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<blockquote data-quote="SRL" data-source="post: 201194" data-attributes="member: 701"><p>Hi bluewillow, </p><p> </p><p>If he's been to three different childcares and all are saying something isn't right then I would suggest that you get the evaluation process rolling on two fronts. </p><p> </p><p>First, meet with your son's pediatrician and request an evaluation. Often they will try and send you to a counselor for behavioral help or a child psychiatrist for medications, but you want to ask for an appointment with a developmental pediatrician or a pediatric neuropsychologist as those are the routes parents with young kids here generally have had the best success with. We also suggest that children this age be assessed in audiology, occupational therapy for motor skills and sensory issues, and speech as part of a thorough initial assessment.</p><p> </p><p>Secondly, has he started kindergarten, and if so how is that going? I would start a school district evaluation at the same time as the private evaluation regardless.</p><p> </p><p>Until you have a handle on what's going on, I would lay low on the expectations of what to do. Focus on keeping him, sibling, and pet safe. Let stuff go that really doesn't make a ton of difference right now in other areas but can lead to a huge meltdown (such as picking up a jacket after school). Take a look at the typical meltdown spots and see how you can ease or adjust, for instance if meals are a problem relax on that and serve him something to eat when he's watching tv. </p><p> </p><p>Pick up a copy of The Explosive Child and check out the thread on the book at the top of this board.</p><p> </p><p>What's his speech like? Outside of the defiant behavior, anything else unusual about him?</p></blockquote><p></p>
[QUOTE="SRL, post: 201194, member: 701"] Hi bluewillow, If he's been to three different childcares and all are saying something isn't right then I would suggest that you get the evaluation process rolling on two fronts. First, meet with your son's pediatrician and request an evaluation. Often they will try and send you to a counselor for behavioral help or a child psychiatrist for medications, but you want to ask for an appointment with a developmental pediatrician or a pediatric neuropsychologist as those are the routes parents with young kids here generally have had the best success with. We also suggest that children this age be assessed in audiology, occupational therapy for motor skills and sensory issues, and speech as part of a thorough initial assessment. Secondly, has he started kindergarten, and if so how is that going? I would start a school district evaluation at the same time as the private evaluation regardless. Until you have a handle on what's going on, I would lay low on the expectations of what to do. Focus on keeping him, sibling, and pet safe. Let stuff go that really doesn't make a ton of difference right now in other areas but can lead to a huge meltdown (such as picking up a jacket after school). Take a look at the typical meltdown spots and see how you can ease or adjust, for instance if meals are a problem relax on that and serve him something to eat when he's watching tv. Pick up a copy of The Explosive Child and check out the thread on the book at the top of this board. What's his speech like? Outside of the defiant behavior, anything else unusual about him? [/QUOTE]
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