Wednesday, March 28, 2007

Should MDs Use Only Parental Say to Diagnosis Bipolar and ADD in Children

This excellent Clinical Psychology and Psychiatry Posting is a response to a Seattle Weekly Reporter's, Philip Dawdy's, quest for the better understanding of his own Bipolar Disorder and the way psychiatric disorders are diagnosed in children. Clin Psych responds very rationally that all collateral information of importance should be triangulated.

Triangularization in my mind means you check a given data element (ex: distractability) from the client, parent, school, primary care physician, other caregivers, and even in home observation if necessary. Claims of psychiatric symptoms by parents over sensitized by their own children's problems, possibly as a way to avoid thinking about their own role in the somatization of psychiatric pain are often driven by their GOOGLE searches to OVER DIAGNOSIS their kids and try to find the "EASY" way to solve HARD behavioral problems.

As an "old school" behaviorist, I agree with Cheryl's comment that SUPER NANNY has more answers than PHARMA. This, and I apologize in advance for this observation, lack of clearly defined FAMILY RULES is running rampant among our faculty, and results in very severe behavioral problems. I am observing these weekly. I try to set up behavioral contingencies for my "friends" to employ with their kids, but alas, you can lead an MD to water... but can you make them.. ah... drink?

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