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In a message dated 4/8/2003 7:46:04 AM Pacific Daylight Time,

wsotis@... writes:

> Hi,

>

> My first question. Why would the pediatric neurologist want us to go to a

> psychiatrist instead of a psychologist? I'm having trouble finding a child

>

> psychiatrist in my area that accepts our insurance (Suffolk County, Long

> Island, NY)

>

> She only said she was confused about how to diagnose . Is a

> psychiatrist better to diagnose hard-to-dx cases? I said I'd rather try

> other methods first before medications, and she said that if she wanted to

> medicate she could do that herself...so that's not the reason. She

> couldn't put into words why a psychiatrist, though, so I'm really

> confused. She would only say that's who we should go to.

>

> Thanks,

>

>

Wendi,

I'm not sure why she would say that either....did she give you a referral to

someone she thinks is qualified to evaluate for Autistic Spectrum Disorders?

I hate it when doctors get vague. My regular ped sent us to a developmental

and behavioral pediatrician. We got the dx from her, but the visit was short

and I already had an appt with a well known child pyschiatrist (recommended

from the ped neurologist we had recently seen). Both saw Joe and came up

with two dx's. I guess the child psychiatrist was a good pick from the

neurologist standpoint as she was well known in the ASD, also was in the same

teaching hospital. It might have been just a preference especially if she

didn't specify....

I plan on taking Joe to a neuropsychologist that specializes in ASD next year

before he goes into Kintergarden. They do a more thorough evaluation from

what I have heard. Do you have any teaching hospitals near you?

I hope I haven't confused you further! I would go see someone who has a LOT

of experience with children and Autistic Spectrum Disorders. That would be

key.

Good luck! Let us know how it goes....

Johanna

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Wendi,

My son's school paid for the psychiatrist when he was evaluated. You can call

your insurance company ( as I had) and they can give you a list. Unfortunately

the one that accepted our insurance was number six on the list of recommended

therapists in our area. He last therapist was a 45 min drive and it took alot

of time from his after school work.

Good luck,

( ) psychiatrist?

Hi,

My first question. Why would the pediatric neurologist want us to go to a

psychiatrist instead of a psychologist? I'm having trouble finding a child

psychiatrist in my area that accepts our insurance (Suffolk County, Long

Island, NY)

She only said she was confused about how to diagnose . Is a

psychiatrist better to diagnose hard-to-dx cases? I said I'd rather try

other methods first before medications, and she said that if she wanted to

medicate she could do that herself...so that's not the reason. She

couldn't put into words why a psychiatrist, though, so I'm really

confused. She would only say that's who we should go to.

Thanks,

Wendi

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This is a very good question (in my humble opionion). When we took Jim to

the hospital, they kept asking us if Jim had ever seen a psychiatrist. They

couldn't seem to understand why we " only " took him to a psychologist. Made

me curious. No one ever told us we need a psychiatrist before.

Kathy H in IN

Jim, 13. AS & ADHD

( ) psychiatrist?

> Hi,

>

> My first question. Why would the pediatric neurologist want us to go to a

> psychiatrist instead of a psychologist? I'm having trouble finding a

child

> psychiatrist in my area that accepts our insurance (Suffolk County, Long

> Island, NY)

>

> She only said she was confused about how to diagnose . Is a

> psychiatrist better to diagnose hard-to-dx cases? I said I'd rather try

> other methods first before medications, and she said that if she wanted to

> medicate she could do that herself...so that's not the reason. She

> couldn't put into words why a psychiatrist, though, so I'm really

> confused. She would only say that's who we should go to.

>

> Thanks,

> Wendi

>

>

>

>

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Hey! I even work at a mental health center and don't know! :)

In an online dictionary, this is what I picked up, but don't know if

this is all there is to it - psychiatrist is a physician.

The definition for the psychiatrist:

A physician who specializes in psychiatry.

Psychiatry: branch of medicine that deals with the diagnosis,

treatment, and prevention of mental and emotional disorders.

Psychologist: A person trained and educated to perform psychological

research, testing, and therapy.

Psychology: The science that deals with mental processes and behavior.

> This is a very good question (in my humble opionion). When we took

Jim to

> the hospital, they kept asking us if Jim had ever seen a

psychiatrist. They

> couldn't seem to understand why we " only " took him to a

psychologist. Made

> me curious. No one ever told us we need a psychiatrist before.

>

> Kathy H in IN

> Jim, 13. AS & ADHD

>

>

> ( ) psychiatrist?

>

>

> > Hi,

> >

> > My first question. Why would the pediatric neurologist want us

to go to a

> > psychiatrist instead of a psychologist? I'm having trouble

finding a

> child

> > psychiatrist in my area that accepts our insurance (Suffolk

County, Long

> > Island, NY)

> >

> > She only said she was confused about how to diagnose .

Is a

> > psychiatrist better to diagnose hard-to-dx cases? I said I'd

rather try

> > other methods first before medications, and she said that if she

wanted to

> > medicate she could do that herself...so that's not the reason.

She

> > couldn't put into words why a psychiatrist, though, so I'm really

> > confused. She would only say that's who we should go to.

> >

> > Thanks,

> > Wendi

> >

> >

> >

> >

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A psychiatrist I know is authorized to prescribe medication; a

psychologist is not. A pyschologist is more suited to therapy,

counseling, testing, etc. I think, I'm not sure.

Theresa

On Tue, 08 Apr 2003 17:06:13 -0000 " "

<@...> writes:

> Hey! I even work at a mental health center and don't know! :)

>

> In an online dictionary, this is what I picked up, but don't know if

>

> this is all there is to it - psychiatrist is a physician.

>

> The definition for the psychiatrist:

> A physician who specializes in psychiatry.

>

> Psychiatry: branch of medicine that deals with the diagnosis,

> treatment, and prevention of mental and emotional disorders.

>

> Psychologist: A person trained and educated to perform

> psychological

> research, testing, and therapy.

>

> Psychology: The science that deals with mental processes and

> behavior.

>

>

>

>

>

>

>

> > This is a very good question (in my humble opionion). When we

> took

> Jim to

> > the hospital, they kept asking us if Jim had ever seen a

> psychiatrist. They

> > couldn't seem to understand why we " only " took him to a

> psychologist. Made

> > me curious. No one ever told us we need a psychiatrist before.

> >

> > Kathy H in IN

> > Jim, 13. AS & ADHD

> >

> >

> > ( ) psychiatrist?

> >

> >

> > > Hi,

> > >

> > > My first question. Why would the pediatric neurologist want us

>

> to go to a

> > > psychiatrist instead of a psychologist? I'm having trouble

> finding a

> > child

> > > psychiatrist in my area that accepts our insurance (Suffolk

> County, Long

> > > Island, NY)

> > >

> > > She only said she was confused about how to diagnose .

>

> Is a

> > > psychiatrist better to diagnose hard-to-dx cases? I said I'd

> rather try

> > > other methods first before medications, and she said that if she

>

> wanted to

> > > medicate she could do that herself...so that's not the reason.

> She

> > > couldn't put into words why a psychiatrist, though, so I'm

> really

> > > confused. She would only say that's who we should go to.

> > >

> > > Thanks,

> > > Wendi

> > >

> > >

> > >

> > >

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Wendi,

Could you go to the psychiatrist (out of network) once to get a diagnosis,

then go back to the pediatric neurologist for meds? I know how hard it is to

find a psychiatrist that's in network. We settled on one who's out of network.

But ds only sees him every 3 months or so. The really good shrinks around here

have stopped accepting health insurance. :-(

Liz

Wendi Sotis wrote:

> Hi,

>

> My first question. Why would the pediatric neurologist want us to go to a

> psychiatrist instead of a psychologist? I'm having trouble finding a child

> psychiatrist in my area that accepts our insurance (Suffolk County, Long

> Island, NY)

>

> She only said she was confused about how to diagnose . Is a

> psychiatrist better to diagnose hard-to-dx cases? I said I'd rather try

> other methods first before medications, and she said that if she wanted to

> medicate she could do that herself...so that's not the reason. She

> couldn't put into words why a psychiatrist, though, so I'm really

> confused. She would only say that's who we should go to.

>

> Thanks,

> Wendi

>

>

>

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> Wendi,

> Could you go to the psychiatrist (out of network) once to get a

diagnosis,

> then go back to the pediatric neurologist for meds? I know how hard

it is to

> find a psychiatrist that's in network. We settled on one who's out

of network.

> But ds only sees him every 3 months or so. The really good shrinks

around here

> have stopped accepting health insurance. :-(

> Liz

aaarrgghhhh...that's a frustrating issue. We have experienced this

with our HMO. When we decided to get OT for sensory integration

dysfunction, the OT we went to, " the best " by everyone's

recommendation, was not in the network. So we paid for it

ourselves. Given that the OT was only covered for six weeks anyway,

we saw no point in staying in the network and going to someone who

wasn't as qualified.

Now we are taking to see a psychologist who specializes in

Asperger syndrome kids... " the best. " Naturally, he's not in the

network....more out-of-pocket expenses. If people only knew the

stress these kids place on us, financial and emotional. <sigh> And,

it's especially painful when you have two kids with issues. I have

sometimes found myself postponing pursuing things for my younger son

simply because his brother's needs are greater and there is only so

much money to go around.

The psychiatrist that prescribes 's meds (in the network) is far

more focused on writing his records when we come in than on getting

to know . It's actually quite painful to watch. I think they

both have Asperger Syndrome!! LOL! I have to sit there and play

interpreter for them. However, he did give us that Asperger

Diagnosis without any hassle, and given what I've read the rest of

you have gone through to get it, I am grateful to him for that - even

if he IS useless for everything else. I could never in a million

years see getting any benefit from talking to him.

Kathy

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> A psychiatrist I know is authorized to prescribe medication; a

> psychologist is not. A pyschologist is more suited to therapy,

> counseling, testing, etc. I think, I'm not sure.

>

> Theresa

you are 100% correct!

F

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Wendi,

Since psychiatrist is also medically trained, perhaps she wants to

rule any other things out?? Or maybe a diagnosis from a psychiatrist

might fit insurance better, don't know. Basically psychiatrists just

monitor medication, don't do therapy, so a visit to them is to see

how meds are doing, patient doing, OK, doesn't take long.

> Hi,

>

> My first question. Why would the pediatric neurologist want us to

go to a

> psychiatrist instead of a psychologist? I'm having trouble finding

a child

> psychiatrist in my area that accepts our insurance (Suffolk County,

Long

> Island, NY)

>

> She only said she was confused about how to diagnose . Is

a

> psychiatrist better to diagnose hard-to-dx cases? I said I'd

rather try

> other methods first before medications, and she said that if she

wanted to

> medicate she could do that herself...so that's not the reason. She

> couldn't put into words why a psychiatrist, though, so I'm really

> confused. She would only say that's who we should go to.

>

> Thanks,

> Wendi

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In a message dated 4/8/03 3:50:46 PM Eastern Daylight Time,

beitchazen@... writes:

> >A psychiatrist I know is authorized to prescribe medication; a

> >psychologist is not. A pyschologist is more suited to therapy,

> >counseling, testing, etc. I think, I'm not sure.

> >

> >Theresa

>

> you are 100% correct!

>

My older son was dx'd by a child psychiatrist working at a children's

hospital. She was supposed to be " the best " at figuring out what was going

on with kids. She did a very thorough job with it all, I feel.

I think one thing to remember is that AS is a dx where you are asking for a

professional's opinion as to whether the child fits the criteria for a dx.

Some doc's take this seriously and really get to know the child inside and

out! Others take one look and decide. I've seen a doc who was supposed to

have a big reputation and he was awful. I've had other doc's take over a

month of testing and be thorough.

So my point is that any doc or any psychologist is only as good as what they

know and understand about AS/HFA and other disorders that are similar. A

child psychiatrist should know a heck of a lot about kids and quirks and

disorders. Maybe that is why the doc is insisting on one?

Roxanna ôô

What doesn't kill us

Makes us really mean.

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