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<blockquote data-quote="rlsnights" data-source="post: 421918" data-attributes="member: 7948"><p>Mostly saying the same as others:</p><p></p><p>sounds like issues with:</p><p></p><p><strong>sensory integration</strong> - see The Out of Sync Child; needs assessment by Occupational Therapist (OT) specializing in this area if possible. Probably will not be covered by insurance. That helps explain the food picky thing - different textures/tastes/smells plus the round toilet maybe too because of the way it feels when he sits on it if you are expecting him to use it that way.</p><p></p><p><strong>oral motor problems</strong> - a lot of young kids who are picky eaters actually have oral motor issues. Their brain can't figure out what to do with food that has more than one texture/flavor since different textures and flavors are "processed" in different ways my your mouth/tongue/teeth. If he won't do food that's mixed together (soup, chili, casseroles) plus he is having speech articulation problems then he should be evaluated for this - one for the pediatrician to refer for as that should be covered by insurance</p><p></p><p><strong>communication</strong> - you can already see what happens when he cannot make himself understood. seriously this may be the biggest reason for a lot of the blow ups. This may sound off the wall but I would look into teaching him/learning sign language to use with him as an aid to communication. He can learn it much faster than you can. A lot of times you can get free/low cost instruction in ASL at your community college.</p><p></p><p><strong>trouble with transitions</strong> - can you spell "inflexible"? The Explosive Child will help with that. A lot of kids have trouble with transitions who have atypical brain development. I am not in the least surprised that 1-2-3 magic (for normal kids really ought to be the subtitle) is not working. Regardless of the "reason" for this generally speaking similar tactics can be tried to help reduce the difficulty. But a lot of those are hard to use with a 4 yo because he simply doesn't have the brain maturity to understand what you mean when you warn him that he will have to leave in 15 min/10 min/5 min. One of the best things to do - have set routines that you simply don't mess with for the most important parts of his day: rising, meals, bathtime, bedtime, naptime, special time with mom/dad. Rituals around bedtime are very helpful - first we take a bath, then we sing quiet songs or read the same book every night, then we get tucked in - whatever works for you.</p><p></p><p>Got to run but hang in there.</p><p></p><p>Patricia</p></blockquote><p></p>
[QUOTE="rlsnights, post: 421918, member: 7948"] Mostly saying the same as others: sounds like issues with: [B]sensory integration[/B] - see The Out of Sync Child; needs assessment by Occupational Therapist (OT) specializing in this area if possible. Probably will not be covered by insurance. That helps explain the food picky thing - different textures/tastes/smells plus the round toilet maybe too because of the way it feels when he sits on it if you are expecting him to use it that way. [B]oral motor problems[/B] - a lot of young kids who are picky eaters actually have oral motor issues. Their brain can't figure out what to do with food that has more than one texture/flavor since different textures and flavors are "processed" in different ways my your mouth/tongue/teeth. If he won't do food that's mixed together (soup, chili, casseroles) plus he is having speech articulation problems then he should be evaluated for this - one for the pediatrician to refer for as that should be covered by insurance [B]communication[/B] - you can already see what happens when he cannot make himself understood. seriously this may be the biggest reason for a lot of the blow ups. This may sound off the wall but I would look into teaching him/learning sign language to use with him as an aid to communication. He can learn it much faster than you can. A lot of times you can get free/low cost instruction in ASL at your community college. [B]trouble with transitions[/B] - can you spell "inflexible"? The Explosive Child will help with that. A lot of kids have trouble with transitions who have atypical brain development. I am not in the least surprised that 1-2-3 magic (for normal kids really ought to be the subtitle) is not working. Regardless of the "reason" for this generally speaking similar tactics can be tried to help reduce the difficulty. But a lot of those are hard to use with a 4 yo because he simply doesn't have the brain maturity to understand what you mean when you warn him that he will have to leave in 15 min/10 min/5 min. One of the best things to do - have set routines that you simply don't mess with for the most important parts of his day: rising, meals, bathtime, bedtime, naptime, special time with mom/dad. Rituals around bedtime are very helpful - first we take a bath, then we sing quiet songs or read the same book every night, then we get tucked in - whatever works for you. Got to run but hang in there. Patricia [/QUOTE]
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