How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Doctor Blake Your Own Question

Doctor Blake
Doctor Blake, Psychologist
Category: Mental Health
Satisfied Customers: 146
Experience:  Ph.D., Ed.S., NCSP Clinical Psychologist; 15+ years of experience; dual licensure
28863579
Type Your Mental Health Question Here...
Doctor Blake is online now
A new question is answered every 9 seconds

My son is six but emotionally and mentally, he a young 6. We

Customer Question

My son is six but emotionally and mentally, he a young 6. We were concerned at one stage that he has Tourette but that was ruled out after an ECG. Yet, he continues to have very short attention span, finds difficulty in following instructions & is easily distracted. It is not unusual for him to forget something he has just learnt an hour ago yet he will recollect a very precise point that you said in a conversation a week.

He is weak in his spelling, reading and maths. His handwriting is atrocious yet he can cut pictures relatively accurately with a pair of scissors.

He is creative at creating things with materials but really does not anything that require some amount of mental work. It is painful to get him to complete mental tasks at any great pace. He is sociable, not destructive, can sit quietly for long journeys but, he has a compulsion to hold/pick-up things: scraps, ice-cream sticks, twigs, leaflets....anything.

Does he have AD (without hyperactivity) & should I be worried?
Submitted: 4 years ago.
Category: Mental Health
Expert:  Doctor Blake replied 4 years ago.

Good morning.

 

Thanks for your question to JA.

 

You raise a number of interesting questions about your son. I understand your desire to have a more clear diagnosis, but I think it is important to let you know about the limitations of on-line expert advice. We can provide you with "next steps" to consider from an expert's opinion, but it would be unethical and inappropriate to diagnose over the internet.

 

That being said, you raise a number of questions which I believe can best be answered through conducting a multifactored or multidisciplinary evaluation. Here in the US, there are two main options to pursue these: (1) is through the local school district, which will examine all areas of a child's functioning - particularly with regard to how this functioning impacts the child's ability to do in school. (2) is through the local children's hospital/medical center. This assessment is typically more diagnostic in focus and will also include the medical opinion of a developmental pediatrician.

 

In your child's case, I believe option 2 would be a better choice.

 

Within the multidisciplinary evaluation, a number of questions may need to be addressed. Since you will be a member of the diagnostic team (after all, the experts are expert in diagnostics... but only YOU are an expert on your son), you might want to ask a number of questions:

- What role does Tourettes/tic disorder play in his current functioning?

- What evidence is there of Obsessive Compulsive Disorder or related anxiety disorders?

- What role does language functioning play (Speech/Language Pathologist)?

- How does he function in terms of his sensory/motor development (OT/PT)?

 

A number of diagnostic questions emerge from you questions including ADHD. However, it is important to note that a youngster (particularly as young as 6) may display a number of different symptoms which can manifest in a variety of ways in different environments. What might look like ADHD one day might look like Tourette's another, OCD another, Asperger's another, Sensory/Motor Integration Disorder another, etc. etc. etc.

 

In short, in my experience, and just looking at the information provided, we would look at the descriptions you have provided and say, "the child is neurodevelopmentally complex." This is another way of saying that he needs a thorough, multidiciplinary evaluation that will look at all aspects of his growth and development. Having all of these professional opinions will only help in understanding him better.

 

Thanks. I hope this was helpful.

 

* FEEDBACK IS WELCOMED. If you have negative feedback, please let's talk first. I want you to feel you have received worthwhile information for the price you paid. Thanks!

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Doctor Blake
Doctor Blake
Psychologist
145 Satisfied Customers
Ph.D., Ed.S., NCSP Clinical Psychologist; 15+ years of experience; dual licensure