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Old 02-23-11, 02:08 PM
mommyofsal&gab mommyofsal&gab is offline
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Psychiatrist v. Neurodevelopmental Specialist

Hi. I'm not sure if I'm posting in the right place but am hoping for help from parents who have dealt with this issue. My son's neurologist suggested we take him to either a child psychiatrist or a neurodevelopmental specialist because he feels that he needs more than just seeing a neurologist at this time. My son has severe ADHD and PDD and apraxia/dysarthria. He is on medication but still needs more help than that. He is also seeing a behaviorist/psychologist. I have been researching the differences between the child psychiatrist and neuro specialist and am not sure if taking him to a child psychiatrist is the right choice. Does anyone have any experience with taking their ADHD/PDD child to see a psychiatrist and if so was it a good choice? What are the main differences between the two? I just don't want someone writing out prescriptions for him and that's it. I need as much help as I can in helping him with all of this. TIA.
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Old 02-23-11, 04:44 PM
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Re: Psychiatrist v. Neurodevelopmental Specialist

Neuro specialist can tell you exactly what the problem is within the brain
Psychiatrist can help you fix it

A good psych wont just write a script, they'll discuss how things are going, what's changed etc etc. A good psych is a great dr to have!
Good luck :-)
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Old 02-23-11, 06:17 PM
Impromptu_DTour Impromptu_DTour is offline
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Re: Psychiatrist v. Neurodevelopmental Specialist

Its refreshing to see that you're being concerned for the right reasons, contrary to alot of other parents who seem to just want their kid to "have" add - irregardless of what anybody says, to cut down the work they'd have to do to rationalize not putting the effort into their child that they really should be.

On the otherhand, you're taking a very direct, and responsible approach, a respectable kudo's to you.

While i havnt had to take any children to either, your approaching this from 2 different angles. A psychiatrist is educated in the neurochemical playgrounds of the brain. How to alter brain chemistry to match an expected and desired behavior.

Whereas with a Neurodevelopemental Specialist, who is educated in exactly how a brain develops, it's stages of development, and its sensitive (or critical) stages. If im understanding correctly works with strengths and develops cognitive behaviors and encourages a stronger foundational development that will ideally last indefinitely.. with or without medication. (preferably without).

I cant really advise from a professional standpoint of course =) but if i was in your position, i would save the Chemical Braces approach as a last resort. A children are already in such an extraordinarily potent neurochemical phase, in which (with the proper direction and modeling that you could get from a neurodevelopmental specialist) he/she could develop a magnitude of learning and developmental skills. I mean, you might find that the psychiatric approach is inevitable, but in my opinion, still should be a last resort.

A psychiatrist can put a leash on things. A neurodevelopmental specialist can help it reach maturation.

If i could go back and choose who I would have rather seen, i would go back and see a neurodevelopmental specialist.

My personal take.

I_DTour
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Old 02-23-11, 07:55 PM
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Re: Psychiatrist v. Neurodevelopmental Specialist

I'm not sure what a Neuro Developmental Specialist is. Is it the same as a Neuro-psychologist?

We took our son for a neuro-psych assessment and it was incredibly helpful in terms of providing us & the school with a lot of information and suggestions. I would highly recommend this type of evaluation.

I hope I'm not adding a 3rd thing to the equation for you to consider.
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Old 02-24-11, 02:10 AM
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Re: Psychiatrist v. Neurodevelopmental Specialist

Since your son also has apraxia, which is a neurological disorder, a neurodevelopmental specialist is probably more experienced with that. The downside is that the neurodevelopmental specialist may be less experienced with ADHD. Ideally, of course, you would find one that is also very experienced with ADHD, but it's rare for them to be as experienced as a child psychiatrist.

You may have to end up going to both to address the ADHD and apraxia separately.

Codykins also lives in NJ and seems to have found a great neurodevelopmental specialist for her son. Perhaps you can send her a private message asking for a reference. If the specialist is too far from where you live, s/he may be able to recommend someone closer to you.
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Old 02-24-11, 11:49 PM
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Re: Psychiatrist v. Neurodevelopmental Specialist

I was skeptical of my son’s diagnoses at first and scared that he was being put into a pocket of catch all diagnoses. His first diagnoses came from a Neurodevelopmental Pediatrician at St. Josephs Children Hospital in Paterson NJ. I did not like her and had no confidence in her quick diagnoses (1 hour with me and 10 minutes with my son). I decided not to medicate and went the natural diet and remedies route for 14 months with (unfortunately) no improvement.

After that I moved to the Goryeb Children’s Hospital at Morristown Memorial and their Child Development Center, Neurodevelpmental Pediatrician, for a second diagnoses. Loved them, they took a total of 4 hours with me and my son before they gave me their diagnoses of ADHD, inattentive and impulsivity. They also recommended medication – still I was so torn. I immediately and luckily got an appointment at John Hopkins Children’s Hospital in MD, where they too diagnosed ADHD and ran a brain scan – I couldn’t deny any longer. The doctor at John Hopkins recommended I continue to work with the developmental center and explained to me the following;

Neurodevelopmental pediatricians are experts in the management of autistic spectrum disorders, developmental delays, learning disabilities, attention deficit/hyperactivity disorder and other developmental disorders, and help manage many other developmental and behavioral issues. They can evaluate your child's overall development, provide a diagnosis, and recommend specific treatment plans. Developmental pediatricians also can coordinate medical evaluations or prescribe medications when appropriate. They often act as an advocate during school planning, providing documentation and support to make sure your child receives needed services. Developmental pediatricians also provide long term monitoring as a child moves through different educational settings, assisting with educational programming, behavioral and medical management, and often acting as a care coordinator. This was a very important aspect for us and proved to be key in all Cody’s school planning, evaluation and classification.

Psychiatry (Adolescent, Pediatric and Adult) are experts in psychiatry (mental disorders) such as; Stress, Anxiety, Bipolar, adjustment, behavioral, impulsive, depression, mood, social disorders and the list goes on and on, but you get the gist. Many children with develpmental disorders also need Psychiatry.

A Child Development Center and Neurodevelopmental Pediatrician will recommend Psychiatry if needed and without hesitation. ADHD, PDD and apraxia/dysarthria are considered developmental disorders (Autisum Spectrum as I understand them) and I would definitely start with a Developmental Pediatrician, JMHO.

I hope this helps and good luck!

In NJ: I highly recommend the Goryeb Children’s Center, Child Development Center., Morristown NJ 07962
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Old 02-25-11, 12:30 AM
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Re: Psychiatrist v. Neurodevelopmental Specialist

Quote:
Originally Posted by Codykins View Post
I was skeptical of my son’s diagnoses at first and scared that he was being put into a pocket of catch all diagnoses. His first diagnoses came from a Neurodevelopmental Pediatrician at St. Josephs Children Hospital in Paterson NJ. I did not like her and had no confidence in her quick diagnoses (1 hour with me and 10 minutes with my son). I decided not to medicate and went the natural diet and remedies route for 14 months with (unfortunately) no improvement.

After that I moved to the Goryeb Children’s Hospital at Morristown Memorial and their Child Development Center, Neurodevelpmental Pediatrician, for a second diagnoses. Loved them, they took a total of 4 hours with me and my son before they gave me their diagnoses of ADHD, inattentive and impulsivity. They also recommended medication – still I was so torn. I immediately and luckily got an appointment at John Hopkins Children’s Hospital in MD, where they too diagnosed ADHD and ran a brain scan – I couldn’t deny any longer. The doctor at John Hopkins recommended I continue to work with the developmental center and explained to me the following;

Neurodevelopmental pediatricians are experts in the management of autistic spectrum disorders, developmental delays, learning disabilities, attention deficit/hyperactivity disorder and other developmental disorders, and help manage many other developmental and behavioral issues. They can evaluate your child's overall development, provide a diagnosis, and recommend specific treatment plans. Developmental pediatricians also can coordinate medical evaluations or prescribe medications when appropriate. They often act as an advocate during school planning, providing documentation and support to make sure your child receives needed services. Developmental pediatricians also provide long term monitoring as a child moves through different educational settings, assisting with educational programming, behavioral and medical management, and often acting as a care coordinator. This was a very important aspect for us and proved to be key in all Cody’s school planning, evaluation and classification.

Psychiatry (Adolescent, Pediatric and Adult) are experts in psychiatry (mental disorders) such as; Stress, Anxiety, Bipolar, adjustment, behavioral, impulsive, depression, mood, social disorders and the list goes on and on, but you get the gist. Many children with develpmental disorders also need Psychiatry.

A Child Development Center and Neurodevelopmental Pediatrician will recommend Psychiatry if needed and without hesitation. ADHD, PDD and apraxia/dysarthria are considered developmental disorders (Autisum Spectrum as I understand them) and I would definitely start with a Developmental Pediatrician, JMHO.

I hope this helps and good luck!

In NJ: I highly recommend the Goryeb Children’s Center, Child Development Center., Morristown NJ 07962
I don't know where all these smileys came from? Lol. I wrote my response in word and copied it in and there must have been some weird carriage retunes that made smiles!! sorry!
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