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<blockquote data-quote="soapbox" data-source="post: 488093" data-attributes="member: 13003"><p>Specialists and schools will seldom find what they are not looking for.</p><p>And there ARE disabilities that can totally derail a kid at school... and cause all sorts of secondary issues when the primary issues are not caught early and dealt with.</p><p></p><p>Your posts don't give any specific examples that I would tie to either of these dxes, but I want to throw them out there, in case it helps.</p><p></p><p>1) Developmental Coordination Disorder (DCD) - developmental coordination disorder. Kids with ADHD have a 50% chance of also having Developmental Coordination Disorder (DCD). This can affect gross motor skills, fine motor skills, or both. Some things, they can learn but it takes substantially more effort to learn, and often continues to take substantially more effort than peers to use these skills. Gross motor skills are socially damaging - if you can't keep up on the playground in the early years, you are left behind socially, often bullied, and its hard to catch up. Fine motor skills affect almost everything done at school - from writing to art to cutting paper to working with math "manipulatives"... its ALL geared to normal fine motor skills. It can also affect daily life - dressing, eating (coordinating knife-and-fork, for example), hygene, etc.</p><p></p><p>If she has had any motor skills issues AT ALL - even if you think she's past that - an Occupational Therapist (OT) evaluation would be useful. There are motor-skills tests that are geared for teenagers. And OTs have therapies to help. The Occupational Therapist (OT) will not give a diagnosis, and it seems to be a challenge to get enough attention in the medical community to get a Developmental Coordination Disorder (DCD) diagnosis in lots of places - but even getting the Occupational Therapist (OT) evaluation will help.</p><p></p><p>2) APDs - auditory processing disorders. These have to do with the way the brain processes sound, rather than with hearing itself. The classical form is usually more obvious - problems processing spoken language, which shows up as a spread between written skills (reading/writing) and verbal skills. However, there are other forms. One that is often missed, is auditory figure ground: the person hears fine, and processes language normally <em>in a quiet setting,</em> but has difficulty picking out the important sound(s) in the presence of background noise... for example, the teacher's voice in a classroom. And classrooms are VERY noisy, if you have any type of hearing or auditory processing issues! There is some correlation between Auditory Processing Disorders (APD) and ADHD (they can co-exist). There is also some mis-diagnosis between them... Auditory Processing Disorders (APD) is often mis-diagnosed as ADHD.</p><p></p><p>In both cases, the student will have been told for years that they are not trying, not paying attention, lazy, etc. - when in fact, it is not possible for them to do what is asked of them. This is very destructive to the student - and to their relationship with teachers - and eventually to their relationship with parents. Falling out of all of this is... behavior issues, anxiety, depression, and so on. In our experience, it is only very recently that SLPs and audiologists are even beginning to look into things like auditory figure ground. (its been around in the research for some time...)</p><p></p><p>I don't know what specialists she has seen... but I would seriously challenge these two areas of difficulty, as quickly as possible.</p></blockquote><p></p>
[QUOTE="soapbox, post: 488093, member: 13003"] Specialists and schools will seldom find what they are not looking for. And there ARE disabilities that can totally derail a kid at school... and cause all sorts of secondary issues when the primary issues are not caught early and dealt with. Your posts don't give any specific examples that I would tie to either of these dxes, but I want to throw them out there, in case it helps. 1) Developmental Coordination Disorder (DCD) - developmental coordination disorder. Kids with ADHD have a 50% chance of also having Developmental Coordination Disorder (DCD). This can affect gross motor skills, fine motor skills, or both. Some things, they can learn but it takes substantially more effort to learn, and often continues to take substantially more effort than peers to use these skills. Gross motor skills are socially damaging - if you can't keep up on the playground in the early years, you are left behind socially, often bullied, and its hard to catch up. Fine motor skills affect almost everything done at school - from writing to art to cutting paper to working with math "manipulatives"... its ALL geared to normal fine motor skills. It can also affect daily life - dressing, eating (coordinating knife-and-fork, for example), hygene, etc. If she has had any motor skills issues AT ALL - even if you think she's past that - an Occupational Therapist (OT) evaluation would be useful. There are motor-skills tests that are geared for teenagers. And OTs have therapies to help. The Occupational Therapist (OT) will not give a diagnosis, and it seems to be a challenge to get enough attention in the medical community to get a Developmental Coordination Disorder (DCD) diagnosis in lots of places - but even getting the Occupational Therapist (OT) evaluation will help. 2) APDs - auditory processing disorders. These have to do with the way the brain processes sound, rather than with hearing itself. The classical form is usually more obvious - problems processing spoken language, which shows up as a spread between written skills (reading/writing) and verbal skills. However, there are other forms. One that is often missed, is auditory figure ground: the person hears fine, and processes language normally [I]in a quiet setting,[/I] but has difficulty picking out the important sound(s) in the presence of background noise... for example, the teacher's voice in a classroom. And classrooms are VERY noisy, if you have any type of hearing or auditory processing issues! There is some correlation between Auditory Processing Disorders (APD) and ADHD (they can co-exist). There is also some mis-diagnosis between them... Auditory Processing Disorders (APD) is often mis-diagnosed as ADHD. In both cases, the student will have been told for years that they are not trying, not paying attention, lazy, etc. - when in fact, it is not possible for them to do what is asked of them. This is very destructive to the student - and to their relationship with teachers - and eventually to their relationship with parents. Falling out of all of this is... behavior issues, anxiety, depression, and so on. In our experience, it is only very recently that SLPs and audiologists are even beginning to look into things like auditory figure ground. (its been around in the research for some time...) I don't know what specialists she has seen... but I would seriously challenge these two areas of difficulty, as quickly as possible. [/QUOTE]
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