Today we went to see two, count them, two psychiatrists.
Good news first: The private-sector psychiatrist was great. We are on track, we have a road map, by next week we will probably have medication, a therapist schedule and further evolving strategies to help lengthen the kid's focus and fuse.
And thennnnnn there's the public sector. The school district psychiatrist. A woman who has never met the Young Prince, who apparently had "a file," although she didn't show us what was in it, and who wasted absolutely no time in being abrasive and offputting to all three of us.
I didn't expect this meeting to be pleasant. I didn't really expect it to go well. But I didn't expect the government flunkie to go out of her way to be uncooperative and hostile. But there she was.
Here are the top five instances of things she did.
1: She wanted to talk about a situation the YP did not want to discuss. He got sullen. I got irritated that he was sullen and remonstrated that he speak when spoken to. She sent him out of the room, and told me "I sent him out because you were getting frustrated. I know you are anxious to get through this, and we all want to hurry up and be done." Well, no, I wasn't frustrated because he was wasting time. I was frustrated because he was being impolite. And I told her so.
2: We have an outside diagnosis from another doctor of ADHD. (A diagnosis resulting from a costly, three-week-analysis of 4 hours of testing and surveys from us and teachers.) In this 20-page diagnosis (which this woman looked at for all of 2 minutes, tops), there is a sentence that says "these dificulties do appear to contribute to feelings of anger/frustration, a low sense of self worth, conflicts and noncompliant behavior." The outside doctor who delivered this diagnosis went over it with us for two hours. We were all very clear that Difficulties A were the cause of Feelings B, and that dealing with Difficulties A would in time have a mitigating effect on Feelings B. This woman INSISTED we were wrong, that Feelings B were, in fact, the real problem, and that Difficulties A are "part of the bigger picture, but not the primary problem to address." We asked what led her to this conclusion and her response was that "it is written in that document," citing the afore-quoted sentence. When we questioned this, her response was an infuriating "As a PROFESSIONAL, reading another PROFESSIONAL'S opinion, this is what it says." Really? I read for a living. Comprehension is a pretty big requirement of my job. But apparently I'm not a PROFESSIONAL.
(For the record, we asked the second-appointment psychiatrist to interpret the same sentence when she saw us. She looks at it and goes, "Difficulties A lead to feelings B. Deal with A and B is likely to fall into place." I wonder if the private sector doctor qualifies as a PROFESSIONAL?)
So all of this is a big windup to District Witch insisting that he is Depressed, that ADHD isn't a problem at all, that we need to address his Sadness.
3: The YP came back in for another try at talking to her with us in the room. She immediately poked at him again about past transgressions that he is embarrassed about without really explaining to him why she was asking. He said, "I don't understand why you are asking that. We aren't here to talk about that." I said, "Well, no, we're here to talk about whatever she wants to talk about. And I guess she wants to talk about all of it. So, you ready?" He said no and left the room again. The woman looks at me and says, "I know you say you don't see it, but that is what Sad looks like."
You guys know me. I'm sure you can imagine how I would have reacted if I were the one lacking impulse control. As it was, I gaped at her and finally said, "I'm not quite as dense as all that, thank you. I see what you see. What I'm saying to you is that what YOU are seeing, right this second, is not the norm." No answer to that, just one of those "Welllll, if you SAY SO" kind of disbelieving looks.
4: Eventually she gave the adults a bunch of forms to fill out (which we did without even looking, as they are duplicates of forms we have filled out twice already,) and she took the kid off to interview him alone. This was his description of what she said to him:
"So you had problems with a kid at school?"
"Yes. I wanted him to leave me alone, and he wouldn't, and the only way I could think to make him was to threaten him."
"So you wanted to be left alone?"
"Yes. I prefer to be left alone when I'm trying to do things at school."
"By everyone?"
"Yes."
"Even your parents?"
"What? No. You know that's not what I meant."
"I don't know what you meant. You need to say what you mean."
Before we got the details of that conversation, she comes back to tell us that he raised his voice and "alarmed" others in her office. Well, if that's what she said to him, I'm glad he "alarmed" others, because I would have been alarmed if he hadn't reacted that way.
5: So the upshot is that based on a mystery file, a misinterpretation of an outside diagnosis, and god knows what other flawed reasoning, she has determined that he is unsuited to be part of a regular-size mainstream class because he doesn't have a firm grasp of how disruptive he is. We ask her what that means -- if he's not going back to his class, where is he going? And she says she doesn't know, because she isn't aware of the resources the school has to offer. Then she says "There is a program called Rebound, but I don't know if they have any openings." Basically, her recommendation is a sort of classroom NIMBY. Big help, that. And then she seemed baffled that we were frustrated with the lack of a clear direction on what to do next.
Fortunately, this woman's report is not the definitive ruling on what gets done. She just files her opinions on the matter and the principal and superintendent discuss the next step. So I'm not down and out yet. Tomorrow I am going to go see the school principal and lay all this out with her. I'm trying to figure out the most diplomatic way to say, "Hey, you know what? That woman was a bitch, and since my kid is not an idiot, he responded to that."
The hard part is that I'm feeling torpedoed. An unhealthy part of my mind is conjuring conspiracy fantasies that this woman and others of her ilk are in place solely to serve as impediments to Difficult Parents of Kids Who Are Hassles. I find it disheartening that nobody seems at all interested in this kid ever seeing the inside of a classroom again. I mean, yeah, OK, that's fine with me; he's learning more at home than he does in class, and in about half the time. But if they're going to make me live in this public education bureaucracy they've created, shouldn't they at least be consistent in their conviction that EVERY child is entitled to that education? Because I don't really see it manifesting here.