Reply to I need to have my child evaluated for aspergers/ adhd sooner rather than later

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Reply to "I need to have my child evaluated for aspergers/ adhd sooner rather than later"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Op here. I have heard a lot about dr black and I'm sorry if this offends some, but I have often wondered if dr black has ever not diagnosed a child with some SN case. I worry that people like him may over diagnose. [/quote]

I don't know about others but I know that for my child, Dr Black diagnosis, report and recommendations for treatment are spot on and has made DS's life 1000% better.[/quote]

I would also think that if you're at the point of paying 4000 out of pocket for an evaluation you at least know *something* is wrong, even if you're going because you don't quite know what.  Is that going to be universally true?  Nothing ever is.  But it's a highly self selecting population.  [/quote]

There's a really interesting unpublished PhD thesis from a sociology student who did an ethnographical-type study of an autism center.  She found that every child except 1 or 2 referred to the center in her time there was diagnosed with an ASD, with the clinicians using the PDD-NOS category as a sort of catch-all for "something wrong."  It's here:  http://academiccommons.columbia.edu/item/ac:143070

My feeling is that while it's correct that no parent embarks on investing a lot of money/worry/time if there is nothing actually going on, that there definitely is a bias towards over-diagnosis once you enter the "institutional funnel" and go to one of these doctors and practices.  What might be a developmental phase or a poor fit with an educational environment could end up getting labeled as a SN.  To a certain extent these institutions are designed to produce a diagnosis to stick to whatever is identified as problem behavior.

I also feel like the diagnosis of an ASD, especially in marginal cases or where there might be other things going on, probably really benefits from an interdisciplinary, team approach, instead of one private practice doctor.  That's why a place like Children's might be a better option.

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Interesting study...  Would love to see a similar study as it pertains to Asperger's.  The study was obviously made before 2013 when Asperger's and PDD-NOS still exists as a separate diagnosis from Autism.  Why was the phD thesis not published?
  
Kids with Asperger's are usually different from most others with ASD in that Asperger's is not found (if at all) until a child starts school and the family usually has no experience with early intervention services.  So for kids with Asperger's,  going to school is the "institutional funnel" that results in these kids ending up with an ASD dx or just maybe they get the diagnosis bc they actually have a diagnosis and getting an IEP and supports/services improves how they function at school.

Dr. Black and Children's Center for Autism Spectrum Disorders are the two main sources in the area that regularly conduct ADOS/ADI-R testing which is considered by many to be the gold standard for diagnosing ASDs.
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