very important to separate out the child with a disorder whose maladaptive coping mechanism is defiant behaviors and the child with a primary diagnosis of ODD.</p><p> </p><p>It is equally important to make sure you are dealing with true ADHD. According to a 2005 article in the <em>New England Journal of Medicine</em>, there are many conditions whose symptoms overlap with ADHD, including learning disorders, anxiety, depression and bipolar disorder. For example, the symptoms of poor attention, fidgetiness, difficulty with transitions and physical reactivity to stimuli can appear in both anxiety and ADHD. The diagnostic dilemma is that anxiety may be a source of high activity and inattention, and it's difficult to sort out if the symptoms are emanating from an emotional reaction or from ADHD. </p><p> </p><p>The fact that your daughter is talking about wanting her brother to die makes me believe you're dealing with something other than ADHD/ODD. I concur with the other posters who are urging you to seek a re-evaluation, preferably with a neuropsychologist (found at children's and university teaching hospitals). Without a proper diagnosis, you won't be able to put the appropriate interventions into place to help your child.</p><p> </p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 141592, member: 2423"] I strongly believe that you need to rule out ALL medical (such as seizures), psychiatriatric (such as anxiety and depression) and developmental (such as Autism Spectrum Disorders (ASD)) disorders before settling on a diagnosis of ODD. There is far too much overlap of symptoms among childhood disorders, and the younger the child, the more difficult it is to sort out the diagnosis. It is very important to separate out the child with a disorder whose maladaptive coping mechanism is defiant behaviors and the child with a primary diagnosis of ODD. It is equally important to make sure you are dealing with true ADHD. According to a 2005 article in the [I]New England Journal of Medicine[/I], there are many conditions whose symptoms overlap with ADHD, including learning disorders, anxiety, depression and bipolar disorder. For example, the symptoms of poor attention, fidgetiness, difficulty with transitions and physical reactivity to stimuli can appear in both anxiety and ADHD. The diagnostic dilemma is that anxiety may be a source of high activity and inattention, and it's difficult to sort out if the symptoms are emanating from an emotional reaction or from ADHD. The fact that your daughter is talking about wanting her brother to die makes me believe you're dealing with something other than ADHD/ODD. I concur with the other posters who are urging you to seek a re-evaluation, preferably with a neuropsychologist (found at children's and university teaching hospitals). Without a proper diagnosis, you won't be able to put the appropriate interventions into place to help your child. Good luck. [/QUOTE]
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