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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.

Instructions: Postings are listed for browsing with the newest messages first. Click on the linked ID number to see a message. You can search the author, subject, message ID, and message content fields by entering your criteria into this search box:

Message ID: 8845
Date: 2011-04-04

Author:D F MCMAHON

Subject:ADHD "misdiagnosis"

Earlier there was a thread on misdiagnosis of ADHD when a child really has PTSD. A case currently before the ND Supreme Court (to determine whether a 7 year old could form criminal intent in connection with charges of disorderly conduct ) brought that to mind. Something I don't recall coming up in the discussion was this: children who become involved with mental health systems, especially if they are also involved with child welfare systems and/or juvenile justice, often undergo multiple evaluations over time, and often acquire a long laundry list of diagnoses and "rule out" diagnoses. Whether there is a "right" diagnosis within the muddy waters is a good question. And, of course, the murkiness is not necessarily helpful to service providers in deciding what is the right approach for the child, resulting in boilerplate or else wildly subjective decision-making. The fact of system itself generates additional diagnoses (neglect of child, adjustment disorders in kids who have been placed out of the home and/or returned home after placement). (Never mind that it is fairly routine to see agency and legal records incorrectly state terminology--as in "Attention Deficient Hyperactive Disorder") Sheri McMahon ND ¶12 In December 2007 Dr. D conducted a psychological evaluation of T.S. and diagnosed T.S. with Oppositional Defiant Disorder and a rule out consideration of Attention Deficient Hyperactive Disorder. App. at 12. ¶13 In December 2008 T.S. had a psychological evaluation with Dr. R. App. at 12-13. Dr. R diagnosed T.S. with Adjustment Disorder with Mixed Disturbance of Emotions and Conduct related to his adjustment to foster care and his return to C.S.'s home. Dr. R also gave a possible diagnosis of Oppositional Defiant Disorder and ADHD, Combined Type. App. at 12-13. ¶14 On January 13, 2010 and February 26, 2010 Dr. C conducted a psychological evaluation of T.S. App. at 10. Dr. C diagnosed T.S. with oppositional defiant disorder, depressive disorder, neglect of child, and a rule out consideration of anxiety disorder. App. at 14-16. There was also a concern of depression in T.S. However, given T.S.'s young age, limited testing is available.

Earlier there was a thread on misdiagnosis of ADHD when a child really has PTSD. A case currently before the ND Supreme Court (to determine whether a 7 year old could form criminal intent in connection with charges of disorderly conduct ) brought that to mind. Something I don't recall coming up in the discussion was this: children who become involved with mental health systems, especially if they are also involved with child welfare systems and/or juvenile justice, often undergo multiple evaluations over time, and often acquire a long laundry list of diagnoses and "rule out" diagnoses. Whether there is a "right" diagnosis within the muddy waters is a good question. And, of course, the murkiness is not necessarily helpful to service providers in deciding what is the right approach for the child, resulting in boilerplate or else wildly subjective decision-making. The fact of system itself generates additional diagnoses (neglect of child, adjustment disorders in kids who have been placed out of the home and/or returned home after placement). (Never mind that it is fairly routine to see agency and legal records incorrectly state terminology--as in "Attention Deficient Hyperactive Disorder") Sheri McMahon ND ¶12 In December 2007 Dr. D conducted a psychological evaluation of T.S. and diagnosed T.S. with Oppositional Defiant Disorder and a rule out consideration of Attention Deficient Hyperactive Disorder. App. at 12. ¶13 In December 2008 T.S. had a psychological evaluation with Dr. R. App. at 12-13. Dr. R diagnosed T.S. with Adjustment Disorder with Mixed Disturbance of Emotions and Conduct related to his adjustment to foster care and his return to C.S.'s home. Dr. R also gave a possible diagnosis of Oppositional Defiant Disorder and ADHD, Combined Type. App. at 12-13. ¶14 On January 13, 2010 and February 26, 2010 Dr. C conducted a psychological evaluation of T.S. App. at 10. Dr. C diagnosed T.S. with oppositional defiant disorder, depressive disorder, neglect of child, and a rule out consideration of anxiety disorder. App. at 14-16. There was also a concern of depression in T.S. However, given T.S.'s young age, limited testing is available.