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Unusual hand posturing / rigid finger positions?
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<blockquote data-quote="pattyb" data-source="post: 505113" data-attributes="member: 13784"><p>Thanks for your quick reply and for the welcome!</p><p></p><p>He's been evaluated for autism by a big health system around here and a local psychologist, and less formally by a developmental pedi and the school district. The developmental pedi. did not attempt to talk to him but from what I described, she was thinking autism and referred us to the health system who ultimately said they had no concerns with-him (it was the psychologist who said mood disorder). School district said they had no concerns but noticed some mild low tone and observed a couple intense meltdowns. He has not qualified for services. The psychologist he is seeing now saw the hand postures and said she would suspect high-functioning autism or asperger's based on that, but said everything else she has observed with him seems to contradict that.</p><p></p><p>His eye contact is okay - not good though when coming out of a meltdown and sometimes not good when nervous/being shy around someone. He is GREAT with kids but a little shy to warm up - he'll often walk in to a room of kids playing and suddenly be doing the hand postures and tongue slightly out and sort of wide eyes/hard-blinking and a 'baby mode' voice that's hard to describe - like a regressive mode in certain social situations. Then 2 minutes into it he's talking normally and no hand postures. He loves babies and older kids - does great with a slightly older kid he knows, seems to take cues from him as far as acceptable behavior/not melting down - except when it comes time to leave a place, then he doesn't hold back. Loves imaginative play, sharing activities.</p><p></p><p>Sensory issues - used to fall on his knees and cover his ears at the sound his brother screaming, but now the noise issue doesn't bother him. Sometimes in a meltdown he'll say to stop talking because he doesn't want to hear any noises - not sure if that's defiance or sensory. Once at a field trip he flipped out and insisted we leave, later telling me it was too loud. But lately that doesn't bother him. He used to try to hide under something, like a mattress, during a meltdown. But again not in the past several months.</p><p></p><p>His communication is good - slight receptive language delay around 2-3 years old, brief period of speech therapy and no issue. Except he does love made-up words, but uses them in sort of a silly way or when he can't think of a real word to say. Uses made-up words to call names when angry. Had a few phases of stuttering/stammering, sometimes thoughts seem too fast and he can't get out what he wants to say the right way and gets frustrated with himself that he can't get it out. He'll start then say it wrong somehow, then shake his head angrily and start again, might hit his ears as he tries, gets frustrated if you don't maintain eye contact and wait and also meltsdown if someone interrupts him - only when in these certain modes though.</p><p></p><p>He doesn't have any topics he cares about more than others. But the things he melts down over are sometimes obsessive - i.e. needing something to be a certain way or needing someone to do something - even something fun - in a certain way that is impossible for him to explain or impossible to do it to his satisfaction.</p><p></p><p>Preschool - yes. Intense meltdowns when it's time to come in from outside play. Sometimes refuses to participate in certain activities. Otherwise does great.</p><p></p><p>He doesn't mind touch. Doesn't mind changes in routine or plans. Well unless it's to something he doesn't want to do - but in general just changing something wouldn't bother him.</p><p></p><p>The main issue he struggles with is emotional regulation - or not being able to regulate his emotions. Intense meltdowns, now as he gets older starting to involve a lot of aggression and throwing things, calling names, biting. Some behaviors seem attention-seeking (like he will escalate behavior during time-out seeming to try to get our attention). But no explanation for the intensity of the reaction - sometimes he's responding to seemingly insignificant things. And once the tantrum starts it's very difficult to break him out of it. Haven't found good tactic yet. Explosive Child methods not really working so far. He refuses to talk about these meltdowns and behaviors after they happen.</p><p></p><p>Sorry for the novel!! Thanks again.</p></blockquote><p></p>
[QUOTE="pattyb, post: 505113, member: 13784"] Thanks for your quick reply and for the welcome! He's been evaluated for autism by a big health system around here and a local psychologist, and less formally by a developmental pedi and the school district. The developmental pedi. did not attempt to talk to him but from what I described, she was thinking autism and referred us to the health system who ultimately said they had no concerns with-him (it was the psychologist who said mood disorder). School district said they had no concerns but noticed some mild low tone and observed a couple intense meltdowns. He has not qualified for services. The psychologist he is seeing now saw the hand postures and said she would suspect high-functioning autism or asperger's based on that, but said everything else she has observed with him seems to contradict that. His eye contact is okay - not good though when coming out of a meltdown and sometimes not good when nervous/being shy around someone. He is GREAT with kids but a little shy to warm up - he'll often walk in to a room of kids playing and suddenly be doing the hand postures and tongue slightly out and sort of wide eyes/hard-blinking and a 'baby mode' voice that's hard to describe - like a regressive mode in certain social situations. Then 2 minutes into it he's talking normally and no hand postures. He loves babies and older kids - does great with a slightly older kid he knows, seems to take cues from him as far as acceptable behavior/not melting down - except when it comes time to leave a place, then he doesn't hold back. Loves imaginative play, sharing activities. Sensory issues - used to fall on his knees and cover his ears at the sound his brother screaming, but now the noise issue doesn't bother him. Sometimes in a meltdown he'll say to stop talking because he doesn't want to hear any noises - not sure if that's defiance or sensory. Once at a field trip he flipped out and insisted we leave, later telling me it was too loud. But lately that doesn't bother him. He used to try to hide under something, like a mattress, during a meltdown. But again not in the past several months. His communication is good - slight receptive language delay around 2-3 years old, brief period of speech therapy and no issue. Except he does love made-up words, but uses them in sort of a silly way or when he can't think of a real word to say. Uses made-up words to call names when angry. Had a few phases of stuttering/stammering, sometimes thoughts seem too fast and he can't get out what he wants to say the right way and gets frustrated with himself that he can't get it out. He'll start then say it wrong somehow, then shake his head angrily and start again, might hit his ears as he tries, gets frustrated if you don't maintain eye contact and wait and also meltsdown if someone interrupts him - only when in these certain modes though. He doesn't have any topics he cares about more than others. But the things he melts down over are sometimes obsessive - i.e. needing something to be a certain way or needing someone to do something - even something fun - in a certain way that is impossible for him to explain or impossible to do it to his satisfaction. Preschool - yes. Intense meltdowns when it's time to come in from outside play. Sometimes refuses to participate in certain activities. Otherwise does great. He doesn't mind touch. Doesn't mind changes in routine or plans. Well unless it's to something he doesn't want to do - but in general just changing something wouldn't bother him. The main issue he struggles with is emotional regulation - or not being able to regulate his emotions. Intense meltdowns, now as he gets older starting to involve a lot of aggression and throwing things, calling names, biting. Some behaviors seem attention-seeking (like he will escalate behavior during time-out seeming to try to get our attention). But no explanation for the intensity of the reaction - sometimes he's responding to seemingly insignificant things. And once the tantrum starts it's very difficult to break him out of it. Haven't found good tactic yet. Explosive Child methods not really working so far. He refuses to talk about these meltdowns and behaviors after they happen. Sorry for the novel!! Thanks again. [/QUOTE]
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