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General Parenting
Meeting with Speech, Occupational Therapist (OT) and PT
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<blockquote data-quote="SRL" data-source="post: 55511" data-attributes="member: 701"><p>I agree with smallworld on manipulation in a child this young. Behaviors that appear manipulative frequently have other reasons behind them. While the behavior may appear the same, the internal motivation is very different between a child who is purely manipulative vs. one who for instance has an extremely high need for routine.</p><p></p><p>I wish I had a dollar for every time I thought difficult child was being manipulative when he was young which I later realized were linked in some ways to his neurological makeup. Personally I'd also be shopping for a new medical specialist if I had a child with this degree of developmental issues who was chalking behaviors up to being primarily manipulative in nature at this young age. Most of the time behavioral problems to this degree have a root cause in a child that comes from a stable, loving home. </p><p></p><p>If I were in your shoes I'd do a private Occupational Therapist (OT) evaluation for a number of reasons:</p><p>1) No amount of input from professionals outside of Occupational Therapist (OT) can replace the opinion of a reputable master's degreed Occupational Therapist (OT). A professional in the field will see subtle things that even observant parents or other specialists will miss.</p><p>2) I wouldn't trust a child psychiatrist's opinion on my child's sensory issues any more than I would trust a speech/language pathologist prescribing medications. </p><p>3) Sensory issues tend to ebb and flow--what looks like a non-issue now can flare up tomorrow to sky high levels. Age 3 is an excellent age to get a baseline private evaluation in both motor skills and sensory issues from a fresh set of eyes. We usually recommend a thorough Occupational Therapist (OT) evaluation for any child this young with difficult child issues.</p><p>4) You may find some unexpected help even if you aren't looking for it in the area of sensory. For instance we bought a weighted blanket for difficult child but myself and my two other kids all use it when we have trouble settling down at night.</p></blockquote><p></p>
[QUOTE="SRL, post: 55511, member: 701"] I agree with smallworld on manipulation in a child this young. Behaviors that appear manipulative frequently have other reasons behind them. While the behavior may appear the same, the internal motivation is very different between a child who is purely manipulative vs. one who for instance has an extremely high need for routine. I wish I had a dollar for every time I thought difficult child was being manipulative when he was young which I later realized were linked in some ways to his neurological makeup. Personally I'd also be shopping for a new medical specialist if I had a child with this degree of developmental issues who was chalking behaviors up to being primarily manipulative in nature at this young age. Most of the time behavioral problems to this degree have a root cause in a child that comes from a stable, loving home. If I were in your shoes I'd do a private Occupational Therapist (OT) evaluation for a number of reasons: 1) No amount of input from professionals outside of Occupational Therapist (OT) can replace the opinion of a reputable master's degreed Occupational Therapist (OT). A professional in the field will see subtle things that even observant parents or other specialists will miss. 2) I wouldn't trust a child psychiatrist's opinion on my child's sensory issues any more than I would trust a speech/language pathologist prescribing medications. 3) Sensory issues tend to ebb and flow--what looks like a non-issue now can flare up tomorrow to sky high levels. Age 3 is an excellent age to get a baseline private evaluation in both motor skills and sensory issues from a fresh set of eyes. We usually recommend a thorough Occupational Therapist (OT) evaluation for any child this young with difficult child issues. 4) You may find some unexpected help even if you aren't looking for it in the area of sensory. For instance we bought a weighted blanket for difficult child but myself and my two other kids all use it when we have trouble settling down at night. [/QUOTE]
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