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I just want to tell you what a terrible mother i am - long
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<blockquote data-quote="Marguerite" data-source="post: 292962" data-attributes="member: 1991"><p>Clarifying the labels but for an Aussie situation - </p><p></p><p>The "therapist" "psychiatrist" thing is a bit tricky for kids in Australia. A lot of our kids see a pediatrician until they're up to 25 years old. You can also get a child psychiatrist, but either-or. It depends on the local specialists and what they specialise in. The psychiatrists can keep teir patients while the pediaitricians have to refer them on at 25. Our pediatrician was taking time off to do further study so he could add psychiatry to his qualifications but found it too awkward and dropped it. So he's had to refer difficult child 1 on to a psychiatrist, someone he refers so many oter patients to that this psychiatrist 'specialises' in ADHD and autism.</p><p></p><p>Meanwhile difficult child 3, even though he's only 15, is now on the books of a leading psychiatrist who specialises in autism, thanks to our conneciton through the research project. We still see the pediatrician for ADHD medications but maybe when difficult child 3 turns 25 we'll be able to switch to this psychiatry professor.</p><p></p><p>So I used the term "psychiatrist" to mean the medical specialist who prescribes te medications,' and "therapist" for the psychologist who is doing the counselling or CBT. I strongly recommend CBT for your son if you can get him to go - it can help a lot with inertia, with anxiety or anger or other issues. My mother in law is very down on tdocs of all kinds because she's a former nurse back when the mental health system was full of quacks who talked a lot and did little of use, certainly compared to the profession today. But I've explained about CBT to her and she likes it, doesn't consider it to be the same as the "quacks" she was always very wary of.</p><p></p><p>The treating doctor who prescribed the antibiotics, the antidepressants, orders the blood tests and looks afgter the sniffles, the sprained ankles etc - that's the GP.</p><p></p><p>Group homes in Australia - I'm not sure we have anything really suitable in this case. But don't quote me, I could be wrong. It's a bit like Residential Treatment Center (RTC) - not something I've heard of here either, but again, I could be wrong. Certainly it's not commonly available.</p><p></p><p>When it comes to really difficult kids with challenging or dangerous behaviours - NOT easy. However, a family we know with a Prader-Willi kid who needs constant supervision (24/7) because he's self-harming - that boy is in an out of home living arrangement which sounds a lot like Residential Treatment Center (RTC) in a lot of ways. The mother just couldn't watch him closely enough, she had to sleep sometimes!</p><p></p><p>Trish, try giving him a written list and at the same time an incentive for doing the job(s) properly. Try to link the incentive to the job so he can see cause and effect.</p><p></p><p>I would also see if you can get ALL his past reports looked at by his treating specialist to see if you can get a coordinated approach, some way of saying, "Yes he has this, but not that," so you have a better idea in your own mind of how to manage him. For example, if he has schizophrenia you would handle his refusal differently, to if he has Pervasive Developmental Disorder (PDD). The inner reasons for refusal are different and need a different approach. The suggestions I gave you are what worked for us with Pervasive Developmental Disorder (PDD). It would be interesting to see if it worked for you.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 292962, member: 1991"] Clarifying the labels but for an Aussie situation - The "therapist" "psychiatrist" thing is a bit tricky for kids in Australia. A lot of our kids see a pediatrician until they're up to 25 years old. You can also get a child psychiatrist, but either-or. It depends on the local specialists and what they specialise in. The psychiatrists can keep teir patients while the pediaitricians have to refer them on at 25. Our pediatrician was taking time off to do further study so he could add psychiatry to his qualifications but found it too awkward and dropped it. So he's had to refer difficult child 1 on to a psychiatrist, someone he refers so many oter patients to that this psychiatrist 'specialises' in ADHD and autism. Meanwhile difficult child 3, even though he's only 15, is now on the books of a leading psychiatrist who specialises in autism, thanks to our conneciton through the research project. We still see the pediatrician for ADHD medications but maybe when difficult child 3 turns 25 we'll be able to switch to this psychiatry professor. So I used the term "psychiatrist" to mean the medical specialist who prescribes te medications,' and "therapist" for the psychologist who is doing the counselling or CBT. I strongly recommend CBT for your son if you can get him to go - it can help a lot with inertia, with anxiety or anger or other issues. My mother in law is very down on tdocs of all kinds because she's a former nurse back when the mental health system was full of quacks who talked a lot and did little of use, certainly compared to the profession today. But I've explained about CBT to her and she likes it, doesn't consider it to be the same as the "quacks" she was always very wary of. The treating doctor who prescribed the antibiotics, the antidepressants, orders the blood tests and looks afgter the sniffles, the sprained ankles etc - that's the GP. Group homes in Australia - I'm not sure we have anything really suitable in this case. But don't quote me, I could be wrong. It's a bit like Residential Treatment Center (RTC) - not something I've heard of here either, but again, I could be wrong. Certainly it's not commonly available. When it comes to really difficult kids with challenging or dangerous behaviours - NOT easy. However, a family we know with a Prader-Willi kid who needs constant supervision (24/7) because he's self-harming - that boy is in an out of home living arrangement which sounds a lot like Residential Treatment Center (RTC) in a lot of ways. The mother just couldn't watch him closely enough, she had to sleep sometimes! Trish, try giving him a written list and at the same time an incentive for doing the job(s) properly. Try to link the incentive to the job so he can see cause and effect. I would also see if you can get ALL his past reports looked at by his treating specialist to see if you can get a coordinated approach, some way of saying, "Yes he has this, but not that," so you have a better idea in your own mind of how to manage him. For example, if he has schizophrenia you would handle his refusal differently, to if he has Pervasive Developmental Disorder (PDD). The inner reasons for refusal are different and need a different approach. The suggestions I gave you are what worked for us with Pervasive Developmental Disorder (PDD). It would be interesting to see if it worked for you. Marg [/QUOTE]
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