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<blockquote data-quote="susiestar" data-source="post: 706515" data-attributes="member: 1233"><p>MANY psychiatrists miss autism spectrum disorders/aspergers. Even after my son was diagnosed and we could see how PERFECTLY the diagnosis fit him, every time we saw a new psychiatrist due to insurance or whatever, the new psychiatrist wanted to start with all new diagnosis even if things were going very well. It was like they wanted to reinvent the wheel each time and it drove me crazy. </p><p></p><p>For an accurate autism or aspergers (they changed the names a couple of years ago, but I haven't had a reason to keep up, sorry), a developmental pediatrician or autism specialist would be your best bet. A psychiatrist is NOT the best to diagnose autism, in my opinion. They just don't have the training in it. </p><p></p><p>Push the psychiatrist for the DNA test. It really is the most reliable way to find out what medications are the best way to handle his depression. Even though you had bad luck with a couple of SSRI/SNRI antidepressants, that is such a small sample of that type of antidepressant that you have barely scratched the surface. The test will tell you which type is most likely to work for him. Insurance usually pays for it and it IS a reliable test. A few docs still tell patients that it isn't, but that is just backwards thinking. </p><p></p><p>Your son could be like mine. My son really struggled for years. It wasn't until he was on an SSRI antidepressant, on strattera for his adhd (which is also an antidepressant that just happens to work on adhd better than as a primary antidepressant) and then he was put on trazodone for sleep that it all fell into place. For some reason insomnia runs in my family very bad. My grandmother slept maybe 4 hours a night. I do the same without medications and so does my father. Sadly my son got this same thing. You need sleep to function well. Trazodone is an older tricyclic antidepressant that pretty much sedates you. It takes all 3 of these medications working together to handle his depression. It may take something similar for your son. The DNA test will take away a LONG period of trial and error, and MANY awful side effects from medications that don't work for your son. Please insist that the doctor do the test. It truly is THAT helpful and important.</p></blockquote><p></p>
[QUOTE="susiestar, post: 706515, member: 1233"] MANY psychiatrists miss autism spectrum disorders/aspergers. Even after my son was diagnosed and we could see how PERFECTLY the diagnosis fit him, every time we saw a new psychiatrist due to insurance or whatever, the new psychiatrist wanted to start with all new diagnosis even if things were going very well. It was like they wanted to reinvent the wheel each time and it drove me crazy. For an accurate autism or aspergers (they changed the names a couple of years ago, but I haven't had a reason to keep up, sorry), a developmental pediatrician or autism specialist would be your best bet. A psychiatrist is NOT the best to diagnose autism, in my opinion. They just don't have the training in it. Push the psychiatrist for the DNA test. It really is the most reliable way to find out what medications are the best way to handle his depression. Even though you had bad luck with a couple of SSRI/SNRI antidepressants, that is such a small sample of that type of antidepressant that you have barely scratched the surface. The test will tell you which type is most likely to work for him. Insurance usually pays for it and it IS a reliable test. A few docs still tell patients that it isn't, but that is just backwards thinking. Your son could be like mine. My son really struggled for years. It wasn't until he was on an SSRI antidepressant, on strattera for his adhd (which is also an antidepressant that just happens to work on adhd better than as a primary antidepressant) and then he was put on trazodone for sleep that it all fell into place. For some reason insomnia runs in my family very bad. My grandmother slept maybe 4 hours a night. I do the same without medications and so does my father. Sadly my son got this same thing. You need sleep to function well. Trazodone is an older tricyclic antidepressant that pretty much sedates you. It takes all 3 of these medications working together to handle his depression. It may take something similar for your son. The DNA test will take away a LONG period of trial and error, and MANY awful side effects from medications that don't work for your son. Please insist that the doctor do the test. It truly is THAT helpful and important. [/QUOTE]
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