Reply to ISO psychiatrist for complicated depression/bipolar teen -- desperate and worried!

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Reply to "ISO psychiatrist for complicated depression/bipolar teen -- desperate and worried!"

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[quote=Anonymous]+1 on other PP's comments about whether a therapist truly is knowledgeable and helpful if a child has been seen for may years for anxiety without a referral for medication/psychiatry consult.

In addition to seeing a psychiatrist, given how old your child was at the onset of anxiety and depression (about 10 years old), I would STRONGLY recommend you also get a full neuropsychology assessment to either 1) rule out any learning disabilities and/or better identify learning/strengths and weaknesses that create or worsen anxiety/depression or 2) better identify how your DD's anxiety and depression are affecting her ability to succeed in school and thus, provide the documentation necessary to get support from school in terms of class accommodations, etc.

Around 8-10 years old (3rd grade) is often a time when academic expectations take a leap and kids who had formerly been able to compensate for learning issues begin to see themselves becoming unsuccessful or less easily successful in school.  But, because they are so young, they don't understand why and internalize the conflict they see between their own sense of self (I'm ok, I'm smart, I can do this) and the sense of self that is being reinforced in the classroom (you're not doing this, you're not with the rest of the kids, etc.).  This can cause a great deal of anxiety and/or depression.  [/quote]

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