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[quote=Anonymous][quote=Anonymous]Help me figure this out. I need recommendations for a second opinion for a psychiatrist. 
 My 11 year old DC has fairly severe ADHD primarily inattentive, executive functioning, and processing speed issues. We have a full neuropsych and have been in various forms of therapy for the past four years. It's gotten to the point where I need someone to help us look at medication to take the edge off so she's more receptive to therapy. She's extraordinarily forgetful, disorganized, erupts easily and takes a long time to cool down, etc. I took her to a psychiatrist for an evaluation expecting a serious discussion about potential medication and the result was an hour interview (both together), psychiatrist flipped through the 60 pages of evaluations (without reading it ahead of time), and a one paragraph summary report suggesting we give her natural caffeine and melatonin. Only caffeine she'd normally imbibe would be in the form of chocolate or a Frappuccino.

Is this normal? Has anyone encountered this before? I kind of feel defrauded out of $400.

I need a second opinion on this matter, but the first one came recommended from this forum and from someone I know personally, and we paid out of pocket. Psychiatrists that accept insurance seem hard to find and while I was willing to spend the money first time around, we don't make a ton, and I'm unsure of paying out of pocket again to be given a "Starbucks" prescription. I'm not insistent on medication being a requirement, but if I'm paying $400- $500, I'd like to know that someone is taking our concerns seriously.

Any suggestions for a psychiatrist that does a thorough evaluation? TIA.
[/quote]

You daughter is exhibiting hallmark signs of ADHD and needs medications in addition to all the other interventions you are doing. I would take her to another psychiatrist. Medication will help all those symptoms you are describing. Please try to make an appointment with child psychiatry at Hopkins or Kennedy Kriejer because they take insurance. It may take awhile to get an appointment but once she is stabilized on medication, her pediatrician may accept to prescribe the medications so you don't need to go to the psychiatrist as much. [/quote]

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