On the medication front - a clarification. Our kids are medicated because of the ADHD component. The medications are being used to treat those aspects that are possibly treatable. For example, the ADHD stuff IS responding to stims, although never enough to make life very easy. Just a bit easier.
Anxiety - difficult child 3 can't tolerate much, but difficult child 1 has been ono Zoloft for some years with really good results. However, the differences between individuals needs to be considered. It's good we've found something that helps difficult child 1, but it's not an option for everyone.
Something else to watch out for - alphabet overload (my term). Again, be aware I'm coming from the point of view of an Aussie, where our system tends to not hand out too many labels as if they are diseases (that's not necessarily good or bad, it's perhaps more symptomatic of poorer understanding).
The result is (using difficult child 1 as an example) - I have a kid who was diagnosed initially with significant language delay with some sensory problems, impulse control issues, was a very early reader but without the comprehension to go with it, was apparently a prodigy in some areas, has certain perseverative behaviour which he will repeat, over and over. All these observations came before (and contributed to) the eventual diagnosis of high-functioning autism.
But another way of looking at him - he has ADHD, Pervasive Developmental Disorder (PDD) (autism), Sensory Integration Disorder (SID), Obsessive Compulsive Disorder (OCD), savant skills and hyperlexia. Then the ODD label his teacher threw at him. You look back along that line and you can see the alphabet soup which your kid can acquire as a label.
But it all comes back to the autism, and the particular manifestation of it, in difficult child 3. Every kid is different.
So be aware that along the diagnostic journey your child will probably collect half an alphabet. But the eventual label should encompass ALL of the letters rolled into one comprehensive label. A lot of the other 'letters' are not necessarily separate disorders, they are just observations or characteristics that can be found in any one of a number of conditions.
So if your child has a Pervasive Developmental Disorder (PDD) label, it tends to go without saying that he is likely to have Sensory Integration Disorder (SID), Obsessive Compulsive Disorder (OCD), etc. These are descriptors. Yes, we need these labels for our information, they help you pinpoint where he needs support and therapy, but otherwise - we just get on with living. Don't look at a long laundry list of labels and feel overwhelmed. There's no need.
We have a piano. It has 88 keys, some black and some white. I could give you a detailed list of their frequencies and their appearance, probably give you a technical list which you could then use to match my description and know, eventually, that what I mean is "piano". My description is correct, there is nothing false in it. But the simple word, "piano", tells you the same information.
I'm a left-hander. I daresay if I look, I can find a medical term for lefthandedness which I could parade as a disability label. But for me, I value my lefthandedness.
In a similar way, my boys value their autism. It is a vital part of who they are. And the Obsessive Compulsive Disorder (OCD) issues - difficult child 1's boss is currently REALLY valuing tis about him, because with difficult child 1 in charge of the sanding and varnishing of furniture in the shop, nothing leaves the warehouse until difficult child 1 says it's good enough. The standard is now very high. If there's a rough finish even on a small area, difficult child 1's sensitive fingertips will find it and quickly deal with it.
What we see as disability CAN be turned to advantage. It takes all kinds to make a world.
Marg