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General Parenting
diagnosis disagreement
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<blockquote data-quote="gcvmom" data-source="post: 233183" data-attributes="member: 3444"><p>A neuropsychological evaluation would be the best tool for really understanding the finer points of whatever your kids are dealing with. You can share this with the psychiatrist, of course. But it involves several HOURS of testing, which obviously cannot be done in a 30 or 60 minute office visit.</p><p> </p><p>If you check with your local Children's Hospital, you can probably get info on someone in the area who is qualified to conduct such and evaluation. My particular insurance plan covered the testing 100&#37; for my difficult child 2 last year (we have Anthem/BC PPO).</p><p> </p><p>Just wanted to say also that someone who struggles with anxiety can have it manifest in different ways. Defiance can be a response to anxiety over transitions, as can meltdowns or sensory overload. I get both kinds of behaviors from my difficult child 1 -- if he's unmedicated, we get defiance. When he was younger and unmedicated, we got meltdowns. I think both are sort of maladaptive attempts at protecting themselves from a perceived threat. The key is figuring out exactly what's going on so you know how best to treat (medications, therapy, or both). </p><p> </p><p>Sometimes it's best not to hang your hat on any one particular label or diagnosis until you go through a thorough diagnostic battery. And even then, sometimes kids change and the diagnosis can change.</p></blockquote><p></p>
[QUOTE="gcvmom, post: 233183, member: 3444"] A neuropsychological evaluation would be the best tool for really understanding the finer points of whatever your kids are dealing with. You can share this with the psychiatrist, of course. But it involves several HOURS of testing, which obviously cannot be done in a 30 or 60 minute office visit. If you check with your local Children's Hospital, you can probably get info on someone in the area who is qualified to conduct such and evaluation. My particular insurance plan covered the testing 100% for my difficult child 2 last year (we have Anthem/BC PPO). Just wanted to say also that someone who struggles with anxiety can have it manifest in different ways. Defiance can be a response to anxiety over transitions, as can meltdowns or sensory overload. I get both kinds of behaviors from my difficult child 1 -- if he's unmedicated, we get defiance. When he was younger and unmedicated, we got meltdowns. I think both are sort of maladaptive attempts at protecting themselves from a perceived threat. The key is figuring out exactly what's going on so you know how best to treat (medications, therapy, or both). Sometimes it's best not to hang your hat on any one particular label or diagnosis until you go through a thorough diagnostic battery. And even then, sometimes kids change and the diagnosis can change. [/QUOTE]
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