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<blockquote data-quote="InsaneCdn" data-source="post: 460771" data-attributes="member: 11791"><p>OK, I'm seeing several things that probably need further evaluation.</p><p></p><p>1) nailbiting/anxiety - this stuff is usually a sign that there are other things going on. Things you probably don't even know about - and things that are subtle enough that the child doesn't even really understand what is going on. </p><p></p><p>2) Sleep issues with the younger child - sleep issues can be a primary issue (not sleeping well really messes human beings up good and proper), or secondary (anxiety, for example, really messes with our sleep) - but in any case, needs to be dealt with</p><p></p><p>3) sounds like perhaps some delayed communication problems with the younger child? This is a red-flag for various developmental issues, including things like Asperger's and/or Autism Spectrum Disorders (ASD) - but obviously, at the high-functioning end! Or there could be other reasons for communication problems.</p><p></p><p>4) ADD runs in the family. I'd have to say your chances are pretty slim that the kids don't have at least SOME of that in them. I'm ADD, and from a long history of ADD/ADHD... and yes, it runs strongly in the genes! SO, for a minimum, I'd assume that they have some sort of developmental issues. Maybe not classical ADD/ADHD - because you are right, that usually involves focus management - but there are other things that go with ADD/ADHD - like challenges with executive functions (plan, organize, inhibit, shift, initiate...). </p><p></p><p>Don't get hung up on the "fear of labels". Unfortunately, without them, we don't get the help we need for our kids. There is NO help anywhere without some form of diagnosis, and the right outside help is pretty much dependent on the right diagnosis. You are going to have to get to the bottom of this.</p><p></p><p>In particular, with your older child, I'd be concerned about hidden disabilities. </p><p>a) How are her motor skills? throwing a ball, playing sports, tieing shoes, buttons, scissors, writing... if there are even hints of issues along this line, an Occupational Therapist (OT) evaluation would be good - they can test for motor issues AND for sensory issues, plus OTs have therapies that help. No diagnosis from an Occupational Therapist (OT) - but results are valuable to others who do evaluate. And Occupational Therapist (OT) reports have some value at school.</p><p>b) Ask her if she has trouble hearing or understanding the teacher. This may NOT be a hearing problem (it might - those go undetected too)... but rather, an auditory processing problem. In which case, a Speech Language Pathologist (SLP) evaluation is in order - but you will specifically have to push for testing this "auditory discrimination" or "auditory filtering" issue - its a fairly new test. Problems in this area are HUGE in terms of impact - but some minor accommodations and interventions make a big difference.</p><p></p><p>Younger child - communications issues should probably warrant a Speech Language Pathologist (SLP) evaluation as well... for the same reasons, AND for Central Auditory Processing Disorder (CAPD) - which is difficulty processing verbal language.</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 460771, member: 11791"] OK, I'm seeing several things that probably need further evaluation. 1) nailbiting/anxiety - this stuff is usually a sign that there are other things going on. Things you probably don't even know about - and things that are subtle enough that the child doesn't even really understand what is going on. 2) Sleep issues with the younger child - sleep issues can be a primary issue (not sleeping well really messes human beings up good and proper), or secondary (anxiety, for example, really messes with our sleep) - but in any case, needs to be dealt with 3) sounds like perhaps some delayed communication problems with the younger child? This is a red-flag for various developmental issues, including things like Asperger's and/or Autism Spectrum Disorders (ASD) - but obviously, at the high-functioning end! Or there could be other reasons for communication problems. 4) ADD runs in the family. I'd have to say your chances are pretty slim that the kids don't have at least SOME of that in them. I'm ADD, and from a long history of ADD/ADHD... and yes, it runs strongly in the genes! SO, for a minimum, I'd assume that they have some sort of developmental issues. Maybe not classical ADD/ADHD - because you are right, that usually involves focus management - but there are other things that go with ADD/ADHD - like challenges with executive functions (plan, organize, inhibit, shift, initiate...). Don't get hung up on the "fear of labels". Unfortunately, without them, we don't get the help we need for our kids. There is NO help anywhere without some form of diagnosis, and the right outside help is pretty much dependent on the right diagnosis. You are going to have to get to the bottom of this. In particular, with your older child, I'd be concerned about hidden disabilities. a) How are her motor skills? throwing a ball, playing sports, tieing shoes, buttons, scissors, writing... if there are even hints of issues along this line, an Occupational Therapist (OT) evaluation would be good - they can test for motor issues AND for sensory issues, plus OTs have therapies that help. No diagnosis from an Occupational Therapist (OT) - but results are valuable to others who do evaluate. And Occupational Therapist (OT) reports have some value at school. b) Ask her if she has trouble hearing or understanding the teacher. This may NOT be a hearing problem (it might - those go undetected too)... but rather, an auditory processing problem. In which case, a Speech Language Pathologist (SLP) evaluation is in order - but you will specifically have to push for testing this "auditory discrimination" or "auditory filtering" issue - its a fairly new test. Problems in this area are HUGE in terms of impact - but some minor accommodations and interventions make a big difference. Younger child - communications issues should probably warrant a Speech Language Pathologist (SLP) evaluation as well... for the same reasons, AND for Central Auditory Processing Disorder (CAPD) - which is difficulty processing verbal language. [/QUOTE]
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