Intellectual disability? I wonder if my toddler has this.

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:A lot of kids cant do those things at that age. Your day care teachers are not being realistic. A child under two should not be pinging with a brush. I would do the MRI at this point, personally.


Please don’t mitigate her concern. You may think you’re being reassuring but you’re gaslighting her into believing her very valid concerns and her knowledge about her own child are wrong. They are not. Kids can play and point and speak and move at this age. She is right to be concerned and right to be proactive. EI is critical at this age and people saying “lots of kids don’t talk or play or walk until 4 and then they’re in AP in high school” do parents and kids a disservice by convincing them to wait and see and waste that precious time.


No one is mitigating the concern but the preschool teachers are not being developmentally appropriate to think that age can paint.


And if you have read the OP you will note she has other standalone concerns and is only using the preschool teachers’ observations to substantiate her own worries. Holding a brush and being able to swipe it across paper is something kids this age can do. I would hand my kids paintbrushes with paint on it and let them do this at 11-12 months. No it’s not sophisticated painting but it’s a gross motor skill and he can’t do it in addition to other gross motor skills that children his age should be able to do.


Great yours could, mine could not.


Nor can OP’s and it worries her AND the teachers ANDS the doctors seeing him.


A young child not painting with a paint brush is not to be concerned. Not walking and babbling/starting to talk, yes, but painting is a bit absurd to worry about given the situation.


I think you guys are misunderstanding the painting thing. My child (later dxed with autism and a severe fine motor delay) did not do any fine motor skills as a toddler basically, other than self-feeding (because he was very intrinsically motivated to eat, lol!) If you'd seen him from 18 months-3 years you would have seen that he literally could not/would not make a mark on paper with a crayon or a paint brush. This is likely what the daycare teachers are noting, because it is a very common daycare activity where his differences are apparent.
He started OT at around 4 and I clearly remember the day when he was around 4.5 and he scribbled on the wall at home - I was overjoyed! In observing this, the daycare teachers are not trying to make painting with a paintbrush a developmental milestone, but are rather making an important observation about his fine motor skills and his social imitation.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote: OP, I want to encourage you about the MRI-my dd was delayed similarly (but not as much I don't think) as your ds. She had an EEG and an MRI.

I was so worried about the sedation, but the procedure was at a leading children's hospital (I'm not local) and went really fast and smoothly. In our case, the MRI ruled out brain issues which was a relief. DD was eventually dx with mild ASD, not saying that is what your ds has but just saying that was what turned out to be her case. She has typical IQ (she's had a neuropysch eval).

In the meanwhile while you go through all this (it takes a long time it seems) I think the therapies are the best thing. Regardless of whether he ends up dx with ID or not, the therapies will help him develop.


so the MRI was pointless. does not really support getting the MRI.

again, unless doctors can point to a suspicion of something brain-based that will a) show up on the MRI and b) change the treatment, you don't do an MRI.


PP here. The pediatric neurologist, in a highly-regarded childrens hospital, recommended the MRI after dd's EEG, based on results and exam. I'll go with the doctor's expertise on this, not Dr Random-on-internet, thanks



On what basis did they recommend it? Presumably the EEG showed seizure activity or your child had observed seizures. In that case, yes, MRI is generally (but not in all cases) indicated. Sometimes the dx of epilepsy can be made just with the EEG and seizure. With focal activity they recommend an MRI, but we actually still declined it. Our pediatric neurologist at a "highly regarded children's hospital" was fine with that. It was the right decision for us. Whatever brain abnormality they found was not going to diagnose him or change the treatment, and we knew that the MRI carried risks of the anesthesia as well as incidental findings that would be over-treated.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote: OP, I want to encourage you about the MRI-my dd was delayed similarly (but not as much I don't think) as your ds. She had an EEG and an MRI.

I was so worried about the sedation, but the procedure was at a leading children's hospital (I'm not local) and went really fast and smoothly. In our case, the MRI ruled out brain issues which was a relief. DD was eventually dx with mild ASD, not saying that is what your ds has but just saying that was what turned out to be her case. She has typical IQ (she's had a neuropysch eval).

In the meanwhile while you go through all this (it takes a long time it seems) I think the therapies are the best thing. Regardless of whether he ends up dx with ID or not, the therapies will help him develop.


so the MRI was pointless. does not really support getting the MRI.

again, unless doctors can point to a suspicion of something brain-based that will a) show up on the MRI and b) change the treatment, you don't do an MRI.


PP here. The pediatric neurologist, in a highly-regarded childrens hospital, recommended the MRI after dd's EEG, based on results and exam. I'll go with the doctor's expertise on this, not Dr Random-on-internet, thanks



On what basis did they recommend it? Presumably the EEG showed seizure activity or your child had observed seizures. In that case, yes, MRI is generally (but not in all cases) indicated. Sometimes the dx of epilepsy can be made just with the EEG and seizure. With focal activity they recommend an MRI, but we actually still declined it. Our pediatric neurologist at a "highly regarded children's hospital" was fine with that. It was the right decision for us. Whatever brain abnormality they found was not going to diagnose him or change the treatment, and we knew that the MRI carried risks of the anesthesia as well as incidental findings that would be over-treated.


No one said it wasn't the right decision for you. But you're the one who said it was 'pointless' for my child, despite the fact that you are not, in fact, her neurologist. I get it, you're anti-MRI, so don't get one. Op has to make the best decision for her own child, and that may or may not include a recommended by her dr, MRI.
Anonymous
The ADOS is not going to be accurate on a child with this profile at this point. Just like the doctor said. I have no idea why people here think this test is the be all, end all.

I would get the MRI and actual medical test that could shed light. Doesn't sound like autism at all, frankly.
Anonymous
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?



My son has autism and is extremely affectionate.
Anonymous
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?

Nope. I hate when people say ‘DR doesn’t think it’s autism because...’
Either you are full of junk or he is.
MANY children on the spectrum are loving, affectionate, & look you in the eye. If those are the autism hallmarks you are using, either get a new doctor or stop inventing them your Dr said.
This possible journey is long & tough. Stuff taking & inventing junk science. It’ll make things easier
Anonymous
Anonymous wrote:
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?

Nope. I hate when people say ‘DR doesn’t think it’s autism because...’
Either you are full of junk or he is.
MANY children on the spectrum are loving, affectionate, & look you in the eye. If those are the autism hallmarks you are using, either get a new doctor or stop inventing them your Dr said.
This possible journey is long & tough. Stuff taking & inventing junk science. It’ll make things easier


Yeah, DS with ASD/ADHD is loving, affectionate and has great eye contact... still does and he is a tween now. I am going to get him a dog to cuddle with.
Anonymous
Anonymous wrote:
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?



My son has autism and is extremely affectionate.


+1 My son has autism as well, and he is social, affectionate, and love group play. He is great at pretend play, and he talks/interact with people he knows & people he does not know.

At 2 year old, he didn't wave, point, bad eye contact, nod/shake his head & no babble. At 3 year old, he waves, points, okay eye contacts (still working on it), nods/shakes his head & talks nonstop. They say he has autism because the way he interacts with others are below average even though he communicates/plays actively with others, and he has problem reading people's emotions/behaviors. He looks like a regular kid on the street,just appears social delay & immature.
Anonymous
Anonymous wrote:
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?

Nope. I hate when people say ‘DR doesn’t think it’s autism because...’
Either you are full of junk or he is.
MANY children on the spectrum are loving, affectionate, & look you in the eye. If those are the autism hallmarks you are using, either get a new doctor or stop inventing them your Dr said.
This possible journey is long & tough. Stuff taking & inventing junk science. It’ll make things easier


OP here. Listen, there is no need to be rude. I’m just telling you what the doctor said. He didn’t say for certain he doesn’t have autism but he doesn’t think so and also said he’s too young to be evaluated. My older DD is almost 4 and honestly what do I know about autism? Almost nothing! So I’m not using any “autism hallmarks@ and just sharing what other professionals told me.
Anonymous
Anonymous wrote:
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?

Nope. I hate when people say ‘DR doesn’t think it’s autism because...’
Either you are full of junk or he is.
MANY children on the spectrum are loving, affectionate, & look you in the eye. If those are the autism hallmarks you are using, either get a new doctor or stop inventing them your Dr said.
This possible journey is long & tough. Stuff taking & inventing junk science. It’ll make things easier


Pretty defensive, aren't you? These are descriptors my doctor used to tell me why he didn't feel my son was not autistic. Loving, social, good eye contact, great joint attention, easily read people's faces and emotions. Multiple followup tests showed he was correct.
Anonymous
^^ why he didn't feel my son was autistic ^^
Anonymous
Anonymous wrote:The ADOS is not going to be accurate on a child with this profile at this point. Just like the doctor said. I have no idea why people here think this test is the be all, end all.

I would get the MRI and actual medical test that could shed light. Doesn't sound like autism at all, frankly.


?? The ADOS has a module for non-verbal toddlers. Not sure why you say that.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?

Nope. I hate when people say ‘DR doesn’t think it’s autism because...’
Either you are full of junk or he is.
MANY children on the spectrum are loving, affectionate, & look you in the eye. If those are the autism hallmarks you are using, either get a new doctor or stop inventing them your Dr said.
This possible journey is long & tough. Stuff taking & inventing junk science. It’ll make things easier


Pretty defensive, aren't you? These are descriptors my doctor used to tell me why he didn't feel my son was not autistic. Loving, social, good eye contact, great joint attention, easily read people's faces and emotions. Multiple followup tests showed he was correct.


Did he get assessed for autism at a place like KKI or Childrens?
Anonymous
Anonymous wrote:
Anonymous wrote:The ADOS is not going to be accurate on a child with this profile at this point. Just like the doctor said. I have no idea why people here think this test is the be all, end all.

I would get the MRI and actual medical test that could shed light. Doesn't sound like autism at all, frankly.


?? The ADOS has a module for non-verbal toddlers. Not sure why you say that.


Same reason THE DOCTOR said it, most likely. Do your research.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:My 17.5 month old has significant developmental delays. He’s not walking, still not pulling to a standing position, has not one word and most troubling is he doesn’t know how to play. He’s been in early intervention since he was 9 months old and he was recently evaluated by a developmental pediatrician. The doctor ruled out celebrating palsy and was also baffled by my son. Despite having significant delays, he has above average stranger anxiety. He is however very attached to me and DH. The doctor said he doesn’t think it is autism as he is very attached and affectionate with us and has very good eye contact. He recently did some genetic testing ordered by the neurologist and they came back normal. The neurologist suggested getting a MRI but we are hesitant as he would need to be sedated. His PT is also baffled and doesn’t think it’s autism either. Of all his delays, she said the most worrisome is the lack of understanding about the concept of play. He doesn’t wave, point, nod or shake his head. He can babble. The only thing I can think of is intellectual disability. Any thoughts? Does it sound like he had this?

Nope. I hate when people say ‘DR doesn’t think it’s autism because...’
Either you are full of junk or he is.
MANY children on the spectrum are loving, affectionate, & look you in the eye. If those are the autism hallmarks you are using, either get a new doctor or stop inventing them your Dr said.
This possible journey is long & tough. Stuff taking & inventing junk science. It’ll make things easier


Pretty defensive, aren't you? These are descriptors my doctor used to tell me why he didn't feel my son was not autistic. Loving, social, good eye contact, great joint attention, easily read people's faces and emotions. Multiple followup tests showed he was correct.


Did he get assessed for autism at a place like KKI or Childrens?


Yes, he did.
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