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I FINALLY got the psychiatrist's report!!!
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<blockquote data-quote="klmno" data-source="post: 113482" data-attributes="member: 3699"><p>Well, your responses give me "points to ponder"- Thank you!</p><p></p><p>When I first glanced over the report, I thought it meant a lot of sudden, drastic changes. But after carefully reading it through it, it appeared to really only changed the label- at least for the short term. She recommends staying on current medication (mood stabilizer), possibly adding in an anti-depressant, for the time being. (The evaluation was done when difficult child was only on lithium- there was no doubt this wasn't sufficient so I knew something else needed to be done re. medications). Regular psychiatrist and I discussed it and decided to try depakote instead of anti-depressant first. Anyway, medications are a work in progress either way. Thursday, regular psychiatrist agreed that now since difficult child is on depakote and it seems to have helped more than lithium, we'll try (very slowly, as this is difficult child's "troubled" time of year) to decrease liithium and see if depakote alone will do it. </p><p></p><p>The "label" change I understand, kind of, because of things she said verbally while we were there. (by the way, the report was actually written by her scribe- an intern who was there taking her notes- I "pushed" them to send me whatever was in difficult child's file to get something in hand. Anyway, she felt like difficult child should have underlying issues (that "triggered" all these problems to begin with) dealt with first. Then, she said (in person), we can always go back and add "more on" later if this doesn't solve the problem. Well, I liked that and very much agree because I couldn't get anyone (tdocs, sd, etc) to even acknowledge that there were underlying issues, much less address them. And I definitely agree that if they are not addressed, difficult child will continue to self-destruct by destroying his life- whether with legal problems or self-harm. So, putting what they put in writing gives me something to show the sd and tdocs and carries much more weight than just me saying something that sounds like I'm making excuses for him. Like she said in person, if he still has conduct issues after dealing with underlying issues, that will obviously need to be dealt with, too. Right now, behavior is not the big problem so it doesn't need to be the primary focus as long as he's "maintaining". Whether or not it turns out that he's CD or BiPolar (BP) or both, I have always wanted someone to deal with the underlying issues he has (they are justifiable) but as I said, couldn't find the right situation to get that done, so now maybe I can. As far as diagnosis's- by what she said, I was left with the impression that she believes a psychiatrist can always add a diagnosis if needed, but if a diagnosis has been put out there to sd, courts, etc., it's much harder to get that label removed.</p></blockquote><p></p>
[QUOTE="klmno, post: 113482, member: 3699"] Well, your responses give me "points to ponder"- Thank you! When I first glanced over the report, I thought it meant a lot of sudden, drastic changes. But after carefully reading it through it, it appeared to really only changed the label- at least for the short term. She recommends staying on current medication (mood stabilizer), possibly adding in an anti-depressant, for the time being. (The evaluation was done when difficult child was only on lithium- there was no doubt this wasn't sufficient so I knew something else needed to be done re. medications). Regular psychiatrist and I discussed it and decided to try depakote instead of anti-depressant first. Anyway, medications are a work in progress either way. Thursday, regular psychiatrist agreed that now since difficult child is on depakote and it seems to have helped more than lithium, we'll try (very slowly, as this is difficult child's "troubled" time of year) to decrease liithium and see if depakote alone will do it. The "label" change I understand, kind of, because of things she said verbally while we were there. (by the way, the report was actually written by her scribe- an intern who was there taking her notes- I "pushed" them to send me whatever was in difficult child's file to get something in hand. Anyway, she felt like difficult child should have underlying issues (that "triggered" all these problems to begin with) dealt with first. Then, she said (in person), we can always go back and add "more on" later if this doesn't solve the problem. Well, I liked that and very much agree because I couldn't get anyone (tdocs, sd, etc) to even acknowledge that there were underlying issues, much less address them. And I definitely agree that if they are not addressed, difficult child will continue to self-destruct by destroying his life- whether with legal problems or self-harm. So, putting what they put in writing gives me something to show the sd and tdocs and carries much more weight than just me saying something that sounds like I'm making excuses for him. Like she said in person, if he still has conduct issues after dealing with underlying issues, that will obviously need to be dealt with, too. Right now, behavior is not the big problem so it doesn't need to be the primary focus as long as he's "maintaining". Whether or not it turns out that he's CD or BiPolar (BP) or both, I have always wanted someone to deal with the underlying issues he has (they are justifiable) but as I said, couldn't find the right situation to get that done, so now maybe I can. As far as diagnosis's- by what she said, I was left with the impression that she believes a psychiatrist can always add a diagnosis if needed, but if a diagnosis has been put out there to sd, courts, etc., it's much harder to get that label removed. [/QUOTE]
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I FINALLY got the psychiatrist's report!!!
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