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[quote=Anonymous]Your kid sounds like mine at that age, and this is basically the diagnosis he has now at age 9 from his speech therapist (I think they called it semantic pragmatic disorder). I told his psychologist I wasn't interested in an ADOS at this time because the distinction between autism and "social communication disorder" in the DSM is irrelevant (for DS, at this point) because it won't change any services we seek right now.

My son's biggest challenges have been his difficulties with pragmatic language, overall slow language processing, social anxiety, and, frankly, his low average IQ. The IQ matters because we ended up putting him in a small private which has been fantastic for supporting his social and emotional growth, but most of the kids are really smart with these zippy little brains, and my kid is not like that. :) But we're making it work with the support of the school. Having the continuity of the same kids in his small class each year has been great, and this year for the first time he has a true best friend and a consistent pack of buddies at recess and lunch. He is also a lot more confident and less anxious.

The most useful other things we have done include 1) holding him back a year for K, 2) long term OT group focused on "Social Thinking" 3) a private speech therapist twice a week for years who also uses the "Social Thinking" stuff and sees him in his classroom. But I am not from DC area so I don't know if private speech pathologists travel to classrooms there.

We also did years of private OT and I think it was kind of a waste except when she was working on very specific skills, like handwriting or tying his shoes. Having her input on play activities we could do at home was helpful when he was young, too.

DS has grownup so much. I don't know what is due to therapy and what is just due to natural development. This week is our spring break and I took him to a children's play museum. He played with unfamiliar kids for hours! He was still immature and quirky for a 9 year old, but a couple years ago he would have just walked away from any play area when another kid came along. A couple years before that we would have just left the museum altogether because he would have hated the crowds and noise. He's really come a long way. [/quote]

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