A neuropsychologist has a very different perspective from a typical psychologist. If your psychiatric thinks sensory issues are not impacting her I would be very quickly going for someone who understands pervasive neurological developmental issues just to be sure. In schools, sensory integration therapy is generally not done. They will make sensory accommodations esp for kids on the spectrum, often part of their classroom routine.
Now that you have added that she has sensory issues, I'd personally be looking for an autism evaluation. With people who understand the spectrum. There are so many ideas and supports for Autism Spectrum Disorders (ASD) and yes, the explosive child helps so much for kids with most difficult child issues. Autism Spectrum Disorders (ASD) supports, teaching, therapies can help work on the skill development part of that puzzle. (If thats what you're dealing with) again, I'd be surprised if your psychiatric or even psychiatrist thought so. They often are not great at looking at the wide range of autism and don't put the pieces together. Sad but true. In fact some of their behavior methods can increase anxiety and frustration in kids with Autism Spectrum Disorders (ASD). You feel things are not getting better so what's to lose. You don't even have to tell your psychiatrist or therapist if you're uncomfortable. A neuropsychologist is usually good at sorting out if its individual issues, a bigger picture developmental issue, mental health issues, etc. Their job is assessment and connecting our neurological makeup with our behavior. Traditional psychs do not have that training.
I hope your insurance covers it. If not try a developmental pediatrician with a team comprehensive evaluation program.
If school Occupational Therapist (OT) says there are issues for sure id pursue a private Occupational Therapist (OT). They are able to actually do intensive sensory integration therapy.
Check out the book " The Out of Synch Child". Lots of great ideas and support and explanation for how this can look like adhd or make adhd symptoms worse.
You'll sort this out. Just remember, you may need to step outside of your comfort zone. I find it hard to leave a doctor or clinic I like but have lost lots of time and had a few regrets that I didn't sooner. Not saying to leave your docs! Just saying a time may come......
