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Caribou

Year 2 struggling with Focus.

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CrankyM

Callmeferal the requirements in WA comes from disability commission and then feed into the dept of education and NDIS. The key one there is NDIS. I’ve heard rumours that NDIA will require a panel assessment ratified for and ASD as a minimum qualifier for ASD... which could be an absolute nightmare. Our planner specifically told us we would have no problems “proving” my child’s diagnosis in other states because we had a diagnosis in WA. (Involved Griffiths assessment, 6 months observation at different environments by speechie, cognitive assessment, Vinelands assessment, social communication assessments done at 6 month intervals to see if it had “improved”, ADOS interview, multiple observations by psych. Teacher questionnaire. All for a kid who the psych coordinateing the ados and cognitive assessments told me she could see asd within 10 mins of meeting him. Can you imagine a not obvious case going through that?)

 

The whole panel assessment thing in WA means waitlists are massive and while places like VIC are focusing on better outcomes from early diagnosis and intervention, WA, yeah well the average age of diagnosis is closer to 6-8. I know several families who have the option of spending $5000 or waiting 3 years for a public assessment. Meanwhile they are missing out on early intervention and support. And this then impacts school because they can’t get funding without diagnosis.

 

Also I don’t think it has anything to do with Centrelink. The only interaction I have for Centrelink is childcare support payments and carer’s allowance, which my GP filled out...

 

That completely off track though.

Edited by mayahlb
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Paddlepop

mayahlb: WA's system of diagnosis is the one that the government was proposing implementing nationwide for ASD diagnosis, especially for the purpose of NDIS. It sounds like a nightmare to me. I'm glad that we just needed a developmental paediatrician.

 

Caribou: It's very typical for children with ASD to hold it together at school and appear "normal" and then have it all go to hell at home. Don't forget that the school is doing numerous accommodations to account for her needs so of course she's functioning okay there. If they took them all away and treated as they do everyone else I bet they'd see DD struggling big time. Perhaps you could ask the school to do that for a day or two and ask them what they then observe.

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Prancer is coming

The school psychologist was clear with me that she could not diagnosis ADHD, but I should prepare myself for a potential diagnosis based on the results from her testing.

 

With the clinical psych versus psych thing, that is only for people claiming Disability Support Pension as far as I know. Diagnosis is required to be made by a psychiatrist or clinical psychologist.

 

OP, I am generally assertive and good at following things through, but knowing the process for diagnosis and then being able to do it was just so hard and totally confusing.

Edited by Prancer is coming
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Crombek

Pranced I think you’re in Tas? That will most likely be because they aren’t trained to administer the ADOS/ADI and the school psychs have made the decision to refer out to TADS, after all that is their sole purpose.

 

There is no ‘rule’ anywhere about who can diagnose currently, but there are best practice standards. And yes, NDIS has their own criteria, as do most states for funding.

 

Best practice currently states an assessment should involve psych, speech path, paed and OT as necessary as a team. I would never ever diagnose without a speech assessment at a minimum.

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ipsee

Can you tell me how the speech assessment contributes to diagnosis? What are they looking for?

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BusbyWilkes

Can you tell me how the speech assessment contributes to diagnosis? What are they looking for?

 

I think Crombek may have been referring to a diagnosis of ASD not ADHD in this comment (but I may be wrong!)

 

In the DSM5, which has the diagnostic criteria for ASD, there are specific communication criteria, as well as behaviour ones (repetitive behaviours etc). To address these fully, a SP trained in ASD is required.

 

As mentioned upthread, in WA a panel assessment is required (SP, Clin psych and paed). Other states either a psych or paed can diagnose on their own. While there can be delays with getting a panel assessment completed, it really is still best practice.

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Crombek

Oh sorry yes I got confused! ASD. A speech assessment may be helpful for kids with ADHD if there are concerns working memory and/or processing difficulties are interfering with communication though, which is not uncommon. Shouldn’t read while brushing teeth lol

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Phascogale

a psych can diagnose adhd.

Only if they are willing to do the assessments. I had one psych tell me that he thinks my daughter could have it (wouldn't sit still in his office and tried to put the attention back on her when he was talking to me). I asked whether he could assess and he said no and to see someone else.... with no recommendation. He was pretty useless. Nice guy but useless in my case. My kid has severe anxiety - mainly in social settings. The problem was he told me that most anxious kids don't talk to him, won't look him in the eye and hide behind their parents. My kid was the exact opposite. She has panic attacks at the thought of going to school or at school.... but she's fine and all she has to do is like herself.

 

I've also got another child that I think is a missed inattentive ADHD - never been hyperactive. It's only recently that I've come to this conclusion. Tried to get a referral to a psychiatrist - too young, wait 6 months till she's 18. Too old for the paed (as it's a longer term thing). No child psychiatrists (or rather come here once a month and long wait list). Looking back in hindsight there were signs - esp in years 7 and 8 but goes right back to prep. She has had assessments, never picked up. Probably ASD but the public system didn't want to sign her off - signs from a toddler but not enough for a diagnosis - was told that for the first time at 7. Should've perhaps gone to a specialist in adolescent girls and ASD when it became more apparent but I didn't have a spare $3K to do so. Oh so many signs. I'd like a stimulant trial - need a psychiatrist to prescribe after assessment. Keep going round in circles.

 

But I can't stress the point enough about seeing someone who is recommended to know what they are doing in difficult presentations.

 

I've just had the youngest assessed by a university clinic. I think I may have wasted my money. I can't be confident of validity and accuracy of the assessment due to a few weird results..... like getting better results as the difficulty increases. She had to focus then.

 

There's the question still of ADHD but it could be anxiety mediated - inattentive type. I don't know what the answer is.

 

But to the OP you need to see someone else if you want to pursue this - you at least need a second or third opinion. You could leave this for a while longer but you will be in the same position (if not worse) and you will always wonder.

 

Most parents know there is something up. Often professionals won't listen or have made their minds up before they even meet you.

 

You don't have to do anything with the right supports but having something in writing may make it easier to get those results.

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José

Only if they are willing to do the assessments.

 

of course.

a pp had seemed to suggest it was impossible for a psych alone to make a diagnosis of ADHD and it is actually possible.

 

not all psychs will assess and diagnose for ADHD, not all will assess and diagnose for ASD, not all will assess and diagnose psychosis etc etc.

psychology is a very broad field.

get a recommendation if you can.

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~Jolly_F~

Ummm I never said it was impossible...

 

I said I don’t think a psych alone can do it, as that’s what I was told!

 

Very different!!

 

I was happy to be corrected!

Edited by ~J_WTF~

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