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<blockquote data-quote="OTE" data-source="post: 9977"><p>In my experience with a LOT of psychiatrists because of all the places my difficult child has been...there are only a few who will re-think their position. Sometimes they won't even give you 2 minutes to explain your position. But every once in a while you get one who is willing to listen and think. Personally I find it best to make my case for something short and to the point. Their attention span is VERY short. First time I would present my position. If they close down then I just play a waiting game. Every time we see him/her I use an example of something that happened since the last time we were there to make my point. Something that could NOT be from their diagnosis, but could be from mine. Enough time goes by, you reimind them of all the cumulative evidence after a period of time and hopefully they'll at least consider it. Making a mental health diagnosis on an 8 yr old is smoke and mirrors anyway. They know that.</p><p></p><p>When to make the child accountable in my humble opinion... from toddlers. With several kids I don't find it possible to have rules for one and different rules for another... no matter what the disability. Sure, comfort, don't do something that's going to cause a meltdown, make the consequences different for each kid as much as you can, but don't ignore the rules because of a disability. One of my Pervasive Developmental Disorder (PDD) kids' school aides recently saw us coming from the grocery store. She was stunned that I had him hauling groceries around like his bros. in my humble opinion, if he's physically capable he does what all the others do or has consequences (typically not getting a treat).</p><p></p><p>Have you considered Pervasive Developmental Disorder (PDD) for this child? Lack of attention, low frustration, perceived rejection all requiring unusual level of comforting from adult, anxieties, seeming inability to change "wrong" behaviors... all could be interpreted as Pervasive Developmental Disorder (PDD). Pervasive Developmental Disorder (PDD) is often co-morbid with BiPolar (BP). In other words, you can't get him to change the behaviors now because you don't understand why they exist.</p></blockquote><p></p>
[QUOTE="OTE, post: 9977"] In my experience with a LOT of psychiatrists because of all the places my difficult child has been...there are only a few who will re-think their position. Sometimes they won't even give you 2 minutes to explain your position. But every once in a while you get one who is willing to listen and think. Personally I find it best to make my case for something short and to the point. Their attention span is VERY short. First time I would present my position. If they close down then I just play a waiting game. Every time we see him/her I use an example of something that happened since the last time we were there to make my point. Something that could NOT be from their diagnosis, but could be from mine. Enough time goes by, you reimind them of all the cumulative evidence after a period of time and hopefully they'll at least consider it. Making a mental health diagnosis on an 8 yr old is smoke and mirrors anyway. They know that. When to make the child accountable in my humble opinion... from toddlers. With several kids I don't find it possible to have rules for one and different rules for another... no matter what the disability. Sure, comfort, don't do something that's going to cause a meltdown, make the consequences different for each kid as much as you can, but don't ignore the rules because of a disability. One of my Pervasive Developmental Disorder (PDD) kids' school aides recently saw us coming from the grocery store. She was stunned that I had him hauling groceries around like his bros. in my humble opinion, if he's physically capable he does what all the others do or has consequences (typically not getting a treat). Have you considered Pervasive Developmental Disorder (PDD) for this child? Lack of attention, low frustration, perceived rejection all requiring unusual level of comforting from adult, anxieties, seeming inability to change "wrong" behaviors... all could be interpreted as Pervasive Developmental Disorder (PDD). Pervasive Developmental Disorder (PDD) is often co-morbid with BiPolar (BP). In other words, you can't get him to change the behaviors now because you don't understand why they exist. [/QUOTE]
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