Thursday, March 08, 2007

Square one

As in, we're back to it, apparently.

Our beloved Dr. H, the boy's psychologist who is also Doctor #1 in the scenario below, dropped our insurance in December, thus leaving the boy without a therapist. Fortunately he has MOSTLY been okay, apart from some weirdness at the end of December/beginning of January (in the form of violent ticcing), so there's no huge hurry to find him another. But, you know, it needs to be done.

Doctor #2, the child psychiatrist it took 6+ months to get the girl in to see, has dropped our insurance as of this month. This is fairly devastating because we REALLY liked him, and so did the girl. There are precious few child psychiatrists in this town, and fewer of those are taking new patients, and fewer of those have waiting lists less than a year long, it seems. And now, EVEN FEWER of them are on our insurance plan, which apparently all doctors everywhere HATE, but we have no choice because it's the only one offered by DH's employer. I think perhaps a letter to his human resources department is in order.

Anyway, the upshot is that now we have no one other than the pediatrician who can prescribe meds for the girl if/when she needs them.

DH and I had a long talk about Doctor #3, another child psychologist who was set to test the girl, and realized that neither of us really liked him much at all. Or rather, he did not inspire confidence in us. Many of the comments he made during our initial visit led us to believe that he does not really keep himself up to date on the current literature, and there's no way that can NOT affect his testing of the girl. So we canceled it.

So.

The goal is to find a therapist sometime in the next couple of months (i.e., before school is out for this year) for BOTH kids and get started on some behavioral therapy. The boy still has the occasional perseveration issue, and the girl needs to get mastery over her wildly swinging emotions if at all possible. A secondary goal is to find someone to test the girl before school starts up again in August. We still don't know what it is that she even HAS. It would be nice to pin that down so we can start targeting it instead of taking this scattershot approach to helping her that we've been taking so far. We are looking for the full battery of tests, including learning disorders, so we need that info before she starts school.

SO FAR, she has been on a mostly even keel since winter break. She's having a good school year and I hear less and less every day about kids being mean to her. And the boy has been doing really well, also. His weekly meetings with the school counselor help with that a lot, and we are having a meeting after spring break with both his current counselor AND the new one he will have when he switches schools next year. Of course, over the summer he won't be seeing either of them, which is why we want to find a therapist before then.

In essence, we are taking a little bit of a breather before we launch into the therapist search YET AGAIN.

It's hard to look beyond that right now.

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