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Something that has been bothering me
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<blockquote data-quote="smallworld" data-source="post: 33889" data-attributes="member: 2423"><p>Janet, guilty as charged.</p><p></p><p>We have been to many, many mental health professionals with our 3 kids over the last 5 years. A PhD psychologist missed depression in difficult child 1. So did a developmental pediatrician. He also didn't understand the significance of a prolonged intense manic reaction to an SSRI and wrote it off as oppositional behavior and emotional reactivity. It was only when difficult child 1 had a psychiatric evaluation that we understood the significance of what had occurred and got him the proper treatment (mood stabilizers). A licensed counselor missed a psychotic reaction to an SSRI in difficult child 2 (even with me telling her over and over what difficult child 2 was doing and saying). Another PhD psychologist tried to do behavior mod with easy child to get her to eat when she developed her choking phobia. It was only when we got to a psychiatrist who specializes in feeding disorders that easy child was able to make any progress at all. These "bad" professionals were all highly recommended by other doctors and highly regarded in their fields. They just had very little of the right experience to help my kids. </p><p></p><p>It really bothers me when a new poster comes on to the board and says a psychologist diagnosed her 5-year-old with ODD or CD (and nothing else). Or a social worker categorizes extreme agression and violence as ADHD. In almost every case, there is some other underlying disorder driving the behavior. I know I'm generalizing here, but a lot of psychologists tend to look at the behavior and not the underlying cause fueling it. It has been my experience -- and many others on the board -- that when you treat the underlying disorder, the behavior improves. </p><p></p><p>I actually don't know what the law is in Maryland, and I don't really care. Based on my experiences with my kids, I personally would only go to a child/adolescent psychiatrist to diagnosis and treat mood issues (anxiety, depression, bipolar, etc). I would only go to a neuropsychologist to diagnosis ADHD, autism spectrum disorders and learning disabilities. I would go to a psychologist for academic testing, period. I would consider using a licensed social worker for therapy once the diagnosis is known. </p><p></p><p>My point in relating all of this is to tell you why I strongly recommend certain professionals to diagnosis certain disorders. I think you can easily go down the wrong path and make very little progress with professionals that are not suited for the job.</p></blockquote><p></p>
[QUOTE="smallworld, post: 33889, member: 2423"] Janet, guilty as charged. We have been to many, many mental health professionals with our 3 kids over the last 5 years. A PhD psychologist missed depression in difficult child 1. So did a developmental pediatrician. He also didn't understand the significance of a prolonged intense manic reaction to an SSRI and wrote it off as oppositional behavior and emotional reactivity. It was only when difficult child 1 had a psychiatric evaluation that we understood the significance of what had occurred and got him the proper treatment (mood stabilizers). A licensed counselor missed a psychotic reaction to an SSRI in difficult child 2 (even with me telling her over and over what difficult child 2 was doing and saying). Another PhD psychologist tried to do behavior mod with easy child to get her to eat when she developed her choking phobia. It was only when we got to a psychiatrist who specializes in feeding disorders that easy child was able to make any progress at all. These "bad" professionals were all highly recommended by other doctors and highly regarded in their fields. They just had very little of the right experience to help my kids. It really bothers me when a new poster comes on to the board and says a psychologist diagnosed her 5-year-old with ODD or CD (and nothing else). Or a social worker categorizes extreme agression and violence as ADHD. In almost every case, there is some other underlying disorder driving the behavior. I know I'm generalizing here, but a lot of psychologists tend to look at the behavior and not the underlying cause fueling it. It has been my experience -- and many others on the board -- that when you treat the underlying disorder, the behavior improves. I actually don't know what the law is in Maryland, and I don't really care. Based on my experiences with my kids, I personally would only go to a child/adolescent psychiatrist to diagnosis and treat mood issues (anxiety, depression, bipolar, etc). I would only go to a neuropsychologist to diagnosis ADHD, autism spectrum disorders and learning disabilities. I would go to a psychologist for academic testing, period. I would consider using a licensed social worker for therapy once the diagnosis is known. My point in relating all of this is to tell you why I strongly recommend certain professionals to diagnosis certain disorders. I think you can easily go down the wrong path and make very little progress with professionals that are not suited for the job. [/QUOTE]
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