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-> Parenting our children
-> Our Challenging Children (gifted, ADHD, sensitive, defiant)
amother
Cornsilk
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Sun, Sep 29 2024, 7:20 pm
amother OP wrote: | Her neurologist recommended a shadow for during school, but Iām not sure itās the right thing for her at the moment. I donāt know if she feels different than the other kids and if she already does then I donāt want to add to it.
I was asked why I donāt put her into a smaller school setting, my answer is how do I know thatās a better idea for her. If sheās still in pull-ups at school, the kids start catching up at some point. With a smaller setting, isnāt there more of a chance for kids to notice more.
I would send her to a small special Ed preschool if thereās need for it, which I keep doubting. But anyway without the ASD diagnosis theyāre not taking her. |
hi, mom of 2 kids with hfasd dx here- I highly reccomend a special ed, for sure since ur child is still in preschool. I've done both. push in aba and then a special ed school- floortime. there was no comparison in the growth when the classroom was tailor made to meet my child's needs and felt more normalized because wasn't being singled out as the kid with the aba,leaving for ot ect. which bothered my kid. goal is to to give child as much as possible as young as possible, so that they have a better chance of integrating
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amother
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Sun, Sep 29 2024, 8:00 pm
amother OP wrote: | Iām asking please for those mentioning Pandas again and again. Please stop. I canāt think about that yet and you do realize how irresponsible is it to tell someone to just give Motrin round the clock for a few days, and to give antibiotics. It sounds insane.
I donāt need another headache now to add to our growing list of issues. Maybe one day Iāll be ready to look into pandas but now I just canāt.
If it was straightforward and all it took was āsimpleā bloodwork I might hear it. But according to what Iām hearing you canāt even rely on that.
And Iām sorry but a Dr who treats such different vast array of issues seems a bit weird to me. Itās highly suspicious to me to see a Dr who says they treat things from seizures to chronic fatigue to Lyme to pandas. Make it make sense. | The reason is makes sense is that even though as far as symptoms go they are vastly different, they all share similar root causes. And she treats the root causes. But you said you didn't want to discuss this ....
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bnm
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Sun, Sep 29 2024, 8:38 pm
Ask your child's neurologist if the epilepsy has caused brain damage.
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TwinsMommy
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Sun, Sep 29 2024, 8:41 pm
I'm still confused as to whether she received a multi factored evaluation and an educational diagnosis (leading to an IEP) via the school district. Did you ask for it in writing? If school isn't seeing what you're seeing, they can't just say no thank you to the eval if you ask for it in writing..... and when you don't get the educational diagnosis, you then can get an IEE on their dime which leads to services in school. Hopefully! (is she really never mouthing anything at school??) The medical diagnosis is another ball of wax.
My twins (almost 18 now) both have autism and adhd, and one twin definitely regressed into autism at the age of 3 and was an angel before that. At age 4, she wasn't mouthing much anymore but she wasn't masking her autism, that's for sure. I babysit a kiddo like yours and without meeting her, my immediate thought is a type of autism. My daughter did integrated preschool--- half special ed kiddos, half neurotypical. Didn't matter that half the class was toilet trained at age 3, 4, 5...... she and others weren't, and the classroom paras were allowed to change them. No, your daughter might not need a fully special ed preschool--- but an integrated program like ours was.
For a more definitive look at PANDAS you can try for a Cunningham Panel but I totally understand why you're hesitant to go that route at this time. It IS easier to go on months of motrin and ABX and watch for changes--- but chasing PANDAS at the same time as chasing autism is like nailing jello to the wall.
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amother
Dill
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Sun, Sep 29 2024, 8:53 pm
As a special ed teacher, Iād look more into the epilepsy and how itās affecting her, than ASD at this point. Iāve had students whose only diagnosis was epilepsy and they were able to get services because it was proven that it affects their brain
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amother
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Sun, Sep 29 2024, 8:56 pm
amother Sienna wrote: | The reason is makes sense is that even though as far as symptoms go they are vastly different, they all share similar root causes. And she treats the root causes. But you said you didn't want to discuss this .... |
I won't mention it again if you don't want to but yeah this is kind of like saying: I don't understand how one diet that removes gluten, dairy and nightshades can work for multiple conditions like arthritis, thyroiditis, and psoriasis let's say.
The answer is that they're all autoimmune diseases and all those foods cause inflammation.
That's a simplified example but just pointing out that your reasoning is faulty.
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amother
Foxglove
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Sun, Sep 29 2024, 10:06 pm
OP, keep up the great work fighting for your daughter!
Are you in NYC? If so, I believe the Dr. Prescription is only needed for PT and OT. Can you get the other evaluation in the meantime? ( speech, ed)
Also, if your child had a well visit in the past 12 months there's no need for a new one now. The dr can simply fax over on a prescription pad a request for ot and pt evaluations
I work for CSE and this is how it's done.
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amother
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Sun, Sep 29 2024, 11:25 pm
If you are in ny. And you have Medicaid call Hamaspik and get an evaluation. Opwdd offers so many supports.
Good luck
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amother
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Mon, Sep 30 2024, 12:19 am
bnm wrote: | Ask your child's neurologist if the epilepsy has caused brain damage. |
We had an MRI done that didnāt show damage. Bh.
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amother
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Mon, Sep 30 2024, 12:19 am
amother Powderblue wrote: | If you are in ny. And you have Medicaid call Hamaspik and get an evaluation. Opwdd offers so many supports.
Good luck |
Right now she has Child Health Plus, do you know if theyāll still do it?
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amother
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Mon, Sep 30 2024, 12:21 am
amother Foxglove wrote: | OP, keep up the great work fighting for your daughter!
Are you in NYC? If so, I believe the Dr. Prescription is only needed for PT and OT. Can you get the other evaluation in the meantime? ( speech, ed)
Also, if your child had a well visit in the past 12 months there's no need for a new one now. The dr can simply fax over on a prescription pad a request for ot and pt evaluations
I work for CSE and this is how it's done. |
Thank you so much ā„ļø. Iām in touch with pediatrician to discuss this, itās just that everything is taking so long and Iāve been dealing with all this for months. Iām at the point where I need things to fall into place already! Especially with a new addition coming soon iyh.
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amother
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Mon, Sep 30 2024, 12:23 am
amother Dill wrote: | As a special ed teacher, Iād look more into the epilepsy and how itās affecting her, than ASD at this point. Iāve had students whose only diagnosis was epilepsy and they were able to get services because it was proven that it affects their brain |
Thereās not much else for me to see now, her MRI looked good. Not sure how I can prove how it affects her brain.
Extensive genetic testing will be done after Pesach beāh.
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amother
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Mon, Sep 30 2024, 12:28 am
TwinsMommy wrote: | I'm still confused as to whether she received a multi factored evaluation and an educational diagnosis (leading to an IEP) via the school district. Did you ask for it in writing? If school isn't seeing what you're seeing, they can't just say no thank you to the eval if you ask for it in writing..... and when you don't get the educational diagnosis, you then can get an IEE on their dime which leads to services in school. Hopefully! (is she really never mouthing anything at school??) The medical diagnosis is another ball of wax.
My twins (almost 18 now) both have autism and adhd, and one twin definitely regressed into autism at the age of 3 and was an angel before that. At age 4, she wasn't mouthing much anymore but she wasn't masking her autism, that's for sure. I babysit a kiddo like yours and without meeting her, my immediate thought is a type of autism. My daughter did integrated preschool--- half special ed kiddos, half neurotypical. Didn't matter that half the class was toilet trained at age 3, 4, 5...... she and others weren't, and the classroom paras were allowed to change them. No, your daughter might not need a fully special ed preschool--- but an integrated program like ours was.
For a more definitive look at PANDAS you can try for a Cunningham Panel but I totally understand why you're hesitant to go that route at this time. It IS easier to go on months of motrin and ABX and watch for changes--- but chasing PANDAS at the same time as chasing autism is like nailing jello to the wall. |
We might end up doing half a day at special Ed preschool and half a day mainstreamed (if thatās the only way we get approval) but we need the approval! At her first meeting in the winter she didnāt get approved for any services at all, she was just put at risk for social factors. Now that we got a medical diagnosis I decided to try applying again.
Your warmth really comes through from your post; ā„ļø can you babysit for my kiddo?
I also love your analogy of nailing jello to the wall. Sounds like something sensory my daughter would love š.
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amother
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Mon, Sep 30 2024, 1:13 am
amother OP wrote: | We finally have a new meeting scheduled with CPSE but now Iām being told that we need updated well-visits which our Dr only has available for 5 days prior to our meeting which wonāt give us any time for the evaluations. Emailing Dr but they donāt seem to understand how hard this is.
My almost-4 year old acts like a 2 year old, takes everything in her mouth so we canāt have small toys for my other kids so theyāre missing out.
She talks like a baby and it physically makes me nauseous, canāt understand what she says even though her language used to be above average. She does it purposely seems like. She has accidents daily, currently wears a pull-up to school.
Every time we want to buy the kids something new, we have to think a million times because every single thing gets put into her mouth and just isnāt safe. She got her a cute pen so now sheās covered in pen marks. Recently ruined an outfit with highlighters made for kids her age. Iām so frustrated!!
When I talk to her I feel like Iām talking to a wall. She usually doesnāt respond to her name, and ignores everything we tell her. She asks the same question five times in a row, and then will suddenly just switch topics like she hasnāt just asked something five times.
When we refuse her anything she will tantrum like crazy, will hit me, etc. she doesnāt get most social cues and just doesnāt seem to act age-appropriate.
And now we might not make it to our CPSE meeting. Which btw is beyond stupid since theyāll only consider her for PT, OT and Speech services if sheās very delayed which I donāt think she is. She had EI up to age 3 which she made tremendous progress with but thereās something there that were missing. She has issues but not necessarily the standard issues they want to help with.
Her neurologist says she doesnāt have ASD but is in the āneighborhood.ā Does he realize that this doesnāt help us at all? What does it even mean? What am I supposed to do with that information?
Who can help me here? Developmental pediatrician? Neuro psychologist? Pediatrician said regular psychologist but I donāt want it to be a waste of time.
Dd has a diagnosis of epilepsy and developmental delay, and I canāt get a shred of help for her so far and itās so so hard.
I posted about this a few times in the past but now I need concrete advice, please guide me further!! |
Having epilepsy raises the likelihood that she does have ASD. From what you've written she absolutely sounds on the spectrum.
YES she is very delayed. Is she your oldest? NONE of what you have written here sounds normal, all of these things she should be doing for a long time already. Take every single delay she has and exaggerate it so that it's clear that she needs help.
YES developmental pediatrician. Regular psychologist should be okay but not instead of the developmental pedi. Neurologists are not the best at diagnosing ASD.
Also please don't assume she is doing any of this on purpose, I know that's what it looks like but it's not. She's ASD, none of this is on purpose, she simply isn't understanding. She's missing so much info you don't even realize.
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amother
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Mon, Sep 30 2024, 1:36 am
amother OP wrote: | I hear what youāre saying, but my heart doesnāt want to accept it. Iām so afraid of the ASD diagnosis for some reason, I was more relieved to get the epilepsy and developmental delays answer. Iām so afraid of tacking on ASD.
So far weāre doing OT twice a week through insurance with a terrific therapist but she needs way more.
Where did you get the therapies mentioned? Not asking for a specific name, but through an agency/private pay? How did you find those therapists?
I donāt know where to start. |
I was also so afraid of the diagnosis but it's not so bad. I think it wasn't so bad because we had been dealing with misdiagnoses and not-helpful medications for years, behavior struggles and trauma for the whole family for years, so when I finally had an answer that was comprehensive I was just relieved and grateful. It doesn't change the child to have a diagnosis, it's still the same child you always had, all you have now is a name for the issues and a pathway to getting help for your child and your entire family. I promise you that is all that changes. ASD is a good diagnosis to have, it gets you a lot of help that you really very sorely need. The worst is when people who don't have kids with ASD abuse the label to get themselves money or to get their child a bigger basket of help than they need or to get their child services in school by claiming ASD when it isn't. That really hurts those of us parenting kids with bona fide ASD. But these parents do it because ASD is such a great diagnosis and gets so much help! And once you have a name for your child's difficulties you can find an ST who specializes in it, an OT who specializes in it, parenting classes geared to parents of kids with ASD, maybe even couples counseling for parents of ASD kids. There's so much out there!
I promise you it's not so scary, it really isn't, and delaying the inevitable or refusing to diagnose at all will only cause heartbreak and wear and tear on your entire family, it is such a bracha to have the right diagnosis!
You don't want to know how late in the game I learned this lesson, just don't be me. Your child is in preschool and she can go so far with the right help. Now is the time to get her what she needs so she can start closing gaps ASAP.
Good luck op!!!
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amother
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Mon, Sep 30 2024, 1:49 am
amother Hyssop wrote: | I was also so afraid of the diagnosis but it's not so bad. I think it wasn't so bad because we had been dealing with misdiagnoses and not-helpful medications for years, behavior struggles and trauma for the whole family for years, so when I finally had an answer that was comprehensive I was just relieved and grateful. It doesn't change the child to have a diagnosis, it's still the same child you always had, all you have now is a name for the issues and a pathway to getting help for your child and your entire family. I promise you that is all that changes. ASD is a good diagnosis to have, it gets you a lot of help that you really very sorely need. The worst is when people who don't have kids with ASD abuse the label to get themselves money or to get their child a bigger basket of help than they need or to get their child services in school by claiming ASD when it isn't. That really hurts those of us parenting kids with bona fide ASD. But these parents do it because ASD is such a great diagnosis and gets so much help! And once you have a name for your child's difficulties you can find an ST who specializes in it, an OT who specializes in it, parenting classes geared to parents of kids with ASD, maybe even couples counseling for parents of ASD kids. There's so much out there!
I promise you it's not so scary, it really isn't, and delaying the inevitable or refusing to diagnose at all will only cause heartbreak and wear and tear on your entire family, it is such a bracha to have the right diagnosis!
You don't want to know how late in the game I learned this lesson, just don't be me. Your child is in preschool and she can go so far with the right help. Now is the time to get her what she needs so she can start closing gaps ASAP.
Good luck op!!! |
Totally. My son only got the dx of ASD in 1st grade. It wasn't because I was in denial or anything. I would blame corona-era the most.
Since getting the dx and related therapies, he is doing so much better bli ayin hora. He has a shadow but she sits in an office and takes him out once a day and is there if she is needed.
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amother
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Mon, Sep 30 2024, 1:57 am
amother OP wrote: | Her neurologist recommended a shadow for during school, but Iām not sure itās the right thing for her at the moment. I donāt know if she feels different than the other kids and if she already does then I donāt want to add to it.
I was asked why I donāt put her into a smaller school setting, my answer is how do I know thatās a better idea for her. If sheās still in pull-ups at school, the kids start catching up at some point. With a smaller setting, isnāt there more of a chance for kids to notice more.
I would send her to a small special Ed preschool if thereās need for it, which I keep doubting. But anyway without the ASD diagnosis theyāre not taking her. |
If she has a good shadow, the shadow won't make it obvious what she is doing. I have a friend who never told her kid he has a shadow. He thought the shadow was an assistant morah (she would help the morah). The shadow knew she didn't want her kid to know.
Smaller classes are much better usually. Less noise and overstimulation. More attention from the Morah.
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amother
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Mon, Sep 30 2024, 5:04 am
amother OP wrote: | Iām asking please for those mentioning Pandas again and again. Please stop. I canāt think about that yet and you do realize how irresponsible is it to tell someone to just give Motrin round the clock for a few days, and to give antibiotics. It sounds insane.
I donāt need another headache now to add to our growing list of issues. Maybe one day Iāll be ready to look into pandas but now I just canāt.
If it was straightforward and all it took was āsimpleā bloodwork I might hear it. But according to what Iām hearing you canāt even rely on that.
And Iām sorry but a Dr who treats such different vast array of issues seems a bit weird to me. Itās highly suspicious to me to see a Dr who says they treat things from seizures to chronic fatigue to Lyme to pandas. Make it make sense. |
You can at least do the bloodwork.
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amother
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Mon, Sep 30 2024, 8:51 am
You should apply for hcbs and cffts for after school help - call yeled or Hamaspik to sign up.
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amother
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Mon, Sep 30 2024, 10:17 am
amother Purple wrote: | If she has a good shadow, the shadow won't make it obvious what she is doing. I have a friend who never told her kid he has a shadow. He thought the shadow was an assistant morah (she would help the morah). The shadow knew she didn't want her kid to know.
Smaller classes are much better usually. Less noise and overstimulation. More attention from the Morah. |
Where do you find good shadows? Is this through private pay/insurance/school district?
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