There is a whole book category about people who were not diagnosed with autism, Asperger's, until they were adults. Do a search on Amazon. Being diagnosed with Asperger's until adulthood isn't that uncommon and fortunately, there is more awareness now so that kids without speech delays but who are autistic get identified in childhood and get the help and therapies that they need. |
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Hanen programs are great for all kinds of kids. |
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Social pragmatic communication disorder+Mixed Expressive Receptive Language Delay+Restrictive/Repetitive Actions = Autism Spectrum Disorder(ASD)
My son doesn't have Restrictive/Repetitive Actions , but DP still gave ASD!!! Should I get a second opinion? |
Did you ask the DP what he was thinking about for restrictive/repetitive actions? I had that conversation with the psychologist who diagnosed my child, and it was really illuminating. |
| Does it matter? Is the diagnosis helpful in getting services or insurance coverage that your child needs? |
I didn't have enough awareness about this when we went for evaluation. |
It matters , because It creates anxiety , fear in parents minds! Coming to services kids don't need ABA for S(P)CD,Language Disorder. |
| Not the OP, but thanks for all the insight. What schools (ESP. middle school) worked well for your child with SCD. The speech language therapist at my DD's school didn't even know this existed. |
A disorder by that name didn't exist before 2013 when the DSM V was published. If the SLP isn't in private practice dealing with billing and diagnosis codes, she probably wasn't aware. |
Parents then need to get a grip on their anxieties. ABA is used with all kinds of kids, not just kids with autism. Some kids on the spectrum don't need it either. Talk about repetitive behaviors--you posted about this before on this same thread. |
DPs can pick up signs more readily than parents. They also use more than one screener to diagnose. Treat the symptoms for now. Go for a second opinion in a year. Things often become more clear. Having social pragmatics communication disorder is no walk in the park either. You'll be glad for the insurance coverage if in a year it's "just" this. (It probably won't be though--your kid's more at risk for ADHD and language based learning disabilities. Save the money for the future.) |
They should at least be familiar with the issues - they are not new as of the new DSM. Manny of the people who are now diagnosed with it were diagnosed with Pragmatic Semantic disorder, then PDD-NOS. The people are the same and have the same problems it is the DSM that keep recategorizing them. |
| I am an SLP and there is no way that the SLP didn't know this existed. Perhaps she was just unfamiliar with the title. Pragmatics is one of the 5 domains of language. There is no way you'd leave graduate school without knowing that. Sounds like a miscommunication. That being said, the scope of practice for an SLP in the school system is very different. School SLPs in MCPS are limited to addressing a lack of skills directly related to pragmatic language. Social behavior is left to the school counselors. For this reason, it is difficult to get treatment in the school---they'll only address pragmatics: turn-taking, topic maintenance, initiating conversation, proxemics, etc. SLPs are experienced beyond this, but the county delineates what can be addressed by the SLP. If the SLP is the only qualified person to address the issue, then it is allowed. But there cannot be any overlap of service and if the need doesn't require the specialized skill of the SLP, but can be addressed by counselor or special ed teacher, it's a no go. |
Children who have social communication problems without restricted or repetitive patterns of behavior, interests, or activities may be diagnosed as having a Social (Pragmatic) Communication Disorder rather than an Autism Spectrum Disorder. http://www.asha.org/public/speech/disorders/Autism/#six |