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Please help me figure out my 4 year old
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<blockquote data-quote="buddy" data-source="post: 550247" data-attributes="member: 12886"><p>Hi there. I'm on my phone so hope you don't mind this may be choppy. First, welcome! Second, I agree with Mwm and IC. I personally would do the order of getting the Occupational Therapist (OT) and Speech Language Pathologist (SLP) pieces to bring to the neuropsychologist because it gives them much more info to consider. I too think your mommy gut is right. Given the family history of aspergers, there could be some level of spectrum -like stuff going on that doesn't quite meet criteria. Afterall our kids don't read the diagnostic criteria! LOL. This is where the soon to be non existent Pervasive Developmental Disorder (PDD)-not otherwise specified diagnosis can be helpful for some. (The dsm revision doesnt seem to have anything like this but we'll see ). It may not be that at all, but in any event given the genetics, he could have parts of things like sensory and some pragmatic language issues (just examples ) and not others. Just mho from your post but even though not the more typical social challenges his cousins present with, the loud voice, in your face, bossy, etc. types of things can be considered pragmatic/social communication problems. These things are often seen in Autism Spectrum Disorders (ASD) and again he may not meet criteria for that but I'd approach it neurologically in my mind and work on skill building. </p><p>It is sometimes much harder to get comprehensive treatment for kids who fall just under an umbrella diagnosis but again just mho ....I'd be very protective about anyone diagnosing odd and starting traditional behavioral treatment to stop inappropriate things and maybe setting the stage for how he is viewed in school (shouldn't be this way because ODD kids have just as much right to compassionate, skill building interventions but often are seen as just choosing to be difficult and huge self-esteem issues can arise )....</p><p>Hope that makes sense ....for some more challenging kids to diagnosis., (A diagnosis afterall does streamline getting therapies esp thru insurance BUT you want the right therapies), it really is helpful to find underlying issues and work on habilitation and skill building. At his age you are blessed to push to help him. </p><p>While you're at it ...even though my son easily and obviously qualified for traditional therapies like speech, early intervention and Special Education. , Occupational Therapist (OT), pt, on and on, the most beneficial "therapies " by far have been horse back riding therapy, adaptive sports, art therapy, recently we added a therapy dog agility /social program, he has done Neurofeedback for anxiety and calming since age 4 on and off ...and I hate to admit (as an Speech Language Pathologist (SLP) I am betraying my people, LOL ) but these types of things, especially the horses, have done more for my son than any of the others. The combination really is important but just wanted to share because looking back I wish I'd have started many of those earlier.</p></blockquote><p></p>
[QUOTE="buddy, post: 550247, member: 12886"] Hi there. I'm on my phone so hope you don't mind this may be choppy. First, welcome! Second, I agree with Mwm and IC. I personally would do the order of getting the Occupational Therapist (OT) and Speech Language Pathologist (SLP) pieces to bring to the neuropsychologist because it gives them much more info to consider. I too think your mommy gut is right. Given the family history of aspergers, there could be some level of spectrum -like stuff going on that doesn't quite meet criteria. Afterall our kids don't read the diagnostic criteria! LOL. This is where the soon to be non existent Pervasive Developmental Disorder (PDD)-not otherwise specified diagnosis can be helpful for some. (The dsm revision doesnt seem to have anything like this but we'll see ). It may not be that at all, but in any event given the genetics, he could have parts of things like sensory and some pragmatic language issues (just examples ) and not others. Just mho from your post but even though not the more typical social challenges his cousins present with, the loud voice, in your face, bossy, etc. types of things can be considered pragmatic/social communication problems. These things are often seen in Autism Spectrum Disorders (ASD) and again he may not meet criteria for that but I'd approach it neurologically in my mind and work on skill building. It is sometimes much harder to get comprehensive treatment for kids who fall just under an umbrella diagnosis but again just mho ....I'd be very protective about anyone diagnosing odd and starting traditional behavioral treatment to stop inappropriate things and maybe setting the stage for how he is viewed in school (shouldn't be this way because ODD kids have just as much right to compassionate, skill building interventions but often are seen as just choosing to be difficult and huge self-esteem issues can arise ).... Hope that makes sense ....for some more challenging kids to diagnosis., (A diagnosis afterall does streamline getting therapies esp thru insurance BUT you want the right therapies), it really is helpful to find underlying issues and work on habilitation and skill building. At his age you are blessed to push to help him. While you're at it ...even though my son easily and obviously qualified for traditional therapies like speech, early intervention and Special Education. , Occupational Therapist (OT), pt, on and on, the most beneficial "therapies " by far have been horse back riding therapy, adaptive sports, art therapy, recently we added a therapy dog agility /social program, he has done Neurofeedback for anxiety and calming since age 4 on and off ...and I hate to admit (as an Speech Language Pathologist (SLP) I am betraying my people, LOL ) but these types of things, especially the horses, have done more for my son than any of the others. The combination really is important but just wanted to share because looking back I wish I'd have started many of those earlier. [/QUOTE]
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