Testing for DS1

[MrsK]

What interventions would be done in the event of high functioning ASD vs SPD.

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[PrincessFiona]

You can find a variety of treatment approaches for ASD kids. Many have results that aren't validated. The most empirically supported methods use ABA (Applied Behavioral Analysis). Social skills training is also important. Some high functioning kiddos respond to CBT but there is limited support for that. In addition, kids may need OT, PT, and speech and language depending on their sx.


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[MrsK]

See, K1 gets social skills training and PT through his OT and he's has speech evaluation. Bean's situation may be different but I don't see the benefits of pursuing an ASD dx when K1 is already receiving the services he needs.

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[PrincessFiona]

One of the benefits could happen in school when they are coming up with his IEP. My hunch is that he won't be doing OT indefinitely. He could also get social skills training as well as other accommodations at school.

Also, ASD is co-morbid with depression and anxiety in adolescence. It has to be treated differently and hopefully if a child has had therapy and has gained emotional recognition/coping skills they will do better.

For the record, Andrew did OT and PT as a little one and I called it good. Biggest mistake I made in my entire life. If I could go back and have him diagnosed early, I would. I fantasize about it regularly.

I'm not saying either of your boys have ASD. I'm not second-guessing you. I was just wondering based on sx if that had been assessed.

Kris


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[Thirteen]

Update:
So far, with the "other specified", it would seem he's not *enough* whatever to give a firm dx.

Honestly? Right now I'm thinking ADHD with the language delay.
He sleeps, there's no repetitive motions or obsessions, and he loves physical affection. Not saying that excludes ASD, but those areas seem to be what people want to clue in on, and that doesn't apply to him.

Our private SLP gave a dx of mixed expressive/receptive language disorder, but feels that he will only need speech for 6 months. He didn't have an issue with articulation or pragmatics: I need to grab that eval and go back over it.
Right now, they are working on "wh" questions, and yesterday, dabbled in negation.

His VE afternoon teacher is reassessing their IEP goals with the school SLP to see what adjustments need to be made. I still don't really care for her, but she hasn't given me any red flags regarding my son's education, so it's fine for now.


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[Thirteen]

Testing for DS1

He qualifies for private OT 1x week for 60 min. - we'll start soon.
A small delay in motor coordination , with vestibular insecurity, and sensory seeking. Both inattentive and distractible - sounds like my kid.
Prognosis is good - he scored 2 points below the normal range for his age group.


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[MrsK]

He qualifies for private OT 1x week for 60 min. - we'll start soon.
A small delay in motor coordination , with vestibular insecurity, and sensory seeking. Both inattentive and distractible - sounds like my kid.
Prognosis is good - he scored 2 points below the normal range for his age group.


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This sounds a lot like K1's diagnosis. He'll like OT. It's fun and you will find a good OT is a wonderful resource.

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[Thirteen]

[MENTION=1498]MrsK[/MENTION] - I'd really like to get ahold of the published article mentioned in this one. I am not sure if this is crow or not, but:
http://www.examiner.com/article/diff...ref_map=%5B%5D


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[MrsK]

[QUOTE=Thirteen;788745][MENTION=1498]MrsK[/MENTION] - I'd really like to get ahold of the published article mentioned in this one. I am not sure if this is crow or not, but:
http://www.examiner.com/article/diff...ref_map=%5B%5D

I've got it. Do you want me to email it to you? I'll need to scan it when I get a chance. (It's been busier here than usual. Mom's in town touring assisted living facilities. K2 has a mystery illness. K1's teacher has been non-compliant with his IEP and humiliated him in class.....Mom leaves tomorrow so things should start slowing down.) PM me an email address.

[Thirteen]

Goodness that's a lot!
I fwd the link to DH and asked him to pull it -- thank you for offering!

Why isn't his teacher compliant?


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[MrsK]

Goodness that's a lot!
I fwd the link to DH and asked him to pull it -- thank you for offering!

Why isn't his teacher compliant?


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It's a long story. I'll open a thread when I get a moment but it's been a bad week. The short story is that there is a disconnect between what she says is happening and what appears to be happening. I'm in the process of coordinating a meeting with the teacher, principal, school OT, resource specialist, school psychologist, guidance counselor, my husband and myself.

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[Thirteen]

Today, his teacher mentioned her suspicion of CAPD, but he wasn't dxed with that. She's also a SLP with many years of experience, but I don't think that's a DSM 5 dx. Is it a thing?

His private speech therapist is working on negation, superlatives, proper pronoun tense and choosing the right interrogative word for questioning (he sometimes gets who and what mixed up).

Anyway, the teacher suggested that what he's working on in therapy is somewhat elevated for his age. Dude, I didn't pick it -- the other specialists did, when they performed his eval. I'm sure they thought it was warranted.

Today is one of those days where I'm happy he is getting what he needs, but frustrated that I am receiving mixed messages.


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[PrincessFiona]

Testing for DS1

Controversial. CAPD is questionable according to some of the bigger names like Pennington. It is not DSM-5


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[Thirteen]

Lining up ST and OT private therapists for our new location: more battles with insurance company (the current referral from the new ped was the wrong ICD-10 code, so insurance won't pay, so we now wait on either the new code or the pre-auth).

Going to begin the newest round of "let's get a new evaluation for the school year" with the school district, and then of course the following meetings discussing the findings and goals.

Meanwhile: DS2 refuses to sign to me, or talk really all that much -- since he's being watched for delays, I am calling the ped this week to begin the process of making sure he's not having issues.

Sometimes, it feels like my job is to wake up and prepare for epic battle, and I'd rather just quietly exist in my cave in the silence.


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[MrsK]

(Hugs) one of the worst things about moving is assembling a new team. Slow and steady, momma. It will be okay.

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