Should I Get My ADHD Child Diagnosed?

Here is a personal perscspective about diagnosing. Check out her website for more great content!

Grace Under Pressure

Hi, my name is Sarah, and I have ADHD.

I’ve had ADHD my whole life, but I wasn’t diagnosed until just before my 30th birthday.

Now,  I’m aware of the controversy surrounding ADHD, so from someone will lives with it every day this is why I think that your child needs not only a diagnosis but to know what’s going on and what it’s called.

I compare ADHD to type 1 diabetes.

Let’s say that your child doesn’t have diabetes.

You can’t see the diabetes, and you assume that the other person’s child is just lazy, misbehaving, etc.

You don’t like the doctor and don’t trust the diagnosis.

And voila!

Diabetes is fake!

He doesn’t need insulin!

You’re making him dependent on a drug!

How could you?

You’re a horrible parent!

Peddling drugs to your child.

Shame on you.

That’s how people think of ADHD.

As if they have a…

View original post 830 more words

Having a Child with Autism and ADHD

Another great read from a parent’s perspective.

Original Piece Mag

Several years after my two youngest boys were diagnosed with ADHD and then a few months later autism, learning how to help them cope with everyday life has been a struggle, but I found some answers to help my two boys’.

I’m sure if you have a child with ADHD or Autism or both you’ve heard that sayings, “BOY, is he active,” or “Well that’s just a boy for you,” or “He needs a good spanking,” makes you feel like how I feel,  uneasy whenever you go in public. Dealing with a children suffering from ADHD and Autism is hard enough without adding other people’s remarks about situations they know nothing about.
I’ve gone to numerous pediatricians in my city and have had no luck in finding any help. They do advertise some place but each time a try a place to help my boys’ live everyday with…

View original post 374 more words

The ADHD Friendly Church

If you can, spend some time on this site. There is great stuff there!

Coffee with Maria Hass

Confession: I was THAT kid at church. Restless. Slightly disruptive no matter how interested. I had to keep busy.

My husband and I as unmarried 16 year olds at church.

15 years later I come to church and I see my boys, among other kids, and I get it. We can have the most dynamic worship team and the funniest Pastor, it is very hard for us ADHDers to do nothing during the service.

What are you saying Maria?! You don’t sit at church and do nothing! You pray! You listen! You worship!

Fair enough, let me expand. Yes, we actively worship, and provided we can sing along at the top of our lungs you still have our attention. But sitting still and listening during a sermon is NOT our forte! Even with our best intentions, our minds wander. And we get restless. As in, grab another cup of coffee…

View original post 603 more words

Natural Remedies for ADHD

ADHD stands for attention deficit hyperactivity disorder. It is a neurodevelopmental disorder, typically first diagnosed when an affected individual is elementary school age. It is identified by behavior that makes it difficult for affected individuals to function effectively, or mature and develop as other children normally do. In general, people with ADHD behave in ways […]

via Natural Remedies for ADHD — Crooked Bear Creek Organic Herbs

Informed Consult for Adults


Informed Consent for Therapy Services – Adult
Eagle’s Wings Counseling Services, LLC
Welcome to our practice. This document contains important information about our professional services
and business policies. It also contains summary information about the Health Insurance Portability and
Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights about the
use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment,
and health care operations. Although these documents are long and sometimes complex, it is very
important that you understand them. When you sign this document, it will also represent an agreement
between us. We can discuss any questions you have when you sign them or at any time in the future.
Therapy is a relationship between people that works in part because of clearly defined rights and
responsibilities held by each person. As a client in psychotherapy, you have certain rights and
responsibilities that are important for you to understand. There are also legal limitations to those rights
that you should be aware of. I, as your psychotherapist have corresponding responsibilities to you. These rights
and responsibilities are described in the following sections.
Psychotherapy has both benefits and risks. Risks may include experiencing uncomfortable feelings, such
as sadness, guilt, anxiety, anger, frustration, loneliness and helplessness, because the process of
psychotherapy often requires discussing the unpleasant aspects of your life. However, psychotherapy has
been shown to have benefits for individuals who undertake it. Therapy often leads to a significant
reduction in feelings of distress, increased satisfaction in interpersonal relationships, greater personal
awareness and insight, increased skills for managing stress and resolutions to specific problems. But,
there are no guarantees about what will happen. Psychotherapy requires a very active effort on your part.
In order to be most successful, you will have to work on things we discuss outside of sessions.
The first 2-4 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation,
I will be able to offer you some initial impressions of what our work might include. At that point, we will
discuss your treatment goals and create an initial treatment plan. You should evaluate this information
and make your own assessment about whether you feel comfortable working with me. If you have
questions about my procedures, we should discuss them whenever they arise. If your doubts persist, I will
be happy to help you set up a meeting with another mental health professional for a second opinion.
Appointments will ordinarily be 45-50 minutes in duration, once per week at a time we agree on, although
some sessions may be more or less frequent as needed. The time scheduled for your appointment is
assigned to you and you alone. If you need to cancel or reschedule a session, I ask that you provide me
with 24 hours notice. If you miss a session without canceling, or cancel with less than 24 hour notice, my
policy is to collect the amount of your payment [unless we both agree that you were unable to attend due
to circumstances beyond your control]. If it is possible, I will try to find another time to reschedule the
appointment. In addition, you are responsible for coming to your session on time; if you are late, your appointment will still end at the previously agreed upon time.
The standard fee for the initial intake is $125.00 and each subsequent session is $125.00. You are
responsible for paying at the time of your session unless prior arrangements have been made. Payment
can be made by check, cash or credit card. Any checks returned to my office are subject to an additional
fee of up to $25.00 to cover the bank fee that I incur. If you refuse to pay your debt, I reserve the right to
use an attorney or collection agency to secure payment.
In addition to weekly appointments, it is my practice to charge this amount on a prorated basis (I will
break down the hourly cost) for other professional services that you may require such as report writing,
telephone conversations that last longer than 15 minutes, attendance at meetings or consultations which
you have requested, or the time required to perform any other service which you may request of me. If you
anticipate becoming involved in a court case, I recommend that we discuss this fully before you waive
your right to confidentiality. If your case requires my participation, you will be expected to pay for the
professional time required even if another party compels me to testify.
I am required to keep appropriate records of the therapeutic services that I provide. Your records are
maintained in a secure location in the office. I keep brief records noting that you were here, your reasons
for seeking therapy, the goals and progress we set for treatment, your diagnosis, topics we discussed, your
medical, social, and treatment history, records I receive from other providers, copies of records I send to
others, and your billing records. Except in unusual circumstances that involve danger to yourself, you
have the right to a copy of your file. Because these are professional records, they may be misinterpreted
and / or upsetting to untrained readers. For this reason, I recommend that you initially review them with
me, or have them forwarded to another mental health professional to discuss the contents. If I refuse your
request for access to your records, you have a right to have my decision reviewed by another mental health
professional , which I will discuss with you upon your request. You also have the right to request that a
copy of your file be made available to any other health care provider at your written request.
My policies about confidentiality, as well as other information about your privacy rights, are fully
described in a separate document entitled Notice of Privacy Practices. You have been provided with a copy
of that document and we have discussed those issues. Please remember that you may reopen the
conversation at any time during our work together.
While privacy in therapy is crucial to successful progress, parental involvement can also be essential. It is
my policy not to provide treatment to a child under age 13 unless s/he agrees that I can share whatever
information I consider necessary with a parent. For children 14 and older, I request an agreement
between the client and the parents allowing me to share general information about treatment progress
and attendance, as well as a treatment summary upon completion of therapy. All other communication
will require the child’s agreement, unless I feel there is a safety concern (see also above section on
Confidentiality for exceptions), in which case I will make every effort to notify the child of my intention to
disclose information ahead of time and make every effort to handle any objections that are raised.
I am often not immediately available by telephone. I do not answer my phone when I am with clients or
otherwise unavailable. At these times, you may leave a message on my confidential voice mail and your
call will be returned as soon as possible, but it may take a day or two for non-urgent matters. If, for any number of unseen reasons, you do not hear from me or I am unable to reach you, and you feel you cannot
wait for a return call or if you feel unable to keep yourself safe, 1) contact 911 and ask for a C.I.T. officer. (I
can provide these numbers for you and they are listed in the phone book), 2) go to Vidant Medical Center
Emergency Room.
If you are unhappy with what is happening in therapy, I hope you will talk with me so that I can respond
to your concerns. Such comments will be taken seriously and handled with care and respect. You may also
request that I refer you to another therapist and are free to end therapy at any time. You have the right to
considerate, safe and respectful care, without discrimination as to race, ethnicity, color, gender, sexual
orientation, age, religion, national origin, or source of payment. You have the right to ask questions about
any aspects of therapy and about my specific training and experience. You have the right to expect that I
will not have social or sexual relationships with clients or with former clients.
Your signature below indicates that you have read this Agreement and the Notice of Privacy Practices and
agree to their terms.
Signature of Patient or Personal Representative
Printed Name of Patient or Personal Representative
Date _____________________________________
Description of Personal Representative’s Authority:_____________________________

HIPPA Policy

“Notice of Privacy Practices” (HIPPA)
I. Confidentiality
As a rule, I will disclose no information about you, or the fact that you are my patient, without your
written consent. Your client file describes the services provided to you and contains the
dates of our sessions, your diagnosis, functional status, symptoms, prognosis and progress, and any
psychological testing reports. Health care providers are legally allowed to use or disclose records or
information for treatment, payment, and health care operations purposes. However, I do not routinely
disclose information in such circumstances, so I will require your permission in advance, either through
your consent at the onset of our relationship (by signing the attached general consent form), or through
your written authorization at the time the need for disclosure arises. You may revoke your permission, in
writing, at any time, by contacting me.
II. “Limits of Confidentiality”
Possible Uses and Disclosures of Mental Health Records without Consent or Authorization
There are some important exceptions to this rule of confidentiality – some exceptions created voluntarily
by my own choice, [some because of policies in this office/agency], and some required by law. If you wish
to receive mental health services from me, you must sign the attached form indicating that you
understand and accept my policies about confidentiality and its limits. We will discuss these issues now,
but you may reopen the conversation at any time during our work together.
I may use or disclose records or other information about you without your consent or authorization in the
following circumstances, either by policy, or because legally required:
· Emergency: If you are involved in a life-threatening emergency and I cannot ask your permission, I will
share information if I believe you would have wanted me to do so, or if I believe it will be helpful to you.
· Child Abuse Reporting: If I have reason to suspect that a child is abused or neglected, I am required by
Virginia law to report the matter immediately to the North Carolina Department of Social Services.
· Adult Abuse Reporting: If I have reason to suspect that an elderly or incapacitated adult is abused,
neglected or exploited, I am required by Virginia law to immediately make a report and provide relevant
information to the North Carolina Department of Social Services.
· Health Oversight: North Carolina law requires that licensed therapists report misconduct by a health
care provider of their own profession. By policy, I also reserve the right to report misconduct by health.
care providers of other professions. By law, if you describe unprofessional conduct by another mental
health provider of any profession, I am required to explain to you how to make such a report. If you are
yourself a health care provider, I am required by law to report to your licensing board that you are in
treatment with me if I believe your condition places the public at risk. North Carolina Licensing Boards
have the power, when necessary, to subpoena relevant records in investigating a complaint of provider
incompetence or misconduct.
· Court Proceedings: If you are involved in a court preceding and a request is made for information about
your diagnosis and treatment and the records thereof, such information is privileged under state law, and
I will not release information unless you provide written authorization or a judge issues a court order. If I
receive a subpoena for records or testimony, I will notify you so you can file a motion to quash (block) the
subpoena. However, while awaiting the judge’s decision, I am required to place said records in a sealed
envelope and provide them to the Clerk of Court. In civil court cases, therapy information is not protected
by patient-therapist privilege in child abuse cases, in cases in which your mental health is an issue, or in
any case in which the judge deems the information to be “necessary for the proper administration of
justice.” Protections of privilege may not apply if I do an evaluation for a third party or where the
evaluation is court- ordered. You will be informed in advance if this is the case.
· Serious Threat to Health or Safety: Under North Carolina law, if I am engaged in my professional duties
and you communicate to me a specific and immediate threat to cause serious bodily injury or death, to an
identified or to an identifiable person, and I believe you have the intent and ability to carry out that threat
immediately or imminently, I am legally required to take steps to protect third parties. These precautions
may include 1) warning the potential victim(s), or the parent or guardian of the potential victim(s), if
under 18, 2) notifying a law enforcement officer, or 3) seeking your hospitalization. By my own policy, I
may also use and disclose medical information about you when necessary to prevent an immediate,
serious threat to your own health and safety. If you become a party in a civil commitment hearing, I can
be required to provide your records to the magistrate, your attorney or guardian ad litem, or law
enforcement officer, whether you are a minor or an adult.
· Workers Compensation: If you file a worker’s compensation claim, I am required by law, upon request,
to submit your relevant mental health information to you, your employer, the insurer, or a certified
rehabilitation provider.
· Records of Minors: North Carolina has a number of laws that limit the confidentiality of the records of
minors. For example, parents, regardless of custody, may not be denied access to their child’s records
Other circumstances may also apply, and we will discuss these in detail if I provide services to minors.
Other uses and disclosures of information not covered by this notice or by the laws that apply to me will
be made only with your written permission.
III. Patient’s Rights and Provider’s Duties:
· Right to Request Restrictions-You have the right to request restrictions on certain uses and disclosures
of protected health information about you. You also have the right to request a limit on the medical
information I disclose about you to someone who is involved in your care or the payment for your care. If
you ask me to disclose information to another party, you may request that I limit the information I
disclose. However, I am not required to agree to a restriction you request. To request restrictions, you must make your request in writing, and tell me: 1) what information you want to limit; 2) whether you
want to limit my use, disclosure or both; and 3) to whom you want the limits to apply.
· Right to Receive Confidential Communications by Alternative Means and at Alternative Locations — You
have the right to request and receive confidential communications of PHI by alternative means and at
alternative locations. (For example, you may not want a family member to know that you are seeing me.
Upon your request, I will send your bills to another address. You may also request that I contact you only
at work, or that I do not leave voice mail messages.) To request alternative communication, you must
make your request in writing, specifying how or where you wish to be contacted.
· Right to an Accounting of Disclosures – You generally have the right to receive an accounting of
disclosures of PHI for which you have neither provided consent nor authorization (as described in section
III of this Notice). On your written request, I will discuss with you the details of the accounting process
. · Right to Inspect and Copy – In most cases, you have the right to inspect and copy your medical and
billing records. To do this, you must submit your request in writing. If you request a copy of the
information, I may charge a fee for costs of copying and mailing. I may deny your request to inspect and
copy in some circumstances. I may refuse to provide you access to certain psychotherapy notes or to
information compiled in reasonable anticipation of, or use in, a civil criminal, or administrative
· Right to Amend – If you feel that protected health information I have about you is incorrect or
incomplete, you may ask me to amend the information. To request an amendment, your request must be
made in writing, and submitted dot me. In addition, you must provide a reason that supports s your
request. I may deny your request if you ask me to amend information that: 1) was not created by me; I will
add your request to the information record; 2) is not part of the medical information kept by me; 3) is not
part of the information which you would be permitted to inspect and copy; 4) is accurate and complete.
· Right to a copy of this notice – You have the right to a paper copy of this notice. You may ask me to give
you a copy of this notice at any time. Changes to this notice: I reserve the right to change my policies
and/or to change this notice, and to make the changed notice effective for medical information I already
have about you as well as any information I receive in the future. The notice will contain the effective date
. A new copy will be given to you or posted in the waiting room. I will have copies of the current notice
available on request.
Complaints: If you believe your privacy rights have been violated, you may file a complaint. To do this,
you must submit your request in writing to my office. You may also send a written complaint to the U.S.
Department of Health and Human Services.