Maybe you are right MidwestMom. Maybe he needs another evaluation. He has a lot of traits that have always pointed to something on the autism spectrum that I haven't talked about in this post. He has a ton of sensory issues: loud noises, clothes are always bothering him, has to be clean all the time, can't even stand a drop of water on his clothes, can't stand to get dirty, foods have weird textures to him. Those are just the ones I can think of off the top of my head right now. He has always felt the need to be perfect and win all of the time. He gets so mad at himself when he messes up on anything and hits himself repeatedly. He is very socially ackward. Kids tell him he is weird. He kinda talks at kids and not really with them. Thankfully, he doesn't seem to even notice when kids are giving him the cold shoulder. Well, maybe not so thankfully since sometimes he will think these kids are his friends when they are very obviously NOT his friends and he will keep coming around them until one of them tells him off. He has horrible eye contact. He is always asking me if something he has said is rude or sarcastic. He says he can't tell.
When I first addressed my concerns to his pediatrician many moons ago, I was told he could be referred to either a developmental pediatrician or a pediatric neurologist. We have seen both. We saw the developmental pediatrician first (when he was 4) and she said his problems were neurologically based but that she couldn't provide a diagnosis at the time and with age a diagnosis may become more apparent. What a waste of time. We saw the pediatric neurologist when he was 8 and she is the one who diagnosed him with Asperger's. I'm not sure if that isn't who usually diagnosis that kind of disorder but we were referred to her and we definitely weren't the first in her office for that type of evaluation. I looked up neuropsychologist testing last night and I will see what my insurance says about it but it sure sounds like something they won't want to cover. Either way, his pediatrician would have to put in a referral for it and we see her soon for him well child exam.
His counselor specializes in Aspergers children. She is an art and play therapist. We have not been seeing her for a long time so I don't know what will or won't be accomplished in his meeting with her.
