Monthly Archives: June 2013

Is Oppositional Defiant Disorder a description or a diagnosis?

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.
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Posted in ADHD, Controversies, Families, Hidden Disabilities, Key Ministry, Mental Health | Tagged , , , , , , , | 5 Comments

Does the DSM-5 harm bright kids with learning disabilities?

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

Posted in Advocacy, Controversies, Hidden Disabilities, Inclusion, Key Ministry, Mental Health | Tagged , , , , , , , | 7 Comments

DSM-5: Recognizing the signs of trauma in kids

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.
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Obsessive-Compulsive Disorder (OCD): A category unto itself…

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

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Why after all the hard, did you choose hard again? Guest blogger Matt Mooney

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.
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Posted in Adoption, Families, Stories | Tagged , , , , , , | 1 Comment

DSM-5: Rethinking Reactive Attachment Disorder

There are many reasons why children adopted from orphanages and children in foster care frequently exhibit severe problems with conduct and emotional self-regulation. Effects of trauma and neglect upon brain development combined with genetic and environmental influences appear to be responsible in most instances…as opposed to a primary attachment disorder. Continue reading

Posted in Adoption, Controversies, Families, Foster Care, Hidden Disabilities, Key Ministry, Mental Health | Tagged , , , , , , , , , , | 81 Comments

Ten Questions About Kids and Medication Lecture CANCELED. Here’s the alternate plan…

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

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Why the decision to eliminate Asperger’s Disorder was absurd…

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

Posted in Autism, Controversies, Hidden Disabilities, Key Ministry | Tagged , , , , , , , , | 7 Comments

Social (Pragmatic) Communication Disorder…not quite Asperger’s

SCD has become the diagnostic category for kids who look like those with Asperger’s Disorder, but don’t meet full criteria for an autism spectrum disorder.
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Posted in Controversies, Hidden Disabilities, Mental Health | Tagged , , , , , | 8 Comments