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<blockquote data-quote="InsaneCdn" data-source="post: 571592" data-attributes="member: 11791"><p>Just adding to the chorus... but ODD is a diagnosis that most of us don't like, and if your difficult child has been given that as an actual diagnosis, then it really means that there is something else going on and the person doing the evaluation doesn't know what that is. It's a trigger for a more comprehensive evaluation. (was for us, too).</p><p></p><p>Until you know far more about the full spectrum of what you are dealing with, medications are tricky. For example - ADHD medications can be great (ask my kids!). But... for some kids, they are a disaster. And if the child has a MI such as bi-polar, it can be double-disaster.</p><p></p><p>It took us FOUR supposedly comprehensive evaluations to get even close to the right list of dxes... and we're still not there (fighting for the next evaluation...) But the closer we got to a complete list, the more the interventions, accommodations and medications could be fine-tuned ... and effective.</p><p></p><p>medications that are fast-in-fast-out, can be adjusted fairly quickly. Most of the stims are like that. They can adjust the dose practically on a dime, but usually it takes a week or two to know for sure that it is working... or partially working... or a disaster.</p><p></p><p>medications that have to build up in the system? One medication at a time, at least 8 weeks (our psychiatrist prefers 3 months) to adjust dosages and know if it's working etc, before adding another medication. Rapidfire changes... are going to cause rapidfire problems!</p><p></p><p>It isn't easy. WE live with these kids 24/7, even when they are at school. Nobody else has a clue what we go through.</p><p></p><p>Oh, and that PhD? depends on what it's in. We had a PhD Social Worker who was a great therapist, but... no training on even screening for dxes. We had a PhD Psychologist who wasn't a neuropsychologist (which are really hard to find here)... and she was a great evaluator... and a bad therapist. It isn't the level of the degree... it's the type of training and the type of experience. Sometimes, a team approach works - some childrens' hospitals and teaching universities have them - where different specialties do their own testing, then put their heads together. </p><p></p><p>One way or another, ... you need lots of hugs and support while you figure this all out!</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 571592, member: 11791"] Just adding to the chorus... but ODD is a diagnosis that most of us don't like, and if your difficult child has been given that as an actual diagnosis, then it really means that there is something else going on and the person doing the evaluation doesn't know what that is. It's a trigger for a more comprehensive evaluation. (was for us, too). Until you know far more about the full spectrum of what you are dealing with, medications are tricky. For example - ADHD medications can be great (ask my kids!). But... for some kids, they are a disaster. And if the child has a MI such as bi-polar, it can be double-disaster. It took us FOUR supposedly comprehensive evaluations to get even close to the right list of dxes... and we're still not there (fighting for the next evaluation...) But the closer we got to a complete list, the more the interventions, accommodations and medications could be fine-tuned ... and effective. medications that are fast-in-fast-out, can be adjusted fairly quickly. Most of the stims are like that. They can adjust the dose practically on a dime, but usually it takes a week or two to know for sure that it is working... or partially working... or a disaster. medications that have to build up in the system? One medication at a time, at least 8 weeks (our psychiatrist prefers 3 months) to adjust dosages and know if it's working etc, before adding another medication. Rapidfire changes... are going to cause rapidfire problems! It isn't easy. WE live with these kids 24/7, even when they are at school. Nobody else has a clue what we go through. Oh, and that PhD? depends on what it's in. We had a PhD Social Worker who was a great therapist, but... no training on even screening for dxes. We had a PhD Psychologist who wasn't a neuropsychologist (which are really hard to find here)... and she was a great evaluator... and a bad therapist. It isn't the level of the degree... it's the type of training and the type of experience. Sometimes, a team approach works - some childrens' hospitals and teaching universities have them - where different specialties do their own testing, then put their heads together. One way or another, ... you need lots of hugs and support while you figure this all out! [/QUOTE]
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