Hello, In the past I have posted about my 12 year old difficult child whose been labeled Pervasive Developmental Disorder (PDD)-not otherwise specified, ADHD, Anxiety disorder, ODD(lol) and sensory processing disorder (SPD) (crasher). He's intense. He's affected our entire family in different, but powerful ways. Right now I am focused on my 5 year old. He will turn six in Fall and enter Kindergarten. I have requested the school district evaluate him. He has had difficulty in preschool with tantrumming, refusal to participate, staying on the outskirts of the group, hypersensitive, needs routine, doesn't like to be praised in front of others. The preschool teacher made lots of accommodations for him and he managed. This summer I sent him to a kindergarten readiness program at the school he will attend in fall for kindergarten. It was four weeks long, just mornings. The first day went ok, but by the end of the 4 week session he was refusing to enter the classroom of his own accord and then screaming and kicking as I physically helped him into the room. His teachers said he "more often than not' refused to participate in activities like singing, dancing, calendar and table work. He lost minutes almost every day for refusing to work. They told me he tried to crawl out of the room. At home he tantrums over sensory things like socks and other clothing not being right. He is a very picky eater. He collects things. He is picked on or insulted by difficult child constantly since age 2. difficult child cannot stand him to be around and will yell at him to leave any room he's in. difficult child will tell him his shows are for babies, that he's too little to do things, that he'll never finish whatever computer or video game he attempts. difficult child pokes and teases him, really pushes his buttons. 5 year old does the same to difficult child-they are emotionally the same age (difficult child might even be younger). 5 year old has witnessed so many tantrums and horrible behavior. I have consulted a therapist to help with the evaluation process for school. I have told her I think he has anxiety- (part from living with the stressor of being part of difficult child's world and there's a part that I feel is possible a genetic tendency). And that he's has sensory issues (hypersensitive). I do not think he is on the spectrum because his social issues revolve around anxiety, not around difficulty understanding how to interact. The therapist is suggesting we untangle the possible diagnosis's from learned behavior/naughty behavior by implementing a reward/punishment chart. I have abolished these types of systems in my home because of how they utterly failed my difficult child in school and other settings. I do not support rewards for expected behavior and feel that if there is negative behavior that we have to figure out how that relates to a possible disability. The therapist said that is how she conducts therapy and that if I didn't agree that we should consider not pursuing this in therapy with her. I felt this was pretty inflexible. I also don't really want to experiment with my child's feelings and end up punishing him if his behaviors are related to anxiety and sensory processing disorder (SPD). Do you know what I mean? I feel a plan needs to be in place for the start of the school year, so I am trying to be proactive. Does anyone know if school's will give an OHI designation based on anxiety issues?