The kids see their psychiatrist every couple of months to check in on how they are doing. He manages all the ADHD meds and the anxiety meds and I love that he is so involved in their care. Back in our last state, meds were only checked up on every 6-12 months unless I requested a review. While doses rarely change, I like that Dr. C spends an hour or two with all of them every few months so he's gotten to know them and he talks things over with them, even if its yet another monologue on the joys of video games ( ;) ) so when issues do arise, he can actually help us with it because he knows our family dynamic and what types of suggestions may work with us.
We talked a lot about the Busy Little B's OCD tendencies. I don't say that lightly--when he was younger and going through testing for autism, OCD came up a lot. They said he was too young for a diagnosis but that it was definitely something we'd need to watch and it would not be surprising if he got the diagnosis later on. Some of his rigidity/obsessions is starting to interfere with daily life, especially at school, but it isn't causing things to come to a full stop. At the moment we can work around these things and Dr C says some of the medications that help with OCD have side effects that we don't want to mess with unless we have to so we keep watching, keep doing therapy, keep working with the school to find ways to get his work done without disturbing his set-in-stone points. At home I work with him on calm ways to work with his "rules" so he can solve the problem but if they try to challenge him on them at school, its a bit of a disaster. I think they've decided to leave the working on those to me and his therapist because last conversation we had about it, they were just working his "rules" into their day so he would continue to work on his schoolwork instead of obsessing :p
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