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<blockquote data-quote="SRL" data-source="post: 30155" data-attributes="member: 701"><p>Hi Got2sleep & Welcome. </p><p></p><p>Whenever a child this young has an ABC list of diagnosis's but no one big umbrella diagnosis under which everything else falls, I always am suspicious that something has been missed. Knowing what we know about child psychiatrists and the frequency in which certain disorders slip under the radar, I'd be doubly so. Obviously we don't diagnose here but what we want to do is 1) give you the information needed to set up a proper assessment and 2) give you a reasonable direction to go digging around research wise.</p><p></p><p>You will want to schedule an appointment with your pediatrician and tell him/her that things aren't going well and that you want a multidisciplinary evaluation at a Children's Hospital. This would be with a developmental pediatrician preferably given the combination of health and behavioral issues or a neuropsychologist if that's too far out. I would want a pediatric neurologist, a private Occupational Therapist (OT) evaluation, and speech/language assessment for starters. If the route you are pursuing doesn't pan out and you are going to have to travel anyway, I'd highly recommend Mayo Clinic in Rochester, Minnesota. They are set up for handling out of town patients and they have some of the best medical staff in the world so you could cover both realms at once.</p><p></p><p>Secondly one of my HUGE concerns with medicating early by child psychiatrists for Early Onset Bi-Polar (EOBP) is that we are finding that a lot of Autistic Spectrum Disorders look like Early Onset Bi-Polar (EOBP) if they aren't treated properly. Medication--especially if a poor responder--only makes the situation exponentially worse (been there, done that with my difficult child). When kids have both behavioral and health it adds to the confusion. Since your kiddo has anxiety and sensory those would alert us to look seriously in that direction.</p><p><a href="http://www.childbrain.com/pddq6.shtml" target="_blank">http://www.childbrain.com/pddq6.shtml</a> </p><p></p><p>What has his speech development like--any delays or differences such as talking very early, talking like an adult at a young age, etc? How about the mental health history of the biological family?</p><p></p><p>(Ladies, Sorry I'm painting my upstairs today and tomorrow so will you help her pursue this avenue very thoroughly please? I'm not saying Early Onset Bi-Polar (EOBP) isn't there since I know it can be comorbid--I'm just suspicious that something is missing. Also she could use some Explosive Child help!)</p></blockquote><p></p>
[QUOTE="SRL, post: 30155, member: 701"] Hi Got2sleep & Welcome. Whenever a child this young has an ABC list of diagnosis's but no one big umbrella diagnosis under which everything else falls, I always am suspicious that something has been missed. Knowing what we know about child psychiatrists and the frequency in which certain disorders slip under the radar, I'd be doubly so. Obviously we don't diagnose here but what we want to do is 1) give you the information needed to set up a proper assessment and 2) give you a reasonable direction to go digging around research wise. You will want to schedule an appointment with your pediatrician and tell him/her that things aren't going well and that you want a multidisciplinary evaluation at a Children's Hospital. This would be with a developmental pediatrician preferably given the combination of health and behavioral issues or a neuropsychologist if that's too far out. I would want a pediatric neurologist, a private Occupational Therapist (OT) evaluation, and speech/language assessment for starters. If the route you are pursuing doesn't pan out and you are going to have to travel anyway, I'd highly recommend Mayo Clinic in Rochester, Minnesota. They are set up for handling out of town patients and they have some of the best medical staff in the world so you could cover both realms at once. Secondly one of my HUGE concerns with medicating early by child psychiatrists for Early Onset Bi-Polar (EOBP) is that we are finding that a lot of Autistic Spectrum Disorders look like Early Onset Bi-Polar (EOBP) if they aren't treated properly. Medication--especially if a poor responder--only makes the situation exponentially worse (been there, done that with my difficult child). When kids have both behavioral and health it adds to the confusion. Since your kiddo has anxiety and sensory those would alert us to look seriously in that direction. [url="http://www.childbrain.com/pddq6.shtml"]http://www.childbrain.com/pddq6.shtml[/url] What has his speech development like--any delays or differences such as talking very early, talking like an adult at a young age, etc? How about the mental health history of the biological family? (Ladies, Sorry I'm painting my upstairs today and tomorrow so will you help her pursue this avenue very thoroughly please? I'm not saying Early Onset Bi-Polar (EOBP) isn't there since I know it can be comorbid--I'm just suspicious that something is missing. Also she could use some Explosive Child help!) [/QUOTE]
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