Changing of the Guard

6 07 2011

You’ll be seeing a different doctor today, the old one has moved on to pastures new” the administrator informs the Mostly Functional parents as they begin the routine that is the six monthly child development appointment.

The new doctor seems friendly enough, she soon starts to examine Lolly. She questions the Mostly Functional parents about Lolly’s health and behaviour. “I think she needs additional support. I’ll contact the nursery SENCO to make a referral for early years funding.”

The kids are bouncing around the consultation room, in to everything. GM and CD spend a lot of time stopping them from playing with the medical equipment that is all over the room, the sink, the giant paper rolls, the surgical gloves, the curtain. They tag team it, without any need for discussion or agreement.

It’s soon LML’s turn. After a number of routine questions the paediatrician focusses in on LML’s behaviour. “Is she always like this?” she enquires as LML flits from one prohibited activity to another.

I would like to refer her to the Child & Adolecent Mental Health Service (CAMHS), it’s difficult because many of the behaviours for Attachment Disorder are also seen in ADHD. I think we should assess her for ADHD, medication may help slow her down and focus more, making it easier for her to access education.”

Grumpy Mum is quick to say, “When we adopted LML we knew her behaviour might be challenging, we accepted that that’s who she is. I’m not sure either of us would want to manage her behaviour with drugs.”

The parents accept that this is a route in to CAHMS though; something they have been talking about how to achieve for some time. The Mostly Functional parents agree to complete a Connor’s Parent Rating Scale. Not convinced that the paediatrician, after less than an hours consultation, has made a correct ‘diagnosis’, they still see the benefits of the route she is proposing as it’s likely to open up new opportunities for support for the family and LML.

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One response

15 08 2011
IsobelandCat

Oh this is a tricky one. It reminds me of how doctors make nap judgements about my mother. Hard.
Good luck.

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