<p>Thanks, M3D (I just gave you a nickname!) I was about to close the browser and something made me stop and re-read the last few posts. What you said about difficulty with verbal communication jumped out of me. I am certainly not an expert in anything relevant and you may have explored this already, but is it possible she has a learning disability which could be part of the issue? The same for possible physical issues.</p>
<p>My DD was diagnosed with ‘soft’ bipolar disorder (bipolar II) when she was 8. I insisted on a full physical exam, including endocrine testing, before considering medication. It turned out she had a fairly significant thyroid deficiency (by conventional standards-some believe that the ‘recommended’ levels are still to low, but this wasn’t one of those cases). It wasn’t a magic cure for everything, but bringing her thyroid back to normal helped her significantly, and she is no longer considered bipolar.</p>
<p>This episode happened at a major and very well-regarded medical center with psychiatrists I thought were truly excellent in many ways, despite the slip-up. Doctors are only human and they just hadn’t considered the fact that the problem might have a physical basis. </p>
<p>Another of my children was not talking at all age age two (he hadn’t taken a bottle either, which we thought was unconnected but turned out to be a clue). He also seemed to be not quite as strong and also slower than other children his age - not a lot, but enough to note. He was eventually diagnosed with dyspraxia and after several years of speech and physical therapy, is doing great.</p>
<p>But had he not been diagnosed, we may have thought he just didn’t want to talk or didn’t like physical activity (he avoided climbing up slides and running because it was difficult and tiring). And because his delays were relatively subtle - after all, some kids just learn to speak late, or don’t like sports - we may never have realized it. </p>
<p>You may have fully explored these areas, but I did want to bring it up in case you hadn’t.</p>