Emily asked what she is doing. Ambria asked if she had asked what or how? Emily said she’d asked what but also wants to know how.
Ambria just got back from getting bubble tea. Emily asked if she got her usual. She got the Okinawa. Emily asked what it is. Brown sugar. Emily asked how it was. It was OK.
Emily went to downtown [] today. She said it was OK. They have some shops. She got some sweet potato dog treats. She went to a tea shop and got a new tea to try. She got a sandwich from a market that was “pretty good.”
Ambria said today was mostly an “errand day.” Emily asked if she went grocery shopping. Yes. She asked what Ambria bought. Ambria got Zbars and some fruit – raspberries and peaches. Emily asked if she got her chai tea. She did, and she thanked Emily. Emily asked how long it would last. Ambria said we will see.
Emily asked if that’s one of her hats from “the other day.” Yes. She showed it.
Emily asked about school. Ambria said they will have a decision this weekend for Monday. Emily asked if she can do online school instead. Ambria doesn’t know, but she plans to wait. She thinks it will start Monday.
Ambria said the school has posted final schedules for the semester. Emily asked what hers is. Ambria recited it. Emily said she thought the baking and pastry class was 2nd semester. Ambria said they switched it.
Ambria met with her new psychiatrist. Emily asked how it went. It was good. Ambria likes her. Emily asked if it’s a lady or a man. Lady. Emily asked if she goes online. Yes. Emily asked if she has to be on camera. Ambria doesn’t know, but she does it. Emily said that’s “kinda like being in the office.” Ambria told her they changed her medicines and gave her a real diagnosis. Ambria said the last one said she “might” have ADHD, but never diagnosed. Ambria told her the diagnosis and explained it to her.
Emily asked if she has an IEP at school. Ambria has a 504. Emily asked if it will impact her 504. Ambria got some accommodations that will be added when she left PHP. She will have extended testing time and deadlines and set times for homework time. Emily asked if she would have any accommodations for testing. Ambria doesn’t remember, so maybe. She said she doesn’t have problem finishing tests on time and gets extra time when she needs it. Emily asked if her combined ADHD affected her schoolwork. Ambria does. Emily asked what she increased and did she change any. She increased the adderall. Ambria told her it gets less effective and you need more of it at first. Hers plateaued below where she needed it. She explained how she takes it. Emily asked how long she’s been taking the adderall before she saw the new psychiatrist. She started at the beginning of August or end of July. Emily asked if she had already plateaued in that time. Ambria plateaued before that. Emily asked if she takes it at the same time every day. Yes.
Emily asked if she addressed any of her “other stuff.” Emily asked if this psychiatrist is addressing any of her other issues. Yes, she’s working with everything. Emily asked why she didn’t tell her she had combined ADHD and bipolar. Ambria said she also has an anxiety disorder that they haven’t identified yet. Emily asked if it’s helping. Yes, but she hopes it will help more once she gets it “figured out.” Emily asked if she has any hyperactivity. Yes. Emily didn’t notice any “huge huge signs.” She said it wasn’t enough for her to give it much thought. She asked why. Ambria said she just doesn’t see her long enough to notice. Ambria said she would notice the inattentive if Emily were talking at her or if there were other things happening. Ambria said for the hyperactive part… Emily said she noticed Ambria fidgeting more. Ambria said if she doesn’t do that stuff, she picks her fingers and her skin. Emily thanked her for explaining and said she’s glad Ambria is feeling better. Ambria asked if she has any more questions.
Emily asked if she meets with her every week or as she needs. Ambria said it depends on what they do. Since she just changed her medicine, Ambria will meet in two weeks, but they may meet every month once things are more stable. Emily asked if last year or the year before, Ambria had a hard time with online school. Ambria has had a hard time for a while. Ambria remembers having a hard time in the first grade but no one noticed. She never did the assigned reading and didn’t have the patience for those assignments. Emily asked if she has to read the same thing over and over when she does try to read. Yes. Emily asked if, when she’s in a conversation, she has to continue to refocus. Yes. It’s easier in here because there aren’t distractions, but if she were outside, she would get distracted more easily. Emily asked if she has to get thoughts out when someone else is talking before she loses it. Emily said she guesses people might think she’s rude and she’s not. Ambria might notice a cute dog and call it out while someone is trying to talk about something else. Emily hopes that, when school starts, she can put her new medication “to the test” and see how it works. Ambria knows it makes her more alert when people are talking at her. Emily asked if it helps her pay attention on the bus. Ambria said at school, she wasn’t present if the content wasn’t interesting. If she was tired –and she was tired a lot – the medicine makes her able to focus. Emily asked about physical health and whether that’s been “going good.” Yes. Emily doesn’t have any more, but she may have some the next time they talk. Ambria said she can write them down or message them.
She hopes she will be in school the next time they talk. Emily said they’re not asking for anything extreme. Ambria said they’re just asking for a contract. Emily named a few of their demands. Ambria said she hopes they work it out.
Ambria said she should go. Emily thanked her again and said she would think of questions. She said she loves her and will talk to her… on Tuesday or Wednesday? Ambria said Wednesday after IOP.
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