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First appointment and frustrated
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<blockquote data-quote="smallworld" data-source="post: 319673" data-attributes="member: 2423"><p>First, welcome. I'm glad you found us.</p><p> </p><p>Second, I think it's great that you found a psychiatrist (psychiatrist) who's willing to look into physical causes before pulling out the prescription pad and writing out orders for medications. You need to know 1) what condition you're medicating and 2) whether your child has an underlying condition that would preclude certain medications.</p><p> </p><p>Is the psychiatrist ordering an EKG (for the heart) or EEG (for the brain)? Generally, kids aren't sedated for EKGs, but perhaps it's necessary given how active your son is?</p><p> </p><p>I also have some other questions:</p><p>Does the psychiatrist agree with the diagnoses of ADD and ODD?</p><p>Has your son ever undergone neuropsychological testing?</p><p>How does your son do in school, both academically and with peers?</p><p>Any sensory issues (for example, sensitivity to clothing tags, loud noises, food textures)?</p><p>Any speech or developmental delays?</p><p>Any mental health or substance abuse issues in the family tree?</p><p> </p><p>You should be aware of two things:</p><p>First, ODD is not a helpful diagnosis. It is generally a description of behaviors for which there is an underlying cause. When the underlying cause is identified and treated, the oppositional behaviors typically improve.</p><p> </p><p>Second, tics should be evaluated by a neurologist. True tics are often part of Tourettes Syndrome. They are frequently made worse by the stimulants prescribed for ADHD. Sometimes tics are mistaken for stims performed by children who are on the Autistic spectrum. So again, it's wise to have the movements evaluated by a professional who can tell you what exactly they are.</p><p> </p><p>In the meantime, you might want to grab a copy of The Explosive Child by Ross Greene. It has helped many of us here parent our extra-challenging children.</p><p> </p><p>Again, welcome.</p></blockquote><p></p>
[QUOTE="smallworld, post: 319673, member: 2423"] First, welcome. I'm glad you found us. Second, I think it's great that you found a psychiatrist (psychiatrist) who's willing to look into physical causes before pulling out the prescription pad and writing out orders for medications. You need to know 1) what condition you're medicating and 2) whether your child has an underlying condition that would preclude certain medications. Is the psychiatrist ordering an EKG (for the heart) or EEG (for the brain)? Generally, kids aren't sedated for EKGs, but perhaps it's necessary given how active your son is? I also have some other questions: Does the psychiatrist agree with the diagnoses of ADD and ODD? Has your son ever undergone neuropsychological testing? How does your son do in school, both academically and with peers? Any sensory issues (for example, sensitivity to clothing tags, loud noises, food textures)? Any speech or developmental delays? Any mental health or substance abuse issues in the family tree? You should be aware of two things: First, ODD is not a helpful diagnosis. It is generally a description of behaviors for which there is an underlying cause. When the underlying cause is identified and treated, the oppositional behaviors typically improve. Second, tics should be evaluated by a neurologist. True tics are often part of Tourettes Syndrome. They are frequently made worse by the stimulants prescribed for ADHD. Sometimes tics are mistaken for stims performed by children who are on the Autistic spectrum. So again, it's wise to have the movements evaluated by a professional who can tell you what exactly they are. In the meantime, you might want to grab a copy of The Explosive Child by Ross Greene. It has helped many of us here parent our extra-challenging children. Again, welcome. [/QUOTE]
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