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Newbie with a difficult child
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<blockquote data-quote="SRL" data-source="post: 58846" data-attributes="member: 701"><p>Hi Ohio. I'm glad that you found us. Given what you are describing, I think you are wise to keep looking for answers. ODD and the Occupational Therapist (OT) issues you are describing usually are signs of an underlying neurological condition.</p><p></p><p>You really need to add a complete speech/language evaluation to what you already have. The difficulty in following instructions is often due to what are called language processing problems. The lack of two way conversational skills can also be due to the same, but also can be indicative of deficit skills in an area called speech pragmatics (social language). My son had some variations of most of the issues you describe above (except encorpesis) and it was the subtle speech issue that finally triggered my search for answers. Because he was functional in preschool and the outside world, no one else caught what was going on.</p><p></p><p>We are only parents here, so obviously we can't diagnose. Take a look at this information on Asperger's Syndrome and see if it doesn't ring a bell. It's very frequently missed by doctors in young children, especially if the child has have good solid home support. Asperger's is the highest functioning of the Autistic Spectrum Disorders. </p><p></p><p><a href="http://www.aspergersyndrome.org/" target="_blank">http://www.aspergersyndrome.org/</a></p><p></p><p>There is another disorder called Nonverbal Learning Disabilities which presents fairly similar to Asperger's in young children. Kids with NLD often will have more heightened issues with personal space and gross motor skill problems. </p><p></p><p>At any rate I think you do need go further evaluationwise. Pediatricians tend to refer to therapists to get the parent help with behaviors when the child really needs more in depth assessment. Beyond Occupational Therapist (OT) and speech/language, you should also include an evaluation by a developmental pediatrician or a pediatric neuropsychologist, depending on what's available in your area. Also, gross motor skills such as riding a bike fall are gross motor related which are under the umbrella of physical therapy so you may want to look into PT as well.</p><p></p><p>After reading this, you're likely overwhelmed but it also might be good to get the ball rolling for a public school evaluation if you are planning to send him in fall. I was in your same shoes searching for answers when my difficult child was 5 (March birthday) and decided to delay entry to get our ducks in a row. Making a formal written request for an evaluation with the district will kick legal time lines into gear. in my opinion, it's better to contact them at this point than to wait until school starts becuase by waiting you're far more apt to get a "Let's wait and see how he does" answer as opposed to a Let's dig in and learn what we can about this child in order to help him be successful in the school setting".</p></blockquote><p></p>
[QUOTE="SRL, post: 58846, member: 701"] Hi Ohio. I'm glad that you found us. Given what you are describing, I think you are wise to keep looking for answers. ODD and the Occupational Therapist (OT) issues you are describing usually are signs of an underlying neurological condition. You really need to add a complete speech/language evaluation to what you already have. The difficulty in following instructions is often due to what are called language processing problems. The lack of two way conversational skills can also be due to the same, but also can be indicative of deficit skills in an area called speech pragmatics (social language). My son had some variations of most of the issues you describe above (except encorpesis) and it was the subtle speech issue that finally triggered my search for answers. Because he was functional in preschool and the outside world, no one else caught what was going on. We are only parents here, so obviously we can't diagnose. Take a look at this information on Asperger's Syndrome and see if it doesn't ring a bell. It's very frequently missed by doctors in young children, especially if the child has have good solid home support. Asperger's is the highest functioning of the Autistic Spectrum Disorders. [url]http://www.aspergersyndrome.org/[/url] There is another disorder called Nonverbal Learning Disabilities which presents fairly similar to Asperger's in young children. Kids with NLD often will have more heightened issues with personal space and gross motor skill problems. At any rate I think you do need go further evaluationwise. Pediatricians tend to refer to therapists to get the parent help with behaviors when the child really needs more in depth assessment. Beyond Occupational Therapist (OT) and speech/language, you should also include an evaluation by a developmental pediatrician or a pediatric neuropsychologist, depending on what's available in your area. Also, gross motor skills such as riding a bike fall are gross motor related which are under the umbrella of physical therapy so you may want to look into PT as well. After reading this, you're likely overwhelmed but it also might be good to get the ball rolling for a public school evaluation if you are planning to send him in fall. I was in your same shoes searching for answers when my difficult child was 5 (March birthday) and decided to delay entry to get our ducks in a row. Making a formal written request for an evaluation with the district will kick legal time lines into gear. in my opinion, it's better to contact them at this point than to wait until school starts becuase by waiting you're far more apt to get a "Let's wait and see how he does" answer as opposed to a Let's dig in and learn what we can about this child in order to help him be successful in the school setting". [/QUOTE]
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