Reply to Recommend an neuro eval for teen girl with many symptoms of various diagnoses

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[quote=Anonymous]I really need help. I’m sorry this is so long.

I’m looking for a thorough neuropsych eval for my teen daughter. Diagnosed with ADHD and GAD but there is so much more. Looking for someone that works well specifically with teen girls to differentiate between so many crossovers like ADHD, Autism, CPTSD, BPD, HPD, OCD, and ODD. It seems like every day she can show symptoms of some or all of these at any given time. She also lies a lot. Mainly about things you don’t even need to lie about and that just increases the anxiety and defiance. She has been to the hospital 3 times, never admitted. Can immediately get into calm mode when there. In IOP once and PHP once. DBT skills as well. No suicide attempts. Only one self harm awhile back. Definite explosive episodes that have subsided much more since PHP.  No ED but definitely has a sugar addiction when stressed that is bordering emotional eating. There has been talk of diagnosing her with BPD as she gets older (too young to formally diagnose) but I just feel like she needs more now. We have played around with meds and therapists for years. Her psychiatrist is 20min every 6 weeks and is great with changing meds (I research) but honestly doesn’t give two shits about her. How can you in 20min?

I would say within the last two months my daughter has been much more honest and open (we’ve had therapists before but she is just straight up superficial and lies for months, got kicked out of a group therapy for lying) and I feel it’s the right time to get her evaluated again and done thoroughly. She now has a therapist that is more trauma based and it has helped.

It’s like she is finally ready to get the help she needs. She’s exhausted. Says she just can’t have a quiet mind or calmness. She hates lying. She hates performing. She is just so impulsive and doesn’t like herself unless others like her. She is very social, funny, sarcastic and can be a very good friend and empath. She gets pretty good grades, is very smart when she applies herself and is very athletic. But she also has a hard time pausing and reading others. She is a conformist, but can be impulsive and talk too much or want to be the center of attention. Yet she doesn’t like herself. She’ll do something wrong in the moment that will have bigger consequences later. She has hard time maintaining friends and absolutely can not date. She will make a boy her top priority immediately. She struggles with the long school day. She excels in online school so much more (when she was in a program and also virtual dummer school) Adults and friends love her immediately. But she’s a lot sometimes. she can be hard to coach and teach. It’s like she tries to be nice but can be a bit argumentative and manipulative after awhile. It’s very hard to explain. Some teachers adore her. Others struggle with her.

I’m just desperate to get her looked at more thoroughly. Willing to spend the money, especially if I can find someone really good and if possible, can be seen before the summer is over.

Appreciate any input!!! [/quote]

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