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<blockquote data-quote="carissa" data-source="post: 265150" data-attributes="member: 7253"><p>It's very helpful to have differentiation between explosive and oppositional behaviors.</p><p></p><p>We sought help from a family psychiatric when my son was 18months. Saw her off and on. She suggested sensory processing disorder from our descriptions of our son and his getting kicked out of preschool at 2.5 years old - tactile sensitivity, proprioceptive sensory seeking. </p><p></p><p>My son was evaluated by the school district at 3 - qualified for social/emotional delays (very, very below avg) and maybe a bit delayed by the Occupational Therapist (OT) for sensory but above avg for verbal and cognitive and avg for fine/gross motor. At 3.3 yrs, per Children's hospital psychiatric evaluation diagnosed as Disruptive Behavior Disorder - not otherwise specified. We went to PCIT - parent-child interaction therapy for .....8 months (should have been 16 weeks). They said " you have a hard case. this basically works for everyone else". We have procedures in place for timeouts, etc (don't work) and lots of positive reinforcement (which i see the benefits of).</p><p></p><p>Here we are. I'm really feeling my son needs some psychiatric help that we can't give him. He's super aggressive. Always has been. But everyone I've talked to says he is too young for one-on-one therapy And the enormous problem we face is safety issues with his interactions with our 18 month old daughter. example: he pushed her high chair over today!!!! And very regularly hits her, etc.</p><p></p><p>We are seeing a psychiatrist. He basically only counsels for medication. My son is on Concerta (18 mg), Tenex 5mg 2x a day, and Omega3. Have also tried Adderall, clonidine, ritalin. And are strongly considering risperdal. We've also tested for food allergies.</p><p></p><p>My son does well is school. Struggles with boredom ( he is very bright) and when others are in his space. At home, he struggles with jealousy, transitions, boredom.</p><p></p><p>What do we do with a child who shows no remorse for injuring his sister? The Concerta really helps with the impulsivity, but my son is still very irritable, angry, unhappy, etc. The safety issues are very disturbing and unbearable. I can't leave the room to pee.</p><p></p><p>Essentially I'm wondering what to do with a young child who is very oppositional, seems to have some anxieties (that professionals don't really acknowledge) and is a danger to his sister. I'm very concerned psychologically. Even on medications, he gets in trouble fairly regularly, is volatile, and discipline involves very physical interactions - he kicks, hits, bites,etc when getting put in time out (60% of the time).</p><p></p><p></p><p>I'm sure this isn't clear as it is getting late. What am I not explaining clearly? I'd love any input, love, help, etc. I feel like we are failing our son. And ultimately our daughter as well</p><p></p><p>Thanks!!!</p></blockquote><p></p>
[QUOTE="carissa, post: 265150, member: 7253"] It's very helpful to have differentiation between explosive and oppositional behaviors. We sought help from a family psychiatric when my son was 18months. Saw her off and on. She suggested sensory processing disorder from our descriptions of our son and his getting kicked out of preschool at 2.5 years old - tactile sensitivity, proprioceptive sensory seeking. My son was evaluated by the school district at 3 - qualified for social/emotional delays (very, very below avg) and maybe a bit delayed by the Occupational Therapist (OT) for sensory but above avg for verbal and cognitive and avg for fine/gross motor. At 3.3 yrs, per Children's hospital psychiatric evaluation diagnosed as Disruptive Behavior Disorder - not otherwise specified. We went to PCIT - parent-child interaction therapy for .....8 months (should have been 16 weeks). They said " you have a hard case. this basically works for everyone else". We have procedures in place for timeouts, etc (don't work) and lots of positive reinforcement (which i see the benefits of). Here we are. I'm really feeling my son needs some psychiatric help that we can't give him. He's super aggressive. Always has been. But everyone I've talked to says he is too young for one-on-one therapy And the enormous problem we face is safety issues with his interactions with our 18 month old daughter. example: he pushed her high chair over today!!!! And very regularly hits her, etc. We are seeing a psychiatrist. He basically only counsels for medication. My son is on Concerta (18 mg), Tenex 5mg 2x a day, and Omega3. Have also tried Adderall, clonidine, ritalin. And are strongly considering risperdal. We've also tested for food allergies. My son does well is school. Struggles with boredom ( he is very bright) and when others are in his space. At home, he struggles with jealousy, transitions, boredom. What do we do with a child who shows no remorse for injuring his sister? The Concerta really helps with the impulsivity, but my son is still very irritable, angry, unhappy, etc. The safety issues are very disturbing and unbearable. I can't leave the room to pee. Essentially I'm wondering what to do with a young child who is very oppositional, seems to have some anxieties (that professionals don't really acknowledge) and is a danger to his sister. I'm very concerned psychologically. Even on medications, he gets in trouble fairly regularly, is volatile, and discipline involves very physical interactions - he kicks, hits, bites,etc when getting put in time out (60% of the time). I'm sure this isn't clear as it is getting late. What am I not explaining clearly? I'd love any input, love, help, etc. I feel like we are failing our son. And ultimately our daughter as well Thanks!!! [/QUOTE]
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