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So in your capacity as a tutor, do you think you are qualified to make medical diagnoses of and medical decisions for other people's children? It's generally t

So in your capacity as a tutor, do you think you are qualified to make medical diagnoses of and medical decisions for other people's children? It's generally thought that this is the parents' decision because they have the most information about the child and the biggest "stake" in their child's success. Has it occurred to you that you might be working with incomplete information? Has it occurred to you that your conclusions might be wrong?

knaik94 4y ago
I have a diagnosis. Their teachers suspected a diagnosis and the child was tested. The child would benefit from treatment. The parents were asking for my opinion. As a tutor, I would be one of the first people that would know if a student is struggling and needs testing for a learning disorder. These situations I am talking about are specifically when the parent is clearly choosing to disregard information because they don't trust it or want it to be wrong for one reason or another. I don't understand why it's still such a divisive thing when the idea of parents being wrong is brought up. Parents, like all humans, have the capacity to do bad/wrong things with good intentions. Pediatricians face the same situation every day when dealing with this type of parent. EDIT: The child was tested by a healthcare profesional and was diagosed and medication was recommended. And I went through the same school system. They came to me for advice.
- danenania 4y ago
  Fyi, speaking as a parent: as it relates to ADHD and giving young children powerful psychoactive drugs, the fact that you only seem aware of one side of an extremely complex and contentious issue makes me disinterested in your advice on this or any other parenting topic. The kinds of people I look to for advice understand the arguments on both sides and, while they may have a position one way or the other, are not zealots.
  - knaik94 4y ago
    As someone that has a diagnosis and takes medication for it and and an educator, I understand better than most both sides of the situation. I apologize if it seems like I don't understand both sides. In asian culture there is still a very very strong stigma surrounding treatment for mental health issues. Sometimes hesitancy is cultural and other times it's religious and other times it's pride. My own struggles growing up in a similar situation as the child and learning that I suffered unecessarily after I started medication, affects the language I use to describe the situation. Maybe I have become more jaded than I realize, I appreciate your perspective.
    - danenania 4y ago
      I appreciate your response and being willing to reconsider. It’s great that you found an approach that worked for you. But yes, I would still suggest humility in assuming that you can identify when the same approach will work for someone else, especially when that someone is a child and the parents, who know that child better than anyone else, don’t share your conviction. There are good reasons to be skeptical about diagnosing young children with ADHD except in very rare circumstances.
      - knaik94 4y ago
        Most of the parents I feel frustrated with show hesitancy about even testing, despite also being very concerned about their child failing in school. They treat a positive diagnosis and even testing like a conspiracy, and continually argue that it's simply a question of laziness and motivation. I am not sure what age you define as young children. I think ages 13 and above, with the assumption they started puberty at minimum a year prior and are at least entering high school, is a fair time to seriously consider/start pharmacological treatment. That was my suggestion to some other parents who have directly asked me. Sometimes starting medication younger is necessary, but in my opinion most kids aren't doing anything where focus is critical to their long term success before starting high school. I similary have reservations about the current way in which ADHD hyperactive is diagnosed in children younger than 12. I am mainly talking about primarily inattentive diagnoses, because that's what I have experience with and feel confident speaking about. I only teach kids in high school and older. On the other hand, there's a weakness in identifying girls who would benefit from being tested, and an issue of underdiagnosed women, because of the way ADHD symtoms present differently by gender.
- pclmulqdq 4y ago
  The fact that you and a teacher have diagnosed a child with ADHD means less than nothing. Medical advice from teachers has about as much weight as stock tips from them. They were likely taken aback by how forward and certain you seem to have been about it. If you had instead said, "your child is having some academic trouble, maybe you should get him tested for a learning disability" it would have gone over better. Focus on providing advice within your area of expertise. Teachers, in general, seem to feel entitled to be surrogate parents to children, but that's really not their role. Their job is solely to help the child learn.

knaik94 4y ago

I have a diagnosis. Their teachers suspected a diagnosis and the child was tested. The child would benefit from treatment. The parents were asking for my opinion. As a tutor, I would be one of the first people that would know if a student is struggling and needs testing for a learning disorder. These situations I am talking about are specifically when the parent is clearly choosing to disregard information because they don't trust it or want it to be wrong for one reason or another. I don't understand why it's still such a divisive thing when the idea of parents being wrong is brought up. Parents, like all humans, have the capacity to do bad/wrong things with good intentions. Pediatricians face the same situation every day when dealing with this type of parent. EDIT: The child was tested by a healthcare profesional and was diagosed and medication was recommended. And I went through the same school system. They came to me for advice.

danenania 4y ago
Fyi, speaking as a parent: as it relates to ADHD and giving young children powerful psychoactive drugs, the fact that you only seem aware of one side of an extremely complex and contentious issue makes me disinterested in your advice on this or any other parenting topic. The kinds of people I look to for advice understand the arguments on both sides and, while they may have a position one way or the other, are not zealots.
- knaik94 4y ago
  As someone that has a diagnosis and takes medication for it and and an educator, I understand better than most both sides of the situation. I apologize if it seems like I don't understand both sides. In asian culture there is still a very very strong stigma surrounding treatment for mental health issues. Sometimes hesitancy is cultural and other times it's religious and other times it's pride. My own struggles growing up in a similar situation as the child and learning that I suffered unecessarily after I started medication, affects the language I use to describe the situation. Maybe I have become more jaded than I realize, I appreciate your perspective.
  - danenania 4y ago
    I appreciate your response and being willing to reconsider. It’s great that you found an approach that worked for you. But yes, I would still suggest humility in assuming that you can identify when the same approach will work for someone else, especially when that someone is a child and the parents, who know that child better than anyone else, don’t share your conviction. There are good reasons to be skeptical about diagnosing young children with ADHD except in very rare circumstances.
    - knaik94 4y ago
      Most of the parents I feel frustrated with show hesitancy about even testing, despite also being very concerned about their child failing in school. They treat a positive diagnosis and even testing like a conspiracy, and continually argue that it's simply a question of laziness and motivation. I am not sure what age you define as young children. I think ages 13 and above, with the assumption they started puberty at minimum a year prior and are at least entering high school, is a fair time to seriously consider/start pharmacological treatment. That was my suggestion to some other parents who have directly asked me. Sometimes starting medication younger is necessary, but in my opinion most kids aren't doing anything where focus is critical to their long term success before starting high school. I similary have reservations about the current way in which ADHD hyperactive is diagnosed in children younger than 12. I am mainly talking about primarily inattentive diagnoses, because that's what I have experience with and feel confident speaking about. I only teach kids in high school and older. On the other hand, there's a weakness in identifying girls who would benefit from being tested, and an issue of underdiagnosed women, because of the way ADHD symtoms present differently by gender.
pclmulqdq 4y ago
The fact that you and a teacher have diagnosed a child with ADHD means less than nothing. Medical advice from teachers has about as much weight as stock tips from them. They were likely taken aback by how forward and certain you seem to have been about it. If you had instead said, "your child is having some academic trouble, maybe you should get him tested for a learning disability" it would have gone over better. Focus on providing advice within your area of expertise. Teachers, in general, seem to feel entitled to be surrogate parents to children, but that's really not their role. Their job is solely to help the child learn.