What will likely happen to me?
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Possible that he may have more than one problem? (though how he managed to get through poly and be a star performer is beyond me).Originally posted by Gedanken:Odd, isn't it? This one hasn't added up right from the start and that's why I have my doubts.
For coordination problems they'd probably do a CT on hin.. then again, if he had these problems since birth. Nada. This is for the specialists, not for little me to figure out. -
Bingo!Originally posted by chanjyj:What Gedanken is saying, is that his analysis of the TS's problem, would be the same as that of a Singapore psychologist, or rather, psychiatrist in this case.
Just as I would diagnose a person in Malaysia as having dengue fever, the Malaysian doctors would do the same. Our conclusion would be the same.
However, for Gedanken it is slightly more tricky, as there is no 100% guarantee that both psychologist on opposite sides of the world will agree, as psychology is slightly more subjective to personal opinions. For me, dengue=denuge=dengue worldwide, all you need to do is draw some blood for a lab test. However, take note that both are sciences, and the diagnosis of each doctor should be consistent (relatively).
It's not so much a matter of opinion as the differences in approaches between practicioners - given a set of information about the patient, the diagnostic system is prescriptive and should produce the same result every time. However, the questions you forget to ask can change the diagnosis, just as with a physical illness.
IMHO, the biggest factor is the practicioner's thoroughness. When I was still in training, I came across this child psychiatrist who was diagnosing every case as ADHD. Some of these cases were abused children, and as you may be aware, the presenting symptoms of ADHD in male children and PTSD are virtually identical. However, this sloppy psychiatrist never bothered performing differential diagnosis to exclude PTSD and just doped the kids right up with Ritalin or dexamphetemaines. I raised the case with management, but the powers-that-be didn't want to rock the boat. -
I'll prescribe clonazepam for every single patient next time thenOriginally posted by Gedanken:Bingo!
It's not so much a matter of opinion as the differences in approaches between practicioners - given a set of information about the patient, the diagnostic system is prescriptive and should produce the same result every time. However, the questions you forget to ask can change the diagnosis, just as with a physical illness.
IMHO, the biggest factor is the practicioner's thoroughness. When I was still in training, I came across this child psychiatrist who was diagnosing every case as ADHD. Some of these cases were abused children, and as you may be aware, the presenting symptoms of ADHD in male children and PTSD are virtually identical. However, this sloppy psychiatrist never bothered performing differential diagnosis to exclude PTSD and just doped the kids right up with Ritalin or dexamphetemaines. I raised the case with management, but the powers-that-be didn't want to rock the boat.
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I'd have to go read up again on comorbidities of OCD, but from what I recall what he's described doesn't fit known patterns.Originally posted by chanjyj:Possible that he may have more than one problem? (though how he managed to get through poly and be a star performer is beyond me). -
Yuh huh - that guy ought to have been suspended or deregistered long ago. On top of everything, there's a spike in hyperactivity in the last half hour before Ritalin wears off, so he prescribed Catapres to offset the spike. I don't dare imagine what that would do to a growing kid over an extended period of time - yes, he used to just go "more of the same" every time he reviewed each kid.Originally posted by chanjyj:What on earth
. What a dumbass. It's like prescribing clonazepam/diazepam for every single anxiety disorder. -
I did a little thinking, while autism may not explain the physical lack of coordination, ICD-10 F84.5 may explain his exceptional performance in poly, and may also similiar symptoms to that of ICD-10 F42. And it explains him wearing his shirt the wrong way round, something that puzzled me before. The SAF doc may be right after all.Originally posted by Gedanken:I'd have to go read up again on comorbidities of OCD, but from what I recall what he's described doesn't fit known patterns.
Still, his lack of coordination (or so he says) rings no bells in my head. -
Well, more likely those guys are jealous. If they can't get the grapes, the grapes are probably sour.Originally posted by the Bear:you'll get a cushy NS life..
but you'll probably get crap from the real world where everyone will hate you for being a wuss...
seriously...
get some spine.. -
Ehh, that's a bit of a stretch given what we have on hand, but he's probably told the MO more than he's told us.Originally posted by chanjyj:I did a little thinking, while autism may not explain the physical lack of coordination, ICD-10 F84.5 may explain his exceptional performance in poly, and may also similiar symptoms to that of ICD-10 F42. And it explains him wearing his shirt the wrong way round, something that puzzled me before. The SAF doc may be right after all.
Still, his lack of coordination (or so he says) rings no bells in my head. -
Yup,many things may well be hidden under the carpet. What TS told us may be entirely different from what he told MO.Originally posted by Gedanken:Ehh, that's a bit of a stretch given what we have on hand, but he's probably told the MO more than he's told us. -
Well, that just opens up a whole new can of worms, doesn't it?Originally posted by iveco:What TS told us may be entirely different from what he told MO.
It's late, I'm tired, I'm not even gonna touch that one tonight. -
It is 0231 in VIC right now, isn't it? What are you doing up so late?Originally posted by Gedanken:Well, that just opens up a whole new can of worms, doesn't it?
It's late, I'm tired, I'm not even gonna touch that one tonight. -
The worms will go to my fish.. I'm gonna turn in for the night *yawn*
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The truth of the matter is, you labeled TS as a kengster right from the very start and now you're calling others slipshod because you were wrong?Originally posted by Gedanken:Ah, baring your ignorance again for the world to gaze upon.
Listen and learn from Ristar - unlike you, he's got the capacity to understand what's going on.
What it has to do with the medical board is that regardless if you're in Singapore, New York or Timbuktu, international standards and procedures for diagnosis apply. I'd tell you about the DSM and ICD, but you'd end up straining what little intellectual capacity you have and end up in pain. Suffice to say that both diagnostic systems are standardised so that a practicioner in one country can pick up a diagnosis made by his counterpart in another country and be able to understand exactly what he's dealing with. I understand that you make things up as you go along, but not everybody is as slipshod as you.
To put it simply enough for even you to understand, because the diagnostic process is the same across countries, whether I'm applying it as a SAF psychiatrist or an Australian psychologust does not make a jot of difference.
Wake up and smell the coffee - that fishbowl you live in doesn't constitute the sum of existence, suaku. -
If you had only said this line, I would have taken it that you're just a petty person albeit still an educated one. However out of the entire discussion you haven't even given TS one bit of constructive advice besides showing me how good you are at name-calling. Furthermore after harping on incessantly about how over qualified you are to give comments on a singapore case with your australian phd, you were wrong. All I can say is...must be a real lousy aussy school that gave out your degree.Originally posted by Gedanken:It may sound like it, but there's not enough in this thread to reach that conclusion - if you're familiar with the DSM or ICD systems you'll know what I mean. The story as it stands raises too many questions and has too many missing pieces. As it is, there's one very likely sign that one would expect from OCD cases, but that this kid hasn't displayed at all in this thread. For the moment, that's as far as I'll go because revealing what that sign is will help him to fake the symptoms, and as I said, I'll have no part of that. -
Constructive advice? What is this, Aunt Agony? I call it as I see it, and not only the TS already admitted that his objective is to get a cushy NS life, but the diagnosis has jumped all over the place like a Kansas tornado, going from uncoordination to OCD (which he latched on to once somebody mentioned it) and now autism. The guy's stretching for an excuse, so you can keep chanting that I'm wrong all you want, but the evidence is still telling me that the kid's almost as full of crap as you are.Originally posted by Stoat:If you had only said this line, I would have taken it that you're just a petty person albeit still an educated one. However out of the entire discussion you haven't even given TS one bit of constructive advice besides showing me how good you are at name-calling. Furthermore after harping on incessantly about how over qualified you are to give comments on a singapore case with your australian phd, you were wrong. All I can say is...must be a real lousy aussy school that gave out your degree.
As for the rest, looks like guys like Ristar and chan get it - every time you post, you're just showing not only how ignorant you are, but how little capacity you have for taking in new information. Don't go talking like you know what the business is about - you're only further damaging your already useless image.
Anyway, glad to see you're back - I've missed the amusement you priovide. What took you so long anyway? Did mommy have to help you with the big words? -
Well Ged. nothing really matches up in here, and nothing really corresponds to anything I know.Originally posted by Gedanken:Constructive advice? What is this, Aunt Agony? I call it as I see it, and not only the TS already admitted that his objective is to get a cushy NS life, but the diagnosis has jumped all over the place like a Kansas tornado, going from uncoordination to OCD (which he latched on to once somebody mentioned it) and now autism. The guy's stretching for an excuse, so you can keep chanting that I'm wrong all you want, but the evidence is still telling me that the kid's almost as full of crap as you are.
As for the rest, looks like guys like Ristar and chan get it - every time you post, you're just showing not only how ignorant you are, but how little capacity you have for taking in new information. Don't go talking like you know what the business is about - you're only further damaging your already useless image.
Anyway, glad to see you're back - I've missed the amusement you priovide. What took you so long anyway? Did mommy have to help you with the big words?
However, I prefer to give the kid the benefit of the doubt. True, he may have admitted that he wants a cushy cosy NS life, and that, is not for me to judge.
But to say he is faking the symptoms to get out of NS, I think is going a bit too far. In my opinion, he truly thinks he has a problem, and at the same time, hopes that it would help he getter a "better" NS life.. [u]Not that he invented/is faking the problems to get a "better NS life".[/u]
Ged, I know you strongly disgaree with me on this, but I have seen these types of cases. They hope their (percieved or real) medical condition gives them an "edge", but I do not think anyone has ever tried to fake one. And this kid is not an exception. Thus, I am not slamming the TS in anyway.
Just my $0.03 opinion. -
lets just not jump to conclusion he kenging. my take is if he keng, he should prob have done research and not done multiple confusing symptomsOriginally posted by Gedanken:Constructive advice? What is this, Aunt Agony? I call it as I see it, and not only the TS already admitted that his objective is to get a cushy NS life, but the diagnosis has jumped all over the place like a Kansas tornado, going from uncoordination to OCD (which he latched on to once somebody mentioned it) and now autism. The guy's stretching for an excuse, so you can keep chanting that I'm wrong all you want, but the evidence is still telling me that the kid's almost as full of crap as you are.
As for the rest, looks like guys like Ristar and chan get it - every time you post, you're just showing not only how ignorant you are, but how little capacity you have for taking in new information. Don't go talking like you know what the business is about - you're only further damaging your already useless image.
Anyway, glad to see you're back - I've missed the amusement you priovide. What took you so long anyway? Did mommy have to help you with the big words? -
ts sounds just like......... me
just like me before I entered my NS. Pls refer to my previous threads on how I manage to cope and eventually lead in my NS life.
seriously, I felt the connection btw me and you.... -
It seemed strange he went to meet SAF psychiatrist n got diagnozed with autism instead of OCD.Originally posted by Gedanken:It may sound like it, but there's not enough in this thread to reach that conclusion - if you're familiar with the DSM or ICD systems you'll know what I mean. The story as it stands raises too many questions and has too many missing pieces. As it is, there's one very likely sign that one would expect from OCD cases, but that this kid hasn't displayed at all in this thread. For the moment, that's as far as I'll go because revealing what that sign is will help him to fake the symptoms, and as I said, I'll have no part of that.
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Originally posted by chanjyj:
Well, to be clear, chan, I'm not saying the kid's faking his symptoms to get out of NS. What I am saying is that what he's described here doesn't add up to enough for a diagnosis of any major problem. There may well be some sort of problem, but does it constitute a significant disruption to his daily activities? From what he's written here, I don't see any evidence of such disruption.
Well Ged. nothing really matches up in here, and nothing really corresponds to anything I know.
However, I prefer to give the kid the benefit of the doubt. True, he may have admitted that he wants a cushy cosy NS life, and that, is not for me to judge.
But to say[b] he is faking the symptoms to get out of NS, I think is going a bit too far. In my opinion, he truly thinks he has a problem, and at the same time, hopes that it would help he getter a "better" NS life.. [u]Not that he invented/is faking the problems to get a "better NS life".[/u]
Ged, I know you strongly disgaree with me on this, but I have seen these types of cases. They hope their (percieved or real) medical condition gives them an "edge", but I do not think anyone has ever tried to fake one. And this kid is not an exception. Thus, I am not slamming the TS in anyway.
Just my $0.03 opinion.[/b]
My question here is whether the problem’s as big as the kid thinks it is. That doesn’t come out as being very empathic at all, but there is a point to that – is the perception of the problem compounding the problem? Mild autism, if that is indeed the case, isn't going to bring this kid's life to a screeching halt. As you would probably know, many people with this and other disorders such as Asperger's lead normal lives. If this kid’s going to keep thinking that the social skills deficits of his autism are going to keep him from being accepted by society, it starts a vicious cycle in which his lack of contact and experience with society only serves to further convince him that he does have social skills deficits.
I’ve worked with kids who have severe autism, Down’s Syndrome and Angelman’s Syndrome (I worked with the only recorded case in the world of two Angelman’s kids in one family), heroin babies and a number of other significantly disruptive disorders. At the same time, I’ve also worked with clients who have disabilities of less severity. Having worked with this range of disorders, my experience is that there’s a line to be drawn. Beyond that line, there’s little you can do – one severely autistic kid used to sit in a corner all day and punch himself in the head, and all we could do was put boxing headgear on him so he wouldn’t injure himself too severely. Another autistic girl had pika, and we had to keep 24/7 coverage of her to make sure she didn’t eat anything that would kill her, and she took enough drugs in one morning to knock an adult out for a week. Mind you, that was just the morning dose – it was repeated at lunchtime and dinnertime.
Up to that line, though, you’re not doing the kid any favours by keeping them out of things. With a lot of the less disabled kids, I made sure that they were progressively pushed ever so slightly out of their comfort zones, and as a result they did develop life and social skills that they would not have if they’d been treated with a hands-off approach because of their disorders. One example I can think of is one kid (IQ of about 75, inbred family) who was obsessive about time – he had to call his parents at precisely 7 pm (he was in a residential care unit), have his breakfast at precisely 7.30 am and so on, otherwise he’d hit the roof. The staff who looked after the kid perpetuated his obsession by sticking strictly to his timelines. When the kid came into my care, I deliberately messed up the timelines. I had him starting his household chores at a quarter to seven in the evening and beginning other activities just before his scheduled tasks. For the first week, sure enough, he hit the roof. For the second week he grumbled. By the end of the fourth week, he stopped looking at the time. If I’d focused on his having a problem rather than looking for ways around it, to this day he’d still be getting his knickers in a twist about not being near a phone at 6.58 pm.
I don’t doubt your experience – you seem to know what you’re on about and I think what you’ve written so far is reasonable. I will however, differ with you about the approach to take, and I hope you understand that I intend you no disrespect by disagreeing. In my experience, there is such a thing as killing people with kindness, and my read on the current case is that the kid’s not doing himself any favours by focusing on the limitations imposed by his problems. -
if he is really suffering from Mild autism, then my past history is even worst than him, that dick is trying to find a way out, simple as that, and furthermore, during my secondary school days - 3 years, i never even spoke to anyone at all, basically, only teachers at times but rarely, i have a communication with my parent, i was subjected to child abuse but when i was a child
FFS, you piece of s h i t, TS, wake up your bloody idea, stop trying to create problem for yourself, when you don't have one!~ -
I gave an explanation here (but as Gedanken says, lack of informatino makes this a wild guess)Originally posted by will4:It seemed strange he went to meet SAF psychiatrist n got diagnozed with autism instead of OCD. Originally posted by chanjyj:
I did a little thinking, while autism may not explain the physical lack of coordination, ICD-10 F84.5 [b](Asperger's Syndrome) may explain his exceptional performance in poly, and may also similiar symptoms to that of ICD-10 F42 (Obsessive-Compulsive Behaviour). And it explains him wearing his shirt the wrong way round, something that puzzled me before. The SAF doc may be right after all.
Still, his lack of coordination (or so he says) rings no bells in my head.[/b] -
Aw shucks. think we killed all conversation on this thread by talking medical here Ged
I wanted to see what happened to the TS when he went back to camp.
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Whoops - that's what happens with shop talk, isn't it?
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Thanks for sharing.Originally posted by Gedanken:Constructive advice? What is this, Aunt Agony? I call it as I see it, and not only the TS already admitted that his objective is to get a cushy NS life, but the diagnosis has jumped all over the place like a Kansas tornado, going from uncoordination to OCD (which he latched on to once somebody mentioned it) and now autism. The guy's stretching for an excuse, so you can keep chanting that I'm wrong all you want, but the evidence is still telling me that the kid's almost as full of crap as you are.
As for the rest, looks like guys like Ristar and chan get it - every time you post, you're just showing not only how ignorant you are, but how little capacity you have for taking in new information. Don't go talking like you know what the business is about - you're only further damaging your already useless image.
Anyway, glad to see you're back - I've missed the amusement you priovide. What took you so long anyway? Did mommy have to help you with the big words?