Pinching

[Anonymous]

Anonymous wrote:

Anonymous wrote:PP here. ABA will not help with the helping. He has no other way to communicate when he is mad. He can’t scream no. He can’t say Mom over and over again. Get him a device, teach him to use it, program appropriate phrases in it like Mom I want to go now, I’m bored, stop, I don’t want to do it. Please give him a way to communicate. If he has normal receptive language and cognitive abilities he is soooo frustrated. If the SLP has not brought this up for a 5 yr old nonverbal child then she is not the best fit for him. She prob has no idea how to go about getting one, finding what would be the fit, etc. Most importnantly, she is not willing to learn and would rather your kid suffer bc she is lazy. There are actual people who will come to you and do an AAC assessment and find what would work best for your kid or narrow it down and then let you guys try out different devices on a trial basis to see what works best.

Please don't give advice if you're not fully going to read the OP. He has a device, the main issue is pinching which ABA most certainly can help with. Btw ABA also helps with communication.
Agree that SLP might not be the best fit...

Yes, but what kind of device does he have. As a non verbal 5 yr old with cognitive skills WNL he should have a very high tech device. 5 yr old kids talk a lot. He should be able to communicate on his device mooooom, I want to go now! I agree, ABA helps with communication. However, it sounds like he does not currently have an appropriate way to communicate. If they are signing then sign. Everyone in the fam should sign and at 5 he should be able to sign complete thoughts. If they are doing a device then he should be able to communicate thoughts on it. It should not be set up with 9 cells with a word in each cell. That is appropriate for an 18 mos old or a 5 yr old with very limited cognitive skills. An SLP or AAC trained person would be the best person to help with this- not an ABA therapist who may or may not have any training in AAC devices. He should always have the device with him- it’s his voice. BTW- speech disorders and language disorders are different. I agree he prob has a speech disorder and def a language delay with possible language disorder. It’s impossible to assess language bc he has never been given a way to truly communicate. Of course, if he does have a high tech device and can’t use it then there are prob cognitive issues as well as others. In that case, a different medical team is probably warranted to see what’s going on.

As far as the pinching, OP I’m sorry. It sounds like he’s doing that bc it gets your attention. Are there other behavior problems? It sounds like there might be. Most 5 yr olds don’t need to be strapped in strollers or picked up while Mom is talking to another adult. I would talk to pediatrician: He’s not doing it to other children so that is good. Does he pinch dad?

[Anonymous]

PP here- sorry, I read through all the posts and OP stated that he does have a cognitive impairment as well. OP, if insurance won’t pay for ABA then you need to consider therapy. If he isn’t pinching or acting out in school then they won’t address it there, unfortunately.

[Anonymous]

Sounds like you need a behavioral specialist. Someone like Robin Allen. Or a psychologist experienced with kids with I/DD who can develop behavioral plans to reduce these kinds of maladaptive behaviors. Because today it’s pinching. Tomorrow it could escalate to hitting etc. good luck.