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More ? re: Typicl vs. difficult child and ADHD vs. BiPolar (BP) vs. mood
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<blockquote data-quote="smallworld" data-source="post: 22471" data-attributes="member: 2423"><p>I've been thinking about your post today and wondering how to answer it because there are so many facets to this question.</p><p></p><p>But first, I'll start with some questions: What kind of doctor diagnosed your difficult child with ADHD? Has your difficult child ever undergone any testing (for example, neuropsychological) to determine if he truly has ADHD? The reason I ask the latter question is that we've been operating under the impression that our difficult child 1 has ADHD for the last 4 years. We've even treated him with stimulants fairly successfully (ie, stimulants seem to help him get his work done). However, recent neuropsychological testing, which included a computerized IVA test of sustained attention, indicated that he doesn't have ADHD. His inattention, difficulty with attending to schoolwork and homework, forgetfulness and disorganization are all from a mood disorder, largely anxiety and depression. My point is that sometimes symptoms can look like ADHD when they are in fact due to another disorder entirely.</p><p></p><p>I agree with Janna that explosive behaviors have nothing to do with ADHD. In fact, your husband's New Year's Eve episode sounds much more like mania associated with Bipolar Disorder than anything else. On the other hand, any hungry child, even without ADHD or a mood disorder, can experience low blood sugar and become irritable. And there is a common phenomenon called "rebound" that occurs when stimulants wear off in the afternoon. Children can become emotionally reactive or labile when stimulants leave their system. So that, too, has nothing to do with either ADHD or a mood disorder. </p><p></p><p>The wild-eyed look you describe is more consistent with either epileptal seizures or BiPolar (BP) than ADHD. For this reason, I would recommend both a neurological and a neuropsychological evaluation. You really need to know what is what so you can put the proper interventions into place.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 22471, member: 2423"] I've been thinking about your post today and wondering how to answer it because there are so many facets to this question. But first, I'll start with some questions: What kind of doctor diagnosed your difficult child with ADHD? Has your difficult child ever undergone any testing (for example, neuropsychological) to determine if he truly has ADHD? The reason I ask the latter question is that we've been operating under the impression that our difficult child 1 has ADHD for the last 4 years. We've even treated him with stimulants fairly successfully (ie, stimulants seem to help him get his work done). However, recent neuropsychological testing, which included a computerized IVA test of sustained attention, indicated that he doesn't have ADHD. His inattention, difficulty with attending to schoolwork and homework, forgetfulness and disorganization are all from a mood disorder, largely anxiety and depression. My point is that sometimes symptoms can look like ADHD when they are in fact due to another disorder entirely. I agree with Janna that explosive behaviors have nothing to do with ADHD. In fact, your husband's New Year's Eve episode sounds much more like mania associated with Bipolar Disorder than anything else. On the other hand, any hungry child, even without ADHD or a mood disorder, can experience low blood sugar and become irritable. And there is a common phenomenon called "rebound" that occurs when stimulants wear off in the afternoon. Children can become emotionally reactive or labile when stimulants leave their system. So that, too, has nothing to do with either ADHD or a mood disorder. The wild-eyed look you describe is more consistent with either epileptal seizures or BiPolar (BP) than ADHD. For this reason, I would recommend both a neurological and a neuropsychological evaluation. You really need to know what is what so you can put the proper interventions into place. Good luck. [/QUOTE]
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