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Son's psychiatrist visit
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<blockquote data-quote="susiestar" data-source="post: 409680" data-attributes="member: 1233"><p>Lately it seems to be the standard in pediatric psychiatric care for docs to just do medications and not therapy. It is more and more common in adult psychiatrists also, though there are some who still do therapy. They can do the medication writing a lot faster and see more patients if they just do medications and there are a lot of counselors, social workers, psychologists, etc... who do therapy and don't charge as much so insurance cos push psychiatrists to do more medications and less therapy.</p><p> </p><p>Is the program Parenting iwth Love and Limits or Parenting with Love and Logic?? If it is love and logic - JUMP ON IT. A lot of us use the love and logic books and methods because they stress logical consequences and still work on preserving the loving bond between parent and child. You can learn more at <a href="http://www.loveandlogic.com" target="_blank">www.loveandlogic.com</a> . I have actually been to a one day seminar given by Dr. Charles Fay Sr and it was worth many times what I spent on it. It was mostly aimed at teachers but I still got a ton out of if.</p><p> </p><p>I like it because it really empowers parents, at least it does as presented in the books. The website lists all of their books and the formats they are available in (including audiobook, which can be very helpful). You can buy them through the site or from most bookstores - if they are not in stock they can be ordered.</p><p> </p><p>A big part of getting the docs to move past their basic "one from column a and two from column b" recommendations is to jump through these hoops. It means taking the class, trying the behavior chart again their way for a short period of time - long enough for your kid to again prove he won't do it, etc... Then they can move past their automatic "ineffective parenting" and be sure that you understand their definition of parenting and discipline. At worst you get a few hours away from your kid listening to someone saying things that are dumb enough that you can snicker in your head and make fun of them with your spouse/us here on the board after the class. You have then "proven" that you are "working to be the best parent you can be" and the doctor can then start to look past her preconceived ideas.</p><p> </p><p>At best you will get some new ideas from the class, network with some other parents in your shoes and meet some new "experts" and locate some new resources. Yes, you are swamped and need real help and this may be a waste of your time. But if it will help you jump over the psychiatrist's assumptions that you are the problem not your child, then it is likely worth it - even though it is an annoying PITA to have to do this.</p><p> </p><p>Sadly, the basic stuff taught in a lot of parenting classes, that you likely do NOT need, is still stuff that many many many many parents do not grasp until they have been lead through it time and time and time again. Some kids act like difficult children simply because no one at their home ever says no or sets limits, much less enforces them. I have seen it myself and been shocked! I have seen lots of parents who say "Jonny don't do that, Jonny you don't want to do that Jonny that isn't okay" over and over without EVER bothering to get up and go make it stop or not happen. </p><p> </p><p>You are NOT this kind of parent, but you still have to get through the basic stuff like the classes because the psychiatrists etc... see a TON of kids who act like difficult children simply because of this. So it takes a while for the psychiatrists to weed out the true difficult children from the parentally induced difficult children. Not every doctor, psychiatrist, therapist, etc... ever gets past that, but the decent ones do.</p><p> </p><p>Getting the results of the neuropsychologist would be worth the 300 mile drive if the testing is done properly. The results can be THAT helpful.</p><p> </p><p>You also may want to try to find a developmental pediatrician (esp with an Aspergers or other autism diagnosis) as they have different training but can be as helpful as a psychiatrist. Our dev pediatrician actually was a board cert child and adolescent psychiatrist as well as board cert in developemental pediatrics. I do not know if all dev peds are, but ours was. </p><p> </p><p>In the meantime, look for a therapist, licensed clinical social worker (Licensed Clinical Social Worker (LCSW)), or psychologist to handle the therapy for the family. If a psychiatrist isn't interested you sure don't want to force them to do it. Then you will be SURE they muck it up.</p><p> </p><p>You can find many of these resources at children's hospitals or major university hospitals.</p><p> </p><p>In the meantime, do something nice for yourself this weekend!!</p></blockquote><p></p>
[QUOTE="susiestar, post: 409680, member: 1233"] Lately it seems to be the standard in pediatric psychiatric care for docs to just do medications and not therapy. It is more and more common in adult psychiatrists also, though there are some who still do therapy. They can do the medication writing a lot faster and see more patients if they just do medications and there are a lot of counselors, social workers, psychologists, etc... who do therapy and don't charge as much so insurance cos push psychiatrists to do more medications and less therapy. Is the program Parenting iwth Love and Limits or Parenting with Love and Logic?? If it is love and logic - JUMP ON IT. A lot of us use the love and logic books and methods because they stress logical consequences and still work on preserving the loving bond between parent and child. You can learn more at [URL="http://www.loveandlogic.com"]www.loveandlogic.com[/URL] . I have actually been to a one day seminar given by Dr. Charles Fay Sr and it was worth many times what I spent on it. It was mostly aimed at teachers but I still got a ton out of if. I like it because it really empowers parents, at least it does as presented in the books. The website lists all of their books and the formats they are available in (including audiobook, which can be very helpful). You can buy them through the site or from most bookstores - if they are not in stock they can be ordered. A big part of getting the docs to move past their basic "one from column a and two from column b" recommendations is to jump through these hoops. It means taking the class, trying the behavior chart again their way for a short period of time - long enough for your kid to again prove he won't do it, etc... Then they can move past their automatic "ineffective parenting" and be sure that you understand their definition of parenting and discipline. At worst you get a few hours away from your kid listening to someone saying things that are dumb enough that you can snicker in your head and make fun of them with your spouse/us here on the board after the class. You have then "proven" that you are "working to be the best parent you can be" and the doctor can then start to look past her preconceived ideas. At best you will get some new ideas from the class, network with some other parents in your shoes and meet some new "experts" and locate some new resources. Yes, you are swamped and need real help and this may be a waste of your time. But if it will help you jump over the psychiatrist's assumptions that you are the problem not your child, then it is likely worth it - even though it is an annoying PITA to have to do this. Sadly, the basic stuff taught in a lot of parenting classes, that you likely do NOT need, is still stuff that many many many many parents do not grasp until they have been lead through it time and time and time again. Some kids act like difficult children simply because no one at their home ever says no or sets limits, much less enforces them. I have seen it myself and been shocked! I have seen lots of parents who say "Jonny don't do that, Jonny you don't want to do that Jonny that isn't okay" over and over without EVER bothering to get up and go make it stop or not happen. You are NOT this kind of parent, but you still have to get through the basic stuff like the classes because the psychiatrists etc... see a TON of kids who act like difficult children simply because of this. So it takes a while for the psychiatrists to weed out the true difficult children from the parentally induced difficult children. Not every doctor, psychiatrist, therapist, etc... ever gets past that, but the decent ones do. Getting the results of the neuropsychologist would be worth the 300 mile drive if the testing is done properly. The results can be THAT helpful. You also may want to try to find a developmental pediatrician (esp with an Aspergers or other autism diagnosis) as they have different training but can be as helpful as a psychiatrist. Our dev pediatrician actually was a board cert child and adolescent psychiatrist as well as board cert in developemental pediatrics. I do not know if all dev peds are, but ours was. In the meantime, look for a therapist, licensed clinical social worker (Licensed Clinical Social Worker (LCSW)), or psychologist to handle the therapy for the family. If a psychiatrist isn't interested you sure don't want to force them to do it. Then you will be SURE they muck it up. You can find many of these resources at children's hospitals or major university hospitals. In the meantime, do something nice for yourself this weekend!! [/QUOTE]
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