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Child Behavior  (Expert Forum)
 | 
Testing for A.D.D or other issues
Answered by
Kevin Kennedy, Ph.D. - Child and Adolescent Psychotherapy, Family Therapy, Crisis Intervention
Harvard Vanguard Medical Associates
This forum is for questions and support regarding child behavior issues such: Child Discipline (behavior management), Normal Child Development, Parent-Child Communications, Social Development

Testing for A.D.D or other issues

by RickCFP, Jul 31, 2002 12:00AM
Hi,



I'm the father of a very healthy 10 year old boy.  At age 6, he was diagnosed with having some markers for A.D.D.  Here is some brief history.  My son had speech delays and would get very frustrated as we couldn't understand him. This caused him to kick and scream for endless periods.  We put him into speech therapy and for several years his speech has been perfect.  However, he can still be quite defiant when he doesnt't want to do something.  He is very bright. In fact, one of the complaints his 4th grade teacher had was that he would see a math problem on the boward and figure it out in his head.  Thus not showing his work.  his response is, "why do I have to show it if i know how to do it?"



However, when it comes to writing a report or story, he really has a hard time geting the words down. Also, his handwritting is awful (like me!)  orally, he can tell great stories but doesn't like to write. i tried getting him to type them but it is only slightly less of a fight.  



I recently read a book by a Dr. mel Levine.  A mind at a time.  He talks about the fact that children (and adults) learn in different ways. Now, to get to my question.  Where in the Boston area can I have him tested where he won't be grouped into the A.D.D mold if in fact it is something else such as getting his hand to write.  (he can do math problems all day long).  My wife and i differ on treatment. I am really against using the drugs if it can be avoided. She is not for them per se but feels we could try it and see if it helps.  My feeling is that it could help alot of kids but could hinder other areas.



Any help here would be greatly appreciated!



rick

by Kevin Kennedy, Ph.D., Aug 01, 2002 12:00AM
Your description indicates that, while ADHD may be an issue with your son, he may well display a learning disability that accounts for some of the difficulty. So, while not ignoring ADHD by any means, because it may be a factor, I'd strongly suggest some LD testing. You have a number of options in the Boston area. The ADHD evaluation will probably be covered by your health insurance, so use select among the resources your health plan covers. Call the number on the back of your insurance card in this regard, or check with your son's pediatrician. Some insurances require a referral, others (such as Harvard Vanguard, where I am employed), welcome self-referrals. As far as the LD testing is concerned, don't be surprised if this is not covered by insurance, though it's worth checking because it may be covered. One option, which circumvents the insurance issue entirely, is to have your son tested via a CORE evaluation, by your local public school district (even if he does not attend public school, the district can do this). Other options are going to a private clinic (such as the Weaver Clinic in Weston), going to an educational psychologist or learning disabilities specialist in private practice (you can even look in the yellow pages), or contacting a hopspital-based program such as the Children with Special Needs program at New England Medical Center or Learning Disabilities programs at either Mass General or Children's Hospital.
Member Comments (5)

by RickCFP, Aug 01, 2002 12:00AM
To: HVMA-Ph.D.-KDK
Thank you so much for the info.  I'm assuming that ADD testing might be covered by my insurance (HPHC) but the LD testing is different and I might have to pay privately for that?



thanks again

by tnewman, Aug 18, 2002 12:00AM
I also have a son with ADHD.  He was having difficulty in school with learning his alphabet and reading.  Although, his mathematical skills were excellent.  I was strongly opposed to using medication to "control" my child.  I felt that I was failing as a parent, and that was why he was having trouble in school.  After some research on ADHD, I quizzed my pediatrician and she suggested he be evaluated by a child psychiatrist.  After a very detailed testing, it was recommended he try adderal.  I finally gave in, and low and behold, within 2 months, my son went from knowing 1/3 of the alphabet to reading at his age level and behaving in school.  I am still not a fan of giving him medication, but scholastically, it was exactly what he needed.  What I would like to know, is there a possiblity some of the symptoms of ADHD are caused by food allergies?

by chrissymn, Aug 29, 2002 12:00AM
I would have him tested.  Ritalin has really helped my son.  I could see he was going down the same path I did in school.  I hated reading because I just didn't "get it".  I was always yelled at for daydreaming and not paying attention.  My son said he stared out the windows at school even when he was trying to pay attention.  I rememered that feeling.  I took him to the Doctor and they did some tests.  After a computer test, they put him on a 3 week ritalin/placebo test and he was better on the ritalin.  He also received Special Ed in school for reading.  They did find a learing disability.  He went to Title 1 for reading and also saw a counselor that worked on his handwriting with him.  He started the ritalin in 2nd grade and is now going into 5th grade.  He is no longer in any Special Ed - he improved so much that he was done with that in 3rd grade.  His writing is still terrible but he can read and is doing much better in school.  Part of the learning disability testing was an IQ test and his ended up to be really high.  He is off the scales in Math.  He loves Math and Social Studies.  When he was in 3rd grade he wanted his dosage lowered from 15 to 10 MG because he didn't like how 15 felt.  The doctor said to try 10 and see how it goes.  I talked to his teacher after school started and 10 was working.  I have really seen the medicine help him to concentrate so that he can pay attention in school.  I know from experience that kids sometimes go the "I don't care" direction which is what I ended up doing.  Good luck!!

by Icron, Nov 02, 2002 12:00AM
I was just wondering as to where the dad's had gotten thier son tested. I believe that I have it as well. I am 17 and found that I can't concentrate and everynow and then when I get excited I have more than enough energy. Like almost surges of energy. More than what I remember having when excited. So if you know of a site or a center where I could get tested that would be greatly appreciated.
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