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<blockquote data-quote="buddy" data-source="post: 534749" data-attributes="member: 12886"><p>Dont be surprised if they (your current psychiatric office) say no to Autism Spectrum Disorders (ASD). Places that are very mental health diagnosis focused and traditional behavior modification oriented often miss it and it is not because they are bad. Just a really different perspective. And believe me, they can be emphatic NO WAY this kid has autism, kind of thing.</p><p></p><p>Yet, they can list a half dozen diagnoses for ONE person. (and yes this can really happen, but it is far less common than the symptoms adding up).</p><p></p><p></p><p>When a school district gives a label, it is just that, an educational label. Federal law, I think, haven't double checked....says that the daughter label goes through age 6 I think so you can probably push that (up until she becomes 7). DO NOT let them stop the IEP. Keep at least two goal areas to get her through the transition to a new school and new level of performance. Many kids honeymoon in a new setting, so for sure keep it going as long as you can. She has to have actually met all of the goals and be on target for any current skills she will need, including social, to have it stopped. Time to put on your warrior mom armor!</p><p></p><p>The labels in a medical setting are actual diagnoses that can be used to obtain medicine, therapy in the private setting etc. These too must be considered by the school though do not mean automatic services as they are already telling you. </p><p></p><p>Especially given that she has overall developmental delays and you are seeing that she really is still struggling, it makes me wonder even further about the autism possibility. </p><p></p><p>Asking the current program she is in for a referral may not get you anywhere. I'd call insurance and see where there are neuropsychologists who can evaluate a child your age and/or any neurological-developmental clinics (not psychiatry) that have developmental evaluations. See if you can ask for one that specializes in autism so that it can specifically be ruled out just in case. When you find where you want her evaluated, then (again just my way of doing things, lol....) I'd call the pediatrician and say....there will be a referral request for you to sign coming through. daughter needs a comprehensive evaluation done and this is where I need her to go. Thanks for your help. They work for you, so assume in a team player kind of way that the dr. will gladly sign off on a referral! It has always worked for me for evaluations and therapy requests both.</p><p></p><p>The testing will include IQ, learning strengths/"academic" which at her age are developmental milestones really, some language/communication, motor, lots of behavioral, medical and developmental history, record review, etc. It is really good to get that separate view of things. You dont have to release the information to everyone. You can keep it for your own information. If it will help you though, you will be glad to have it.</p><p></p><p>I hope that is available to you if it feels like something you would want to do. If you dont for now, realize it is always an option if things do not continue to improve at home especially.</p><p></p><p>It is pretty common for kids to do better in other settings and worse at home. For many reasons. It can take them great effort to do well in school so they are exhausted and can just let it all hang out at home....They are more secure in your total acceptance so are willing to be at their worst for you, etc... (What an honor, right?)</p><p></p><p>Good luck, hope it goes the way you want it to. I hope you keep posting to let us know how things are going.</p></blockquote><p></p>
[QUOTE="buddy, post: 534749, member: 12886"] Dont be surprised if they (your current psychiatric office) say no to Autism Spectrum Disorders (ASD). Places that are very mental health diagnosis focused and traditional behavior modification oriented often miss it and it is not because they are bad. Just a really different perspective. And believe me, they can be emphatic NO WAY this kid has autism, kind of thing. Yet, they can list a half dozen diagnoses for ONE person. (and yes this can really happen, but it is far less common than the symptoms adding up). When a school district gives a label, it is just that, an educational label. Federal law, I think, haven't double checked....says that the daughter label goes through age 6 I think so you can probably push that (up until she becomes 7). DO NOT let them stop the IEP. Keep at least two goal areas to get her through the transition to a new school and new level of performance. Many kids honeymoon in a new setting, so for sure keep it going as long as you can. She has to have actually met all of the goals and be on target for any current skills she will need, including social, to have it stopped. Time to put on your warrior mom armor! The labels in a medical setting are actual diagnoses that can be used to obtain medicine, therapy in the private setting etc. These too must be considered by the school though do not mean automatic services as they are already telling you. Especially given that she has overall developmental delays and you are seeing that she really is still struggling, it makes me wonder even further about the autism possibility. Asking the current program she is in for a referral may not get you anywhere. I'd call insurance and see where there are neuropsychologists who can evaluate a child your age and/or any neurological-developmental clinics (not psychiatry) that have developmental evaluations. See if you can ask for one that specializes in autism so that it can specifically be ruled out just in case. When you find where you want her evaluated, then (again just my way of doing things, lol....) I'd call the pediatrician and say....there will be a referral request for you to sign coming through. daughter needs a comprehensive evaluation done and this is where I need her to go. Thanks for your help. They work for you, so assume in a team player kind of way that the dr. will gladly sign off on a referral! It has always worked for me for evaluations and therapy requests both. The testing will include IQ, learning strengths/"academic" which at her age are developmental milestones really, some language/communication, motor, lots of behavioral, medical and developmental history, record review, etc. It is really good to get that separate view of things. You dont have to release the information to everyone. You can keep it for your own information. If it will help you though, you will be glad to have it. I hope that is available to you if it feels like something you would want to do. If you dont for now, realize it is always an option if things do not continue to improve at home especially. It is pretty common for kids to do better in other settings and worse at home. For many reasons. It can take them great effort to do well in school so they are exhausted and can just let it all hang out at home....They are more secure in your total acceptance so are willing to be at their worst for you, etc... (What an honor, right?) Good luck, hope it goes the way you want it to. I hope you keep posting to let us know how things are going. [/QUOTE]
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