Neuropshych evaluator who does not allows jump to ASD

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Umm I wouldn't really trust a pediatrician to diagnosis that. Stop trying to shape the diagnosis as you see fit, it may be ASD.

I agree the op is trying to shape the diagnosis but it is unclear as to why or what benefit they are looking for. Just like adhd, now we are also very quick to diagnosis everything as autism which happened to us and is incorrect.

"We?" So you incorrectly diagnosed your kid with autism? You make no sense.

Our culture as in we. The developmental ped keeps insisting it is autism. It pays for therapy so we do not argue but separate test is clear it is not. At a tieme, there were features but they are gone.

Then therapy is helpful. Chime in when your kid has actually had a neuropsych evaluation.

Fortunately we do not need a neuropsychologist and I am not putting my child through more testing than necessary when we got a second pop inion that is very different. Regardless of diagnosis there are only a few therapy options so the bigger question is what does op think it is or feel others are missing and how can they use it to gain therapy or school services to benefit the child.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Umm I wouldn't really trust a pediatrician to diagnosis that. Stop trying to shape the diagnosis as you see fit, it may be ASD.

I agree the op is trying to shape the diagnosis but it is unclear as to why or what benefit they are looking for. Just like adhd, now we are also very quick to diagnosis everything as autism which happened to us and is incorrect.

There are proven tests and analysis that happens to diagnose ASD. In fact, it is very stringent because according to federal mandates ASD is very specific and provides coverage. If a practice was doing it fraudulently it would cause them to be investigated and perhaps prosecuted against federal laws (let alone law suite and loss of medical licenses).

It's not like you go in to get a flu shot and they give your kid a 30 second look over and write ASD.

There's almost nothing about this post that is true. There are no tests to prove autism. All the tests are subjective and depend on the skill level of those doing the diagnosing.

There are no "federal" mandates for ASD. There are some state mandates as pertains to insurance companies. And the ACA says you can't be dropped because you have pre-existing condition, like autism.

There are many news stories where doctors admit they are quick to give out ASD diagnosis if they think it will get a child services, particularly in schools. Even in Obamacare, ABA mandated coverage was dropped because of opposition.

http://www.disabilityscoop.com/2013/02/22/feds-aba-insurance/17346/

Feds Omit ABA Therapy From New Insurance Requirements
By Michelle Diament

February 22, 2013

Despite a heavy lobbying effort, the Obama administration declined to include autism therapy in final rules this week defining what must be covered by insurers under health care reform.

Many states have established mandates in recent years requiring at least some health insurance plans to include coverage of behavior therapy to treat autism. But with the passage of the 2010 health care reform law, advocates were hopeful that a nationwide standard would be established.

[Anonymous]

Anonymous wrote:Kennedy Krieger at Hopkins is VERY conservative with the ASD diagnosis. Very.

Please, no, their SLP s are beyond awful, I had a thread on that and few others concurred, and being conservative is not the key, being experienced enough to overcome the prejudices that can color subjective testing is the key.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Kennedy Krieger at Hopkins is VERY conservative with the ASD diagnosis. Very.

Please, no, their SLP s are beyond awful, I had a thread on that and few others concurred, and being conservative is not the key, being experienced enough to overcome the prejudices that can color subjective testing is the key.

Children's speech is terrible. They told opus our child was fine at two and when we begged for help they refused. Our child turned out to have a significant speech dela and their comments forced us to wait for needed services.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Umm I wouldn't really trust a pediatrician to diagnosis that. Stop trying to shape the diagnosis as you see fit, it may be ASD.

I agree the op is trying to shape the diagnosis but it is unclear as to why or what benefit they are looking for. Just like adhd, now we are also very quick to diagnosis everything as autism which happened to us and is incorrect.

"We?" So you incorrectly diagnosed your kid with autism? You make no sense.

Our culture as in we. The developmental ped keeps insisting it is autism. It pays for therapy so we do not argue but separate test is clear it is not. At a tieme, there were features but they are gone.

Then therapy is helpful. Chime in when your kid has actually had a neuropsych evaluation.

Fortunately we do not need a neuropsychologist and I am not putting my child through more testing than necessary when we got a second pop inion that is very different. Regardless of diagnosis there are only a few therapy options so the bigger question is what does op think it is or feel others are missing and how can they use it to gain therapy or school services to benefit the child.

NP. How old is your child? I have an older kid and the results of the neuropsych drives the IEP, services, accommodations, private therapies and the type of school (mainstreamed).

I agree with pp that maybe you should chime in when your kid has actually had a neuropsych eval.

[Anonymous]

OP, you are doing it wrong, you don't demand that they avoid an asd diagnosis. Just cause you can google doesn't make you a licensed phd in psychology.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Umm I wouldn't really trust a pediatrician to diagnosis that. Stop trying to shape the diagnosis as you see fit, it may be ASD.

I agree the op is trying to shape the diagnosis but it is unclear as to why or what benefit they are looking for. Just like adhd, now we are also very quick to diagnosis everything as autism which happened to us and is incorrect.

"We?" So you incorrectly diagnosed your kid with autism? You make no sense.

Our culture as in we. The developmental ped keeps insisting it is autism. It pays for therapy so we do not argue but separate test is clear it is not. At a tieme, there were features but they are gone.

Then therapy is helpful. Chime in when your kid has actually had a neuropsych evaluation.

Fortunately we do not need a neuropsychologist and I am not putting my child through more testing than necessary when we got a second pop inion that is very different. Regardless of diagnosis there are only a few therapy options so the bigger question is what does op think it is or feel others are missing and how can they use it to gain therapy or school services to benefit the child.

NP. How old is your child? I have an older kid and the results of the neuropsych drives the IEP, services, accommodations, private therapies and the type of school (mainstreamed).

I agree with pp that maybe you should chime in when your kid has actually had a neuropsych eval.

We have had Eva's, numerous. That is not the point. Op is looking for a specific disgnosis and someone to say that.

[Anonymous]

Anonymous wrote:OP, you are doing it wrong, you don't demand that they avoid an asd diagnosis. Just cause you can google doesn't make you a licensed phd in psychology.

You seem highly uniformed as well, with low reading comprehension.


OP is actually looking for someone to do a differential diagnosis, which is the gold standard of diagnosing. Too many clinicians today use a checklist approach, mainly for autism.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, you are doing it wrong, you don't demand that they avoid an asd diagnosis. Just cause you can google doesn't make you a licensed phd in psychology.

You seem highly uniformed as well, with low reading comprehension.


OP is actually looking for someone to do a differential diagnosis, which is the gold standard of diagnosing. Too many clinicians today use a checklist approach, mainly for autism.

http://www.wrongplanet.net/forums/viewtopic.php?t=258135

[Anonymous]

Maybe op needs to go overseas where you can pay for a desired diagnosis.

[Anonymous]

http://emedicine.medscape.com/article/912781-differential


Diagnostic Considerations

A major public health problem in the care of children with autism spectrum disorder and other pervasive developmental disorders is the inconsistent diagnosis of autism. Criteria for the diagnosis of autism are included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, and the International Classification of Diseases, Ninth Revision, Clinical Modification, Fourth Edition (ICD-9-CM) .[6, 100]

Although the criteria for autism and other pervasive developmental disorders differ between the DSM-V and the ICD-9-CM, they are both widely accepted and are used around the world by clinicians and researchers.

A discussion of the differences in the criteria for autism and related conditions in the DSM-V, the ICD-9-CM, and other nomenclatures is beyond the scope of this article. The key point for pediatricians and other clinicians is that the criteria for autism and related conditions in the DSM-V and the ICD-9-CM are presented in an outline form without a discussion of the terms used.

The DSM-V and the ICD-9-CM are poor textbooks of child development and child psychopathology; they do not fully describe the concepts incorporated in the criteria for autism and related conditions. Therefore, an inexperienced clinician is likely to incorrectly apply the criteria for autism and related conditions in the DSM-V and the ICD-9-CM.

The diagnosis of Autistic Disorder in DSM-V has 2 key criteria[6] :

Impairments in social communication and social interaction
A restricted, repetitive range of interests, behaviors, and activities

Diagnostic error and clinician experience

To administer tools for the diagnosis of autism and related conditions in a reliable and valid manner requires extensive training and experience. Therefore, unless they have wide experience with children with autism and understand the concepts implicit in the diagnostic criteria and rating scales, pediatricians and other clinicians are advised to refer patients with possible autism to experienced clinicians for definitive diagnostic evaluations.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Umm I wouldn't really trust a pediatrician to diagnosis that. Stop trying to shape the diagnosis as you see fit, it may be ASD.

I agree the op is trying to shape the diagnosis but it is unclear as to why or what benefit they are looking for. Just like adhd, now we are also very quick to diagnosis everything as autism which happened to us and is incorrect.

"We?" So you incorrectly diagnosed your kid with autism? You make no sense.

Our culture as in we. The developmental ped keeps insisting it is autism. It pays for therapy so we do not argue but separate test is clear it is not. At a tieme, there were features but they are gone.

Then therapy is helpful. Chime in when your kid has actually had a neuropsych evaluation.

Fortunately we do not need a neuropsychologist and I am not putting my child through more testing than necessary when we got a second pop inion that is very different. Regardless of diagnosis there are only a few therapy options so the bigger question is what does op think it is or feel others are missing and how can they use it to gain therapy or school services to benefit the child.

NP. How old is your child? I have an older kid and the results of the neuropsych drives the IEP, services, accommodations, private therapies and the type of school (mainstreamed).

I agree with pp that maybe you should chime in when your kid has actually had a neuropsych eval.

We have had Eva's, numerous. That is not the point. Op is looking for a specific disgnosis and someone to say that.

No one is saying that OP should go diagnosis shopping. We are telling OP that it is not possible to get A predetermined "acceptable" diagnosis in a neuropsych evaluation. If your child had ever had a neuropsych eval, you would know that.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, you are doing it wrong, you don't demand that they avoid an asd diagnosis. Just cause you can google doesn't make you a licensed phd in psychology.

You seem highly uniformed as well, with low reading comprehension.


OP is actually looking for someone to do a differential diagnosis, which is the gold standard of diagnosing. Too many clinicians today use a checklist approach, mainly for autism.

If you look at the title of the thread, OP is looking for a neuropsychologist. Perhaps you should read before saying someone else has "low reading comprehension".

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, you are doing it wrong, you don't demand that they avoid an asd diagnosis. Just cause you can google doesn't make you a licensed phd in psychology.

You seem highly uniformed as well, with low reading comprehension.


OP is actually looking for someone to do a differential diagnosis, which is the gold standard of diagnosing. Too many clinicians today use a checklist approach, mainly for autism.

If you look at the title of the thread, OP is looking for a neuropsychologist. Perhaps you should read before saying someone else has "low reading comprehension".

I've read the entire thread, and my reading comprehension is actually just fine. For starters, I did not accuse OP of shopping for a diagnosis.

Instead, OP wants someone who actually knows what they are doing. Unfortunately, those are few and far between in the world of autism, as detailed by the MedScape article posted earlier. I'm not currently in the area, and cannot direct OP to a competent professional unfortunately.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, you are doing it wrong, you don't demand that they avoid an asd diagnosis. Just cause you can google doesn't make you a licensed phd in psychology.

You seem highly uniformed as well, with low reading comprehension.


OP is actually looking for someone to do a differential diagnosis, which is the gold standard of diagnosing. Too many clinicians today use a checklist approach, mainly for autism.

If you look at the title of the thread, OP is looking for a neuropsychologist. Perhaps you should read before saying someone else has "low reading comprehension".

I've read the entire thread, and my reading comprehension is actually just fine. For starters, I did not accuse OP of shopping for a diagnosis.

Instead, OP wants someone who actually knows what they are doing. Unfortunately, those are few and far between in the world of autism, as detailed by the MedScape article posted earlier. I'm not currently in the area, and cannot direct OP to a competent professional unfortunately.

So you have nothing to contribute other than critiquing those who are in the area and have btdt. Nice.