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<blockquote data-quote="soapbox" data-source="post: 475902" data-attributes="member: 13003"><p>Hi, and welcome...</p><p></p><p>Hmmm.... if I had known when my kid was 4, what i know now... </p><p>Not that yours will be the same case as mine, but.</p><p></p><p>First - getting help is the only answer.</p><p>School ed psychiatric doing "observation"... may or may not produce anything. Hopefully, she sees the issues.</p><p>More importantly, there needs to be testing.</p><p></p><p>There are a raft of possibilities, but I'll only speak to what I know - and others will chime in.</p><p></p><p>Medical tracking of development only runs to about 2 years old - after that, its just height and weight, usually.</p><p>This means that there are critical skills that flag a different set of development issues... and are not screened for.</p><p>Among these are motor skills issues. Fine or gross, it often shows up more when the child has to put skills together... not so hard to walk or run, maybe, but to play soccer (your football) takes much more coordination. Self-feeding is easy - making proper use of knife and fork is NOT. Scissors, coloring... The best way to screen for motor skills problems is with an Occupational Therapist (OT)... from there, others would have to do the diagnosis. If you think there are any motor skills issues, google Dr. Amanda Kirby - she's somewhere in Great Britain, and an expert on Developmental Coordination Disorder (DCD)/developmental dyspraxia. (although, motor skills issues can also go with other dxes...)</p><p></p><p>Next, there may be auditory issues... she's already getting help for speech, ask the Speech Language Pathologist (SLP) about whether she might have problems with "auditory figure ground". This is an Auditory Processing Disorders (APD) where the child has normal hearing, but cannot process the sounds easily in the presence of background noise - so, either doesn't "listen" (and gets in trouble), OR spends so much mental energy fighting to "listen" that they "burn out".</p><p></p><p>There could also be executive function issues - the ability to transition from one task to another, delay gratification, there's a whole list... and these can often be the source of behavior issues.</p><p></p><p>I think someone else recommended "The Explosive Child"... lots of us have made good use of it. It takes a different perspective on challenging kids, and presents an alternative approach to dealing with problems. Doesn't work for EVERY kid, so you might want to grab a library copy first and see if it makes sense, but its generally a good, mind-opening read.</p></blockquote><p></p>
[QUOTE="soapbox, post: 475902, member: 13003"] Hi, and welcome... Hmmm.... if I had known when my kid was 4, what i know now... Not that yours will be the same case as mine, but. First - getting help is the only answer. School ed psychiatric doing "observation"... may or may not produce anything. Hopefully, she sees the issues. More importantly, there needs to be testing. There are a raft of possibilities, but I'll only speak to what I know - and others will chime in. Medical tracking of development only runs to about 2 years old - after that, its just height and weight, usually. This means that there are critical skills that flag a different set of development issues... and are not screened for. Among these are motor skills issues. Fine or gross, it often shows up more when the child has to put skills together... not so hard to walk or run, maybe, but to play soccer (your football) takes much more coordination. Self-feeding is easy - making proper use of knife and fork is NOT. Scissors, coloring... The best way to screen for motor skills problems is with an Occupational Therapist (OT)... from there, others would have to do the diagnosis. If you think there are any motor skills issues, google Dr. Amanda Kirby - she's somewhere in Great Britain, and an expert on Developmental Coordination Disorder (DCD)/developmental dyspraxia. (although, motor skills issues can also go with other dxes...) Next, there may be auditory issues... she's already getting help for speech, ask the Speech Language Pathologist (SLP) about whether she might have problems with "auditory figure ground". This is an Auditory Processing Disorders (APD) where the child has normal hearing, but cannot process the sounds easily in the presence of background noise - so, either doesn't "listen" (and gets in trouble), OR spends so much mental energy fighting to "listen" that they "burn out". There could also be executive function issues - the ability to transition from one task to another, delay gratification, there's a whole list... and these can often be the source of behavior issues. I think someone else recommended "The Explosive Child"... lots of us have made good use of it. It takes a different perspective on challenging kids, and presents an alternative approach to dealing with problems. Doesn't work for EVERY kid, so you might want to grab a library copy first and see if it makes sense, but its generally a good, mind-opening read. [/QUOTE]
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