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Kids With Special Needs and Disabilities
Should we see Dr. Greenspan?
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Anonymous
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Greenspan won't evaluate for things like nutritional deficiencies. For that I'd recommend Kelly Dorfman. Metabolic issues and nutritional deficiencies were at the root of my kid's issues, it really all depends on each kid.
Greenspan is fine if you want to be trained in Floortime by the person who invented it, and his son. That is their focus and approach to everything. It can be very helpful if it is well suited to your child's needs. I'd really recommend finding a different OT. Post separately looking for someone in NoVA. There is someone good in Falls Church and in Manassas, I'm blanking on the names. The school really wants results, bottom line. If you'd like the option of staying at your current school I'd start making calls today. |
Anonymous
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I agree that you should look for another OT. Between my two kids, we've worked with 5 different OTs and one of them sounds like the one you've got now. In fact, we're working with her now only because we're waitlisted elsewhere. Having been around so many, I can tell which ones are good and which ones aren't so good. I highly recommend any of the OTs at Children's Therapy Center http://www.pediatric-therapy.com/ . They've got locations in Sterling and Springfield.
We've not seen Greenspan but friends who have seen him (and some of our therapists) have indicated he's really wedded to his own approach and doesn't always have realistic expectations about what working parents are able to do. We have seen Dr. Conlon and were impressed with him. He evaluated two of my kids who have general developmental delays and one has ADHD. I don't know if anyone has used him but I went to a CHADD meeting last night and the guest speaker was Dr. Lance Clawson (topic was Motivation and Resiliency). He's a Board Certified Child and Adolescent Psychiatrist and we were really impressed with him. He's not just an ADHD expert. He seemed to have an incredible range of experience - you might think about him as well. http://www.wellness.com/dir/2194290/psychiatrist/md/cabin-john/lance-clawson-md |
Anonymous
| I have seen Greenspan and will tell you the truth about him. Yes, he is wedded to floortime. But he doesn't just pigeonhole every child into ASD or regulatory disorder. He also diagnoses anxiety and ADHD and bipolar as well as other things. He says ASD children will require more of a behavioral approach for some therapy and regulatory children will not. The games he suggests for ADHD (which DC has) don't seem to have much to do with floortime either. And he did recommend thinking about tomorrow games. Isn't that more along the lines of cognitive behavioral therapy? I've only had psych 101 so I don't know for sure! Of course we do OT as well. So between the cog beh stuff, OT, and motor planning exercises, he doesn't just stick to floortime. |
Anonymous
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Is there a way of generalizing...
if you are diagnosed with ADHD, you need THIS kind of therapy. If you are diagnosed with ASD you need THIS kind of therapy. etc. |
Anonymous
No there is not. If it were that easy, everyone would know what to do. These disorders encompass a wide range of behaviors and challenges plus a lot of co-morbidity. There are a lot of commonalities for sure but there's no one therapy that fits all. |
Anonymous
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Would you ever consider ABA for a non-autistic kid, one who has a regulatory disorder? No doctor I know would ever suggest that ABA would be appropriate for any regulatory kid. ABA is a behavioral approach and thats why. Better suited for autistic kids.
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Anonymous
I don't know what doctors you know but ABA isn't exclusive to autistic kids or even people with disabilities. It's used to change behavior. From Wikipedia: Applied behavior analysis contributes to a full range of areas including: AIDS prevention,[1] conservation of natural resources,[2] education,[3] gerontology,[4] health and exercise,[5] industrial safety,[6] language acquisition,[7] littering,[8] medical procedures,[9] parenting,[10] seatbelt use,[11] severe mental disorders,[12] sports,[13] and zoo management and care of animals.[14] ABA-based interventions are used to treat people with a wide variety of behaviors and diagnoses, notably autism spectrum disorders.[15] The list of articles for the winter edition of the Journal of Applied Behavior Analysis also shows the wide range of uses for ABA. http://seab.envmed.rochester.edu/jaba/toc/cur/jabacurrent.php |
Anonymous
| Before this thread goes too far off track, Dr. Greenspan, the point of the thread, is not a fan of ABA and prefers a method he developed called Floortime. |
Anonymous
Of course he's not a fan. He didn't develop it. |
Anonymous
| I have never met with Dr. Greenspan in person, but in his books/articles he speaks highly of ABA as a way to work with ASD. However, he seems to think it could make SPD kids more rigid than they already are. I think it would be misrepresenting his views to say that he is not a fan in general. |
Anonymous
| It's clear somebody on this thread doesn't like Dr. Greenspan. If you don't like him, it's simple, don't see him. But why keep knocking him down when others say anything neutral or positive about him? |
Anonymous
You misunderstood. I didn't say 'ABA is exclusively used for ASD kids.' My point was that you will be hard pressed to find a doctor who will suggest ABA for a regulatory kid. It's a behavioral approach, typically not suited for reg kids. |
Anonymous
| Based on several of the last posts, it sounds like absolute woman is back. I'm leaving. |
Anonymous
I think she is back as well. I am out of here. |
Anonymous
| Wait, don't leave! OP NEEDS you! Signed, OP, somewhat lighteheartedly but also sincerely. I've never done this before. I don't know what's wrong with my kid, if anything. I don't know how to make it better, and I am SO grateful for all the advice. |