Mixed Neurodevelopmental disorder

Sophie, Jen, Andy and Bob attended an appointment with a Doctor Rashmi Adiga a child psychologist for what we hoped would be the start of a general reassessment, however unfortunately it was most unsatisfactory.

Dr Adiga had quite obviously not done her homework, she asked inappropriate questions in front of Sophie regarding her biological parentage, as Sophie’s biological Father is not allowed contact with her. At this stage of her life, Sophie has not been informed of him, because of her lack of understanding.

A teachers assistant was called in, we had no knowledge of who this teachers assistant is, she never introduced herself and has never attended an Annual Review.  Her input was unhelpful and misleading, according to her Sophie is perfect at school and all the problems are caused by her brother. At the moment Sophie is fixated with her brother, her brother is not blameless, but he is not solely responsible.

The report by Dr Melanie Bruce and Dr Bakka was ignored and not taken onboard.

Dr Adiga said none of the symptoms described were consistent with ADHD, and we had to make a suggestion about the possibility of Autism, she then said she would send out a questionnaire.

Dr Bakka specifically asked for support with bedwetting and this was never bought up.

The meeting was unsatisfactory and offhand and Dr Adiga couldn’t get rid of us fast enough.

Dr Adiga did suggest it could be Mixed Neurodevelopmental disorder 

A neurodevelopmental disorder,^[1] or disorder of neural development, is an impairment of the growth and development of the brain or central nervous system. A narrower use of the term refers to a disorder of brain function that affects emotion, learning ability and memory and that unfolds as the individual grows. The term is sometimes erroneously used as an exclusive synonym for autism and autism spectrum disorders.
Disorders considered neurodevelopmental in origin, or that have neurodevelopmental consequences when they occur in infancy and childhood include:

• Autism and autism spectrum disorders such as Asperger syndrome
• Fetal alcohol spectrum disorder
• Traumatic brain injury, (including congenital injuries such as those that cause cerebral palsy^[2])
• Communication, speech and language disorders
• Genetic disorders, such as fragile-X syndrome
• Down syndrome.^[3]

Neurodevelopmental disorders are associated with widely varying degrees of mental, emotional, physical, and economic burden to individuals, families and society in general.

There are many causes of neurodevelopmental disorder, which can range from deprivation, genetic and metabolic diseases, immune disorders, infectious diseases, nutritional factors, physical trauma, and toxic and environmental factors.
Some neurodevelopmental disorders—such as autism and other pervasive developmental disorders—are considered multifactorial syndromes (with many causes but more specific neurodevelopmental manifestation).^[4] However other multifactorial syndromes such as Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infections (PANDAS) are presently thought to have a more specific primary causation as well as a specific neurodevelopmental manifestation.