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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 30055
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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My twelve year old son was "diagnosed" on the basis of Child

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My twelve year old son was "diagnosed" on the basis of Child Behaviour Checklists compiled by both Parent and Class Teacher as having a Disorder - I was shocked when I received the Psychologist's Report over three months later, as she had only carried out an Educational Assessment; yet she assessed my son as having "Exceptional Intelligence, Exceptional Academic Ability" and diagnosed a disorder of "severe emotional and behavioural disturbance" / "Severe O.D.D. The Psychologist, hired by the School, refused to address any queries saying that she "was only paid by the school to carry out an assessment". Child Behaviour Checklist (CBCL) Teacher Form Parent Form Total Score 78** 58 should read 69 Internalising score 63 55 Behaviour problems that are directed inward, Internalizing behaviour problems include Depression, anxiety and social withdrawal Exrternalizing Scores 83** 65* Behaviour problems that are directed (should read 80 Outward by the child toward the social Environment. Examples include defiance, Aggression,arguing Subscales Anxious/Depressed 63 51 Cries a lot, fears, must be perfect, feels Worthless, nervous, self conscious Withdrawn/Depressed 62 50 Rather be alone, lacks energy, shy, Withdrawn, sad Somatic Complaints 50 68* Feels dizzy, overtired, headaches ,nausea Social Problems 68* 60 Lonely,jealous, gets teased, prefers younger Children Thought Problems 68* 52 Can’t get mind ff thoughts, stores things, Repeats acts, strange ideas Attention Problems 73** 50 Acts young, poor concentration, daydreams, Impulsive, can’t sit still, inattentive, disrupts Rule-Breaking 74** 63 Breaks rules,lies, lacks guilt Behaviour Aggressive Behaviour 94** 67* Argues a lot, demands attention, destroys Own things, gets in fights, mood changes, Stubborn, temper

Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Thanks for this question
It seems like they believe he is extremely gifted and emotionally troubled at the same time
do you disagree?
Expert:  Dr. Chip replied 2 years ago.
Hi. Can I ask if you've considered having him seen now by either a psychatrist or a psychologist for a full evaluation?
Expert:  Dr. Chip replied 2 years ago.
Actually I'm going to go ahead and answer and we can certainly continue after this if you'd like. He needs the newer assessment and he may have a problem like attention deficit disorder. It sounds as though he is gifted with a high IQ and that can be reaffirmed with testing. ADD can often interfere with the performance in life of someone who has it and it hasn't been treated
Customer: replied 2 years ago.

I believe that my son's correct diagnosis at the time was Giftedness Profile 2 most likely (Betts & Neihart). The school Psychologist diagnosed my son's intellectual intelligence as Giftedness but as the only reason for his "serious underachieving" was either his fault or the schools' she balmed the child. Her Report incudes a Child Behaviour Rating Scales Tabulation (totals don't even add up - 6 addition errors to child's diasadvantage. No Clinical Scores in Parents CBCL, Child got No CBCL - behaviours ticked per checklist couldnt have got the scores assigned. Child got no CBCL to complete. Testing at age 8 -9 eliminated disorder as possiblity. Class Teacher report "outgoing, down to earth, very helpful to teacher, popular with most classmates, often just sits doing nothing. I know that my son was misdiagnosed - to his immense detriment but no medic in this country will overturn wrong diagnosed - I was hoping you would suggest misdiagnosis - so that I have support with the the medical governing board. See The Antecedents of Misdiagnosis; When Normal Behaviours of Gifted children are Misinterpreted as Pathological; Edward R Amend

Expert:  Dr. Chip replied 2 years ago.
This was a cursory evaluation by the school psychologist and I also agree the results were misread and misinterpreted. I don't think you should believe that a psychologist or psychiatrist now would not reevaluate him and look at the test results from the past and not document that he was misdiagnosed. Have him seen by a qualified psychiatrist or psychologist now and don't assume that the misdiagnosis cannot be reversed Edward
Customer: replied 2 years ago.

Thanks very much Dr. Chip. My son had been attending a Child Guidance Agency for four years immediately prior to this Diagnosis and the reason I allowed assessment is because the agency had failed - despite eliminating disorders- to establish reason for failure to engage in education; he should have been referred to the authorised school psychologists specialist agency, NEPS, who carry out an intensive checking including observations over a period of time (the school wanted him diagnosed with disorder to let them off the hook) The Clinical director of the Child Guidance agency recently reviewed file and replied "found no evidence of disorder nor no evidence to disprove disorder so diagnosis stands" no "Nul Hypothesis" in this country. a childhood disorder (age 6-9) made at 12 - when it is expressly stated that diagnosis of this disorder must not be made at ages 2-3 and during early adolescence. I got legal advice telling me that I would need to bring my son to UK to get a reevaluation - but how can a UK medic examine an 18 year old for a condition relating to 6-9 year olds - which incidentally according to experts should be reviewed annually and removed from school etc records when no longer applicable . We do things differently in Ireland. Again thanks for your advice - much appreciated

Expert:  Dr. Chip replied 2 years ago.
A misdiagnosis can still be made from reviewing the past records Edward. I still think he needs appropriate evaluation now. Let me know how it goes and please remember to rate my service to you
Customer: replied 2 years ago.

The Review Medic said that there was no evidence on file to prove diagnosis of disorder (true) but that there was no evidence to disprove diagnosis (untrue, CBCL at appropriate age disproved disorder - Class Teacher 8 months later said no behaviour probolems - so did School Behaviour Checklist and School Reports - child simply not learing. School Principal described him as Ringlerder, a Mafia-Don who could control the class; this being explanation for reason child alone punished if class messing when teacher absent. A later Medic in Child Guidance agency said that my son (then 15) had "a phenomenal understanding of people for a child his age, could see how teachers bamboozled by him, great composure in a situation where peer age group would have walked out - decided my son, whose over controlling of emotion may have repercussions for him in the future but "not to over analyze this!!" didn't need therapy. This medic was engaged solely to advocate with school in order to get my sons prescribed and paid for Resource Hours Teaching - he neglected to do this wrongly believing resource hours was for therapy - it wasnt - it was for Giftedness, defined in the Education Acts as a Special Education Needs Disability - years of grief over all this - no resource hours teaching ever given - because no one - School , Special Education Needs Officer nor Medics will admit to mistake

Expert:  Dr. Chip replied 2 years ago.
OK Edward but can you tell me exactly what the problem is now? What happens if the diagnosis can be reversed?
Customer: replied 2 years ago.

If the diagnosis is reversed and child diagnosed properly as Gifted , Possibly Profile 2 and if the defamatory "Severe Oppositional Defiant Disorder" / "Severe Emotional and Behavioral Disturbance" can be removed from his school records - my son, who doesnt know about the diagnosis, but who has suffered immense repercussions therefrom in school, can at least be handed his proper diagnosis with explanation as to why school didnt work out for him - he can hold his head high and he can refute with confidence any negative slurs, from parents, ex classmates etc. who listened to and heeded negative comments from Principals, Teacher etc. who had formed wrong opinion on child because of immensely defamatory diagnosis - which suggests Psychopath

Expert:  Dr. Chip replied 2 years ago.
OK. The only way that might be done, though would be for him to be thoroughly evaluated now by a psychiatrist, or, better still, a clinical psychologist and also have that professional go over all the old records. At the least, with a good normal evaluation now he should be able to let go of the false diagnosis of the past.
Customer: replied 2 years ago.

Unfortunately as I said no one in this Country Ireland will overturn another medic's diagnosis; it simply isn't done; the only hope was the Review Psychiatrist who could easily have answered as you did - he knows that there was no assessment (other than educational carried out) andhe knows that school reports, school behaviour records and CBCL at appropriate age discount disorder as a possibility; he knows that Giftedness Profile 2 Explains all - but he nor any other medic will admit this.. Below is the Psychologists Tabulation on which she based her diagnosis

Child Behaviour Checklist (CBCL)

The CBCL, obtain reports from parents and teachers regarding children’s competencies and behavioural/emotional problems. This instrument provides three scores, a. Total score, an Internalizing score and an Externalizing score. Table 1 shows XXXXXXXXX’s scores on the parent and Teacher CBCL Forms. Interpretation of Scores: T scores between 65-70, are within the Borderline Clinical Range, and indicate possible significant problems. T Scores of 70 or above are usually taken to indicate a significant problem and warrant further attention

Teacher Form Parent Form

Total Score 78** 58

should read 69

Internalising score 63 55 Behaviour problems that are directed inward,

Internalizing behaviour problems include

Depression, anxiety and social withdrawal

Exrternalizing Scores 83** 65* Behaviour problems that are directed

(should read 80 Outward by the child toward the social

Environment. Examples include defiance,

Aggression,arguing

Subscales

Anxious/Depressed 63 51 Cries a lot, fears, must be perfect, feels

Worthless, nervous, self conscious

Withdrawn/Depressed 62 50 Rather be alone, lacks energy, shy,

Withdrawn, sad

Somatic Complaints 50 68* Feels dizzy, overtired, headaches ,nausea

Social Problems 68* 60 Lonely,j ealous, gets teased, prefers younger

Children

Thought Problems 68* 52 Can’t get mind ff thoughts, stores things,

Repeats acts, strange ideas

Attention Problems 73** 50 Acts young, poor concentration, daydreams,

Impulsive, can’t sit still, inattentive, disrupts

Rule-Breaking 74** 63 Breaks rules,lies, lacks guilt

Behaviour

Aggressive Behaviour 94** 67* Argues a lot, demands attention, destroys

Own things, gets in fights, mood changes,

Stubborn, temper

*= Borderline Range ** = Clinical Range (significant)

Overall, results indicate a Total score on the CBCL

– Teacher Form, which fell within the Clinical Range. Externalizing behaviour problems also fell within the clinical range on the Parent Form

Expert:  Dr. Chip replied 2 years ago.
I understand but what more can I help you with here?
Customer: replied 2 years ago.

thanks I just included the CBCL Rating Scales Tabulation to show that the scores assigned to the behaviours listed couldnt be attained. I did an exercise breaking down the scores and found that a diagnosis of ODD couldnt have been made because the max score possible for the behaviours listed is 63 - no other disorder indicated; the highest scoring is for PTSD. It is clearly evident to any Diagnostician in this field that the Rating Scales Tabulation in its raw state is meaningless. I will give you a high rating

Expert:  Dr. Chip replied 2 years ago.
I fully agree with you. One last thing--at least if he can now be re-evaluated and given a gifted rating perhaps he can put the past and the demeaning evaluation behind him. Let me know how it goes
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 30055
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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