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Help with defiant 13-yr-old daughter
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<blockquote data-quote="FredGeorge" data-source="post: 604304" data-attributes="member: 12301"><p>Thanks so much for the quick replies--I really appreciate your thoughtful answers. I will be making an appointment with our regular child psychiatrist in the next week or two to let him know what's going on, since she's still taking Intuniv on a trial basis, and I will ask him for some referrals for a possible neuropsychologist evaluation. The reason we've never done a full Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE) evaluation or tried to get a diagnosis is that the birth mom, who we're still in touch with, denies to this day that she drank while pregnant. She has some mild to moderate MR, as does the birth dad. We know there is some degree of Fetal Alcohol Effects (FAE), simply because of some of the facial features of difficult child 1 and difficult child 2. The other reason we've never worried about getting an official diagnosis is because you're still left dealing with "what is." I learned long ago not to find security in a diagnosis--in the mechanical sense (as in "you're not getting enough gas to the engine? The computer says you need a new fuel pump--problem solved."), which is why I thought your comments about ODD were probably right.</p><p></p><p>And, it's not that she has no conscience or lacks the ability to empathize--which we're very grateful for. Nor does she show any obvious signs of an attachment disorder. It's just that she is incredibly mercurial in her temperament. She holds it in at school, then lets it out at home. It's almost (<em>almost</em>) comical when you consider the combination of a sensory-seeking younger brother and her ("HE'S POKING ME AGAIN!! AAIIIGHHH!!).</p><p></p><p>Anyway, thanks for the input. I'll try to keep you posted on what we learn as we continue to pursue this.</p><p>_____________________________________________________________________</p><p><span style="color: #0000ff">Me: 53-yr-old adoptive dad</span></p><p> <span style="color: #0000ff">wife: 56-yr-old adoptive mom</span></p><p> <span style="color: #0000ff">difficult child 1: 15, with ADHD and impulse issues, taking Vyvanse and Abilify</span></p><p> <span style="color: #0000ff">difficult child 2: 13, with ADHD, impulse and outburst issues, taking Vyvanse and Intuniv</span></p><p> <span style="color: #0000ff">difficult child 3: 9, with ADHD and sensory integration issues, taking Vyvanse, Zoloft, and Risperdal</span></p><p> <span style="color: #0000ff">difficult child 4: 9, with ADHD and Down Syndrome, taking Vyvanse</span><p style="text-align: left"><span style="color: #000000"></span></p> <p style="text-align: left"><span style="color: #000000">Read more: <a href="http://www.conductdisorders.com/forum/f6/help-defiant-13-yr-old-daughter-54894/#ixzz2biZmZsvQ" target="_blank">http://www.conductdisorders.com/forum/f6/help-defiant-13-yr-old-daughter-54894/#ixzz2biZmZsvQ</a></span></p> <p style="text-align: left"><span style="color: #000000"></span></p></blockquote><p></p>
[QUOTE="FredGeorge, post: 604304, member: 12301"] Thanks so much for the quick replies--I really appreciate your thoughtful answers. I will be making an appointment with our regular child psychiatrist in the next week or two to let him know what's going on, since she's still taking Intuniv on a trial basis, and I will ask him for some referrals for a possible neuropsychologist evaluation. The reason we've never done a full Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE) evaluation or tried to get a diagnosis is that the birth mom, who we're still in touch with, denies to this day that she drank while pregnant. She has some mild to moderate MR, as does the birth dad. We know there is some degree of Fetal Alcohol Effects (FAE), simply because of some of the facial features of difficult child 1 and difficult child 2. The other reason we've never worried about getting an official diagnosis is because you're still left dealing with "what is." I learned long ago not to find security in a diagnosis--in the mechanical sense (as in "you're not getting enough gas to the engine? The computer says you need a new fuel pump--problem solved."), which is why I thought your comments about ODD were probably right. And, it's not that she has no conscience or lacks the ability to empathize--which we're very grateful for. Nor does she show any obvious signs of an attachment disorder. It's just that she is incredibly mercurial in her temperament. She holds it in at school, then lets it out at home. It's almost ([I]almost[/I]) comical when you consider the combination of a sensory-seeking younger brother and her ("HE'S POKING ME AGAIN!! AAIIIGHHH!!). Anyway, thanks for the input. I'll try to keep you posted on what we learn as we continue to pursue this. _____________________________________________________________________ [COLOR=#0000ff]Me: 53-yr-old adoptive dad wife: 56-yr-old adoptive mom difficult child 1: 15, with ADHD and impulse issues, taking Vyvanse and Abilify difficult child 2: 13, with ADHD, impulse and outburst issues, taking Vyvanse and Intuniv difficult child 3: 9, with ADHD and sensory integration issues, taking Vyvanse, Zoloft, and Risperdal difficult child 4: 9, with ADHD and Down Syndrome, taking Vyvanse[/COLOR][LEFT][COLOR=#000000] Read more: [URL]http://www.conductdisorders.com/forum/f6/help-defiant-13-yr-old-daughter-54894/#ixzz2biZmZsvQ[/URL] [/COLOR][/LEFT] [/QUOTE]
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