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<blockquote data-quote="SRL" data-source="post: 44084" data-attributes="member: 701"><p>My difficult child has Autistic traits but falls short of the clinical diagnosis of any of the Autistic Spectrum Disorders. He started reading when he was 2, had a memory that astonished us, had sensory issues that ebbed and flowed, and was much more social and verbal than the typical Autism Spectrum Disorders (ASD) kid. Oh, and did I mention oppositional? Once in all seriousness he informed me that he was the ruler of our house.</p><p></p><p>Those of us who have been around here for any length of time definitely understand the overlap of symptoms for the various syndromes we typically see through here. But we have also seen some trends that tend to emerge within the various groups. For instance, undiagnosed Autism Spectrum Disorders (ASD) kids frequently look bipolar and often their social differences become more pronounced as they get older. There also often is a grey area between profoundly gifted and Asperger's. Even if you don't think he fits the full clinical description, you might be able to find some good help from the AS camp as I did.</p><p></p><p>How does he do with these questions on play behaviors if you answer from birth to present?</p><p>2) Does/did the child </p><p>a. Favor objects for play that arent typically used as toys by their peers (such as wheels, sticks, </p><p>magnet letters, etc.)?</p><p>b. Seem fascinated or obsessed by objects/topics that arent typical for kids of their age (such as </p><p>numbers, the alphabet, words, math, geography, mechanical things such as air conditioners or vacuum cleaners, things with motors, etc)?</p><p>c. Play differently with toys or household objects (such as spin them, line them up in straight </p><p>lines, set them up in formations, etc.)?</p><p>d. Exhibit weak or unusual pretend play skills such as: </p><p>-act out memorized scenes from books/films/TV/DVD instead of </p><p>creating situations and dialogue </p><p>-move toy trains around but not pretend to be the engineer/go places/pick up passengers </p><p>-arrange pretend people or action figures but not create imaginary situations with them or have them interact with each other, etc?</p><p>e. Display behaviors and/or routines that seem unusual or quirky?</p><p></p><p>Again, we aren't professionals, but in my opinion it would be worth taking a further look because there is something to pinpointing down a diagnosis or nearest diagnosis that can help you beyond interventions. Because I know my child struggles with executive function, sensory, anxiety, rigidity, and egocentric thinking stemming from in the neighborhood of Autism I am better able to stop and think "How is this going to impact difficult child" or "How is he thinking" before speaking, acting or planning. It's made a huge difference in my ability to find strategies for him that work.</p><p></p><p>It wouldn't be uncommon for an oppositional child to not want to own a diagnosis, especially if they have a rigid thinking patterns and/or egocentric nature. You might want to keep this in mind as you deal with further issues. I've never specifically identified any of my son's diagnoses with him for this reason but treated each issue just as I would with any other child's issue in our house. </p><p></p><p>Check the drug company websites: most medications come in liquid forms. I opted not to tell my difficult child about the medications because I knew every single day would be a battle. Rotated the foods I hid them in and that did the trick. Some pills can be crushed--check with the pharmacist on that--and swallowed more easily.</p></blockquote><p></p>
[QUOTE="SRL, post: 44084, member: 701"] My difficult child has Autistic traits but falls short of the clinical diagnosis of any of the Autistic Spectrum Disorders. He started reading when he was 2, had a memory that astonished us, had sensory issues that ebbed and flowed, and was much more social and verbal than the typical Autism Spectrum Disorders (ASD) kid. Oh, and did I mention oppositional? Once in all seriousness he informed me that he was the ruler of our house. Those of us who have been around here for any length of time definitely understand the overlap of symptoms for the various syndromes we typically see through here. But we have also seen some trends that tend to emerge within the various groups. For instance, undiagnosed Autism Spectrum Disorders (ASD) kids frequently look bipolar and often their social differences become more pronounced as they get older. There also often is a grey area between profoundly gifted and Asperger's. Even if you don't think he fits the full clinical description, you might be able to find some good help from the AS camp as I did. How does he do with these questions on play behaviors if you answer from birth to present? 2) Does/did the child a. Favor objects for play that arent typically used as toys by their peers (such as wheels, sticks, magnet letters, etc.)? b. Seem fascinated or obsessed by objects/topics that arent typical for kids of their age (such as numbers, the alphabet, words, math, geography, mechanical things such as air conditioners or vacuum cleaners, things with motors, etc)? c. Play differently with toys or household objects (such as spin them, line them up in straight lines, set them up in formations, etc.)? d. Exhibit weak or unusual pretend play skills such as: -act out memorized scenes from books/films/TV/DVD instead of creating situations and dialogue -move toy trains around but not pretend to be the engineer/go places/pick up passengers -arrange pretend people or action figures but not create imaginary situations with them or have them interact with each other, etc? e. Display behaviors and/or routines that seem unusual or quirky? Again, we aren't professionals, but in my opinion it would be worth taking a further look because there is something to pinpointing down a diagnosis or nearest diagnosis that can help you beyond interventions. Because I know my child struggles with executive function, sensory, anxiety, rigidity, and egocentric thinking stemming from in the neighborhood of Autism I am better able to stop and think "How is this going to impact difficult child" or "How is he thinking" before speaking, acting or planning. It's made a huge difference in my ability to find strategies for him that work. It wouldn't be uncommon for an oppositional child to not want to own a diagnosis, especially if they have a rigid thinking patterns and/or egocentric nature. You might want to keep this in mind as you deal with further issues. I've never specifically identified any of my son's diagnoses with him for this reason but treated each issue just as I would with any other child's issue in our house. Check the drug company websites: most medications come in liquid forms. I opted not to tell my difficult child about the medications because I knew every single day would be a battle. Rotated the foods I hid them in and that did the trick. Some pills can be crushed--check with the pharmacist on that--and swallowed more easily. [/QUOTE]
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