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Please help me figure out my 4 year old
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<blockquote data-quote="InsaneCdn" data-source="post: 550217" data-attributes="member: 11791"><p>For the record - MWM and I are actually on similar pages, we just come at things from a different direction, because our experiences have been quite opposite... which just means, you get two different perspectives... <grin></p><p></p><p>I totally agree there is more going on. Also totally agree that it probably isn't something "obvious".</p><p></p><p>Before I'd go tracking down another comprehensive-type evaluation so soon, I'd try adding some other evaluations to the mix, based on specific comments in your post.</p><p></p><p></p><p>Having had a kid like this... I'd strongly recommend getting an Occupational Therapist (OT) evaluation for motor skills and sensory issues. Self-help skills are often a red flag for both gross and fine motor skills. Sensory issues are not always obvious. Either kind of issues can drive a kid around the bend really fast... and many of "our" kids have both kinds of problems. </p><p></p><p>The Occupational Therapist (OT) can do a very thorough evaluation. They have therapies and interventions that help. AND, the Occupational Therapist (OT) report will be of use to the next person/team who does a comprehensive evaluation.</p><p></p><p></p><p>Has his hearing ever been evaluated? If that is normal, perhaps an Speech Language Pathologist (SLP) evaluation is in order. Some of the auditory processing disorders are difficult to pin down before about age 7 or 8... but if they are there, the impact is huge. Hearing or auditory processing problems often show up in people who either talk too much, or talk too little, or who tend to bring the conversation back to <em>their</em> topic - not necessarily because they are on a single track as an Autism Spectrum Disorders (ASD)/Aspie kid might be, but because they don't really pick up on the change of topic. </p><p></p><p></p><p>Just my opinion, but... as far as I'm concerned, "anxiety" is nothing to play around with. We got told that. Turned out... there was LOTS more going on... in a kid who is NOT on the spectrum, is ADD not ADHD... and was going insane trying to deal with life. Occupational Therapist (OT) and Speech Language Pathologist (SLP) evaluations were critical - but not the only - components in getting answers.</p><p></p><p>I really doubt you'll be dealing with a generic "anxiety" problem... it won't be something mental health professionals can solve, and they might make it worse by trying to "fix" your parenting (our experience). Not that mental health professionals can't be a good resource. But... sometimes, you need to get your own ducks in a row before you bring them on board. We never found a good therapist, but have a great psychiatrist... something that is absolutely necessary if you end up needing medications. But... the psychiatrist and the tdocs never ever had a clue about the <em>cause</em> of the anxiety and depression.</p><p></p><p>At age 4.5, I knew difficult child was in trouble. so trust your Mommy gut that something is going on for your child. For us, it took 7 more years to get anyone to even admit that what I was seeing, was real. And another several after that to get dxes and interventions/accommodations/medications that were even close. However, there are more options available now, than when we started, and available at a much younger age.</p><p></p><p>While you're at it... you might want to start a parent report. Wish I'd known about that when difficult child as 4.5! Fastest way to find that is to look for a recent post by Susiestar... the link to that is on her signature.</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 550217, member: 11791"] For the record - MWM and I are actually on similar pages, we just come at things from a different direction, because our experiences have been quite opposite... which just means, you get two different perspectives... <grin> I totally agree there is more going on. Also totally agree that it probably isn't something "obvious". Before I'd go tracking down another comprehensive-type evaluation so soon, I'd try adding some other evaluations to the mix, based on specific comments in your post. Having had a kid like this... I'd strongly recommend getting an Occupational Therapist (OT) evaluation for motor skills and sensory issues. Self-help skills are often a red flag for both gross and fine motor skills. Sensory issues are not always obvious. Either kind of issues can drive a kid around the bend really fast... and many of "our" kids have both kinds of problems. The Occupational Therapist (OT) can do a very thorough evaluation. They have therapies and interventions that help. AND, the Occupational Therapist (OT) report will be of use to the next person/team who does a comprehensive evaluation. Has his hearing ever been evaluated? If that is normal, perhaps an Speech Language Pathologist (SLP) evaluation is in order. Some of the auditory processing disorders are difficult to pin down before about age 7 or 8... but if they are there, the impact is huge. Hearing or auditory processing problems often show up in people who either talk too much, or talk too little, or who tend to bring the conversation back to [I]their[/I] topic - not necessarily because they are on a single track as an Autism Spectrum Disorders (ASD)/Aspie kid might be, but because they don't really pick up on the change of topic. Just my opinion, but... as far as I'm concerned, "anxiety" is nothing to play around with. We got told that. Turned out... there was LOTS more going on... in a kid who is NOT on the spectrum, is ADD not ADHD... and was going insane trying to deal with life. Occupational Therapist (OT) and Speech Language Pathologist (SLP) evaluations were critical - but not the only - components in getting answers. I really doubt you'll be dealing with a generic "anxiety" problem... it won't be something mental health professionals can solve, and they might make it worse by trying to "fix" your parenting (our experience). Not that mental health professionals can't be a good resource. But... sometimes, you need to get your own ducks in a row before you bring them on board. We never found a good therapist, but have a great psychiatrist... something that is absolutely necessary if you end up needing medications. But... the psychiatrist and the tdocs never ever had a clue about the [I]cause[/I] of the anxiety and depression. At age 4.5, I knew difficult child was in trouble. so trust your Mommy gut that something is going on for your child. For us, it took 7 more years to get anyone to even admit that what I was seeing, was real. And another several after that to get dxes and interventions/accommodations/medications that were even close. However, there are more options available now, than when we started, and available at a much younger age. While you're at it... you might want to start a parent report. Wish I'd known about that when difficult child as 4.5! Fastest way to find that is to look for a recent post by Susiestar... the link to that is on her signature. [/QUOTE]
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