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So close to giving up
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<blockquote data-quote="InsaneCdn" data-source="post: 444826" data-attributes="member: 11791"><p>Ditch the ODD label - he's too young for that. Its mostly used when they can't come up with any other explanation... might make sense in a 15yr old, but at 6??? </p><p></p><p>Depression... sure. Given that there is a proven neuro-chemical-hormonal link to depression, he may be wired that way... any medications? If not, I'd be pushing psychiatrist on that front. The picture you painted about the Terry Fox run leading to a "am I going to die of cancer" scare... is actually logical - he's bright, a deep thinker, probably cares way more than anyone realizes... but he can't handle his own level of insight - he doesn't have the maturity to process emotionally what his logical intellegent brain can think about. </p><p></p><p>Have you pushed for an Anxiety diagnosis? We didn't know about the side of Obsessive Compulsive Disorder (OCD) that is related to perfectionism... and can be a factor in child depression as well. Also, difficulty transitioning TO an activity may be related to anxiety. (difficulty AFTER an activity is more often overload, in our experience)</p><p></p><p>Has he ever been evaluated by an Occupational Therapist (OT)? I'm guessing yes, given that you know about the sensory issues... but if not, who did THAT diagnosis?</p><p></p><p>He's a bit young yet for a Speech Language Pathologist (SLP) evaluation - but that might show up issues with auditory discrimination (difficulty picking out "important" sounds in a noisy environment), which can also lead to sensory overload. Does he prefer quiet settings? or noisy? OR, does he like noisy but ends up going off the deep end?</p><p></p><p>Other things that may be a factor include executive function issues - often part of ADD/ADHD but <u>not always</u>. This covers things like shifting from one activity to another, initiating activities, self-control (inhibit function), etc. Often, the focus is on the behavior and not on the reason... </p><p></p><p>I'd say you're definitely on the right track with the "order" approach. </p><p>I'm wondering if 10 hours is enough sleep? Seriously. Ours at 6 was sleeping 12-13 hours, and the family doctor said that was still "well within normal".</p><p>But sleep is more than "hours", and quality of sleep is critical. Some people don't get enough deep-cycle sleep, and so never really get "rested".</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 444826, member: 11791"] Ditch the ODD label - he's too young for that. Its mostly used when they can't come up with any other explanation... might make sense in a 15yr old, but at 6??? Depression... sure. Given that there is a proven neuro-chemical-hormonal link to depression, he may be wired that way... any medications? If not, I'd be pushing psychiatrist on that front. The picture you painted about the Terry Fox run leading to a "am I going to die of cancer" scare... is actually logical - he's bright, a deep thinker, probably cares way more than anyone realizes... but he can't handle his own level of insight - he doesn't have the maturity to process emotionally what his logical intellegent brain can think about. Have you pushed for an Anxiety diagnosis? We didn't know about the side of Obsessive Compulsive Disorder (OCD) that is related to perfectionism... and can be a factor in child depression as well. Also, difficulty transitioning TO an activity may be related to anxiety. (difficulty AFTER an activity is more often overload, in our experience) Has he ever been evaluated by an Occupational Therapist (OT)? I'm guessing yes, given that you know about the sensory issues... but if not, who did THAT diagnosis? He's a bit young yet for a Speech Language Pathologist (SLP) evaluation - but that might show up issues with auditory discrimination (difficulty picking out "important" sounds in a noisy environment), which can also lead to sensory overload. Does he prefer quiet settings? or noisy? OR, does he like noisy but ends up going off the deep end? Other things that may be a factor include executive function issues - often part of ADD/ADHD but [U]not always[/U]. This covers things like shifting from one activity to another, initiating activities, self-control (inhibit function), etc. Often, the focus is on the behavior and not on the reason... I'd say you're definitely on the right track with the "order" approach. I'm wondering if 10 hours is enough sleep? Seriously. Ours at 6 was sleeping 12-13 hours, and the family doctor said that was still "well within normal". But sleep is more than "hours", and quality of sleep is critical. Some people don't get enough deep-cycle sleep, and so never really get "rested". [/QUOTE]
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