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Newbie...Can I get some advice please? Dont know what to do!!
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<blockquote data-quote="buddy" data-source="post: 571643" data-attributes="member: 12886"><p>Hello! Welcome. You'll get a lot of ideas here and it can be overwhelming. First of all please know you are indeed not alone. There are wonderful pediatricians out there but they generally are not the ones who do best diagnosing the wide range of reasons a child has adhd symptoms. There are for sure kids who have adhd and medications can help. </p><p></p><p>If you look at my signature would you believe my son has an early diagnosis of adhd? His brain injury and autism results in those symptoms. </p><p>Since many conditions are genetic I'd suggest a comprehensive evaluation....for both boys......including neuropsychology (neuropsychologist ) and occupational therapy (Occupational Therapist (OT) ) and speech language /communication (Speech Language Pathologist (SLP)) because many conditions either look like adhd or go along with adhd so even if medications help, without other interventions the child may fall behind and not make as much progress. </p><p></p><p>The intensive focus on an item (the phones)often goes along with autism spectrum. This obsession can continue or shift over time. If this is the case for your son you may consider not using for consequences or any other reason for taking it away until he has more skills for coping. What you said is good news, you know a very predictable trigger for meltdowns (which are also common in children on the spectrum as well as kids with other developmental--or some mental health conditions). Parenting in a traditional way ...rewarding and consequencing behaviors often is of limited benefit because kids who have differently wired brains need to specifically be taught what to do to deal with problems and feelings. </p><p>A neuropsychologist can comfirm the adhd diagnosis and help dig deeper, in case......and for the other son can help see if there is a developmental disorder or a mental health illness or both....they are trained to assess the brain and it's connection to behavior. Mental Health professionals may likely agree with your ODD plus ADHD idea....they tend to look to mental health diagnosis. (Adhd is physical but your dr evaluated for it and many are more comfortable with saying someone has adhd) Does your family have any mental health conditions like bipolar disorder? Any undiagnosed members you know had "issues"? </p><p>For both boys:</p><p>Do they have friends? Do they/have they always had normal looking eye contact? Any other special interests or gifts or talents? Did they talk or read early...or were able to do math/love numbers? </p><p>Do they either seek or avoid noises, tastes, textures, smells, etc? Like do they cover ears, only eat certain foods, refuse to wear tags or have socks that bug them? Some kids love the feel of things for example ...touching everything or jumping/moving to get more input.....and looking very adhd. </p><p>Did they cuddle? </p><p>How do they do when schedules or plans change? Do their moods switch quickly and/or frequently?</p><p>Just FYI, while a common mental health diagnosis. many people here will share an opinion that it is not a very useful diagnosis. The reason is that it really just says "the kid is acting up....". Well guess what, most kids here probably qualify for that label. It can be used to get insurance to pay for dr. And therapy but I'd suggest not saying that especially to school people. If after exhaustive assessment you only have that option you will be able to deal with what to do but for now especially .....(neuropsychologist evaluations take many hours and the neuropsychologist can use Occupational Therapist (OT) and Speech Language Pathologist (SLP) findings to help diagnosis and suggest therapies).... ODD is often viewed as a child simply choosing to misbehave and so punishment behavior plans and a view of the child as naughty (affects self esteem big time) often occurs. </p><p>Ok, so...a neuropsychologist evaluation will look at ability, history, learning levels and styles, moods, patterns of behaviors, general language and motor levels, etc. An Occupational Therapist (OT) evaluation will offer in depth assessment of motor development (focused more on fine motor) and sensory integration( how the brain interprets sensory information). Ask specifically for both. A speech language pathologist will look at expressive, receptive and social communication skills. They can also screen for auditory processing difficulty (hearing is normal but the brain doesn't interpret sounds including language normally ). Problems in any of these areas can make kids look like they're just not following directions. They can seem quite disrespectful. They don't know they don't know, lol. So, they often compensate ....sometimes in negative ways.</p><p></p><p>You can see why it's so important to dig deep. Many docs will say it's not necessary but they dont live with the consequences of not getting proper treatment. And one thing's for sure, it's much harder to undo inappropriate behaviors. Looking back and regretting not making sure a child has or doesn't have something needing specialized treatment feels awful. So many have been in your shoes so we share! </p><p></p><p>I never ask...dr., do you think we need an Occupational Therapist (OT) evaluation? They will say no. Say, I need a referral for an Occupational Therapist (OT) evaluation......</p><p> Be very assertive. </p><p></p><p></p><p>Others can speak to other possibilities, but if autism spectrum is a thought.....(red flags with phone issue and meltdowns) remember Autism Spectrum Disorders (ASD) looks different in everybody. It takes a specialist to really see the signs. </p><p></p><p>You might find the book The Explosive Child by Ross Greene helpful for teaching your kids skills they need to reduce neg. behaviors. It helps with alternative parenting ideas.</p><p></p><p>OK, I'll stop for now. Sorry I didn't proof read, on my phone so I hope this made sense)</p></blockquote><p></p>
[QUOTE="buddy, post: 571643, member: 12886"] Hello! Welcome. You'll get a lot of ideas here and it can be overwhelming. First of all please know you are indeed not alone. There are wonderful pediatricians out there but they generally are not the ones who do best diagnosing the wide range of reasons a child has adhd symptoms. There are for sure kids who have adhd and medications can help. If you look at my signature would you believe my son has an early diagnosis of adhd? His brain injury and autism results in those symptoms. Since many conditions are genetic I'd suggest a comprehensive evaluation....for both boys......including neuropsychology (neuropsychologist ) and occupational therapy (Occupational Therapist (OT) ) and speech language /communication (Speech Language Pathologist (SLP)) because many conditions either look like adhd or go along with adhd so even if medications help, without other interventions the child may fall behind and not make as much progress. The intensive focus on an item (the phones)often goes along with autism spectrum. This obsession can continue or shift over time. If this is the case for your son you may consider not using for consequences or any other reason for taking it away until he has more skills for coping. What you said is good news, you know a very predictable trigger for meltdowns (which are also common in children on the spectrum as well as kids with other developmental--or some mental health conditions). Parenting in a traditional way ...rewarding and consequencing behaviors often is of limited benefit because kids who have differently wired brains need to specifically be taught what to do to deal with problems and feelings. A neuropsychologist can comfirm the adhd diagnosis and help dig deeper, in case......and for the other son can help see if there is a developmental disorder or a mental health illness or both....they are trained to assess the brain and it's connection to behavior. Mental Health professionals may likely agree with your ODD plus ADHD idea....they tend to look to mental health diagnosis. (Adhd is physical but your dr evaluated for it and many are more comfortable with saying someone has adhd) Does your family have any mental health conditions like bipolar disorder? Any undiagnosed members you know had "issues"? For both boys: Do they have friends? Do they/have they always had normal looking eye contact? Any other special interests or gifts or talents? Did they talk or read early...or were able to do math/love numbers? Do they either seek or avoid noises, tastes, textures, smells, etc? Like do they cover ears, only eat certain foods, refuse to wear tags or have socks that bug them? Some kids love the feel of things for example ...touching everything or jumping/moving to get more input.....and looking very adhd. Did they cuddle? How do they do when schedules or plans change? Do their moods switch quickly and/or frequently? Just FYI, while a common mental health diagnosis. many people here will share an opinion that it is not a very useful diagnosis. The reason is that it really just says "the kid is acting up....". Well guess what, most kids here probably qualify for that label. It can be used to get insurance to pay for dr. And therapy but I'd suggest not saying that especially to school people. If after exhaustive assessment you only have that option you will be able to deal with what to do but for now especially .....(neuropsychologist evaluations take many hours and the neuropsychologist can use Occupational Therapist (OT) and Speech Language Pathologist (SLP) findings to help diagnosis and suggest therapies).... ODD is often viewed as a child simply choosing to misbehave and so punishment behavior plans and a view of the child as naughty (affects self esteem big time) often occurs. Ok, so...a neuropsychologist evaluation will look at ability, history, learning levels and styles, moods, patterns of behaviors, general language and motor levels, etc. An Occupational Therapist (OT) evaluation will offer in depth assessment of motor development (focused more on fine motor) and sensory integration( how the brain interprets sensory information). Ask specifically for both. A speech language pathologist will look at expressive, receptive and social communication skills. They can also screen for auditory processing difficulty (hearing is normal but the brain doesn't interpret sounds including language normally ). Problems in any of these areas can make kids look like they're just not following directions. They can seem quite disrespectful. They don't know they don't know, lol. So, they often compensate ....sometimes in negative ways. You can see why it's so important to dig deep. Many docs will say it's not necessary but they dont live with the consequences of not getting proper treatment. And one thing's for sure, it's much harder to undo inappropriate behaviors. Looking back and regretting not making sure a child has or doesn't have something needing specialized treatment feels awful. So many have been in your shoes so we share! I never ask...dr., do you think we need an Occupational Therapist (OT) evaluation? They will say no. Say, I need a referral for an Occupational Therapist (OT) evaluation...... Be very assertive. Others can speak to other possibilities, but if autism spectrum is a thought.....(red flags with phone issue and meltdowns) remember Autism Spectrum Disorders (ASD) looks different in everybody. It takes a specialist to really see the signs. You might find the book The Explosive Child by Ross Greene helpful for teaching your kids skills they need to reduce neg. behaviors. It helps with alternative parenting ideas. OK, I'll stop for now. Sorry I didn't proof read, on my phone so I hope this made sense) [/QUOTE]
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Newbie...Can I get some advice please? Dont know what to do!!
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