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Treat add child with- drugs or o/t therapy?
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<blockquote data-quote="slsh" data-source="post: 35029" data-attributes="member: 8"><p>I wonder if possibly you're caught in that horrible gray area where the two issues overlap (alot of us have been there). I don't really see this as an either/or choice.</p><p></p><p>Personally, I would not stop Occupational Therapist (OT) for a kiddo who was "severely behind" in fine motor skills unless and until a new evaluation shows that she's caught up *and* doesn't need continued Occupational Therapist (OT) to stay caught up. It makes sense to me in a lay sense that if a child has motor delays, at least part of the behaviors could be related to frustration and as her skills have improved, her frustration related to the motor issues has decreased.</p><p></p><p>Has she been evaluated for speech and gross motor skills? Is she pretty much on target developmentally otherwise? </p><p></p><p>However, if you're still seeing similar behavioral issues, you could also be dealing with- ADHD or something else that will not necessarily be helped by Occupational Therapist (OT). Not that you necessarily want to jump to medication (I get the sense you don't), but perhaps further investigation to figure out what is going on. An MRI and/or EEG certainly seem like reasonable tests at this point. </p><p></p><p>The professionals in our kids' lives can only give us their best guesses. Some folks will be right on, some will be incredibly off base. There's a lot of art involved here and my best advice to you is to follow your gut. You may not have degrees to back you up, but you *are* the expert on your child. Equal footing with- the professionals in my opinion. A second opinion sounds like it might be your best option, especially re: the need for further testing, especially since she's so young - getting a hard and fast diagnosis at that age can be a challenge.</p><p></p><p>I'd probably lean towards a developmental pediatrian - I think they can be found at most major Children's Hospitals and university (teaching) hospitals. You've already got what sounds like a pretty firm diagosis of a fine motor delay - a development pediatrician might be more tuned into other subtle delays *or* might be able to reassure you in terms of moving foward with- addressing the ADHD.</p><p></p><p>If there are continuing behavioral issues, I would be very surprised if Occupational Therapist (OT) alone, without some other intervention (behavior mod, tweaking parenting style, continued therapy, medications, or a combination), ultimately solves the problem.</p></blockquote><p></p>
[QUOTE="slsh, post: 35029, member: 8"] I wonder if possibly you're caught in that horrible gray area where the two issues overlap (alot of us have been there). I don't really see this as an either/or choice. Personally, I would not stop Occupational Therapist (OT) for a kiddo who was "severely behind" in fine motor skills unless and until a new evaluation shows that she's caught up *and* doesn't need continued Occupational Therapist (OT) to stay caught up. It makes sense to me in a lay sense that if a child has motor delays, at least part of the behaviors could be related to frustration and as her skills have improved, her frustration related to the motor issues has decreased. Has she been evaluated for speech and gross motor skills? Is she pretty much on target developmentally otherwise? However, if you're still seeing similar behavioral issues, you could also be dealing with- ADHD or something else that will not necessarily be helped by Occupational Therapist (OT). Not that you necessarily want to jump to medication (I get the sense you don't), but perhaps further investigation to figure out what is going on. An MRI and/or EEG certainly seem like reasonable tests at this point. The professionals in our kids' lives can only give us their best guesses. Some folks will be right on, some will be incredibly off base. There's a lot of art involved here and my best advice to you is to follow your gut. You may not have degrees to back you up, but you *are* the expert on your child. Equal footing with- the professionals in my opinion. A second opinion sounds like it might be your best option, especially re: the need for further testing, especially since she's so young - getting a hard and fast diagnosis at that age can be a challenge. I'd probably lean towards a developmental pediatrian - I think they can be found at most major Children's Hospitals and university (teaching) hospitals. You've already got what sounds like a pretty firm diagosis of a fine motor delay - a development pediatrician might be more tuned into other subtle delays *or* might be able to reassure you in terms of moving foward with- addressing the ADHD. If there are continuing behavioral issues, I would be very surprised if Occupational Therapist (OT) alone, without some other intervention (behavior mod, tweaking parenting style, continued therapy, medications, or a combination), ultimately solves the problem. [/QUOTE]
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