We saw a psychiatrist Thursday. Based on what he has read about our case, heard from our psychologist, what he has learned from me, and what he saw for himself at the appointment, he agrees that we are likely looking at pdd-nos. He opted to keep her at the 10mg dose of Strattera instead of increasing it because she is so small, and has already had trouble with the side effects. We also switched to giving it to her at night. He was able to clearly see the eye tic and mentioned Tourette's as well.
We received a referral to yet another psychologist at a different clinic and I wasn't going to make an appointment because I didn't see the point in seeing another psychologist... but when the lady called me about my paperwork and I told her that, she responded that our PCM specifically requested we see this doctor so that we can get a diagnosis in our records and start on a treatment program. So I figured it can't hurt to get another opinion, especially if this doctor is more willing to put it in writing.
So, that appointment is Thursday at 3. It could (and likely will) take more than one visit to pinpoint the problem. They are also recommending ABA (Applied Behavioral Analysis) if they agree with the pdd-nos diagnosis. I'm not sure how I feel about that yet, I have to research it more. Plus it may take a while to jump through all the hoops with our insurance to get the extra benefits for special needs.
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