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Need Help with a 14 Year Old who lacks Empathy/Possible Anti Social Personality/ODD !
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<blockquote data-quote="susiestar" data-source="post: 579457" data-attributes="member: 1233"><p>You need a good neuropsychologist. In order to fully evaluate someone, testing lasts six to twelve hours, broken up in several sessions. My son, at age ten, had twelve hours over four weeks wiith various professionals. We didn't have a neuropsychologist, but a developmental pediatrician. This dev pediatrician didn't do all the testing himself. His office had many different psychologists/psychometrists and 2 dev peds. A psychometrist is someone with graduate school training in how to admin and interpret psychological tests. After every member on his team had tested him (each of the dev peds had a team they worked with, both teams had the same type of professionals), and had a week to go over all the results, the team came together in what they called 'staffing' (no clue why they used that name) and they spent several hours discussing what they saw in their testing, and what they saw in the results and reports they had read, and in what was in the file they had me fill out. Then they set a diagnosis and a course of treatment to start with.</p><p></p><p>Around here that is called a multidsciplinary evaluation and it can be as helpful as a good neuropsychologist evaluation. You often find this type of evaluation (multi disc) at large children's hospitals. we just lucked out and that is what the doctor we found when we moved to htis state did as his normal routine way of handling new patients.</p><p></p><p>A good neuropsychologist probably does many of the same tests, and then gives the same kind of report to you and the dr who did the referral. THey tend to leave treatment to the referring dr or another psychologist/psychiatrist. Or that is what I have heard. </p><p></p><p>How is your son with animals? Does he like to set fires? I am not as convinced this is asperger's, but it could have an aspie twist/flavor. My difficult child was good at one behavior with one person/set of people, and another with other people, but he could not very well change his behavior/attitude toward one group if they were with the other. He would not have been able to pull of 'perfect son' in public around his peers or teachers or whatever group. the attitude toward us, and the violence, were usually there regardless of who was around. </p><p></p><p>I don't have any real clue what is going on with him. I really hope and pray that you can figure it out. I am not sure there is any effective way to teach empathy though. I truly hope you have your other children ALL in therapy to teach them to cope with him and what he says to them. His belittling is sibling abuse, and is just as much abuse as if he beat them up daily. They ALL, even the ones who seem to handle it well, NEED therapy in a major way.</p></blockquote><p></p>
[QUOTE="susiestar, post: 579457, member: 1233"] You need a good neuropsychologist. In order to fully evaluate someone, testing lasts six to twelve hours, broken up in several sessions. My son, at age ten, had twelve hours over four weeks wiith various professionals. We didn't have a neuropsychologist, but a developmental pediatrician. This dev pediatrician didn't do all the testing himself. His office had many different psychologists/psychometrists and 2 dev peds. A psychometrist is someone with graduate school training in how to admin and interpret psychological tests. After every member on his team had tested him (each of the dev peds had a team they worked with, both teams had the same type of professionals), and had a week to go over all the results, the team came together in what they called 'staffing' (no clue why they used that name) and they spent several hours discussing what they saw in their testing, and what they saw in the results and reports they had read, and in what was in the file they had me fill out. Then they set a diagnosis and a course of treatment to start with. Around here that is called a multidsciplinary evaluation and it can be as helpful as a good neuropsychologist evaluation. You often find this type of evaluation (multi disc) at large children's hospitals. we just lucked out and that is what the doctor we found when we moved to htis state did as his normal routine way of handling new patients. A good neuropsychologist probably does many of the same tests, and then gives the same kind of report to you and the dr who did the referral. THey tend to leave treatment to the referring dr or another psychologist/psychiatrist. Or that is what I have heard. How is your son with animals? Does he like to set fires? I am not as convinced this is asperger's, but it could have an aspie twist/flavor. My difficult child was good at one behavior with one person/set of people, and another with other people, but he could not very well change his behavior/attitude toward one group if they were with the other. He would not have been able to pull of 'perfect son' in public around his peers or teachers or whatever group. the attitude toward us, and the violence, were usually there regardless of who was around. I don't have any real clue what is going on with him. I really hope and pray that you can figure it out. I am not sure there is any effective way to teach empathy though. I truly hope you have your other children ALL in therapy to teach them to cope with him and what he says to them. His belittling is sibling abuse, and is just as much abuse as if he beat them up daily. They ALL, even the ones who seem to handle it well, NEED therapy in a major way. [/QUOTE]
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