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Monthly Archives: June 2013
My problem with the diagnosis of Oppositional Defiant Disorder (ODD) is that establishing the diagnosis doesn’t tell you anything about what to do to treat it. Consider it a “lite” version of Disruptive Mood Dysregulation Disorder without the severe, protracted tantrums or meltdowns.
Given the outsized role these conditions play in children’s mental health, the DSM-5 diagnostic criteria for specific learning disorder represent a major fail for the field. Continue reading
Most importantly for the sake of our discussion, the symptom thresholds for establishing a diagnosis in children and teens have been changed to take into account differences in the ways that trauma is manifested in kids, and a unique set of diagnostic criteria have been established for identification of PTSD in kids ages six and under.
Some of the conditions included in this new category (in addition to OCD) include…Body Dysmorphic Disorder, Hoarding Disorder, Trichotillomania (Hair-Pulling Disorder) and Excoriation (skin-picking) Disorder. Continue reading
If I have learned anything from walking a road of loss- one I begged not to go down, then it is encompassed in the following words as best as I am able. God is not about our comfort. He is about His kingdom coming to this earth. And when we seek our own happiness in the ways that seem so native to our mind, we walk straightway into a most miserable life.
His ways are not our ways.
Since there was lots of interest in the topic of frequently asked questions about kids and medication , I’ll cover each of the questions I’d planned to address during the lecture in a blog series we’ll run through July, following our current series on the changes in diagnostic criteria included in the DSM-5. Continue reading
From a clinician’s standpoint, kids with Asperger’s are VERY different from kids with “classic” autism. Kids with Asperger’s have the intelligence and language skills to very effectively communicate their thoughts and perceptions. They also have a far greater capacity for self-awareness of their social deficits…and are far more amenable to treatment interventions to ameliorate their weaknesses in social situations. They’re so different that the vast preponderance of kids with traditional autism in our community receiving medical intervention are seen by developmental pediatricians and pediatric neurologists, not child psychiatrists. Continue reading