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Topic : 01/17 Extreme Disorders

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Created on : Friday, January 13, 2006, 02:18:32 pm
Author : DrPhilBoard1

Does your child rage, scream and kick doors? Is his or her behavior the typical brattiness of a spoiled child, or involuntary behavior beyond the child's control? Dr. Phil sheds light on a pair of widely misunderstood extreme neurological disorders. First, he looks at Asperger's syndrome, a high-functioning form of autism which can cause a person to lack control over his or her emotions, including anger. Rich and Karen's 15-year-old son, Alex, was diagnosed with Asperger's at age 6. His sudden fits of rage and erratic behavior have put a strain on his whole family. Should his parents be afraid of Alex, or is there something they can do to bring his behavior under control? Plus, Craig, 37, can't control his physical tics, nor can he keep from constantly uttering obscenities, literally hundreds of times a day. Craig suffers from Tourette syndrome, an affliction that's gotten so bad, he won't go into grocery stores, movie theatres or any public place for fear he'll be kicked out. What will the disorder mean for his plans to start a family? Talk about the show here.

 

Find out what happened on the show.

 

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January 18, 2006, 11:07 am PST

"Extreme Disorders"

I watched the show last night, and my DS who is 11 and has been dx with AS since last year now wants to watch it but I am on the fence about it yet.  He has meltdowns, but there is always a cause I can pinpoint.  We are working to make him into a person who can live in society day to day, hold down a job, and take care of himself.  It is doable, the key thing is that it is just *harder* for these children.   

  

We spent years without a label, without interventions at school, and managed.  He has progressed through school, and while this year has been a little easier for mom, it's been not much different for DS.   

  

I realize that as the saying goes "when you've seen one child with AS, you've seen one child with AS", however I think the show lacked giving a more broad base of A) information about what comprises a diagnosis of AS - it's a lot more than screaming rages and unhappiness in school - otherwise 90% of our kids would have it and B) Alex was diagnosed almost 10 years ago - the ink wasn't even dry yet on the DSM for Asperger's yet - why not send him to a qualified psychologist for another work up.   

  

The parents never mentioned any kind of interventions, assistance, training, etc they've done for their son, yet he seemed to maintain good eye contact very happily, had a very broad smile, discussed how much he loved the show, and had good affect.  Also, I've heard my son and some other children we know with AS bemoan how they would like to be like other kids in this way or that way, but I've never heard one of them say they want to be "normal", because they are how they are and that is their baseline, their normal.   

  

Finally, I live in a "glass house" and would be the last person to throw a stone regarding the parents' yelling, however as a general rule, children with AS hate to be criticized, told they are wrong, or told no.  I am always looking for positive ways around those messages.  It seemed there was alot of  "button pushing" going on, whether it was because the cameras were there or if they were on their good behavior that day, I don't know.....   

 
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January 18, 2006, 11:09 am PST

Alex's Mom

Quote From: ptsloan28

 Hi. I have a 6 year old son who was diagnosed with aspergers when he was 4 years old. I didn't believe him so I took him to 2 psychiatrists. Both have said he has ADHD and not Aspergers. But His rage is horrible. He has broken 2 of his window panes in his bedroom. He has torn up his bedroom door. He screms obsenities. He throws things and yells and the look on his face is like he's not there. This all happens with the smallest things from frustration with his homework to being put in time out for hitting his sister. He has kicked and punched me. After watching the show yesterday it made me re-think the original diagnosis. He has been having problems at school so we had him tested for learning disabilities and he scored above average or on average on everything except the psychiatrist that tested him made the comment that he lacks social awareness. He doesn't know what to do in simple social aspects..interpreting moods of others. Unaware of what is going on around him. He cannot handle unstructured events. However he can play on the playground...he looks people straight in the face and he is a very loving child. I have read aspergers symptoms and he has some but the main ones I just don't know. I really want one of those brain scans but I live in Florida and cannot go to Colorado or California. Any suggestions?

ASPERGERS, ADHD, ADD, Mood Swing Disorder, what ever the name is not important.  What is important is getting help in a better and more definitive diagnosis.  Please go to brainmattersinc.com and request information for help in your area. 

  

Contact your Board of Mental Retardation, although your child IS NOT MENTALLY RETARDED they may information and services for you, we get some here in Ohio..... 

  

I don't care what Alex's medical diagnosis is if we can use the scans to pinpoint the issues and deal with them head on. 

  

It will be a long road but we are putting on our hiking boots and we are getting ready to trudge through the trenches. 

  

Keep in touch through the message board and by emailing us at kikione1@cox.net. 

  

Prayers to you. 

  

Karen 

 
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January 18, 2006, 11:12 am PST

01/17 Extreme Disorders

Quote From: ptsloan28

 Hi. I have a 6 year old son who was diagnosed with aspergers when he was 4 years old. I didn't believe him so I took him to 2 psychiatrists. Both have said he has ADHD and not Aspergers. But His rage is horrible. He has broken 2 of his window panes in his bedroom. He has torn up his bedroom door. He screms obsenities. He throws things and yells and the look on his face is like he's not there. This all happens with the smallest things from frustration with his homework to being put in time out for hitting his sister. He has kicked and punched me. After watching the show yesterday it made me re-think the original diagnosis. He has been having problems at school so we had him tested for learning disabilities and he scored above average or on average on everything except the psychiatrist that tested him made the comment that he lacks social awareness. He doesn't know what to do in simple social aspects..interpreting moods of others. Unaware of what is going on around him. He cannot handle unstructured events. However he can play on the playground...he looks people straight in the face and he is a very loving child. I have read aspergers symptoms and he has some but the main ones I just don't know. I really want one of those brain scans but I live in Florida and cannot go to Colorado or California. Any suggestions?

My son sounds like your son.  My son went to 11 doctors. All of whom diagnosed him with ADHD after a 30 minute visit.  The symptomology did not fit ADHD, and I kept searching for a doctor who would listen to my son's developemental problems.  He was finally diagnosed last summer with Aspergers.  He too has extreme outbursts.  He destroys his room all of the time.   There are holes in the walls, he mangled his window blinds, he has broken several toys to bits both his and his siblings, and every other word out of his mouth is a** hole and the F word.  He also has poor social skills, can't read emotions, and is extremely intelligent.  Unfortuately, these are all characteristics of Aspergers.  When these poor children feel stressed, it turns to anger and rage.  I wish we could get a brain scan too.  I will make the trip if they can guarantee results...We'll eat peanut butter sandwiches for a month if we have too :)
 
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January 18, 2006, 11:12 am PST

Extreme Disorders

My son Andrew is going to be 12 years old.  He has PDD (Non Specified). His situation has always been complicated and extreme.  He started showing signs of this disorder when he was 4 years old.  The past 8 years have been hell for him and me.  Andrew has always obsessed about things.  It is part of his illness my family has learned to accept.  The part of his illness we have not learned to accept is how the obsessions and meltdowns leading to violence.  He acts out and has injured me, his brothers, his cousins, his aunt, etc.  He has had multiple diagnoses.  He usually ends up in a psychiatric unit sometime between September and December.  When he was 7, I could no longer meet his needs. (I was going through a divorce and I needed to work full-time, no daycare would take him.)  Long story short, my sister eventually stepped in and now does theraputic foster care for Andrew.   

  

This year Andrew has improved tremendously.  This year is the first year that he has not been hospitalized.  His behavior always got in the way of school.  He has changed schools 4 times as each school determined that they couldn't meet his needs. Last winter, he finally went from public school to a special day school.  His grade level this year went from first grade to beginning fourth grade.   He even came home with a report card with A's on it!  Today is his first swimming lesson EVER!  I can't wait to take him.  He hasn't had a serious meltdown is months.  He meets regularly with a FST worker and he goes twice a week to Options (stabilzation therapy).  We have begun to reduce his medication.  He went from 20 pills a day to 2 pills a day.   

  

The best thing that came out of this is he was so close to going to a residential school.  Instead he has been able to stay in our community.  I get to see him all the time.  He is happy, healthy and "normal".  I never thought Andrew's life was going to be normal.  I was once told that Andrew would never finish school, drive a car, and would probably always live in an assisted living facility.   There is hope after all!  

   

 
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January 18, 2006, 11:15 am PST

Responding to Val and others

Quote From: vlombardi

Karen,  

  

As I watched your story yesterday I felt you were me. Everything you said is what I am going through also. My 12 1/2 year old son, also named Alex, was diagnosed with Asperger's several years ago along with ADHD, OCD, a touch of Tourette's even. My Alex even looks like your Alex! Anyway, my life, like yours, has been completely turned upside down. Everything we do revolves around our son and how he will behave in public. I have two younger daughters who suffer because of their brother's issues. My relationship with my husband is strained to say the least, I am now on antidepressants and I am scared to death. I worry constantly about what my son's life will hold. I worry constantly about how he is doing in school. I dread the phone ringing because I know it  is the school calling about another problem. Alex has been terribly bullied for several years. The school tries to help but they are completely incapable of giving my child what he really needs. Alex has voiced his desire to die before. I worry that he would maybe follow through with this one day. He KNOWS he is different. He KNOWS he has no friends. Unlike some kids with Austism, Asperger's children are completely aware of their differences and their inability to do anything about it.  Sometimes I think that is worse. People are so cruel. The comments made to me about my son are rude, mean spirited and heartless. Because he looks normal they feel they have a right to say something to me. Sometimes I think if he had a visually apparent disability that it would be easier. 

  

I pretty much knew the minute my son was born that things were not right. He had a traumatic birth with fetal distress, cephalopelvic disproportion, muconium aspiration and oxygen deprivation resulting in an emergency c-section. He cried nonstop for years and never slept. We have come a long way in finally getting this diagnosis but I feel such guilt about not doing more faster. I always replay the "what ifs" in my head. It is a terrible way to live. 

  

Alex at 12 has no life except school (which he hates) and his video games. He likes to go to movies but that is about it. He has been on medications since he was 3. Now he is on Adderall (for his hyperactivity), Celexa (anti-depressant) and Clonidine (because he does not sleep). We tried Abilify for 4 days but the sideeffects were so bad and dramatic that we had to discontinue it. What meds is your Alex on? Oh, another question. After Alex has his functioning MRI, what kind of treatment will they do on him? I would love to do this for my Alex but we have an HMO and they are not very supportive about diagnostic studies such as this. I need to know that there is something else I can do to help my son. When I think about the future I get sick to my stomach. I am very scared. Thank you for letting me get this off my chest. I hope to hear from you soon, Val 

  

Val feel free to email me at kikione1@cox.net.  Saying that let me tell you your fears are mine and that of so many others.  Guilt is doing you or I any good so we need to work together to get rid of the guilt. 

  

A friend/therapist reminds me each day to stop saying what if and just do it.  That's what got me to write to Dr. Phil, that's what got me to follow through with my local media and that is what has got me to plan on writing a book and creating a forum for Parents and Family Members. 

  

We need to bond together and get help not just for our kids but ourselves as well. 

  

I was told today by the Minister I work for that my husband and I need to become a united front and work together.  We cannot go down different roads while we seek wellness. 

  

This will not be easy but if in the end we want what is best for Alex and makes us all sane we will find a way to make this all happen. 

  

You are a SPECIAL MOM so take a breath and know your son is lucky to have you because you cared enough to watch the program and share your thoughts. 

  

keep in touch 

 

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January 18, 2006, 11:36 am PST

asperger's library website

http://www.asperger.net/  to every parent with an AS child - this is a fantastic website for books on asperger's.  There are a few which specifically deal with meltdowns which have helped us. 

  

Please remember that when your child is at that meltdown stage, your child can only get worse if you yell back at him/her.  Notice how Alex's mom was screamining at him, and it made things worse (although I have learned the hard way not to yell because I have done that too).  The first thing to do is to be calm, sound calm--create an atmosphere of calm so that your child can "unmelt".  Talk quietly, if at all.  Listen to what your child is screaming.  Say "It's okay....calm down...."  Say very few words at first and talk quietly.  Your child WILL calm down.  Then, leave him/her alone to wind down by himself and wait outside his room (to make sure he and everyone else is safe).  After awhile, talk to him/her about why this happened, what is bothering the child, and what he/she needs.  Then, much later, you can sit down with your child and tell him that his prior behavior was not appropriate and come up with one or two alternative behaviors.  Write down a plan with your child for what he/she will do the next time he is feeling a meltdown coming on.  Practice the alternative behavior with your child.  This can only be done, after the child is completely over the meltdown and wants to discuss the situation.  It might not be until the next day. 

Good luck to everyone.  There are some books on this website that discuss how to deal. 

 
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January 18, 2006, 11:37 am PST

There is lots of hope for our children with Asperger's!

My son is 14 with Asperger's.  We've had our ups and many downs. We have to educate ourselves and everyone around us to make their lives easier. I have read some wonderful books that have helped me to understand how people with Asperger's see life verse how we see and think. The reading has helped me to understand why my son does certain things and why he doesn't, which in turn has made the home environment easier. My son is very intelligent and so is Alex. Boys with Asperger's are emotional well behind those of their own age. Alex is a handsome young man with such potential for success. I truly believe that our boys will find there place in life and blossom. 

  

I would be more than happy to give you the titles of my helpful books. The best of luck and life will get easier! 

  

Laurie 

 
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January 18, 2006, 11:42 am PST

01/17 Extreme Disorders

I have a 10 year old somewhere on the autistic spectrum.  I say somewhere because no professional since his age 2 has been willing to commit to a diagnosis.  He has always gotten services through school under an autism label although placement has always been a problem because he fits in neither the regular classroom nor the self-contained classroom.  What has ended up happening is that each year we get a different mix of how services are delivered to him. .. basically, he's "classless" and "peerless" at school.  Anyways, the specific reason I'm writing is because Risperdal has saved our lives in terms of his uncontrollable behavior and sleep problems.  With the Risperdal we've felt safer and he feels more in control.
 
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January 18, 2006, 11:44 am PST

Thank you

Quote From: whisperer

I know how you feel.  My husband and I spent part of every day at kindergarten with our son and his teacher.  We have fought everyone it seems, even my own family to do what our gut told us was right for our child.  You just have to learn to stand up and be heard when it comes to your child's welfare.   We told him every day how proud we were of him, and that he was smart and capable.  We searched for whatever we could find that sparked his interest, and then did all we could to promote those things, like being involved with animals, and computers, and even doing poetry in front of an audience.   

There is a woman who is a professor at Colorado State University that is autistic, her name is Temple Grandin.  She was a great source of inspiration for me, in finding ways to help Joel.  She has several books published.   

Whatever you do, don't give up.  Ask a million questions, and be an expert on your own child's needs.  Most importantly of all- tell him every day that he is loved and that you wouldn't change him for anything! 

Thank you very much for your support and kind words! I'm trying! You are 100% right about standing up for my son. I hurt a few feelings of those at his school, and I felt bad, but it was the only way Jordan got help. That is why he is in the new school this year. But now the teachers at this new school are acting like they know best...and its a struggle, I just want to cry when they talk over me. Then I remember this is my kid! I'm the one who loves him! So, I make sure Jordan knows each day he is loved and I always tell him- Do your best, thats all I want. Dont worry about what others say, cause I love you.  ~ Again, I would like to say thanks for renewing my spirits and motivating me to continue to stand up for him!!! Tomorrow I think I will be making some phone calls!!....and I will look into Ms. Grandin's books.
 
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January 18, 2006, 11:45 am PST

01/17 Extreme Disorders

Quote From: karen_kiki

I know many people must wonder what terrible parents we are.  Yes I suspected this even before going on the show.  What you saw was the extremes and if you think we do not try to understand and help Alex you are WRONG.  But as I said to Dr. Phil we are at the end of our rope, at least I am.  Yes we yell and cry and jump down his throat, but did you see the whole scene?  Do you know what started the meltdown?  Dr. Phil can only show so much and what they chose to show the viewers were the extremes.  Alex is a wonderful kind hearted young man however when the switch flips it is like a horror film in our home or wherever it takes place.  On some occasions he actually flips the switch for attention and he has admitted that, so when is he flipping the switch and when is it his neurological disorder. 

  

We aired our dirty laundry to get help.  Comments like yours will help us as we are reaching out for answers for counseling and medication if and where needed.  We are two working parent family and due to financial struggles in our community we are both working multiple jobs, none of which are full time and we have no benefits.  We are doing all we can to make life the best for him and as I said, losing ourselves in the midst of it all. 

  

I have gone into counseling and I am sure that Alex, Richard and I are on the road to recovery.  We will be in recovery for the rest of our lives. 

  

My son 15 year old son has Tourette Syndrome, OCD and ADD.  You are wonderful, caring parents who are trying to help your son the best way you can.  It is  a very lonely road that no one should judge unless they walk in your shoes.  I once read in a Tourette Syndrome article, why is it that a school, etc. will have compassion for  a child who was involved in an car accident and sufferred a brain injury and not have the same compassion to a child who has been living  with a brain "injury" since birth.  All we can do is advocate for our children.  Counseling will be a blessing for your family, it has for ours. 

 
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