Anonymous
Post 07/07/2014 17:34     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. Please believe me when I say he is sneaky. But regardless, I just want a solution. He's on a runaway train and no one can help. Please please tell me who the best neuropsych is anywhere. We will travel anywhere. And curious, why is a neuropsychologist better than a psychiatrist?

We are seeing Catherine McCarthy presently.


I would take him to Dr. David Black who is a neuropsychiatrist for an evaluation. He is an expert on ASD/HFA/Asperger's and is affiliated with NIH. You may have to wait til next yr to see him however.

http://caatonline.com/?team=dr-david-black





OP - I agree partly with this referral. David Black works with Dr. Bill Stixrud. Stixrud is a highly regarded practice, and there are many docs to choose from - a few however have a preference in the type of child they evaluate. Dr. Black for example is more of an ASD doctor while Dr. Stixrud himself is expert at diagnosing very difficult cases. Dr S has a one year wait list but get on the list and keep in touch with his wife Starr as she controls his calendar. If she likes you and thinks that Bill can help you - she has the ability to move you up that list.

Like I said, There are other doctors available - all of them very good. another one that comes to mind is Susan Hammond. call stixrud's office and schedule an intake. Their intake person will dig deeper with you into what's possibly going on and she can tell you which doctor is best suited for your DS. Most of the other doctors have a 3-6 month wait.


I'm the poster who made the referral. You are absolutely right about talking to the intake person at Stixrud about the best evaluator for OP. I just have tunnel vision since I live in Aspie World. LOL! Thanks for the correction!
Anonymous
Post 07/07/2014 17:26     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:OP here. Please believe me when I say he is sneaky. But regardless, I just want a solution. He's on a runaway train and no one can help. Please please tell me who the best neuropsych is anywhere. We will travel anywhere. And curious, why is a neuropsychologist better than a psychiatrist?

We are seeing Catherine McCarthy presently.


I would take him to Dr. David Black who is a neuropsychiatrist for an evaluation. He is an expert on ASD/HFA/Asperger's and is affiliated with NIH. You may have to wait til next yr to see him however.

http://caatonline.com/?team=dr-david-black





OP - I agree partly with this referral. David Black works with Dr. Bill Stixrud. Stixrud is a highly regarded practice, and there are many docs to choose from - a few however have a preference in the type of child they evaluate. Dr. Black for example is more of an ASD doctor while Dr. Stixrud himself is expert at diagnosing very difficult cases. Dr S has a one year wait list but get on the list and keep in touch with his wife Starr as she controls his calendar. If she likes you and thinks that Bill can help you - she has the ability to move you up that list.

Like I said, There are other doctors available - all of them very good. another one that comes to mind is Susan Hammond. call stixrud's office and schedule an intake. Their intake person will dig deeper with you into what's possibly going on and she can tell you which doctor is best suited for your DS. Most of the other doctors have a 3-6 month wait.
Anonymous
Post 07/07/2014 17:16     Subject: No one can figure out my son's diagnosis
Anonymous wrote:OP here. Please believe me when I say he is sneaky. But regardless, I just want a solution. He's on a runaway train and no one can help. Please please tell me who the best neuropsych is anywhere. We will travel anywhere. And curious, why is a neuropsychologist better than a psychiatrist?

We are seeing Catherine McCarthy presently.


I would take him to Dr. David Black who is a neuropsychiatrist for an evaluation. He is an expert on ASD/HFA/Asperger's and is affiliated with NIH. You may have to wait til next yr to see him however.

http://caatonline.com/?team=dr-david-black



Anonymous
Post 07/07/2014 17:12     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I would also look into a combo of ASD and personality disorder. While I know ADHD looks different in all people, I have never heard these types of behaviors associated with ADHD. My DS has ADHD and is a rule follower for sure. he also does not perserverate and has always played with toys appropriately. he would never dream of being so sneaky as to cajole another person into doing something he knows is wrong.

I see an emotional and social disconnect as well as a total lack of remorse. while he KNOWS the right things to do, he purposefully does not do them.

OP - your DS needs immediate intervention. Get an evaluation and don't settle for "its not ASD"..something else is going on here.


I think this is normal childhood behavior for many kids.....


But not for kids with ASD. I cannot imagine a kid with ASD knowing how to conjole another kid. They lack the social sophistication for that.


Oh, I get what you are saying. Sorry, i am a guest in the SN forum. I'll keep quiet.


The remark was directed at the poster who insists it must be ASD and not to "settle for 'it's not ASD'", not you.
Anonymous
Post 07/07/2014 17:11     Subject: No one can figure out my son's diagnosis
OP here. Please believe me when I say he is sneaky. But regardless, I just want a solution. He's on a runaway train and no one can help. Please please tell me who the best neuropsych is anywhere. We will travel anywhere. And curious, why is a neuropsychologist better than a psychiatrist?

We are seeing Catherine McCarthy presently.
Anonymous
Post 07/07/2014 17:10     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:Time for a full neuropsych evaluation.

I doubt it's ASD. People with ASD are not "sneaky" and usually very rules oriented. It sounds like he has impulse control issues.

I would seek behavioral therapy also.


OP's son is hardly "sneaky." People are well aware that he's taking things. The stealing could be very well related to impulse control/ADHD.

Kids with ASD can be very rules oriented but they can also be very inflexible and break rules/have tantrums when things don't go their way.

OP, I'd look into the Kazdin Method.


My kid with an ASD can sneak. He can also lie. He knows the rules and he knows what he wants. Sometimes his wants beat out the rules.
Anonymous
Post 07/07/2014 17:07     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I would also look into a combo of ASD and personality disorder. While I know ADHD looks different in all people, I have never heard these types of behaviors associated with ADHD. My DS has ADHD and is a rule follower for sure. he also does not perserverate and has always played with toys appropriately. he would never dream of being so sneaky as to cajole another person into doing something he knows is wrong.

I see an emotional and social disconnect as well as a total lack of remorse. while he KNOWS the right things to do, he purposefully does not do them.

OP - your DS needs immediate intervention. Get an evaluation and don't settle for "its not ASD"..something else is going on here.


I think this is normal childhood behavior for many kids.....


But not for kids with ASD. I cannot imagine a kid with ASD knowing how to conjole another kid. They lack the social sophistication for that.


Oh, I get what you are saying. Sorry, i am a guest in the SN forum. I'll keep quiet.
Anonymous
Post 07/07/2014 17:03     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:I would also look into a combo of ASD and personality disorder. While I know ADHD looks different in all people, I have never heard these types of behaviors associated with ADHD. My DS has ADHD and is a rule follower for sure. he also does not perserverate and has always played with toys appropriately. he would never dream of being so sneaky as to cajole another person into doing something he knows is wrong.

I see an emotional and social disconnect as well as a total lack of remorse. while he KNOWS the right things to do, he purposefully does not do them.

OP - your DS needs immediate intervention. Get an evaluation and don't settle for "its not ASD"..something else is going on here.


I think this is normal childhood behavior for many kids.....


But not for kids with ASD. I cannot imagine a kid with ASD knowing how to conjole another kid. They lack the social sophistication for that.
Anonymous
Post 07/07/2014 17:01     Subject: No one can figure out my son's diagnosis
Anonymous wrote:I would also look into a combo of ASD and personality disorder. While I know ADHD looks different in all people, I have never heard these types of behaviors associated with ADHD. My DS has ADHD and is a rule follower for sure. he also does not perserverate and has always played with toys appropriately. he would never dream of being so sneaky as to cajole another person into doing something he knows is wrong.

I see an emotional and social disconnect as well as a total lack of remorse. while he KNOWS the right things to do, he purposefully does not do them.

OP - your DS needs immediate intervention. Get an evaluation and don't settle for "its not ASD"..something else is going on here.


I think this is normal childhood behavior for many kids.....
Anonymous
Post 07/07/2014 16:58     Subject: No one can figure out my son's diagnosis
I would also look into a combo of ASD and personality disorder. While I know ADHD looks different in all people, I have never heard these types of behaviors associated with ADHD. My DS has ADHD and is a rule follower for sure. he also does not perserverate and has always played with toys appropriately. he would never dream of being so sneaky as to cajole another person into doing something he knows is wrong.

I see an emotional and social disconnect as well as a total lack of remorse. while he KNOWS the right things to do, he purposefully does not do them.

OP - your DS needs immediate intervention. Get an evaluation and don't settle for "its not ASD"..something else is going on here.
Anonymous
Post 07/07/2014 16:55     Subject: No one can figure out my son's diagnosis
Anonymous wrote:The stealing can be kleptomania which can indicate both an anxiety and impulse control issues.


+1 He definitely has kleptomania. Has he been evaluated for anxiety? It's commonly comorbid with ADHD and ASD.

Get a full neuropsych eval which will test for all, anxiety, ADHD, ASD... your son definitely needs therapy to learn impulse control and maybe adjustment of his ADHD meds. Kleptomania is considered OCD so your son is not lying when he says he can't control himself. Good luck!
Anonymous
Post 07/07/2014 16:52     Subject: No one can figure out my son's diagnosis
Blood tests for lead levels.
Anonymous
Post 07/07/2014 16:49     Subject: No one can figure out my son's diagnosis
Anonymous wrote:OP here. He knows full well his actions are wrong. When talking to him, he hides his face. When he overheard me telling a friend on the phone, he cried out of embarassment.


I understand that, but he can't control doing something wrong and he goes out of his way to come up with ways to get away with something he knows is wrong. Do you not get why that is fairly serious? My nephew sounds a lot like your son and he gets upset when he's caught because of how it makes him feel, not because he feels bad for how he made other people feel.

They are still trying to get a correct diagnosis as my sister does not believe his sole diagnosis his sociopathy.
Anonymous
Post 07/07/2014 16:48     Subject: No one can figure out my son's diagnosis
Anonymous wrote:
Anonymous wrote:Time for a full neuropsych evaluation.

I doubt it's ASD. People with ASD are not "sneaky" and usually very rules oriented. It sounds like he has impulse control issues.

I would seek behavioral therapy also.


OP's son is hardly "sneaky." People are well aware that he's taking things. The stealing could be very well related to impulse control/ADHD.

Kids with ASD can be very rules oriented but they can also be very inflexible and break rules/have tantrums when things don't go their way.

OP, I'd look into the Kazdin Method.


According to OP, he's very sneaky and her example of hiding the electronic device in the tissue box is VERY sneaky.
Anonymous
Post 07/07/2014 16:46     Subject: No one can figure out my son's diagnosis
Anonymous wrote:Time for a full neuropsych evaluation.

I doubt it's ASD. People with ASD are not "sneaky" and usually very rules oriented. It sounds like he has impulse control issues.

I would seek behavioral therapy also.


OP's son is hardly "sneaky." People are well aware that he's taking things. The stealing could be very well related to impulse control/ADHD.

Kids with ASD can be very rules oriented but they can also be very inflexible and break rules/have tantrums when things don't go their way.

OP, I'd look into the Kazdin Method.