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I have a question about a friends child
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<blockquote data-quote="Marguerite" data-source="post: 6956" data-attributes="member: 1991"><p>With the father's possible history, it's chicken or egg. IS he a possible substance abuser because of an underlying hereditary disability? Or is the disability seen in the child the result of substance abuse? Frankly, it doesn't really matter. Answers are needed.</p><p></p><p>Autism sounds really likely to me, too. difficult child 3 was a lot like this - other things missing with him as well. As for locking things away and child-proofing the house - he would successfully break in to anywhere that was locked, including child-proof locks; he would climb to ceiling height if necessary to get a key. I couldn't wear all the keys round my neck all the time. If he couldn't find a way to break in to something he anted, he would take it apart. Apparently, husband did things like this too, as a toddler. His mother told me years ago how husband as a kid of 18 months had been left in his play pen but had been too quiet - she went to see what was up and found he had dismantled the entire playpen. It was a pile of timber slats and nuts and bolts.</p><p></p><p>I agree about not mentioning autism to the parents. If the subject comes up, use the term "high-functioning autism" and emphasise the likelihood of high IQ needing to be tested for, when she's older. But where possible, don't mention it. If they are looking for a label, Pervasive Developmental Disorder (PDD) may not be so scary.</p><p></p><p>A vital starting point - she needs her hearing checked and a speech pathology assessment. Point out to them that a lot of behaviour problems can result from a hidden hearing problem, which itself can be caused by something as simple as a chronic middle ear infection. But it's important to get it checked out FAST, to give the child the best chance of making up lost ground, linguistically.</p><p></p><p>Also - go to <a href="http://www.childbrain.com" target="_blank">www.childbrain.com</a> and do the Pervasive Developmental Disorder (PDD) assessment on her. It's informal and not officially diagnostic, you can have a peek for yourself and if you think the parents can handle it (or, conversely, they're heading back into denial) then get them to do it also. They can take the printout to the doctor to show him the things that are worrying them about her. Besides the test there are also guidelines on how to answer the questionnaire as accurately as possible, so if the doctor accuses them of being over-generous in their rating, they can point to the rules and explain their reasoning.</p><p></p><p>Yes, I'm thinking autism also. Don't refer to it, but suggest they get her ear health and speech assessed ASAP, and institute therapy (which they can do themselves, after some initial professional guidance). </p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 6956, member: 1991"] With the father's possible history, it's chicken or egg. IS he a possible substance abuser because of an underlying hereditary disability? Or is the disability seen in the child the result of substance abuse? Frankly, it doesn't really matter. Answers are needed. Autism sounds really likely to me, too. difficult child 3 was a lot like this - other things missing with him as well. As for locking things away and child-proofing the house - he would successfully break in to anywhere that was locked, including child-proof locks; he would climb to ceiling height if necessary to get a key. I couldn't wear all the keys round my neck all the time. If he couldn't find a way to break in to something he anted, he would take it apart. Apparently, husband did things like this too, as a toddler. His mother told me years ago how husband as a kid of 18 months had been left in his play pen but had been too quiet - she went to see what was up and found he had dismantled the entire playpen. It was a pile of timber slats and nuts and bolts. I agree about not mentioning autism to the parents. If the subject comes up, use the term "high-functioning autism" and emphasise the likelihood of high IQ needing to be tested for, when she's older. But where possible, don't mention it. If they are looking for a label, Pervasive Developmental Disorder (PDD) may not be so scary. A vital starting point - she needs her hearing checked and a speech pathology assessment. Point out to them that a lot of behaviour problems can result from a hidden hearing problem, which itself can be caused by something as simple as a chronic middle ear infection. But it's important to get it checked out FAST, to give the child the best chance of making up lost ground, linguistically. Also - go to [url="http://www.childbrain.com"]www.childbrain.com[/url] and do the Pervasive Developmental Disorder (PDD) assessment on her. It's informal and not officially diagnostic, you can have a peek for yourself and if you think the parents can handle it (or, conversely, they're heading back into denial) then get them to do it also. They can take the printout to the doctor to show him the things that are worrying them about her. Besides the test there are also guidelines on how to answer the questionnaire as accurately as possible, so if the doctor accuses them of being over-generous in their rating, they can point to the rules and explain their reasoning. Yes, I'm thinking autism also. Don't refer to it, but suggest they get her ear health and speech assessed ASAP, and institute therapy (which they can do themselves, after some initial professional guidance). Marg [/QUOTE]
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