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Finally, written report.
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<blockquote data-quote="buddy" data-source="post: 499333" data-attributes="member: 12886"><p>The positive here: Even with a diagnosis of autism, these are maybe the symptoms that would stand out most and need help. I am glad he didn't go down the behavior road, he discussed the skill deficits and that is HUGE. School district should absolutely perk up. Given his receptive language issues , many of the methods would be similar to Autism Spectrum Disorders (ASD) methods....more visual cues, use of picture schedules etc. that can help him to follow along. </p><p></p><p>Should you take Autism Spectrum Disorders (ASD) off the table at age 4... No, but with these results I would feel comfortable tabling it as long as he gets therapies and interventions for the language issues ( which comes first...anxiety or lang or behaivor... I would go down the conservative route that lang issues can cause anxiety and behavior issues..... a huge deficit like that??? if it turns out that in a complete lang evaluation he really does have these issues then I would hit that HARD. wouldn't you be anxious if you did not fully understand what was going on?? Always misunderstanding and frequetly getting in trouble over it, getting frustrated and people being angry over and over at school??? </p><p></p><p> I will tell you that I twice heard a very similar thing about how my son was able to use what language he had socially and seemed more social than he should be to have autism. Then those very same folks twice did full autism evaluations including specific autism protocals including the ADOS (autism diagnostic and observation scale) and he was smack dab in the autism range on their own standardized testing. I really feel it takes autism specialists to do a full autism evaluation for those more borderline kids unless you have a very experienced person who actually works with people with higher "functioning" forms of autism. But he could really NOT be autistic too and have issues that very much overlap with autism, and that is fine... as long as those issues are all identified and worked on. The main thing to me... he did not go down the "this kid is being ODD" road and thinking he needs rewards/consequences to turn it around! YIPEE!!!!</p><p></p><p>What was his expressive language age? A lower receptive age is far less common than a lower expressive age (again more frequent in Autism Spectrum Disorders (ASD) but also happens with other kids of course)</p><p></p><p>So, in answer to your question about social language evaluations, YES absolutely. I would still ask that the therapist who does it be someone who is very familiar with autism just to make sure they understand the kinds of social delays to look for in children that age. But not only the social piece should be done. The tests he used gave generalized results. I would ask for a complete language evaluation because you can get more pictures of what parts of receptive language are affected.... vocabulary, processing/discrimination, etc..., meanings of language(semantics), etc. His scores are generalized from those tests (and are subtests and based some on parent report which is great but he is old enough to do testing) and they may do a taped (video and/or audio) language sample to look at how he uses language in context. </p><p></p><p>From the other things you have said I think it would still be good to have him get a full Occupational Therapist (OT) evaluation. (I forget if you did that yet)</p><p></p><p>No matter Autism Spectrum Disorders (ASD) or not, these skill deficits (anxiety and language delay) are demanding of intense attention and the school district should now realize he needs more service. You are on the right track and I am just really relieved that he found actual deficits regardless of the final diagnosis.....this is a far better way to describe him than to say he is a behavior kid. Know what I mean???</p><p></p><p>Keep going, you are on a much better track. AT age 4 you are way ahead of many of us at that point! I know it is long and frustrating though. Now to get the dumb you know what SD on board!!!!</p></blockquote><p></p>
[QUOTE="buddy, post: 499333, member: 12886"] The positive here: Even with a diagnosis of autism, these are maybe the symptoms that would stand out most and need help. I am glad he didn't go down the behavior road, he discussed the skill deficits and that is HUGE. School district should absolutely perk up. Given his receptive language issues , many of the methods would be similar to Autism Spectrum Disorders (ASD) methods....more visual cues, use of picture schedules etc. that can help him to follow along. Should you take Autism Spectrum Disorders (ASD) off the table at age 4... No, but with these results I would feel comfortable tabling it as long as he gets therapies and interventions for the language issues ( which comes first...anxiety or lang or behaivor... I would go down the conservative route that lang issues can cause anxiety and behavior issues..... a huge deficit like that??? if it turns out that in a complete lang evaluation he really does have these issues then I would hit that HARD. wouldn't you be anxious if you did not fully understand what was going on?? Always misunderstanding and frequetly getting in trouble over it, getting frustrated and people being angry over and over at school??? I will tell you that I twice heard a very similar thing about how my son was able to use what language he had socially and seemed more social than he should be to have autism. Then those very same folks twice did full autism evaluations including specific autism protocals including the ADOS (autism diagnostic and observation scale) and he was smack dab in the autism range on their own standardized testing. I really feel it takes autism specialists to do a full autism evaluation for those more borderline kids unless you have a very experienced person who actually works with people with higher "functioning" forms of autism. But he could really NOT be autistic too and have issues that very much overlap with autism, and that is fine... as long as those issues are all identified and worked on. The main thing to me... he did not go down the "this kid is being ODD" road and thinking he needs rewards/consequences to turn it around! YIPEE!!!! What was his expressive language age? A lower receptive age is far less common than a lower expressive age (again more frequent in Autism Spectrum Disorders (ASD) but also happens with other kids of course) So, in answer to your question about social language evaluations, YES absolutely. I would still ask that the therapist who does it be someone who is very familiar with autism just to make sure they understand the kinds of social delays to look for in children that age. But not only the social piece should be done. The tests he used gave generalized results. I would ask for a complete language evaluation because you can get more pictures of what parts of receptive language are affected.... vocabulary, processing/discrimination, etc..., meanings of language(semantics), etc. His scores are generalized from those tests (and are subtests and based some on parent report which is great but he is old enough to do testing) and they may do a taped (video and/or audio) language sample to look at how he uses language in context. From the other things you have said I think it would still be good to have him get a full Occupational Therapist (OT) evaluation. (I forget if you did that yet) No matter Autism Spectrum Disorders (ASD) or not, these skill deficits (anxiety and language delay) are demanding of intense attention and the school district should now realize he needs more service. You are on the right track and I am just really relieved that he found actual deficits regardless of the final diagnosis.....this is a far better way to describe him than to say he is a behavior kid. Know what I mean??? Keep going, you are on a much better track. AT age 4 you are way ahead of many of us at that point! I know it is long and frustrating though. Now to get the dumb you know what SD on board!!!! [/QUOTE]
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