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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Yes it's very possible either that it was missed, was not apparent enough at a younger age, or that the evaluator doesn't use it.

I just had a well respected neuropsych tell me that he doesn't use "x" dx even though it's in the DSM and has never dx'ed it. He said he thinks the sx are better explained by other dx'es.

so get an eval from another dr who may have a different approach[/quote]

Why diagnosis shop? [/quote]

Maybe they actually want to help their child? [/quote]

Yeah but just because there’s a diagnosis in the DSM doesn’t mean that a clinician has to use it or that there is any benefit to it. SCD was basically invented for the DSM when they got rid of PDD-NOS. But very few clinicians use it, there are not specific therapies for it, and there are not well established clinical instruments to diagnose it. It was a category created in the DSM, not some kind of newly discovered virus that you need to get your kid tested for.

Dyspraxia is also an example of this. My kid had OT and PT testing that showed he has poor motor skills and poor motor planning. That’s clear to everyone. He did get a clinical dyspraxia dx eventually but it was totally unnecessary because the challenges are obvious. If there was some kind of special therapy for “dyspraxia” of course I would feel differently.

Now if you were getting a full battery of testing of your kid and for some reason they skipped the fine motor and motor planning tests then yeah, that’s something to ask about. [/quote]

My (now) adult son clearly has fine and gross motor skill differences.  He was denied helpmeith handwriting when he was a student in MCPS. He was also mocked in a classroom infront of his peers by a teacher who told him his work looked like he wrote it with his feet. Perhaps a correct diagnosis would have helped but the testing center we paid $5000 for didn't notate it.[/quote]

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