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new heer and could use some help...
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<blockquote data-quote="InsaneCdn" data-source="post: 449930" data-attributes="member: 11791"><p>First, welcome...</p><p></p><p></p><p></p><p>There's some positives buried in what you write - but its easier to see them when you're not living in the situation. (been there done that)</p><p>Its positive that she can tell the difference on-medication vs. off-medication - it also gives you a good guideline on the effectiveness.</p><p></p><p>Its also postitive that she is better with others than at home. Usually, this means two things... first, that they have some control over their behavior, and second, that they feel safe at home. As a result, they put in the effort in public to hold things together (and are at least partially successful), but then are burned out from the effort, and so "home" gets the brunt of it. (been there done that)</p><p></p><p>The feelings that are coming out, are also positive - she's not likely "detached". And she's responsible enough to baby-sit?! WOW! That's another positive.</p><p></p><p>But there's definitely issues... and you are wise to be seeking help.</p><p></p><p>We don't have access to neuropsychologist here either... but have had success in a couple of different scenarios... one was a BSN(P) (= Degree psychiatric nurse with pediatric training) who worked out of a mixed-resource clinic - the nurses were the only full-time staff, but they had access to a string of specialists that they could bring in. These can be good at screening - and then figuring out what resources are appropriate given the needs being presented. This seems to be what you've been offered, and the source of the ADD/ADHD diagnosis (and rx)... There is nothing wrong with pursuing this further, especially if they can get you in quickly. We've also had good success with Doctoral Psychologists (PhD-level) - these are not as good at therapy, but really good at research - so, really good at thorough testing and detailed recommendations. Just a couple of ideas...</p><p></p><p>Keep in mind that many of these kids are complex. There won't necessarily be "one" diagnosis that explains what is going on. More likely, there will be multiple layers, and you won't find all of them on the first pass because the next set of symptoms may not show up until you start dealing with the more surface issues, or the symptoms may be from more than one cause, and dealing with one cause won't solve all of it...</p><p></p><p>Hang in there!</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 449930, member: 11791"] First, welcome... There's some positives buried in what you write - but its easier to see them when you're not living in the situation. (been there done that) Its positive that she can tell the difference on-medication vs. off-medication - it also gives you a good guideline on the effectiveness. Its also postitive that she is better with others than at home. Usually, this means two things... first, that they have some control over their behavior, and second, that they feel safe at home. As a result, they put in the effort in public to hold things together (and are at least partially successful), but then are burned out from the effort, and so "home" gets the brunt of it. (been there done that) The feelings that are coming out, are also positive - she's not likely "detached". And she's responsible enough to baby-sit?! WOW! That's another positive. But there's definitely issues... and you are wise to be seeking help. We don't have access to neuropsychologist here either... but have had success in a couple of different scenarios... one was a BSN(P) (= Degree psychiatric nurse with pediatric training) who worked out of a mixed-resource clinic - the nurses were the only full-time staff, but they had access to a string of specialists that they could bring in. These can be good at screening - and then figuring out what resources are appropriate given the needs being presented. This seems to be what you've been offered, and the source of the ADD/ADHD diagnosis (and rx)... There is nothing wrong with pursuing this further, especially if they can get you in quickly. We've also had good success with Doctoral Psychologists (PhD-level) - these are not as good at therapy, but really good at research - so, really good at thorough testing and detailed recommendations. Just a couple of ideas... Keep in mind that many of these kids are complex. There won't necessarily be "one" diagnosis that explains what is going on. More likely, there will be multiple layers, and you won't find all of them on the first pass because the next set of symptoms may not show up until you start dealing with the more surface issues, or the symptoms may be from more than one cause, and dealing with one cause won't solve all of it... Hang in there! [/QUOTE]
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