What an interesting appointment. We went to the neuropsychologist Fri. It took place at a satellite facility connected with-a very lge, well-known children's hospital. I had filled out several surveys, as had difficult child's teacher, and incl. the psychiatric-social testing we'd had done 2 yrs ago. The dr. was very focused, very interesting. Short version: he said difficult child is not an aspie. Long version: It was a "regular" appointment in re: to blood pressure, ht, wt, etc. Then the dr came in and asked difficult child a slew of questions. The first Q was a "normal" statement. "So, tell me about yourself." difficult child shrugs his shoulders, looks around the rm... this goes on until I can't stand it and I say, "What school do you go to?" Dr. puts up his hand and says, "No prompting, Mom." difficult child finally started to talk. It was like pulling teeth. But one reason I agree with-the neuro psychiatric in re: to difficult child not being an aspie is that I know when you ask an aspie why someone is their friend, they'll typically say something like, "Because he carries my books." difficult child said, "My friends are nice. We play baseball and video games. And we all hate to sing." My eyebrows shot up when he said that. It was so obviously not an aspie answer. (by the way, I know a 17-yr-old aspie who will give a "normal, social" answer to that Q but he's been coached and trained for yrs and he has come a long way. He's got the accent and the clumsiness, too.) After he finished "interviewing" difficult child, the dr had difficult child leave the rm and then he asked me to concur--or not--with-the answers. Most everything difficult child said was very accurate. It was funny because the questions were just regular questions to an untrained observer. But in this situation, I could see the dr. watching difficult child's facial expressions, eye contact, pauses, hand movements, etc. and how the dr had to prod difficult child to use long sentences. At one point, during a "regular" physical exam of the neck, shoulders, lymphs, stomach, etc, the dr asked difficult child "If you could have any 3 wishes in the whole world, what would you want?" difficult child said, "Nothing." WHAT? difficult child has always showed a lack of imagination combined with-inhibition and shyness in an unfamiliar situation. He will more willingly choose from concrete activities or items set in front of him. "Nonspecific" is the word that the neuropsychologist repeated several times. I kind of feel like I'm back at square 1. But he did rule out Asperger's so at least that's one step. He also said that Concerta now comes in a skin patch and that would eliminate the pill swallowing problem we've been dealing with. Problem is, even though it's related to Adderal, it's not identical and I'm hesitant to experiment when Adderal works so unbelievably well. The dr. told me he thinks difficult child's behavior at this point is all ADHD, with-ODD, with-developmental delays. The lack of eye contact he said is difficult child looking at everything around the room, rather than looking away that Aspies do. difficult child craves a high level of stimulation (despite the fact it makes him crazy). Uh, yeah. The dr asked about hysterical laughing etc. and depression and anger (implying we may be seeing the beginning of bipolar). He asked a lot about whether difficult child's bparents used drugs. I wrote in the history that the bfather did use drugs (pot, at least) and the dr. hypothesized that it may be a response to his own ADHD. Yes, difficult child does laugh hysterically and inappropriately. Just recently, in the past yr, he has learned to chuckle at not-so-funny jokes and sarcastic remarks. That may be part of his slow development and we just have to keep working at it. Sigh. The dr referred us for language and speech devel. testing. We will meet this neuropsychologist again after we have those tests done. He said to continue seeing the child psychiatric to work on behavior modification and on the anger and transitioning issues. I really wanted to sit there for a cpl hrs and pick this guy's brains. I've read so much, but to have someone there in front of you who can read between the lines and explain the subtle differences between the behaviors is very cool. As usual, I always want more info. But at least we took this step and I understand where he was coming from. by the way, I deliberately did not give difficult child his pill that day. It's easier for the dr to see the "real" kid if his behavior isn't masked by medications. We stopped at KFC on the way to the appointment and were in a rush. I had very little cash, so deliberately chose that because they take credit cards. difficult child wanted popcorn chicken (which is fried in wheat flour) and I thought, heck, let's load him up and have him really put on a show for the dr! But after waiting in line for 15 min, we were finally told the credit card machine was down. We left with-no food. difficult child was ready for a meltdown. Uh oh. But I didn't engage him. I agreed with-him... except for his phrasing. "It's all your fault! You lied!" I said, "I can't believe they made us wait in line and we didn't get any food. You poor thing. You're a good kid and you're hungry. I am really mad at them. I am never shopping there again. Maybe we can drop off the paperwork and then pick up something to eat if they make us wait a long time at the dr's ofc." Once we got there, it was very efficient and we zoomed through everything. difficult child kept prodding me and saying I lied and he was hungry. I ignored it. No explosion. (Yes, I was aggravated and stressed out but I didn't rise to the bait.) We stopped by McDonald's on the way home and I bought him wheat-covered chicken nuggets, only after getting him to promise he would run, run, run around outside. He was not pleasant but he didn't explode, either. I am so proud of both of us.