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New here, and having a very bad week.
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<blockquote data-quote="susiestar" data-source="post: 518374" data-attributes="member: 1233"><p>I agree with the need for mroe testing. I also think that there is something major that caused the sudden change. Maybe he was assaulted sexually and won't talk about it. this is more common than you know and MANY MH professionals just don't think about it or they figure if the kid didn't say anything then it isn't a problem, esp if the kid is older. Being verbal does NOT mean you will report something like this. it just doesn't. I am not saying he WAS assaulted, just that it could have happened. He also could be on drugs.</p><p></p><p>drugs are actually more probable because they are so easy to get. He is at an age where kids are very curious and they OFTEN try them. They are super easy to get in most high schools and even jr highs. Kids here also think it is funny to put them into each other's drinks, esp at school, and then to watch what trouble they get into. If he hasn't been tested for all the drugs possible, esp things like dxm (dextromethorphan, the ingredient in cough syrup labelled "DM" or "cough suppressant"), spice (synthetic marijuana), bath salts (new and super dangerous stimulant), etc.... Some of them are not in standard drug panels, but if you can get them tested for, do it. </p><p></p><p>A sudden change like this, esp in a teen or young adult, is a HUGE HUGE HUGE warning sign for drug use. yes, he has problems but CD isn't a sudden onset problem. It just isn't. And a kid who was previously doing okay doesn't suddenly develop CD. They CAN suddenly become a drug user/addict. Many drugs are instantly addictive more a large % of people. I know a girl who tried cocaine at a party because her boyfriend pushed her head down into a table with some on it. She was NOT a drug user and was terrifed of them because she had health problems and was on medications for them. She broke up wiht him AND she went to get help because she craved it wehn seh came down from the high. It was scary to see, esp as five years later she had not used but still went to almost daily meetings because she still craved it. The newer drugs are being purposely designed to be addictive, so that could be the reason. sudden fits of anger are a sign of drug use.</p><p></p><p>Don't just accept the CD diagnosis. What testing did they do? If he does NOT have a drug problem, then get him to a neurospych. DO NOT believe difficult child when he says he has never, will never use drugs, etc.... Given his new social behavior, drugs just seem super highly probable as the cause of the behavior. And just because the nurse practitioner say he has CD doesn't make it true (or not true). If she did not do testing to rule out other diagnosis's then it probably is not terribly reliable. He needs intensive, complete evaluation and neuropsychs are the ones to best to that. You also need the Occupational Therapist (OT) and Speech Language Pathologist (SLP) evaluations to help with those issues, but the neuropsychologist can be FAR more accurate about a CD diagnosis. </p><p></p><p>The link in my signature will take you to the thread about Parent Reports. This is a super powerful tool, a document that YOU create that has ALL the details and info about your difficult child. It is amazingly helpful and I urge you to read the thread and create the report. it really is THAT helpful! </p><p></p><p>Could you also create a signature of your own? It helps us keep all the details straight. Just don't use ANY identifiers, etc... because this IS a public forum and anyone can read what you post.</p></blockquote><p></p>
[QUOTE="susiestar, post: 518374, member: 1233"] I agree with the need for mroe testing. I also think that there is something major that caused the sudden change. Maybe he was assaulted sexually and won't talk about it. this is more common than you know and MANY MH professionals just don't think about it or they figure if the kid didn't say anything then it isn't a problem, esp if the kid is older. Being verbal does NOT mean you will report something like this. it just doesn't. I am not saying he WAS assaulted, just that it could have happened. He also could be on drugs. drugs are actually more probable because they are so easy to get. He is at an age where kids are very curious and they OFTEN try them. They are super easy to get in most high schools and even jr highs. Kids here also think it is funny to put them into each other's drinks, esp at school, and then to watch what trouble they get into. If he hasn't been tested for all the drugs possible, esp things like dxm (dextromethorphan, the ingredient in cough syrup labelled "DM" or "cough suppressant"), spice (synthetic marijuana), bath salts (new and super dangerous stimulant), etc.... Some of them are not in standard drug panels, but if you can get them tested for, do it. A sudden change like this, esp in a teen or young adult, is a HUGE HUGE HUGE warning sign for drug use. yes, he has problems but CD isn't a sudden onset problem. It just isn't. And a kid who was previously doing okay doesn't suddenly develop CD. They CAN suddenly become a drug user/addict. Many drugs are instantly addictive more a large % of people. I know a girl who tried cocaine at a party because her boyfriend pushed her head down into a table with some on it. She was NOT a drug user and was terrifed of them because she had health problems and was on medications for them. She broke up wiht him AND she went to get help because she craved it wehn seh came down from the high. It was scary to see, esp as five years later she had not used but still went to almost daily meetings because she still craved it. The newer drugs are being purposely designed to be addictive, so that could be the reason. sudden fits of anger are a sign of drug use. Don't just accept the CD diagnosis. What testing did they do? If he does NOT have a drug problem, then get him to a neurospych. DO NOT believe difficult child when he says he has never, will never use drugs, etc.... Given his new social behavior, drugs just seem super highly probable as the cause of the behavior. And just because the nurse practitioner say he has CD doesn't make it true (or not true). If she did not do testing to rule out other diagnosis's then it probably is not terribly reliable. He needs intensive, complete evaluation and neuropsychs are the ones to best to that. You also need the Occupational Therapist (OT) and Speech Language Pathologist (SLP) evaluations to help with those issues, but the neuropsychologist can be FAR more accurate about a CD diagnosis. The link in my signature will take you to the thread about Parent Reports. This is a super powerful tool, a document that YOU create that has ALL the details and info about your difficult child. It is amazingly helpful and I urge you to read the thread and create the report. it really is THAT helpful! Could you also create a signature of your own? It helps us keep all the details straight. Just don't use ANY identifiers, etc... because this IS a public forum and anyone can read what you post. [/QUOTE]
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