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Tics ????
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<blockquote data-quote="susiestar" data-source="post: 366144" data-attributes="member: 1233"><p>Regardless of the start of the concerta, the shirt chewing is probably a stimulant or a sensory issue, or both. For my youngest it is both. I rarely pay more than fifty cents or a dollar for his shirts because he chews through them very quickly, regardless of the temperature. He has done this for years. I replace them when holes appear or if they have a substantial amount of certain artificial fibers. For some reason the shirts with lots of certain artificial fibers get oddly crunchy after being chewed on for a couple of weeks (washed after each wearing, of course! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite2" alt=";)" title="Wink ;)" loading="lazy" data-shortname=";)" />).</p><p></p><p>Has your son ever been evaluated for Sensory Integration Disorder? He should be evaluated by a <em>private</em> Occupational Therapist (OT) to identify and help any sensory problems. They are a sign that his brain does not process info from the senses the way most people do. It cannot be punished out of a child but it can be helped by certain types of therapies. Schools do have OTs on staff, but their evaluations are designed to find problems that impact his education. Many times problems that might not be an issue at school but are a problem in other areas of his life are not evaluated or not addressed by the evaluation of a school Occupational Therapist (OT). Most of the kids I have known have enjoyed the Occupational Therapist (OT) evaluation and often like the therapy too. Our entire family enjoys some of the things we have done to help my youngest!</p><p></p><p>Stims are also common. They are motions that make the person feel more able to handle situations. Hand flapping is a classic stimulant, but there are MANY others. If one stimulant is forced away the child will either find another or be totally unable to soothe himself. Often he will be unable to keep calm in most circumstances. I don't know if I have ever heard of a child that chewed on clothing as a stimulant, but anything is possible. Sometimes a child must be gently guided to another stimulant if the action is dangerous or truly inappropriate. One little boy in my son's daycare (in a younger class) would play with his privates as his stimulant. It felt comforting to him. There was no abuse at any time that caused it - the parents were very upset by it esp when he did it in public and at daycare so they had child protection evaluate him. The daycare worked with them to find another stimulant to replace that one. It took a few tries to find something that he would accept, and time to make the transition, but eventually it worked. </p><p></p><p>For the most part shirt chewing is gross but not dangerous or on a level with fondling yourself in public. You can get chewy items from Occupational Therapist (OT) supply stores. I think they are called chewy tubes or hammers. They do make a necklace that can be very helpful. My son likes the necklace but loses it often. I like it because it can go through the dishwasher!!</p><p></p><p>I do not know much about tics except that often they are thought to be harmless. They should be checked out by a doctor in case they are caused by something that requires treatment. If they are painful or causing problems like teasing or bullying then they NEED to be evaluated. Tics are usually treated by a neurologist, but I am not positive.</p><p></p><p>My advice for the shirt chewing is to hit up garage sales to find some inexpensive replacement shirts so that you have a stash to replace ones that get all chewed up. I also keep any dress clothes in my closet so they are still in good shape when we need them. It can be helpful to have the shirts handy because there will likely be a day where it is important (to you) for him to look nice and you realize that all of his shirts have holes. When school starts try to keep a clean shirt or two in his cubby or his backpack. Sometimes a teacher will let you keep them in a drawer or shelf. I always kept them in zipper bags so that they wouldn't get stuff spilled on them and so the wet shirt could be sent home with-o getting germs on everything. This is esp important in cold weather. (Be aware that if he has a long sleeved shirt on the cuffs will also get chewed on.)</p></blockquote><p></p>
[QUOTE="susiestar, post: 366144, member: 1233"] Regardless of the start of the concerta, the shirt chewing is probably a stimulant or a sensory issue, or both. For my youngest it is both. I rarely pay more than fifty cents or a dollar for his shirts because he chews through them very quickly, regardless of the temperature. He has done this for years. I replace them when holes appear or if they have a substantial amount of certain artificial fibers. For some reason the shirts with lots of certain artificial fibers get oddly crunchy after being chewed on for a couple of weeks (washed after each wearing, of course! ;)). Has your son ever been evaluated for Sensory Integration Disorder? He should be evaluated by a [I]private[/I] Occupational Therapist (OT) to identify and help any sensory problems. They are a sign that his brain does not process info from the senses the way most people do. It cannot be punished out of a child but it can be helped by certain types of therapies. Schools do have OTs on staff, but their evaluations are designed to find problems that impact his education. Many times problems that might not be an issue at school but are a problem in other areas of his life are not evaluated or not addressed by the evaluation of a school Occupational Therapist (OT). Most of the kids I have known have enjoyed the Occupational Therapist (OT) evaluation and often like the therapy too. Our entire family enjoys some of the things we have done to help my youngest! Stims are also common. They are motions that make the person feel more able to handle situations. Hand flapping is a classic stimulant, but there are MANY others. If one stimulant is forced away the child will either find another or be totally unable to soothe himself. Often he will be unable to keep calm in most circumstances. I don't know if I have ever heard of a child that chewed on clothing as a stimulant, but anything is possible. Sometimes a child must be gently guided to another stimulant if the action is dangerous or truly inappropriate. One little boy in my son's daycare (in a younger class) would play with his privates as his stimulant. It felt comforting to him. There was no abuse at any time that caused it - the parents were very upset by it esp when he did it in public and at daycare so they had child protection evaluate him. The daycare worked with them to find another stimulant to replace that one. It took a few tries to find something that he would accept, and time to make the transition, but eventually it worked. For the most part shirt chewing is gross but not dangerous or on a level with fondling yourself in public. You can get chewy items from Occupational Therapist (OT) supply stores. I think they are called chewy tubes or hammers. They do make a necklace that can be very helpful. My son likes the necklace but loses it often. I like it because it can go through the dishwasher!! I do not know much about tics except that often they are thought to be harmless. They should be checked out by a doctor in case they are caused by something that requires treatment. If they are painful or causing problems like teasing or bullying then they NEED to be evaluated. Tics are usually treated by a neurologist, but I am not positive. My advice for the shirt chewing is to hit up garage sales to find some inexpensive replacement shirts so that you have a stash to replace ones that get all chewed up. I also keep any dress clothes in my closet so they are still in good shape when we need them. It can be helpful to have the shirts handy because there will likely be a day where it is important (to you) for him to look nice and you realize that all of his shirts have holes. When school starts try to keep a clean shirt or two in his cubby or his backpack. Sometimes a teacher will let you keep them in a drawer or shelf. I always kept them in zipper bags so that they wouldn't get stuff spilled on them and so the wet shirt could be sent home with-o getting germs on everything. This is esp important in cold weather. (Be aware that if he has a long sleeved shirt on the cuffs will also get chewed on.) [/QUOTE]
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