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<blockquote data-quote="SRL" data-source="post: 144926" data-attributes="member: 701"><p>Hi Mary, and welcome to our forum.</p><p> </p><p>I don't know your medical system but given the behaviors and the premature birth, if it were here I would want a thorough multidisciplinary evaluation done on him to include the following:</p><p> </p><p>1) Evaluation by a developmental doctor</p><p>2) Pediatric neurologist to check for undetected seizure activity which can greatly disturb behaviors</p><p>3) Occupational therapy for fine motor skills and sensory integration</p><p>4) Audiology</p><p>5) Speech language for delays as well as social appropriateness of speech</p><p> </p><p>My feeling is that you are probably looking at something more than ODD here. Premies often have sensory issues that contribute greatly to behaviors, recent research has shown a much higher incidence in Autism and Autisticlike behaviors in premies, or there could be a number of other things going on, but ODD rarely is a diagnosis on its own.</p><p> </p><p>Either way, I would highly recommend that you rethink the school situation because I don't think it's right for a 5 year old to be sitting in suspension for behaviors that are probably neurologically based, undetermined, and untreated. Frankly I would pull him out of school until they had an opening or request a 1-on-1 aide to assist in the setting he's in because a great deal of damage can be done to a child by forcing the wrong situation. Do they have any type of homebound instruction or could you get him leave for a medical reason? Could you pull him out and delay entry until next year when you've been through the evaluation process and there's a plan in place for him? I'm not sure of your system but I would not want this to continue--his behavior is telling you something is really wrong in his world.</p><p> </p><p>If you've been reading the boards you'll see that we highly recommend a book called The Explosive Child by Ross Greene for help with behaviors.</p></blockquote><p></p>
[QUOTE="SRL, post: 144926, member: 701"] Hi Mary, and welcome to our forum. I don't know your medical system but given the behaviors and the premature birth, if it were here I would want a thorough multidisciplinary evaluation done on him to include the following: 1) Evaluation by a developmental doctor 2) Pediatric neurologist to check for undetected seizure activity which can greatly disturb behaviors 3) Occupational therapy for fine motor skills and sensory integration 4) Audiology 5) Speech language for delays as well as social appropriateness of speech My feeling is that you are probably looking at something more than ODD here. Premies often have sensory issues that contribute greatly to behaviors, recent research has shown a much higher incidence in Autism and Autisticlike behaviors in premies, or there could be a number of other things going on, but ODD rarely is a diagnosis on its own. Either way, I would highly recommend that you rethink the school situation because I don't think it's right for a 5 year old to be sitting in suspension for behaviors that are probably neurologically based, undetermined, and untreated. Frankly I would pull him out of school until they had an opening or request a 1-on-1 aide to assist in the setting he's in because a great deal of damage can be done to a child by forcing the wrong situation. Do they have any type of homebound instruction or could you get him leave for a medical reason? Could you pull him out and delay entry until next year when you've been through the evaluation process and there's a plan in place for him? I'm not sure of your system but I would not want this to continue--his behavior is telling you something is really wrong in his world. If you've been reading the boards you'll see that we highly recommend a book called The Explosive Child by Ross Greene for help with behaviors. [/QUOTE]
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