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<blockquote data-quote="buddy" data-source="post: 470920" data-attributes="member: 12886"><p>I had a huge flashback when I read about your mornings....mine are still rough now but for a different reason, smile. Back at your difficult child's age, we did find a way to make mornings (and many things in fact) much much better. We used a visual schedule. Even if she can read, pictures with words are best for these when they are little. So, I took pictures of each task. And for getting winter weather wear on actually did each piece of clothing. on a separate schedule. I laminate each picture, (they are small like an 1X1 inch, you can do bigger if you want) and put the hook part of velcro on the back. On a long verticle strip of heavy stock paper (like a manilla file weight, you can cut one of those up) also laminated, I put one long strip of the loop side of the velcro. I put the pictures in order from top to bottom of the strip. I either put a pocket at the bottom or put another strip on the back (the all done side, you can color it red for all done and the other side can be green or whatever). When a step is done, she picks off the picture and puts it on the all done side. When they are all done the very last might be a picture of a reward she wants. (You can have a separate strip with rewards she likes and the first thing she does is pull of which reward she wants and puts it at the bottom of the task schedule list). It can be kind of fun for them...even if it is not fun, it usually does settle in as a way to organize them and reduce anxiety/stress. It takes the need to repeat over and over out of the mix. You just show the picture of the next step. </p><p></p><p>This works great in classrooms too. If she is such a good reader, your or they could also use small write on/wipe off board and create a list with words that follow the the directions that the teacher gave-like first cut on lines second, glue pictures on the page third, write the words under the picture... last, clean up.......whatever the project is.... (or again something you are doing at home, like cleaning up toys then get to watch tv)...if they put little boxes by each step she can check off each step along the way.</p><p></p><p>How does she do with friends? Lots of kids with these kinds of issues don't get the social rules like not interrupting. They just need to get their own needs met, not to be mean, they just do. I wonder from your post about sensory issues with her and that level of distraction seems like it may be beyond ADHD. Many kids who are really smart, read early, have the kinds of struggles you are mentioning, fall on the autism spectrum. You haven't said very much about her play or social skills so I am just sharing that it is common for kids to be misdiagnosed with adhd and odd and anxiety when in fact it is maybe even on the near normal side of the autism spectrum. Many professionals dont see it in a child when it is pretty mild. But IF that is the case (and it could be many things besides that...just giving Autism Spectrum Disorders (ASD) as an example) then knowing those kinds of answers can help her have more appropriate supports in school and they can help give you more ideas for at home. </p><p></p><p>Other people will chime in with additional ideas that relate to things they have experienced. Overall, if you can get a second opinion, doesn't mean you have to leave this doctor you like, just good to get another perspective, it would be good. Especially if you can get a complete overall neuropsychological assessment done. Have you done that kind of assessment? It tends to be much more involved than a doctor. evaluation.</p><p></p><p>If this doesn't fit for you, no worries, just offering ideas... Glad you are here, hope people can give you good ideas!</p></blockquote><p></p>
[QUOTE="buddy, post: 470920, member: 12886"] I had a huge flashback when I read about your mornings....mine are still rough now but for a different reason, smile. Back at your difficult child's age, we did find a way to make mornings (and many things in fact) much much better. We used a visual schedule. Even if she can read, pictures with words are best for these when they are little. So, I took pictures of each task. And for getting winter weather wear on actually did each piece of clothing. on a separate schedule. I laminate each picture, (they are small like an 1X1 inch, you can do bigger if you want) and put the hook part of velcro on the back. On a long verticle strip of heavy stock paper (like a manilla file weight, you can cut one of those up) also laminated, I put one long strip of the loop side of the velcro. I put the pictures in order from top to bottom of the strip. I either put a pocket at the bottom or put another strip on the back (the all done side, you can color it red for all done and the other side can be green or whatever). When a step is done, she picks off the picture and puts it on the all done side. When they are all done the very last might be a picture of a reward she wants. (You can have a separate strip with rewards she likes and the first thing she does is pull of which reward she wants and puts it at the bottom of the task schedule list). It can be kind of fun for them...even if it is not fun, it usually does settle in as a way to organize them and reduce anxiety/stress. It takes the need to repeat over and over out of the mix. You just show the picture of the next step. This works great in classrooms too. If she is such a good reader, your or they could also use small write on/wipe off board and create a list with words that follow the the directions that the teacher gave-like first cut on lines second, glue pictures on the page third, write the words under the picture... last, clean up.......whatever the project is.... (or again something you are doing at home, like cleaning up toys then get to watch tv)...if they put little boxes by each step she can check off each step along the way. How does she do with friends? Lots of kids with these kinds of issues don't get the social rules like not interrupting. They just need to get their own needs met, not to be mean, they just do. I wonder from your post about sensory issues with her and that level of distraction seems like it may be beyond ADHD. Many kids who are really smart, read early, have the kinds of struggles you are mentioning, fall on the autism spectrum. You haven't said very much about her play or social skills so I am just sharing that it is common for kids to be misdiagnosed with adhd and odd and anxiety when in fact it is maybe even on the near normal side of the autism spectrum. Many professionals dont see it in a child when it is pretty mild. But IF that is the case (and it could be many things besides that...just giving Autism Spectrum Disorders (ASD) as an example) then knowing those kinds of answers can help her have more appropriate supports in school and they can help give you more ideas for at home. Other people will chime in with additional ideas that relate to things they have experienced. Overall, if you can get a second opinion, doesn't mean you have to leave this doctor you like, just good to get another perspective, it would be good. Especially if you can get a complete overall neuropsychological assessment done. Have you done that kind of assessment? It tends to be much more involved than a doctor. evaluation. If this doesn't fit for you, no worries, just offering ideas... Glad you are here, hope people can give you good ideas! [/QUOTE]
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