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<blockquote data-quote="MDL" data-source="post: 240632" data-attributes="member: 6758"><p>Thank you so much for your warm welcome and your helpful responses. Let me answer the questions some of you have raised.</p><p></p><p><strong>i think scheduling the appointment with the neuro was a great idea, and also have you had any other evaluations done as of yet?? </strong></p><p></p><p>He's going through a psychological evaluation with the school psychologist. She wanted to be careful of the fatigue factor, so instead of doing them all at once, she's doing them in 30 minute segments over several weeks. He's also done the IVA pre- and post-Adderall (not sure how to spell it) and although the test results were much better after the stimulant, the EEG showed an increase in seizures.</p><p></p><p><strong>How does your son do in school, both academically and with peers?</strong></p><p><strong></strong></p><p>He is behind in reading and sees a reading specialist for 30 minutes every morning. He has a 2-3 very good friends, kids who stick by him no matter what, but he's explosive when someone bumps into him or upsets him or if he can't figure out how to do to something - especially if he feels embarrassed. I worry that this will affect his reputation in the long-term; he'll be going to school with the same kids through high school.</p><p></p><p><strong>Did he have any speech or developmental delays?</strong></p><p></p><p>He spoke very early but has been in speech therapy for three years for low oral muscle tone and articulation issues. No other delays.</p><p></p><p><strong>Any sensory issues (for example, sensitivity to clothing tags, loud noises, food textures)?</strong></p><p></p><p>Nothing to clothes, tags, food textures, but I definitely think that loud noises, bright lights, and a lot of movement are overstimulating to him.</p><p></p><p><strong>Any mental health issues or substance abuse in the family tree? </strong></p><p></p><p>I suffer from Depression, as does my mother, and I suspect one if not both of my two brothers might as well. My mom's dad was an alcoholic until he was about 40, then quit drinking (he never went to AA and was what I think is called a Dry Drunk. My husband has two or three alcoholic aunts and uncles on his dad's side (his dad is one of 10). My husband's younger brother had a problem with drinking and drugs from about the age of 13 but then cleaned up his act in his mid-20s.</p><p> </p><p><strong>Will your son be receiving a full neuropsychological exam? </strong></p><p></p><p>I'm not sure. The school psychologist is doing a full battery of psychological evaluations and should be done soon, but I suspect this is different from a neuropsychological exam?</p><p></p><p><strong>Not only are his behaviors affecting his learning, but in my experience with my kiddo, they're also setting him up for a really rough time socially if the school staff doesn't start working on positive behavioral strategies to help him maintain in the classroom.</strong></p><p></p><p>I have to say, the school has been amazing. Aidan sees a social worker, a behavioral specialist, and the school psychologist. He has had a few behavioral plans in place and we're still all working together to see what works and what doesn't. I've met individually with the social worker, the teacher, and the behavioral therapist and we've met once so far as a team - all nine people that see Aidan on a regular basis (social worker, behavioral therapist, psychologist, teacher, two assistant teachers, speech therapist, reading specialist, principal) to talk about 1. his strong points, 2. his needs, 3. things that work, 4. things that don't work, 5. things to try. We have another team meeting on Feb 18.</p><p></p><p><strong>How was his early development? </strong></p><p></p><p>A little late to start table foods (low oral muscle tone), sat up at 7.5 mos, crawled at 9 mos, pulled to standing at 10 mos, walked at 14 mos. No real problems.</p><p><strong></strong></p><p><strong>How does he socialize with his peers? </strong></p><p></p><p>It's a bit touch-and-go. He went through a period when he was about four that it seemed like his main purpose in life was to bother his friends by ruining what they were playing with, knocking things down, etc. When overwhelmed he gets goofy and sort of spastic. When he gets upset he flies into a rage, yells and screams, tells his friends he hates them, etc. This yelling and screaming started at about age 5-6. When all is going well, though, he plays well, takes turns, and cooperates.</p><p></p><p><strong>Does he make good eye contact? </strong></p><p></p><p>Yes.</p><p><strong></strong></p><p><strong>Can he play appropriately with toys?</strong> </p><p></p><p>Yes, but I've always noticed that he can also come up with different uses for any given toy. Right now he's really into Legos, and has a great mind for constructing, designing, and creating.</p><p></p><p><strong>Can he make transitions well? </strong></p><p></p><p>No, he's very bad with most transitions. When he's really focused on something it's hard to get him to stop and move on. This year we had to take him out of karate, something he had previously loved, because the class time was immediately after school and he simply couldn't make that transition. </p><p></p><p><strong>Is he bothered by loud noise/lights/textures?</strong> </p><p></p><p>I think he's bothered by loud noise and lights, but he's never said anything. It just sort of short-circuits his system. Textures don't seem to be a problem.</p><p><strong></strong></p><p><strong>Did he ever regress?</strong></p><p></p><p>He used to, but doesn't really anymore. Big changes would cause sleep, eating, and potty training regression, but it doesn't seem to be an issue anymore.</p><p></p><p>I have read <u>The Explosive Child</u> but am having a very hard time proactively inhibiting meltdowns by collaboratively problem-solving. Part of the problem is that there I can't always anticipate his triggers. </p><p></p><p>Thanks again for your help, and for your support. I will also PM SaraPA</p></blockquote><p></p>
[QUOTE="MDL, post: 240632, member: 6758"] Thank you so much for your warm welcome and your helpful responses. Let me answer the questions some of you have raised. [B]i think scheduling the appointment with the neuro was a great idea, and also have you had any other evaluations done as of yet?? [/B] He's going through a psychological evaluation with the school psychologist. She wanted to be careful of the fatigue factor, so instead of doing them all at once, she's doing them in 30 minute segments over several weeks. He's also done the IVA pre- and post-Adderall (not sure how to spell it) and although the test results were much better after the stimulant, the EEG showed an increase in seizures. [B]How does your son do in school, both academically and with peers? [/B] He is behind in reading and sees a reading specialist for 30 minutes every morning. He has a 2-3 very good friends, kids who stick by him no matter what, but he's explosive when someone bumps into him or upsets him or if he can't figure out how to do to something - especially if he feels embarrassed. I worry that this will affect his reputation in the long-term; he'll be going to school with the same kids through high school. [B]Did he have any speech or developmental delays?[/B] He spoke very early but has been in speech therapy for three years for low oral muscle tone and articulation issues. No other delays. [B]Any sensory issues (for example, sensitivity to clothing tags, loud noises, food textures)?[/B] Nothing to clothes, tags, food textures, but I definitely think that loud noises, bright lights, and a lot of movement are overstimulating to him. [B]Any mental health issues or substance abuse in the family tree? [/B] I suffer from Depression, as does my mother, and I suspect one if not both of my two brothers might as well. My mom's dad was an alcoholic until he was about 40, then quit drinking (he never went to AA and was what I think is called a Dry Drunk. My husband has two or three alcoholic aunts and uncles on his dad's side (his dad is one of 10). My husband's younger brother had a problem with drinking and drugs from about the age of 13 but then cleaned up his act in his mid-20s. [B]Will your son be receiving a full neuropsychological exam? [/B] I'm not sure. The school psychologist is doing a full battery of psychological evaluations and should be done soon, but I suspect this is different from a neuropsychological exam? [B]Not only are his behaviors affecting his learning, but in my experience with my kiddo, they're also setting him up for a really rough time socially if the school staff doesn't start working on positive behavioral strategies to help him maintain in the classroom.[/B] I have to say, the school has been amazing. Aidan sees a social worker, a behavioral specialist, and the school psychologist. He has had a few behavioral plans in place and we're still all working together to see what works and what doesn't. I've met individually with the social worker, the teacher, and the behavioral therapist and we've met once so far as a team - all nine people that see Aidan on a regular basis (social worker, behavioral therapist, psychologist, teacher, two assistant teachers, speech therapist, reading specialist, principal) to talk about 1. his strong points, 2. his needs, 3. things that work, 4. things that don't work, 5. things to try. We have another team meeting on Feb 18. [B]How was his early development? [/B] A little late to start table foods (low oral muscle tone), sat up at 7.5 mos, crawled at 9 mos, pulled to standing at 10 mos, walked at 14 mos. No real problems. [B] How does he socialize with his peers? [/B] It's a bit touch-and-go. He went through a period when he was about four that it seemed like his main purpose in life was to bother his friends by ruining what they were playing with, knocking things down, etc. When overwhelmed he gets goofy and sort of spastic. When he gets upset he flies into a rage, yells and screams, tells his friends he hates them, etc. This yelling and screaming started at about age 5-6. When all is going well, though, he plays well, takes turns, and cooperates. [B]Does he make good eye contact? [/B] Yes. [B] Can he play appropriately with toys?[/B] Yes, but I've always noticed that he can also come up with different uses for any given toy. Right now he's really into Legos, and has a great mind for constructing, designing, and creating. [B]Can he make transitions well? [/B] No, he's very bad with most transitions. When he's really focused on something it's hard to get him to stop and move on. This year we had to take him out of karate, something he had previously loved, because the class time was immediately after school and he simply couldn't make that transition. [B]Is he bothered by loud noise/lights/textures?[/B] I think he's bothered by loud noise and lights, but he's never said anything. It just sort of short-circuits his system. Textures don't seem to be a problem. [B] Did he ever regress?[/B] He used to, but doesn't really anymore. Big changes would cause sleep, eating, and potty training regression, but it doesn't seem to be an issue anymore. I have read [U]The Explosive Child[/U] but am having a very hard time proactively inhibiting meltdowns by collaboratively problem-solving. Part of the problem is that there I can't always anticipate his triggers. Thanks again for your help, and for your support. I will also PM SaraPA [/QUOTE]
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