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<blockquote data-quote="InsaneCdn" data-source="post: 470947" data-attributes="member: 11791"><p>There are a raft of issues and challenges that tend to get missed - by everybody. Parents, school, medical... and these issues can really snowball.</p><p></p><p>Has she ever been evaluated by an Occupational Therapist (OT) for sensory <u>and</u> motor skills? Either of those would be huge, and she could have both. This could explain some of her reluctance/resistance with dressing, doing hair, etc. sensory processing disorder (SPD) and Developmental Coordination Disorder (DCD) can be stand-alone dxes in their own right.</p><p></p><p>Is she on any medications for ADHD? (sorry if I missed that in the post) If she is, then she's probably old enough to also be evaluated for auditory processing disorders. These are subtle. In the past, it was caught in those who had language challenges. But more recently, there are other types being recognized - such as "auditory figure ground" processing problems - another way of saying that the person doesn't hear well if there is background noise. If you are getting ready at the same time as trying to get her ready... what kinds of sounds are also going on? hair dryer, running water, boiling kettle. You have NO idea how noisy some of these little things are - and they can make it impossible for her to hear.</p><p></p><p>These issues <em>could</em> also be seen in an Autism Spectrum Disorders (ASD)/Aspie child - which is part of where the confusion comes in!</p><p></p><p>Given that some evaluation has already been done, I'd look at supplementing with Occupational Therapist (OT)/Speech Language Pathologist (SLP)/Audiology... because these findings may affect the direction the therapist/psychiatrist see things going forward.</p><p></p><p>Meanwhile... have you ever seen the book "The Explosive Child"? It has an interesting, different perspective on challenging kids. It really makes you think about why the child does what they do.. and why YOU do what you do. If the current approach is not working, then we need to change the approach - and this book provides a framework for doing that.</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 470947, member: 11791"] There are a raft of issues and challenges that tend to get missed - by everybody. Parents, school, medical... and these issues can really snowball. Has she ever been evaluated by an Occupational Therapist (OT) for sensory [U]and[/U] motor skills? Either of those would be huge, and she could have both. This could explain some of her reluctance/resistance with dressing, doing hair, etc. sensory processing disorder (SPD) and Developmental Coordination Disorder (DCD) can be stand-alone dxes in their own right. Is she on any medications for ADHD? (sorry if I missed that in the post) If she is, then she's probably old enough to also be evaluated for auditory processing disorders. These are subtle. In the past, it was caught in those who had language challenges. But more recently, there are other types being recognized - such as "auditory figure ground" processing problems - another way of saying that the person doesn't hear well if there is background noise. If you are getting ready at the same time as trying to get her ready... what kinds of sounds are also going on? hair dryer, running water, boiling kettle. You have NO idea how noisy some of these little things are - and they can make it impossible for her to hear. These issues [I]could[/I] also be seen in an Autism Spectrum Disorders (ASD)/Aspie child - which is part of where the confusion comes in! Given that some evaluation has already been done, I'd look at supplementing with Occupational Therapist (OT)/Speech Language Pathologist (SLP)/Audiology... because these findings may affect the direction the therapist/psychiatrist see things going forward. Meanwhile... have you ever seen the book "The Explosive Child"? It has an interesting, different perspective on challenging kids. It really makes you think about why the child does what they do.. and why YOU do what you do. If the current approach is not working, then we need to change the approach - and this book provides a framework for doing that. [/QUOTE]
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