I shouldn't be, but I am always amazed at how kind and informative my friends on the DIS are.
Maggie's Mom: I remember that part of the book "children do well if they can" and I try to remember that during a crisis. I say that my son doesn't want to control himself because I remind him of various coping strategies when the difficult starts (before it goes full blown), but he says flatly refuses -- "No, I'm not going to do that." I have often said that my son can't control himself and was chided by the various therapists we have been working with to not say that in front of him because I would be giving him "an excuse" to misbehave. I have a very smart boy who, when he is not in a rage, is wonderful, loving, affectionate, and sweet. I refuse to believe that he wants to say the things he does -- he often tells me that he wants me to die, wants to kill me, etc. Afterward, he is extremely remorseful.
I have read all about bipolar and understand how ADHD drugs can make a bipolar child more aggressive. We had that experience when we tried Focalin and Dextrostat (?), so I thought we were pretty much assured a bipolar diagnosis. The psychiatrist we have been dealing with most recently doubts that diagnosis and is not even sure about the ADHD. However, he does acknowledge DS's impulsivity. For that, he is on Intuniv. When that didn't seem to help with the impulsivity, we tried Vyvanse. That seemed to work at first and then didn't appear to be doing anything. I worried that we would have an increase in aggression like we did with the other stimulants, but that didn't appear to happen. So, now he's off the Vyvanse and I am watching for an increase in the impulsivity.
I had put my son in an out-patient hospitalization program called "For Keeps", which he went to every single day from 9-3. It backfired on us, unfortunately, because it was just too strict for him (he wasn't even 5 yet) and he came out of there with a high level of anxiety. He wouldn't walk from the living room to the kitchen without me. He was also prescribed a long list of meds over a five month period -- if something didn't work right away, they would switch to another med. I don't believe we got anything out of that program. I have now been recommended to bring him to a hospital so that they can run tests on him. However, I think I may try a pediatric neurologist first. It's so hard when there isn't a test or bloodtest that can tell me that he has _______. This is all an exercise of elimination -- rule various illnesses out before you get to the final diagnosis.
I live within an hour of NYC -- a great metropolitan area where we have some of the best doctors and hospitals. For example, if I had cancer, I would go to Sloan-Kettering. Right now, I'm not sure what kind of doctor to go to any longer. I have seen several psychiatrists, psychologists, a developmental pediatrician, a behavioral therapist. It's exhausting. We are now scheduled to meet with the school psychiatrist next Wednesday to hear yet another opinion.
bookwormde: My son had an occupational evaluation a little over a year ago and was found to have multi-sensory processing and some auditory processing issues. He gets twice weekly OT sessions at school and I met with the therapist last week who acknowledged the sensory issues. She said he has made some progress over the past two months. I met with an ENT that specializes in auditory processing (since he has it himself) and he doesn't recommend testing until age 7. I agree with you that there are so many clinicians out there that are unable (or unwilling) to diagnose. My biggest obstacle toward a diagnosis is my son's age. Some of said they "think" he has _____, but feel he's too young for a definitive diagnosis. It is so frustrating.
On a side note, I didn't say this before, but I adopted my son as an infant. He was born drug exposed (Cocaine) and it is highly likely that his bio-mom took drugs her entire pregancy, since he was not her first drug-exposed baby. I know that she had no prenatal care at all. There is also the possibility that there may be some mental illness in the family that I don't know about. The bio-mom comes from a family of addicts, so who knows what's there.
I welcome all of your advice and really appreciate your obvious concern and compassion for my son's well being.