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<blockquote data-quote="buddy" data-source="post: 588792" data-attributes="member: 12886"><p>I'm glad lia chimed in, she had a baby too......plus lots of other little ones.</p><p></p><p>It does seem a puzzle. I hope you can find a developmental pediatrician or a neuropsychologist to do a really thorough evaluation. I'll warn you now that I bet no pediatrician will agree that there is attachment disorder. Most psychologists won't diagnosis that either, they don't understand the spectrum it can be and only think of the severe totally detached, fire starting, animal killing kinds of kids. </p><p>Your difficult child sounds attached to you but may suffer insecurities that came from moving between caregivers etc. I was wondering what Lia said, did she intend to kill or is she really out of control and hurtful, does she understand killing? You may want to clarify that when you describe because trying to kill is very different from impulsive dangerous behaviors in terms of diagnosis and treatment. But in terms of daily life, as Lia said, you have to set up life to keep the other kids safe. Locks on Sharps, alarms, cameras, line of sight supervision....</p><p>.</p><p>The more you post the more sensory integration symptoms you share. I would try to tell, not ask the doctor...that you want a sensory integration evaluation with an occupational therapist. Don't accept no. Get a patient advocate if they block you.</p><p>I just call the Occupational Therapist (OT) therapy places and have them send the form for my doctor to sign off. I leave a message with the doctor that the form is coming and I need it signed. But, we do have a diagnosis...that may help. Still..we all learn to be pretty assertive or nothing gets done.</p><p></p><p>I think your gut is right. Play therapy is ok if there are emotional issues to work on and if the child's play is typical. But therapy that only focuses on the family system when there is a developmental/neurological or genetic mental health condition is not enough. Keep digging for answers. Mommy instinct is usually right. </p><p></p><p>You may find a group of things are issues and never get a big diagnosis.....but as you saw, using therapies that match the learning style of your child can really help. If Autism Spectrum Disorders (ASD) methods work then read up on it. You don't need that diagnosis to learn parenting strategies that help. Many mental health programs around here are using those methods and finding success because the methods are based on direct teaching and skill building rather than consequences and rewards for choosing behaviors. Autism Spectrum Disorders (ASD) approach assumes the behaviors need to be taught not that the child is just choosing to be inappropriate. (in general).</p><p></p><p>It worked for the eating....who knows?</p><p></p><p>Good luck! Many of us have very complex kids here. It is the kind of special that is not fun! Hugs.</p></blockquote><p></p>
[QUOTE="buddy, post: 588792, member: 12886"] I'm glad lia chimed in, she had a baby too......plus lots of other little ones. It does seem a puzzle. I hope you can find a developmental pediatrician or a neuropsychologist to do a really thorough evaluation. I'll warn you now that I bet no pediatrician will agree that there is attachment disorder. Most psychologists won't diagnosis that either, they don't understand the spectrum it can be and only think of the severe totally detached, fire starting, animal killing kinds of kids. Your difficult child sounds attached to you but may suffer insecurities that came from moving between caregivers etc. I was wondering what Lia said, did she intend to kill or is she really out of control and hurtful, does she understand killing? You may want to clarify that when you describe because trying to kill is very different from impulsive dangerous behaviors in terms of diagnosis and treatment. But in terms of daily life, as Lia said, you have to set up life to keep the other kids safe. Locks on Sharps, alarms, cameras, line of sight supervision.... . The more you post the more sensory integration symptoms you share. I would try to tell, not ask the doctor...that you want a sensory integration evaluation with an occupational therapist. Don't accept no. Get a patient advocate if they block you. I just call the Occupational Therapist (OT) therapy places and have them send the form for my doctor to sign off. I leave a message with the doctor that the form is coming and I need it signed. But, we do have a diagnosis...that may help. Still..we all learn to be pretty assertive or nothing gets done. I think your gut is right. Play therapy is ok if there are emotional issues to work on and if the child's play is typical. But therapy that only focuses on the family system when there is a developmental/neurological or genetic mental health condition is not enough. Keep digging for answers. Mommy instinct is usually right. You may find a group of things are issues and never get a big diagnosis.....but as you saw, using therapies that match the learning style of your child can really help. If Autism Spectrum Disorders (ASD) methods work then read up on it. You don't need that diagnosis to learn parenting strategies that help. Many mental health programs around here are using those methods and finding success because the methods are based on direct teaching and skill building rather than consequences and rewards for choosing behaviors. Autism Spectrum Disorders (ASD) approach assumes the behaviors need to be taught not that the child is just choosing to be inappropriate. (in general). It worked for the eating....who knows? Good luck! Many of us have very complex kids here. It is the kind of special that is not fun! Hugs. [/QUOTE]
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