Short version..10 year old twins, 1 PG, 1 HG. PG daughter also has right hand syndactyly and ADHD. Has seen 2 neuropyschs. Had consult last week with Dr. Silverman who advised that both reports were accurate with the ADHD dx but the IQ reporting was inaccurate on both.
Is this Dr. Silverman at the GDC or a different Dr. Silverman? (Just curious) And was your consult an actual eval of each dd or a parent interview?
We have paid out of pocket for all these consults and I just fed up. I would love to be able to see a doc who can dx accurately.
It doesn't sound like you have *inaccurate* diagnoses - possibly just not complete diagnoses at this point. Dr. Silverman felt the ADHD dx was correct for each and has recommended some additional follow-up - this isn't unusual for a neuropsychologist or educational psychologist to suggest additional follow-up by other specialists after taking a broad look at a child's functioning (the broad look is the goal of a neuropsych assessment).
Dr. Silverman referred us for a vision assessment with a Dr. here in Washington State. We are also going to Colorado for some testing for some auditory processing problems.
I'm guessing the vision assessment is with a developmental optometrist. Re the eval for auditory processing, I would think you could get that in Washington State - but the recommendation from Dr. Silverman is most likely due to Dr. Silverman being in CO and familiar with DOs there (again just a guess... but possibly a place you could save some $ if concerned about that..plus... just a personal opinion - if you're seeing a DO about possible tracking/etc type vision issues, it's possible your dd may need vision therapy to correct them if any are found. You'd want a dr local to where you live for vision therapy).
I don't understand why the other docs didn't call this out and I feel like we are wasting time and money.
Just a guess, but one possibility is that your previous evals were looking for specific diagnoses (such as ADHD), or you hadn't seen a neuropsych previously. Re the IQ being inaccurate, that's most likely due to 2e issues, so, for example, if your dd has a vision challenge, the parts of the IQ test that rely on visual analysis will likely be low scores relative to other sections - until the vision challenge is resolved. If your dd has fine motor related dysgraphia, her score on the coding subtest will most likely be low - and might be low forever simply because the brain-hand fine motor link in dysgraphia is not something that is usually correctable with therapy.
I also think PG daughter has dysgraphia as well. Any guidance would be appreciated.
I'm going to answer the dysgraphia question in your other post.
Best wishes working your way through the 2e maze - it's a journey.
polarbear
