I’m probably going to throw the cat among the pigeons here but I didn’t actually think that @HoppingPavlovawas being rude. Personally, I think it’s okay to analyse and challenge, especially if you’re a trained medical professional. There are lots of murky areas in the field of diagnoses of care experienced children. It’s no exaggeration to say that the vast majority of adopted children have been exposed to drugs and alcohol in utero. The problem is, unless there’s hard evidence ie court-ordered hair strand testing, the maternal consumption of alcohol usually relies on self-declaration to health professionals. Also, the received wisdom these days is that all adopted children are affected by ‘trauma & attachment’ and, generally speaking, very few social workers look behind or beyond these labels and then our children are offered a 10-week course of play therapy to help with their ‘attachment and trauma’ issues.
The fact is, in England, the only evidence-based clinic offering evidence-based assessments for adopted and fostered children, at the South London Maudsley Hospital, has been quietly closed by the NHS. Instead, we are fobbed off with non-evidence based assessments and less than helpful therapies. Also, there is only one centre of excellence for diagnostics of FASD in the country, the Surrey Clinic, where Dr Mukherjee (spelling?) is the leading expert on FASD. Very many adoptive parents are denied access to this clinic by their health boards.
Another point to bear in mind is the huge overlap in neurodivergences. It’s possibly important to consider that very many birth parents self-medicate with drugs and alcohol and engage in risky and chaotic relationships because they’re perhaps struggling with undiagnosed neurodivergent conditions, like ADHD and autism. God knows, it’s hard enough to secure a diagnosis and help for a child when you’re a fully functional sharp-elbowed person who knows how to navigate systems. When there’s multigenerational history of children and adults failed by the system, it’s not hard to see why people turn to drugs and alcohol.