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General Parenting
Intro by Grandmaw Cunningham
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<blockquote data-quote="susiestar" data-source="post: 287942" data-attributes="member: 1233"><p>Welcome Grandmaw!!! We are so glad you joined us, but sorry you need us. You have a lucky grandchild and children to have you helping them.</p><p></p><p>Your grandchild needs the multidisciplinary evaluation or an evaluation with a neuropsychologist (psychologist with extra training in how the brain effects behavior). The neuropsychologist will typically do several sessions lasting a couple of hours each to test your child in many ways. They often can pinpoint the exact problem FAR better than a pediatrician or psychiatrist can.</p><p></p><p>Did you son have the pediatrician evaluate him, or did he take him to a psychiatrist (psychiatrist)? It MUST be a Board Certified Child and Adolescent psychiatrist. Adult psychiatrists have very few skills at diagnosing children. Period. The good ones won't even see kids or teens because they KNOW they can't do a good job at it.</p><p></p><p>Your son may also want to seek out a developmental pediatrician. They can be VERY helpful. Hard to find sometimes, but worth the effort. The only way we could get the multidisciplinary evaluation was lucking into a great dev pediatrician who did that for EVERY child his practice sees. He has about 10 specialists, with different areas of expertise, and they each test the child, then they sit around a big table and talk about the results to get a diagnosis and just the right therapy suggestions.</p><p></p><p>You need to get a copy of the book "The Bipolar Child" by Papalous. It is heavensent if your grandchild is bipolar. It talks about the RIGHT way to start medications if the child has bipolar or even mood disorder not otherwise specified (Often used by docs who don't want to formally say bipolar though it seems likely). Some think bipolar diagnosis's "stigmatize" kids, when in my experience having that diagnosis (or whatever the true diagnosis -or name of the problem) opens doors to the RIGHT therapies for the child and family. </p><p></p><p>Either way, there are medicines to avoid. Stimulants and antidepressants will BOTH lead to increased mood cycling. Many people with bipolar need two mood stabilizers AND an atypical antipsychotic (reduces aggression and violent behavior, also can help impulsivity) before their moods become stable. Only AFTER they are stable will therapy of ANY kind be helpful. They just won't process it. Often most of the problems disappear or become far less intense as the mood becomes stable.</p><p></p><p>The book will help you with that. It also describes how he is thinking, which will be helpful to you.</p><p></p><p>I also strongly recommend "The Explosive Child" by Ross Greene. He has another book out about how to handle the explosions your child has, but I don't know the title. TEC will help you understand how your child thinks and how to handle his explosions. Many of us have found it to be invaluable.</p><p></p><p>If you buy any of the books online, you can help support the site by going to amazon.com through the link on the side of the page here just under the search key! It does NOT change the price of the book, but the site gets a commission for the sale.</p><p></p><p>Anyway, welcome!!!</p></blockquote><p></p>
[QUOTE="susiestar, post: 287942, member: 1233"] Welcome Grandmaw!!! We are so glad you joined us, but sorry you need us. You have a lucky grandchild and children to have you helping them. Your grandchild needs the multidisciplinary evaluation or an evaluation with a neuropsychologist (psychologist with extra training in how the brain effects behavior). The neuropsychologist will typically do several sessions lasting a couple of hours each to test your child in many ways. They often can pinpoint the exact problem FAR better than a pediatrician or psychiatrist can. Did you son have the pediatrician evaluate him, or did he take him to a psychiatrist (psychiatrist)? It MUST be a Board Certified Child and Adolescent psychiatrist. Adult psychiatrists have very few skills at diagnosing children. Period. The good ones won't even see kids or teens because they KNOW they can't do a good job at it. Your son may also want to seek out a developmental pediatrician. They can be VERY helpful. Hard to find sometimes, but worth the effort. The only way we could get the multidisciplinary evaluation was lucking into a great dev pediatrician who did that for EVERY child his practice sees. He has about 10 specialists, with different areas of expertise, and they each test the child, then they sit around a big table and talk about the results to get a diagnosis and just the right therapy suggestions. You need to get a copy of the book "The Bipolar Child" by Papalous. It is heavensent if your grandchild is bipolar. It talks about the RIGHT way to start medications if the child has bipolar or even mood disorder not otherwise specified (Often used by docs who don't want to formally say bipolar though it seems likely). Some think bipolar diagnosis's "stigmatize" kids, when in my experience having that diagnosis (or whatever the true diagnosis -or name of the problem) opens doors to the RIGHT therapies for the child and family. Either way, there are medicines to avoid. Stimulants and antidepressants will BOTH lead to increased mood cycling. Many people with bipolar need two mood stabilizers AND an atypical antipsychotic (reduces aggression and violent behavior, also can help impulsivity) before their moods become stable. Only AFTER they are stable will therapy of ANY kind be helpful. They just won't process it. Often most of the problems disappear or become far less intense as the mood becomes stable. The book will help you with that. It also describes how he is thinking, which will be helpful to you. I also strongly recommend "The Explosive Child" by Ross Greene. He has another book out about how to handle the explosions your child has, but I don't know the title. TEC will help you understand how your child thinks and how to handle his explosions. Many of us have found it to be invaluable. If you buy any of the books online, you can help support the site by going to amazon.com through the link on the side of the page here just under the search key! It does NOT change the price of the book, but the site gets a commission for the sale. Anyway, welcome!!! [/QUOTE]
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