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Child-Maltreatment-Research-L (CMRL) List Serve

Database of Past CMRL Messages

Welcome to the database of past Child-Maltreatment-Research-L (CMRL) list serve messages. The table below contains all past CMRL messages (text only, no attachments) from Nov. 20, 1996 - December 22, 2017 and is updated quarterly.

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Message ID: 8842
Date: 2011-03-30

Author:Rob Longo

Subject:RE: Misdiagnosis of ADHD in Abused Children

I do QEEG Brain mapping. I see a lot of youth with a Diagnosis of ADHD but when mapped do not have the classic EEG of an ADHD child. Most have a history of trauma... but also Head Injury/TBI symptoms can also mimic ADHD and PTSD. I see a lot of kids with TBI. Robert E. Longo, MRC, LPC, NCC Board Certified in Neurofeedback Serendipity Healing Arts Lexington, NC E-mail: RobertLongoLPC@gmail.com CONFIDENTIALITY NOTICE ~ HIPAA Privacy Notification: This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and contain information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. -----Original Message----- From: bounce-11655425-8144580@list.cornell.edu [mailto:bounce-11655425-8144580@list.cornell.edu] On Behalf Of Penny Priest Sent: Tuesday, March 29, 2011 3:49 AM To: Child Maltreatment Researchers Subject: Re: Misdiagnosis of ADHD in Abused Children I think this is a really interesting question. I'm a clinical psychologist working in a Community Mental Health Team in the UK. I'm just finishing a lit review on working with men who have experienced childhood family violence - looking at evidence for long term effects and also systemic interventions. I chose this topic because I started to notice how many of the men I work with have experienced and/or witnessed family violence in childhood. Many of their presenting problems fit with the Trauma Symtoms Inventory and I can imagine if they were children now, a fair few might attract the diagnosis of ADHD, with the underlying problems being ignored. Sorry this doesn't really help much with your quest, though, Carrie. Best wishes Dr Penny Priest ----- Original Message ----- From: "cecox" To: "Child Maltreatment Researchers" Sent: Monday, March 28, 2011 2:48 AM Subject: RE: Misdiagnosis of ADHD in Abused Children > Rosemary- I believe I was referring to Handbook of PTSD: Science and > Practice > Matthew J. Friedman MD PhD (Editor), Terence M. Keane PhD (Editor), > Patricia A. Resick PhD (Editor) > http://www.amazon.com/Handbook-PTSD-Matthew-Friedman-PhD/dp/1593854730 > > Christine > > On Sun, 30 Jan 2011 11:11:40 -0500, "Rosemary Caolo" > wrote: >> Hello all- >> Having worked in the field of child welfare and in community mental > health >> and private practice with victims of physical/sexual abuse I could not >> agree >> more. My dissertation was a case study of a client and the ramifications > of >> ongoing CSA. I am currently teaching theory and practice to graduate >> social >> work students (many who currently work in child welfare and foster care) >> and >> would be interested in the name of the Handbook of PTSD you reference. I >> have multiple texts on trauma and PTSD but am always looking for > worthwhile >> material. >> Thanks so much for your help- >> Rosemary Caolo, PhD, LCSW >> >> -----Original Message----- >> From: bounce-7824398-11755120@list.cornell.edu >> [mailto:bounce-7824398-11755120@list.cornell.edu] On Behalf Of cecox >> Sent: Saturday, January 29, 2011 7:21 PM >> To: Child Maltreatment Researchers >> Subject: Re: Misdiagnosis of ADHD in Abused Children >> >> Maybe in theory. >> For most practitioners a diagnosis of PTSD or more accurately, Traumatic >> Sress Syndrome (ongoing, chronic exposure), would not occur to them. They >> see the most obvious symptoms and go straight to ADHD because it is such > a >> popular diagnosis and they are so highly influenced by the pharmaceutical >> industry. If you ask them if it could be PTSD instead, they would > probably >> argue against it because they are also influenced by the traditional >> diagnostic criteria for PTSD being EVENT-based and including "threatened >> death or serious injury, or a threat to physical integrity". Living in a >> home with adults behaving in a threatening or disturbing and > unpredictable >> manner on a daily basis can produce the same symptoms but is commonly not >> considered. Also there is a prejudice that the symptoms would present as >> primarily psychological, e.g., depression and anxiety, not so much >> cognitive, physiological and behavioral symptoms. The glucocorticoids >> released in distressing situations exert effects on >> neurotransmitter/neuroendicrine functioning (the hypothalamus-pituitary >> axis, amygdala, hippocampus), impair the functioning of the prefrontal >> cortex, affect behavior, learning and memory. Stimulants can seem to help >> with symptoms of depression and inability to concentrate in PTSD, however >> the prescribing of them is misguided because they are hard on the adrenal >> glands which can have long term affects on the ability of the adrenal >> glands to produce normal levels of cortisol and also chemically alter > brain >> and endocrine function in a way that can lead to permanent problems. >> Especially in childhood when the brain is still developing. There needs > to >> be greater awareness of the possibility of PTSD in children, even in >> apparently "normal" families, and also education about natural ways to >> address the symptoms rather than using drugs. All conscientious >> pediatricians and people working with children and victims of family >> violence should take it upon themselves to read the Handbook of PTSD and >> related literature to familiarize themselves with underlying > physiological >> processes involved in PTSD. Then they will be more likely to recognize it >> and treat it effectively. >> >> Those are very good questions that you raise Carrie. Unfortunately you > will >> probably not find much in the way of research and get a lot of these "uh- >> let's not go there" type of responses. >> >> Christine Cox >> >> >> On Wed, 5 Jan 2011 19:07:52 -0500, "Dr. Bruce Borkosky, Psy.D PA" >> wrote: >>> Any diagnosis of ADHD must have ruled out all other possible causes of >> the >>> behaviors. >>> Bruce Borkosky >>> >>> On Mon, Jan 3, 2011 at 1:02 PM, Carrie Ellis >>> wrote: >>> >>>> I am looking for studies on the misdiagnosis of ADHD in abused > children. >>>> Particularly, the diagnosis of ADHD when the true diagnosis should be >>>> PTSD. >>>> Also, the consequences of prescribing stimulants to children who have >>>> been >>>> misdiagnosed. >>>> >>>> Any ideas are greatly appreciated! >>>> >>>> Carrie Ellis >>>> Policy Research Intern >>>> TexProtects >>>> >>>> >> >> No virus found in this incoming message. >> Checked by AVG - www.avg.com >> Version: 9.0.872 / Virus Database: 271.1.1/3412 - Release Date: 01/30/11 >> 02:34:00 > >

I do QEEG Brain mapping. I see a lot of youth with a Diagnosis of ADHD but when mapped do not have the classic EEG of an ADHD child. Most have a history of trauma... but also Head Injury/TBI symptoms can also mimic ADHD and PTSD. I see a lot of kids with TBI. Robert E. Longo, MRC, LPC, NCC Board Certified in Neurofeedback Serendipity Healing Arts Lexington, NC E-mail: RobertLongoLPCgmail.com CONFIDENTIALITY NOTICE ~ HIPAA Privacy Notification: This message and accompanying documents are covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521, and contain information intended for the specified individual(s) only. This information is confidential. If you are not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, copying, or the taking of any action based on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. -----Original Message----- From: bounce-11655425-8144580list.cornell.edu [mailto:bounce-11655425-8144580list.cornell.edu] On Behalf Of Penny Priest Sent: Tuesday, March 29, 2011 3:49 AM To: Child Maltreatment Researchers Subject: Re: Misdiagnosis of ADHD in Abused Children I think this is a really interesting question. I'm a clinical psychologist working in a Community Mental Health Team in the UK. I'm just finishing a lit review on working with men who have experienced childhood family violence - looking at evidence for long term effects and also systemic interventions. I chose this topic because I started to notice how many of the men I work with have experienced and/or witnessed family violence in childhood. Many of their presenting problems fit with the Trauma Symtoms Inventory and I can imagine if they were children now, a fair few might attract the diagnosis of ADHD, with the underlying problems being ignored. Sorry this doesn't really help much with your quest, though, Carrie. Best wishes Dr Penny Priest ----- Original Message ----- From: "cecox" To: "Child Maltreatment Researchers" Sent: Monday, March 28, 2011 2:48 AM Subject: RE: Misdiagnosis of ADHD in Abused Children > Rosemary- I believe I was referring to Handbook of PTSD: Science and > Practice > Matthew J. Friedman MD PhD (Editor), Terence M. Keane PhD (Editor), > Patricia A. Resick PhD (Editor) > http://www.amazon.com/Handbook-PTSD-Matthew-Friedman-PhD/dp/1593854730 > > Christine > > On Sun, 30 Jan 2011 11:11:40 -0500, "Rosemary Caolo" > wrote: >> Hello all- >> Having worked in the field of child welfare and in community mental > health >> and private practice with victims of physical/sexual abuse I could not >> agree >> more. My dissertation was a case study of a client and the ramifications > of >> ongoing CSA. I am currently teaching theory and practice to graduate >> social >> work students (many who currently work in child welfare and foster care) >> and >> would be interested in the name of the Handbook of PTSD you reference. I >> have multiple texts on trauma and PTSD but am always looking for > worthwhile >> material. >> Thanks so much for your help- >> Rosemary Caolo, PhD, LCSW >> >> -----Original Message----- >> From: bounce-7824398-11755120list.cornell.edu >> [mailto:bounce-7824398-11755120list.cornell.edu] On Behalf Of cecox >> Sent: Saturday, January 29, 2011 7:21 PM >> To: Child Maltreatment Researchers >> Subject: Re: Misdiagnosis of ADHD in Abused Children >> >> Maybe in theory. >> For most practitioners a diagnosis of PTSD or more accurately, Traumatic >> Sress Syndrome (ongoing, chronic exposure), would not occur to them. They >> see the most obvious symptoms and go straight to ADHD because it is such > a >> popular diagnosis and they are so highly influenced by the pharmaceutical >> industry. If you ask them if it could be PTSD instead, they would > probably >> argue against it because they are also influenced by the traditional >> diagnostic criteria for PTSD being EVENT-based and including "threatened >> death or serious injury, or a threat to physical integrity". Living in a >> home with adults behaving in a threatening or disturbing and > unpredictable >> manner on a daily basis can produce the same symptoms but is commonly not >> considered. Also there is a prejudice that the symptoms would present as >> primarily psychological, e.g., depression and anxiety, not so much >> cognitive, physiological and behavioral symptoms. The glucocorticoids >> released in distressing situations exert effects on >> neurotransmitter/neuroendicrine functioning (the hypothalamus-pituitary >> axis, amygdala, hippocampus), impair the functioning of the prefrontal >> cortex, affect behavior, learning and memory. Stimulants can seem to help >> with symptoms of depression and inability to concentrate in PTSD, however >> the prescribing of them is misguided because they are hard on the adrenal >> glands which can have long term affects on the ability of the adrenal >> glands to produce normal levels of cortisol and also chemically alter > brain >> and endocrine function in a way that can lead to permanent problems. >> Especially in childhood when the brain is still developing. There needs > to >> be greater awareness of the possibility of PTSD in children, even in >> apparently "normal" families, and also education about natural ways to >> address the symptoms rather than using drugs. All conscientious >> pediatricians and people working with children and victims of family >> violence should take it upon themselves to read the Handbook of PTSD and >> related literature to familiarize themselves with underlying > physiological >> processes involved in PTSD. Then they will be more likely to recognize it >> and treat it effectively. >> >> Those are very good questions that you raise Carrie. Unfortunately you > will >> probably not find much in the way of research and get a lot of these "uh- >> let's not go there" type of responses. >> >> Christine Cox >> >> >> On Wed, 5 Jan 2011 19:07:52 -0500, "Dr. Bruce Borkosky, Psy.D PA" >> wrote: >>> Any diagnosis of ADHD must have ruled out all other possible causes of >> the >>> behaviors. >>> Bruce Borkosky >>> >>> On Mon, Jan 3, 2011 at 1:02 PM, Carrie Ellis >>> wrote: >>> >>>> I am looking for studies on the misdiagnosis of ADHD in abused > children. >>>> Particularly, the diagnosis of ADHD when the true diagnosis should be >>>> PTSD. >>>> Also, the consequences of prescribing stimulants to children who have >>>> been >>>> misdiagnosed. >>>> >>>> Any ideas are greatly appreciated! >>>> >>>> Carrie Ellis >>>> Policy Research Intern >>>> TexProtects >>>> >>>> >> >> No virus found in this incoming message. >> Checked by AVG - www.avg.com >> Version: 9.0.872 / Virus Database: 271.1.1/3412 - Release Date: 01/30/11 >> 02:34:00 > >