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General Parenting
My therapist think difficult child 2 needs to see a psychiatrist
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<blockquote data-quote="smallworld" data-source="post: 55874" data-attributes="member: 2423"><p>Alison, sorry about all you're facing right now. I agree that C needs an evaluation, but I'm not sure I would limit it to a child psychiatrist. With a speech delay and sensory issues (is that why he's in Occupational Therapist (OT)?), I'd recommend an evaluation by a developmental pediatrician in addition to a child psychiatrist. He is only 3.5 years old, and it would be too bad to limit the diagnosis when it could be so many different possibilities at this point.</p><p></p><p>In terms of potty training, I would not look at his reluctance as a choice or as defiance. His reluctance may be tied to anxiety, sensory issues, difficulty transitioning or a need to have things remain the same (or all of the above). I will compare the situation to my own son, who resists taking showers (yeah -- pretty gross for a teenager). While it is common for young teen boys to resist showering (similar to some 3.5-year-olds not being potty trained), we have a lot more difficulty getting our son into the shower than parents of his easy child teen friends. J's psychiatrist explained to us that he always likes things to feel the same (part sensory, part anxiety, part difficulty transitioning). If he takes a shower, even though we think he will feel better (and smell better!), he actually feels worse because he feels different from how he felt before his shower. It is why he holds on to the same gross comforter he's had on his bed for years and why he has difficulty visiting grandparents even though he loves them (it feels different from home). This scenario may be playing out with C and his reluctance to potty train.</p><p></p><p>So I would not stress about potty training until you have thorough evaluations and know what you're facing with C. With these evaluations, you will obtain some understanding of the issues C's facing and then you can put some plans into place for appropriate interventions to help him on all fronts.</p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 55874, member: 2423"] Alison, sorry about all you're facing right now. I agree that C needs an evaluation, but I'm not sure I would limit it to a child psychiatrist. With a speech delay and sensory issues (is that why he's in Occupational Therapist (OT)?), I'd recommend an evaluation by a developmental pediatrician in addition to a child psychiatrist. He is only 3.5 years old, and it would be too bad to limit the diagnosis when it could be so many different possibilities at this point. In terms of potty training, I would not look at his reluctance as a choice or as defiance. His reluctance may be tied to anxiety, sensory issues, difficulty transitioning or a need to have things remain the same (or all of the above). I will compare the situation to my own son, who resists taking showers (yeah -- pretty gross for a teenager). While it is common for young teen boys to resist showering (similar to some 3.5-year-olds not being potty trained), we have a lot more difficulty getting our son into the shower than parents of his easy child teen friends. J's psychiatrist explained to us that he always likes things to feel the same (part sensory, part anxiety, part difficulty transitioning). If he takes a shower, even though we think he will feel better (and smell better!), he actually feels worse because he feels different from how he felt before his shower. It is why he holds on to the same gross comforter he's had on his bed for years and why he has difficulty visiting grandparents even though he loves them (it feels different from home). This scenario may be playing out with C and his reluctance to potty train. So I would not stress about potty training until you have thorough evaluations and know what you're facing with C. With these evaluations, you will obtain some understanding of the issues C's facing and then you can put some plans into place for appropriate interventions to help him on all fronts. Good luck. [/QUOTE]
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