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Conduct disorder diagnosis
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<blockquote data-quote="BusynMember" data-source="post: 49657" data-attributes="member: 1550"><p>Dr. Chandler, who wrote the ODD Chandler Papers, even said it rarely stands alone. Those words are his words, exactly. They are there for all to see.</p><p>in my opinion and in the opinion of my psychiatrists (of which I'd had many...lol) we've talked about CD, ODD, BiPolar (BP), ADHD, etc. (almost everything, since I'm interested), and the PSYCHIATRISTS tend to agree with each other that it doesn't stand alone, at least the ones I've had. Psychologists tend to diagnose ODD and CD, but not too many MD Psychiatrists do. I don't think it's doing a disservice to parents to tell them what we are told (DSM or not--That DSM changes SO often). ODD often responds well to mood stabilizers. So does CD. At any rate, CD is such a dismal diagnosis, which such a poor prognosis, in my opinion, it's a very good idea to tell parents to explore other areas before accepting that this is for their child--this doomsday diagnosis. Bipolar is often mistaken for both ODD and CD. It's expedient, in my opinion, to make sure by going to a few (not just one) CHILD PSYCHIATRISTS (with the MD) and NeuroPsychs (psycologists who have training in the brain and do extensive testing) before agreeing to a diagnosis of simple ODD (of which there is little treatment) or CD (of which there is no treatment--it is essentially an antisocial personality disorder meaning NO CONSCIENCE. It is grim). I feel it is ALWAYS best to get more than one opinion, and to go to the top, most educated professionals for diagnoses. I feel you have a better shot with those who have had more schooling. I know I've had bad luck for myself AND my son with plain psychologists, so I can't be the only one. I will continue recommending Child Psychiatrists (with MDs) combined with neuropsychologist exams because I feel, in good conscience, that this is the best way to get the most accurate results. I will continue recommending not to trust your diagnosis to just a social worker, therapist, counselor, pediatrician or psychologist--they really aren't supposed to diagnose anyways. To me, I am giving the soundest advice I can offer and I will always give my all in my answers. If people don't agree with me, they don't need to listen to my advice. They are certainly free to accept ODD/CD diagnoses or to let psychologists diagnose. We are all telling what has worked for us. ODDers who improve often have moved onto taking mood stabilizers. in my opinion that indicates they really have early onset bipolar, but the label doesn't really matter as long as the child improves. If a child is still in crisis, despite a diagnosis from some professional, and the child is NOT improving with treatment---in my opinion, it's smart to get another opinion. Any professional can be wrong, and, if one isn't helping your child, perhaps another type of professional will. I'm not revisiting this thread, because I'm not in fight mode, but I'm also not going to change my advice, that people are free to take or disregard. I am fairly confident that recommending a Child Psychiatrist and a neuropsychologist is good advice. Have a nice day to all.</p></blockquote><p></p>
[QUOTE="BusynMember, post: 49657, member: 1550"] Dr. Chandler, who wrote the ODD Chandler Papers, even said it rarely stands alone. Those words are his words, exactly. They are there for all to see. in my opinion and in the opinion of my psychiatrists (of which I'd had many...lol) we've talked about CD, ODD, BiPolar (BP), ADHD, etc. (almost everything, since I'm interested), and the PSYCHIATRISTS tend to agree with each other that it doesn't stand alone, at least the ones I've had. Psychologists tend to diagnose ODD and CD, but not too many MD Psychiatrists do. I don't think it's doing a disservice to parents to tell them what we are told (DSM or not--That DSM changes SO often). ODD often responds well to mood stabilizers. So does CD. At any rate, CD is such a dismal diagnosis, which such a poor prognosis, in my opinion, it's a very good idea to tell parents to explore other areas before accepting that this is for their child--this doomsday diagnosis. Bipolar is often mistaken for both ODD and CD. It's expedient, in my opinion, to make sure by going to a few (not just one) CHILD PSYCHIATRISTS (with the MD) and NeuroPsychs (psycologists who have training in the brain and do extensive testing) before agreeing to a diagnosis of simple ODD (of which there is little treatment) or CD (of which there is no treatment--it is essentially an antisocial personality disorder meaning NO CONSCIENCE. It is grim). I feel it is ALWAYS best to get more than one opinion, and to go to the top, most educated professionals for diagnoses. I feel you have a better shot with those who have had more schooling. I know I've had bad luck for myself AND my son with plain psychologists, so I can't be the only one. I will continue recommending Child Psychiatrists (with MDs) combined with neuropsychologist exams because I feel, in good conscience, that this is the best way to get the most accurate results. I will continue recommending not to trust your diagnosis to just a social worker, therapist, counselor, pediatrician or psychologist--they really aren't supposed to diagnose anyways. To me, I am giving the soundest advice I can offer and I will always give my all in my answers. If people don't agree with me, they don't need to listen to my advice. They are certainly free to accept ODD/CD diagnoses or to let psychologists diagnose. We are all telling what has worked for us. ODDers who improve often have moved onto taking mood stabilizers. in my opinion that indicates they really have early onset bipolar, but the label doesn't really matter as long as the child improves. If a child is still in crisis, despite a diagnosis from some professional, and the child is NOT improving with treatment---in my opinion, it's smart to get another opinion. Any professional can be wrong, and, if one isn't helping your child, perhaps another type of professional will. I'm not revisiting this thread, because I'm not in fight mode, but I'm also not going to change my advice, that people are free to take or disregard. I am fairly confident that recommending a Child Psychiatrist and a neuropsychologist is good advice. Have a nice day to all. [/QUOTE]
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