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Meeting with Speech, Occupational Therapist (OT) and PT
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<blockquote data-quote="smallworld" data-source="post: 55509" data-attributes="member: 2423"><p>Cognitive skills aren't intellectual skills. Cognitive skills include executive function skills, language-processing skills, emotional regulation skills, cognitive flexibility skills and social skills. No matter how bright the child is, I can imagine that most 3-year-olds -- even those without disorders -- have deficits in these areas. Those with disorders have even more difficulty with these skills and frequently end up melting down as their maladaptive way of coping.</p><p></p><p>I don't see the example of Sammy wanting Daddy only to push him in the swing or therapist only to play with certain toys as manipulative. Some 3-year-olds without disorders also have these very strong preferences and do outgrow them. In kids with disorders, it's a manifestation of anxiety or difficulty transitioning or having a very set way of ordering the world (very common in Pervasive Developmental Disorder (PDD) kids). Again, it may be a maladaptive way of coping and can get better when the behavior is understood and worked with.</p><p></p><p>I personally would leave any professional who calls a child manipulative. I think that shows a very basic lack of understanding the deep issues that contribute to why a child behaves the way he does. My own son has been called manipulative by several professionals, and they are no longer part of our team. J's psychiatrist has told us on more than one occasion that it's futile to figure out whether he's manipulating or not. It's far more important to understand why he's behaving the way he is (look at those cognitive skill deficits), empathize with the situation and then work WITH him to find a solution that is acceptable to both him and us. It's time-consuming and challenging, but well worth it in the end because we are making progress with him. </p><p></p><p>FWIW, crankiness or irritability is frequently a manifestion of anxiety or depression in young children. It needs to be taken seriously as a part of Sammy's symptom complex.</p><p></p><p>The only other thing I would add is if you keep doing what you're doing and it's not working, you may need to look at another way of doing things with new professionals on your team. Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 55509, member: 2423"] Cognitive skills aren't intellectual skills. Cognitive skills include executive function skills, language-processing skills, emotional regulation skills, cognitive flexibility skills and social skills. No matter how bright the child is, I can imagine that most 3-year-olds -- even those without disorders -- have deficits in these areas. Those with disorders have even more difficulty with these skills and frequently end up melting down as their maladaptive way of coping. I don't see the example of Sammy wanting Daddy only to push him in the swing or therapist only to play with certain toys as manipulative. Some 3-year-olds without disorders also have these very strong preferences and do outgrow them. In kids with disorders, it's a manifestation of anxiety or difficulty transitioning or having a very set way of ordering the world (very common in Pervasive Developmental Disorder (PDD) kids). Again, it may be a maladaptive way of coping and can get better when the behavior is understood and worked with. I personally would leave any professional who calls a child manipulative. I think that shows a very basic lack of understanding the deep issues that contribute to why a child behaves the way he does. My own son has been called manipulative by several professionals, and they are no longer part of our team. J's psychiatrist has told us on more than one occasion that it's futile to figure out whether he's manipulating or not. It's far more important to understand why he's behaving the way he is (look at those cognitive skill deficits), empathize with the situation and then work WITH him to find a solution that is acceptable to both him and us. It's time-consuming and challenging, but well worth it in the end because we are making progress with him. FWIW, crankiness or irritability is frequently a manifestion of anxiety or depression in young children. It needs to be taken seriously as a part of Sammy's symptom complex. The only other thing I would add is if you keep doing what you're doing and it's not working, you may need to look at another way of doing things with new professionals on your team. Good luck. [/QUOTE]
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