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why are they diagnosising without testing ???????
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<blockquote data-quote="smallworld" data-source="post: 110313" data-attributes="member: 2423"><p>Jessica, sometimes dxes change over time as our difficult children change and grow. That's what happened with my son. That may be what is occurring with your difficult child.</p><p></p><p>Do you know the names of the specific tests the psychiatrist did when your difficult child was first diagnosed with ADHD and anger problems?</p><p>Do you know the names of the tests the school did for his IEP?</p><p></p><p>I would not trust a school to make dxes (such as ADHD and psychiatric issues) because they are in the business of educating kids and not in the mental health business. You need a qualified outside health professional to make these sorts of dxes.</p><p></p><p>If the psychiatric hospital psychiatrist is saying your difficult child has borderline MR, at some point an IQ test had to have been administered. Is that true?</p><p></p><p>Most in-patient psychiatric facilities are for the acute treatment of mental health disorders. They are generally for short-term stays to stabilize patients and set them up with appropriate outside care. Most of the testing takes time and can be accomplished on the outside. However, ongoing clinical observations in a psychiatric hospital can yield invaluable diagnosis information.</p><p></p><p>Once he's released, I would strongly recommend neuropsychological testing, which will be a thorough evaluation of his cognitive and psychological functioning. </p><p></p><p>Since abnormalities have been seen on an EEG, I would encourage you to follow up with another EEG (you can even have a 24- to 72-hour EEG done at home by arranging for electrodes to be hooked up to your difficult child and then have a portable monitor record his brain waves). I would also recommend an MRI if he hasn't had one yet.</p><p></p><p>Depakote treats both seizures and mood instability so the psychiatric hospital psychiatrist may be on the right track regardless of diagnosis. </p><p></p><p>Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 110313, member: 2423"] Jessica, sometimes dxes change over time as our difficult children change and grow. That's what happened with my son. That may be what is occurring with your difficult child. Do you know the names of the specific tests the psychiatrist did when your difficult child was first diagnosed with ADHD and anger problems? Do you know the names of the tests the school did for his IEP? I would not trust a school to make dxes (such as ADHD and psychiatric issues) because they are in the business of educating kids and not in the mental health business. You need a qualified outside health professional to make these sorts of dxes. If the psychiatric hospital psychiatrist is saying your difficult child has borderline MR, at some point an IQ test had to have been administered. Is that true? Most in-patient psychiatric facilities are for the acute treatment of mental health disorders. They are generally for short-term stays to stabilize patients and set them up with appropriate outside care. Most of the testing takes time and can be accomplished on the outside. However, ongoing clinical observations in a psychiatric hospital can yield invaluable diagnosis information. Once he's released, I would strongly recommend neuropsychological testing, which will be a thorough evaluation of his cognitive and psychological functioning. Since abnormalities have been seen on an EEG, I would encourage you to follow up with another EEG (you can even have a 24- to 72-hour EEG done at home by arranging for electrodes to be hooked up to your difficult child and then have a portable monitor record his brain waves). I would also recommend an MRI if he hasn't had one yet. Depakote treats both seizures and mood instability so the psychiatric hospital psychiatrist may be on the right track regardless of diagnosis. Good luck. [/QUOTE]
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