Reply to 4-year-old potential ADD or anxiety---where to go first---also IEP question

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[quote=Anonymous][quote=Anonymous]ADD and some minor LDs run in our family.  DD had some motor delays and saw a developmental pediatrician when she was younger  (told there was no immediate need to return at just under 2).  Had PT and is currently in speech.  Her preschool teacher is concerned about her lack of attention span and her lack of frustration tolerance (I've also noticed both at home, especially lack of frustration tolerance). She will start Kindergarten in September.    Her motor skills are still a little behind but not horrible.  Is the best first step to go to our regular pediatrician or to try to see a child psychologist or developmental ped (I know it's a long wait).  We saw Dr. Kozma at Georgetown when she was small who I know is not popular on this board, and I think we'd likely wait for Children's this time.

Another question--we have an IEP and she currently gets speech therapy through the public schools.  Her IEP meeting is coming up in February but her IEP is based on hearing loss (due to fluid in her ears).  I don't think I can just introduce other issues immediately into her IEP, can I?  There has to be screening first?  Just concerned since she'll be starting K and will into the year before her next IEP expires.   [/quote]

Email the principal at local elementary school for which she's slated to go.  Ask for an evaluation to update her IEP outlining the teachers concerns and the educational impact they may entail.  She may need OT and behavioral supports in the classroom for next year in addition to speech.  (For ideas of what these might look like, search Writghts Law or understood.org)  The school can evaluate her b/f the end of this school year and update her IEP.

In the meantime, get on the wait list for a developmental pediatrician at Children's and/or KKI to assess for the ADHD (whichever would be covered by your insurance).  These appointments inevitably have a waitlist, so don't worry if it's a way off.  If ADHD is diagnosed, you can discuss with the developmental pediatrician about options for medication if you think it's necessary.

Lastly, most OTs don't accept insurance.  Usually if it's covered, you submit for reimbursement after the fact.  Check with your insurance about your coverage.

Sounds like your getting your ducks in a row.  Good job.[/quote]

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