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<blockquote data-quote="susiestar" data-source="post: 469839" data-attributes="member: 1233"><p>i agree that there are signs of Autism Spectrum Disorders (ASD) and there are definitely signs of significant sensory issues. Sensory issues need to be evaluated by a private Occupational Therapist (OT). Often school can help with treatment, but a school evaluation just doesn't have the scope that a private evaluation has. School evaluation covers ways the problems impact his life at school and a private evaluation covers ways the problems impact his entire life. Sensory problems are often a HUGE piece of the puzzle and helping them can have a HUGE impact on the other issues. I have a lot of sensory problems and quirks myself. When the sensory problems are acting up, everything else that might go "wrong" is 10,000 times more of a problem for me. I am FAR more explosive, angry, unhappy with every single thing, and mostly I am UNABLE to pull my brain/attention/whatever you call it away from the sensory problem I am experiencing. Treating the sensory issues makes everything else far easier to handle.</p><p></p><p>It is VERY common to have comorbid disorders (more than one diagnosis). If bipolar is even suspected, it MUST be the FIRST problem that medications address. Why? The medications for MANY other problems can CAUSE mood cycling if you are bipolar. You cannot effectively treat the other problems if the moods are not stable, and because the medications to help other problems cause moods to be more unstable, you have to treat the bipolar first or rule it out totally.</p><p></p><p>I strongly encourage a full evaluation by a neuropsychologist. You can usually find one at a Children's hospital or major teaching hospital. Here they are always part of the neurology dept. If you cannot find one any other way, look up ALL the pediatrician neurologists in your area and call every one until you have the names of some neuropsychologists. You can ask the office staff if they know the name of a neuropsychologist - usually they will tell you.</p><p></p><p>I still feel strongly that you need to read The Bipolar Child by Papalous asap. Then you need to discuss it with the psychiatrist and push him to try mood stabilizers. R can still have Autism Spectrum Disorders (ASD), but all the interventions/supports in the world won't help until his moods are stable.</p></blockquote><p></p>
[QUOTE="susiestar, post: 469839, member: 1233"] i agree that there are signs of Autism Spectrum Disorders (ASD) and there are definitely signs of significant sensory issues. Sensory issues need to be evaluated by a private Occupational Therapist (OT). Often school can help with treatment, but a school evaluation just doesn't have the scope that a private evaluation has. School evaluation covers ways the problems impact his life at school and a private evaluation covers ways the problems impact his entire life. Sensory problems are often a HUGE piece of the puzzle and helping them can have a HUGE impact on the other issues. I have a lot of sensory problems and quirks myself. When the sensory problems are acting up, everything else that might go "wrong" is 10,000 times more of a problem for me. I am FAR more explosive, angry, unhappy with every single thing, and mostly I am UNABLE to pull my brain/attention/whatever you call it away from the sensory problem I am experiencing. Treating the sensory issues makes everything else far easier to handle. It is VERY common to have comorbid disorders (more than one diagnosis). If bipolar is even suspected, it MUST be the FIRST problem that medications address. Why? The medications for MANY other problems can CAUSE mood cycling if you are bipolar. You cannot effectively treat the other problems if the moods are not stable, and because the medications to help other problems cause moods to be more unstable, you have to treat the bipolar first or rule it out totally. I strongly encourage a full evaluation by a neuropsychologist. You can usually find one at a Children's hospital or major teaching hospital. Here they are always part of the neurology dept. If you cannot find one any other way, look up ALL the pediatrician neurologists in your area and call every one until you have the names of some neuropsychologists. You can ask the office staff if they know the name of a neuropsychologist - usually they will tell you. I still feel strongly that you need to read The Bipolar Child by Papalous asap. Then you need to discuss it with the psychiatrist and push him to try mood stabilizers. R can still have Autism Spectrum Disorders (ASD), but all the interventions/supports in the world won't help until his moods are stable. [/QUOTE]
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