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Tourette's you say???
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<blockquote data-quote="buddy" data-source="post: 484304" data-attributes="member: 12886"><p>to be clear, he is not going off Ritalin....just switching back from Concerta to Ritalin because she said sometimes, even though it is the same molecule, the way the concerta is made and the way it is released may be an issue. He can't be safely off ritalin. we had neuropsychologist testing to check him on and off while inpatient and even those who thought he should be off it said it was unsafe. He had to be restrained four times. He never needs restraint. He can always be talked down and except for this past month with the medication changes, he had been doing fine on it. We only started exploring other medications to be proactive for when these dont work as well... nothing terrible was going wrong. remember when I started here we were coming off a high...best summer ever. he was doing great socially, behaviorally etc. (I mean he will always be Q, always blurt, always have issues, but he has only had big problems when medications have been wrong). </p><p></p><p>I would not want him inpatient anywhere just as I would not want him in a special needs only school. HE is too imitative and then we have years of behaviors taht could make any further placements in schools or residences for living not work. By how he reacted this past hospitalization, I would not risk it unless it was a medical emergency. There is no reason to rush anything when I have support with Integrated Listening Systems (ILS) and I am not feeling burned out nor unsafe. I would rather be planful and do it little by little. </p><p></p><p>Even school during that meeting had to say they have never had to restrain him, he has never seriously hurt anyone or been dangerous to anyone. Just dont like the blurting/swearing etc.</p><p></p><p> </p><p>The tourettes I asked about because for years we have said what I said when he was little about autism. I would say autistic-like. But eventually had to face it was autism for sure, not just the brain injury. But with the tourette's idea, there were some reasons, like some people might understand the blurting part easier.... that made it worth looking at.... but for other reasons, like some people think that the behaviors that come with Tourette's are manipulative etc. I have been there and had to fight for kids. IT also would make no difference in educational programming except to slant things toward ebd programming which does not work for him. </p><p></p><p>So, after talking about that (never was a doubt he has tics, that was never a question, just if you could call it Tourette's legitamately) she basically said yeah, I could say that when it benefits him, because except for the cause of it being a brain injury (and medications that can add to it) he would meet criteria. It would not be added to his diagnosis in a record anywhere...just that if anyone asked her she would back it up to show it is tics. It just might help some people understand that the blurts are not personal.</p></blockquote><p></p>
[QUOTE="buddy, post: 484304, member: 12886"] to be clear, he is not going off Ritalin....just switching back from Concerta to Ritalin because she said sometimes, even though it is the same molecule, the way the concerta is made and the way it is released may be an issue. He can't be safely off ritalin. we had neuropsychologist testing to check him on and off while inpatient and even those who thought he should be off it said it was unsafe. He had to be restrained four times. He never needs restraint. He can always be talked down and except for this past month with the medication changes, he had been doing fine on it. We only started exploring other medications to be proactive for when these dont work as well... nothing terrible was going wrong. remember when I started here we were coming off a high...best summer ever. he was doing great socially, behaviorally etc. (I mean he will always be Q, always blurt, always have issues, but he has only had big problems when medications have been wrong). I would not want him inpatient anywhere just as I would not want him in a special needs only school. HE is too imitative and then we have years of behaviors taht could make any further placements in schools or residences for living not work. By how he reacted this past hospitalization, I would not risk it unless it was a medical emergency. There is no reason to rush anything when I have support with Integrated Listening Systems (ILS) and I am not feeling burned out nor unsafe. I would rather be planful and do it little by little. Even school during that meeting had to say they have never had to restrain him, he has never seriously hurt anyone or been dangerous to anyone. Just dont like the blurting/swearing etc. The tourettes I asked about because for years we have said what I said when he was little about autism. I would say autistic-like. But eventually had to face it was autism for sure, not just the brain injury. But with the tourette's idea, there were some reasons, like some people might understand the blurting part easier.... that made it worth looking at.... but for other reasons, like some people think that the behaviors that come with Tourette's are manipulative etc. I have been there and had to fight for kids. IT also would make no difference in educational programming except to slant things toward ebd programming which does not work for him. So, after talking about that (never was a doubt he has tics, that was never a question, just if you could call it Tourette's legitamately) she basically said yeah, I could say that when it benefits him, because except for the cause of it being a brain injury (and medications that can add to it) he would meet criteria. It would not be added to his diagnosis in a record anywhere...just that if anyone asked her she would back it up to show it is tics. It just might help some people understand that the blurts are not personal. [/QUOTE]
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