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<blockquote data-quote="soapbox" data-source="post: 521871" data-attributes="member: 13003"><p>Lets see if I have this straight, then...</p><p>Significant on-going issues with:</p><p>- sleep</p><p>- "attention"</p><p>- following instructions</p><p>- "listening"</p><p></p><p>This in particular caught my attention:</p><p></p><p></p><p>Assuming that the ADHD is an accurate diagnosis - and it may well be - your son sounds a lot like my difficult child at that age.</p><p>Has he ever been evaluated by an Occupational Therapist (OT) for sensory and motor skills issues? Some of the smallest, unlikely issues can be huge in a school setting, and majorly draining. The good news is, Occupational Therapist (OT) therapy, and some well-placed accommodations at school, make a huge difference.</p><p></p><p>How about a Speech Language Pathologist (SLP) evaluation, especially for auditory processing disorders? This is the one that almost killed our difficult child. Literally. His hearing is great, his language development is normal (therefore, schools would not support an Speech Language Pathologist (SLP) evaluation... we had to pay for our own). The problem? He can't focus on the important sounds, when there is background noise. So... one-on-one in a quiet setting, he did great. In a classroom? total disaster. And every grade that went by, got majorly worse.</p><p></p><p>The interesting thing about APDs is that the symptoms (especially in a classroom) look very much like ADHD. Lack of attention. Not being detailed. Restless. Not "listening"..... sound familiar? To make it even more complicated... a person can have either, or both!</p><p></p><p>And then there's the sleep issues. Sleep study? Sometimes it helps to re-establish a quiet bedtime routine... dim lights, quiet activities only, soporific snack (glass of warm milk with a bit of honey, maybe?). Does he tend to flail around, maybe fall out of bed? If so, a larger bed helps - or even taking the bed out and just having a mattress on the floor. (falling out of bed is a major wake-up, and makes it harder to go back to sleep... we had to line pillows along the wall so that crashing into the wall didn't wake him up either) Sometimes, just dealing with the other major energy drains improves sleep. Other times, it may take a medications adjustment or other help. But... poor quality sleep (even if they get enough quantity) will always make other issues much worse, and can even produce behaviour problems when there is no other cause.</p><p></p><p>If you can only afford to pursue one of these, I'd be tempted to start with the Speech Language Pathologist (SLP) evaluation.</p></blockquote><p></p>
[QUOTE="soapbox, post: 521871, member: 13003"] Lets see if I have this straight, then... Significant on-going issues with: - sleep - "attention" - following instructions - "listening" This in particular caught my attention: Assuming that the ADHD is an accurate diagnosis - and it may well be - your son sounds a lot like my difficult child at that age. Has he ever been evaluated by an Occupational Therapist (OT) for sensory and motor skills issues? Some of the smallest, unlikely issues can be huge in a school setting, and majorly draining. The good news is, Occupational Therapist (OT) therapy, and some well-placed accommodations at school, make a huge difference. How about a Speech Language Pathologist (SLP) evaluation, especially for auditory processing disorders? This is the one that almost killed our difficult child. Literally. His hearing is great, his language development is normal (therefore, schools would not support an Speech Language Pathologist (SLP) evaluation... we had to pay for our own). The problem? He can't focus on the important sounds, when there is background noise. So... one-on-one in a quiet setting, he did great. In a classroom? total disaster. And every grade that went by, got majorly worse. The interesting thing about APDs is that the symptoms (especially in a classroom) look very much like ADHD. Lack of attention. Not being detailed. Restless. Not "listening"..... sound familiar? To make it even more complicated... a person can have either, or both! And then there's the sleep issues. Sleep study? Sometimes it helps to re-establish a quiet bedtime routine... dim lights, quiet activities only, soporific snack (glass of warm milk with a bit of honey, maybe?). Does he tend to flail around, maybe fall out of bed? If so, a larger bed helps - or even taking the bed out and just having a mattress on the floor. (falling out of bed is a major wake-up, and makes it harder to go back to sleep... we had to line pillows along the wall so that crashing into the wall didn't wake him up either) Sometimes, just dealing with the other major energy drains improves sleep. Other times, it may take a medications adjustment or other help. But... poor quality sleep (even if they get enough quantity) will always make other issues much worse, and can even produce behaviour problems when there is no other cause. If you can only afford to pursue one of these, I'd be tempted to start with the Speech Language Pathologist (SLP) evaluation. [/QUOTE]
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