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<blockquote data-quote="mistmouse" data-source="post: 50185" data-attributes="member: 289"><p>You know I am one who believes in the ODD and CD diagnosis. I know from the DSM-IV and my studies for my bachelors in psychology that it can be a stand-alone diagnosis and isn't just the symptoms of some underlying disorder, bipolar or otherwise. In our classroom discussions and as is my belief, if ODD goes away when any medication is given, then it most likely wasn't ODD in the first place.</p><p></p><p>I have a daughter who was kept in a time-out room when she was 6 and 7 years old for nothing more than not following adult directions. She was kept there for 6, 7, and 8 hours because she had not completed five minutes sitting one particular way. She is claustrophobic and hypoglycemic and was locked in ther alone and not given snacks or meals "because she had not done her five minutes". During the course of these time-outs she began to have regressive behaviors and to pull her pants down and defecate (she wasn't provided bathroom privileges either). As a result of her behaviors in the time-out room, the SD felt they needed another psychiatric evaluation because there had to be something else going on. She had been to see a neuropsychologist and had a psychiatric evaluation with a psychiatrist (who in our state does nothing more than spend a few minutes with the parent and then prescribe medications)the previous year. The neuropsychologist evaluation and child psychologist we saw were how we got the IEP the SD denied all kindergarten year because the SD said that ODD didn't qualify her for an IEP, but the neurpsych and child psychologist set them straight.</p><p></p><p>Once they hand-picked a different psychologist to do an evaluation based on their concerns of her behaviors in the time-out room, the diagnosis came back bipolar. The SD placed my daughter on homebound saying she could not return to school until she was stabalized on medicationa and through psychotherapy. My daughter was on depakote and had it at a therapeutic level, with no change in her behaviors...if anything they were worse. She has seen many professionals over the years with various degrees they have earned, but not one has upheld the bipolar diagnosis. She still has a mood disorder not otherwise specified listed, but she isn't bipolar and she doesn't take mood stabilizers. However, the SD still considers her to be a bipolar child who isn't properly medicated.</p><p></p><p>Once she began stimulants for the ADHD and ADs and mood stabalizers were stopped, she has been able to maintain much better. She still has anxiety, but much of it is related to what she endured at the hands of the SD who had a belief that ODD is just an undisciplined child and she needed to be taught who was in control...hence the hours and hours in time-out for not following adult directions.</p><p></p><p>I also get upset when it is implied the only place you can get the correct help is from the psychiatrist. It is true they have a an MD, but I haven't had one whose goal was more than to do medication management. I have had the best luck with two different licensed psychologists, and my daughter sees a developmental/behavioral pediatrician for medication management. With her current licensed psychologist and the developmental/behavioral pediatrician we have had the best growth and progress for my daughter behaviorally. We have given up on trying to change the SDs thinking regarding my daughter's behaviors as they believe the IDEA is just that...an idea. My daughter still has a difficult temperment (mood disorder not otherwise specified), and she probably always will have. I believe she is still ODD along with the ADHD, and treating the ADHD had not changed that. </p><p></p><p>Just my thoughts on it, but if ODD and CD weren't a stand-alone diagnosis, why would it be in the DSM?</p><p></p><p>mistmouse</p></blockquote><p></p>
[QUOTE="mistmouse, post: 50185, member: 289"] You know I am one who believes in the ODD and CD diagnosis. I know from the DSM-IV and my studies for my bachelors in psychology that it can be a stand-alone diagnosis and isn't just the symptoms of some underlying disorder, bipolar or otherwise. In our classroom discussions and as is my belief, if ODD goes away when any medication is given, then it most likely wasn't ODD in the first place. I have a daughter who was kept in a time-out room when she was 6 and 7 years old for nothing more than not following adult directions. She was kept there for 6, 7, and 8 hours because she had not completed five minutes sitting one particular way. She is claustrophobic and hypoglycemic and was locked in ther alone and not given snacks or meals "because she had not done her five minutes". During the course of these time-outs she began to have regressive behaviors and to pull her pants down and defecate (she wasn't provided bathroom privileges either). As a result of her behaviors in the time-out room, the SD felt they needed another psychiatric evaluation because there had to be something else going on. She had been to see a neuropsychologist and had a psychiatric evaluation with a psychiatrist (who in our state does nothing more than spend a few minutes with the parent and then prescribe medications)the previous year. The neuropsychologist evaluation and child psychologist we saw were how we got the IEP the SD denied all kindergarten year because the SD said that ODD didn't qualify her for an IEP, but the neurpsych and child psychologist set them straight. Once they hand-picked a different psychologist to do an evaluation based on their concerns of her behaviors in the time-out room, the diagnosis came back bipolar. The SD placed my daughter on homebound saying she could not return to school until she was stabalized on medicationa and through psychotherapy. My daughter was on depakote and had it at a therapeutic level, with no change in her behaviors...if anything they were worse. She has seen many professionals over the years with various degrees they have earned, but not one has upheld the bipolar diagnosis. She still has a mood disorder not otherwise specified listed, but she isn't bipolar and she doesn't take mood stabilizers. However, the SD still considers her to be a bipolar child who isn't properly medicated. Once she began stimulants for the ADHD and ADs and mood stabalizers were stopped, she has been able to maintain much better. She still has anxiety, but much of it is related to what she endured at the hands of the SD who had a belief that ODD is just an undisciplined child and she needed to be taught who was in control...hence the hours and hours in time-out for not following adult directions. I also get upset when it is implied the only place you can get the correct help is from the psychiatrist. It is true they have a an MD, but I haven't had one whose goal was more than to do medication management. I have had the best luck with two different licensed psychologists, and my daughter sees a developmental/behavioral pediatrician for medication management. With her current licensed psychologist and the developmental/behavioral pediatrician we have had the best growth and progress for my daughter behaviorally. We have given up on trying to change the SDs thinking regarding my daughter's behaviors as they believe the IDEA is just that...an idea. My daughter still has a difficult temperment (mood disorder not otherwise specified), and she probably always will have. I believe she is still ODD along with the ADHD, and treating the ADHD had not changed that. Just my thoughts on it, but if ODD and CD weren't a stand-alone diagnosis, why would it be in the DSM? mistmouse [/QUOTE]
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