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<blockquote data-quote="susiestar" data-source="post: 335081" data-attributes="member: 1233"><p>Welcome! I am pleased to meet you and sorry for the circumstances. </p><p></p><p>Sure seems like the docs/adults are as much trouble as your difficult child, if not more! (difficult child is gift from God, the child that brought you here).</p><p></p><p>It very much sounds as if you have an Aspie or high functioning Autism Spectrum Disorders (ASD) of some kind. My not a mental health practitioner opinion. Not worth the paper it is not printed on, LOL.</p><p></p><p>Let various docs be upset, as long as they help you.</p><p></p><p>in my opinion you NEED the neuropsychologist. Get school to do as many tests as they will. Also have them do an Occupational Therapist (OT) evaluation and TRY to get them to do a complete evaluation including for sensory integration disorder (Sensory Integration Disorder (SID)). Treatment for Sensory Integration Disorder (SID) can be very helpful and most kids with Autism Spectrum Disorders (ASD) have some level of it. Sensitivity to stimuli or seeking an unusual level of stimuli. </p><p></p><p>Many parents here feel neuropsychs do the best testing and are very thorough. I haven't had that experience, but I AM in Oklahoma and the best in many professions are not here. We also only found one linked to a psychiatric hospital and they don't pay well, Know what I mean??</p><p></p><p>Ask the other parents what tests to ask for. They will problem know some specific names of tests.</p><p></p><p>SSRI medications like zoloft are tricky. they can seem great and then BAM! they are a big problem. My son did very well on them. For a few months. Then he became physically aggressive and more depressed. Males seem to have this reaction, females not as much. Your daughter reacted almost the way my daughter did. She was trialed on both prozac and then zoloft as an attempt to help her deal with abuse my difficult child did to her. With each of them she was almost high. My happy to please you daughter led her 3rd grade class in a song and then in dancing around the room in a sort of conga line while the teacher tried to get them all to sit down. She was so happy the teacher would have thought she was high on some illegal drug if she hadn't known we were trying some medications to help her with a very serious situation.</p><p></p><p>We had NO idea this could happen, but in children it is a normal response to many SSRI medications. As they get older their bodies seem to handle the medications differently, or so it seems to me. I think that tapering off the zoloft is an excellent idea. After even 2 weeks it should be tapered off. Did the doctor give you directions to taper the medication, or just tell you to stop it? Most docs I know do not believe that stopping an SSRI can have withdrawal symptoms. They can. I have 1st hand experience. If you wonder, google "zoloft withdrawal". You will be amazed. It probably will not be as bad as many make it sound online, simply because she has not been on it long.</p><p></p><p>Concerta is a different beast. It is a stimulant. It is time released so it stays in the body for about 8-12 hours if my memory is correct. If it does not help then it will be out of her body quickly. Stimulants are fast in, fast out. My son did well on this medication for years. It was very effective for the ADHD part of his Aspergers. But not everyone is helped by it.</p><p></p><p>I do think the time she slammed her head on the desk and stabbed herself in the hand was serious. It is a big deal, in my opinion. Clearly the hospital thought so, though why a 5 day stay I do not know. Probably it was all the insurance would pay for. Sadly that is often the case. More often though, they send us home with kids that need help, so I am very glad they kept her. I would ask for a copy of her records to verify the number of times the psychiatrist saw her. I would file a complaint over them not medicating her for over a day after medications were ordered. It is a sign that the psychiatric hospital is not very good, in my opinion. Of course they could have had a number of very violent patients and just been swamped, but medications are a serious deal and just forgetting them is NOT supposed to happen. So a complaint to the hospital could be very important in alerting someone that there is something really wrong up there. </p><p></p><p>Other parents will have other ideas, questions, and suggestions for you. If possible could you click the User CP button and follow the directions to make a signature like the one at the bottom of my post? It will help us keep your situation clear in our minds. </p><p></p><p>I also recommend that you write a Parent Report. You can find it in the FAQ section of the board, along with a list of common abbreviations. The Parent Report may be in a thread titled Parent Input/MDE (multidisciplinary evaluation). It contains the outline that many of us have found invaluable. It is a way to organize all the info that you have and will get about your difficult child. It can be invaluable when seeing a new doctor, among other things. (Oh, age 3 is not really late for potty training. Many sources say that potty training much before age 3 is often parent training, a parent learning the behavioral signs that a child is ready to use the potty rather than the child actually mastering the feat. this is just fyi and it may be that for her, 3 was late. Girls do tend to potty train earlier than boys.)</p><p></p><p>Welcome to our group, again! </p><p></p><p>Many hugs,</p><p></p><p>Susie</p></blockquote><p></p>
[QUOTE="susiestar, post: 335081, member: 1233"] Welcome! I am pleased to meet you and sorry for the circumstances. Sure seems like the docs/adults are as much trouble as your difficult child, if not more! (difficult child is gift from God, the child that brought you here). It very much sounds as if you have an Aspie or high functioning Autism Spectrum Disorders (ASD) of some kind. My not a mental health practitioner opinion. Not worth the paper it is not printed on, LOL. Let various docs be upset, as long as they help you. in my opinion you NEED the neuropsychologist. Get school to do as many tests as they will. Also have them do an Occupational Therapist (OT) evaluation and TRY to get them to do a complete evaluation including for sensory integration disorder (Sensory Integration Disorder (SID)). Treatment for Sensory Integration Disorder (SID) can be very helpful and most kids with Autism Spectrum Disorders (ASD) have some level of it. Sensitivity to stimuli or seeking an unusual level of stimuli. Many parents here feel neuropsychs do the best testing and are very thorough. I haven't had that experience, but I AM in Oklahoma and the best in many professions are not here. We also only found one linked to a psychiatric hospital and they don't pay well, Know what I mean?? Ask the other parents what tests to ask for. They will problem know some specific names of tests. SSRI medications like zoloft are tricky. they can seem great and then BAM! they are a big problem. My son did very well on them. For a few months. Then he became physically aggressive and more depressed. Males seem to have this reaction, females not as much. Your daughter reacted almost the way my daughter did. She was trialed on both prozac and then zoloft as an attempt to help her deal with abuse my difficult child did to her. With each of them she was almost high. My happy to please you daughter led her 3rd grade class in a song and then in dancing around the room in a sort of conga line while the teacher tried to get them all to sit down. She was so happy the teacher would have thought she was high on some illegal drug if she hadn't known we were trying some medications to help her with a very serious situation. We had NO idea this could happen, but in children it is a normal response to many SSRI medications. As they get older their bodies seem to handle the medications differently, or so it seems to me. I think that tapering off the zoloft is an excellent idea. After even 2 weeks it should be tapered off. Did the doctor give you directions to taper the medication, or just tell you to stop it? Most docs I know do not believe that stopping an SSRI can have withdrawal symptoms. They can. I have 1st hand experience. If you wonder, google "zoloft withdrawal". You will be amazed. It probably will not be as bad as many make it sound online, simply because she has not been on it long. Concerta is a different beast. It is a stimulant. It is time released so it stays in the body for about 8-12 hours if my memory is correct. If it does not help then it will be out of her body quickly. Stimulants are fast in, fast out. My son did well on this medication for years. It was very effective for the ADHD part of his Aspergers. But not everyone is helped by it. I do think the time she slammed her head on the desk and stabbed herself in the hand was serious. It is a big deal, in my opinion. Clearly the hospital thought so, though why a 5 day stay I do not know. Probably it was all the insurance would pay for. Sadly that is often the case. More often though, they send us home with kids that need help, so I am very glad they kept her. I would ask for a copy of her records to verify the number of times the psychiatrist saw her. I would file a complaint over them not medicating her for over a day after medications were ordered. It is a sign that the psychiatric hospital is not very good, in my opinion. Of course they could have had a number of very violent patients and just been swamped, but medications are a serious deal and just forgetting them is NOT supposed to happen. So a complaint to the hospital could be very important in alerting someone that there is something really wrong up there. Other parents will have other ideas, questions, and suggestions for you. If possible could you click the User CP button and follow the directions to make a signature like the one at the bottom of my post? It will help us keep your situation clear in our minds. I also recommend that you write a Parent Report. You can find it in the FAQ section of the board, along with a list of common abbreviations. The Parent Report may be in a thread titled Parent Input/MDE (multidisciplinary evaluation). It contains the outline that many of us have found invaluable. It is a way to organize all the info that you have and will get about your difficult child. It can be invaluable when seeing a new doctor, among other things. (Oh, age 3 is not really late for potty training. Many sources say that potty training much before age 3 is often parent training, a parent learning the behavioral signs that a child is ready to use the potty rather than the child actually mastering the feat. this is just fyi and it may be that for her, 3 was late. Girls do tend to potty train earlier than boys.) Welcome to our group, again! Many hugs, Susie [/QUOTE]
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