Children often develop tics but grow out of them after several months. These are known as transient tics. For tics to be classified as Tourette Syndrome, they have to be present for at least a year and include at least one vocal tic.
Children with Bipolar Disorder have unusual mood swings. They may be very happy and active, considered as mania or feel very sad and less active, considered as depression However, it differs from normal ups and downs in the sense that it is more severe.
CD and ODD may be diagnosed when a child is defiant, aggressive and anti-social to a greater extent than expected for their age. They often misread situations and have difficulty empathizing with others and interpret others’ behaviour as aggressive.
Initial assessments are one hour in duration. During this time we will be covering several points:
A general assessment with questions on current problems, including questions on possible triggers, predisposing and perpetuating factors that impact on the present complaints.
A neurodevelopmental history will be offered, this includes question about family, birth, early years and a detailed history of medication and medical conditions.
We will discuss possible fears, low moods, risky and aggressive behaviours.
Therapeutic advice will be offered (including psychological therapy and possible medication ONLY if necessary and agreed.
Pharmacogenomic testing can be offered to patients who request it, in order to help guide the choice of medication in cases where patients have suffered any side effects.
Follow ups will depend on the individual patient and different pathways, please see below to understand how these might look.
I am trained in the use of several diagnostic tools and questionaires to help confirm diagnosis. You or you and your child be given one or more of these forms/tests during the first visit or a follow up appointment; such as WAISS, BDI, SNAP iv, ADOS and a wide variety of others.
A Typical Treatment Plan with Dr Giaroli
Treatment plans can differ from patient to patient and for each diagnosis. Your treatment plan will be fully explained to you during your initial assessment, please also refer to my fees page. Please select from the above conditions to gain an insight into how your plan may look.