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Kids With Special Needs and Disabilities
Reply to "Is neuropsych needed in our case"
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[quote=Anonymous]DS is 10, and had speech delays for which he was in IEP. We suspected autism, due to the language and rigidity and lack of some social skills. We had 3 ADOS, two of which said he is NOT on spectrum (school and private) , and one which said he was (KKI, but that SLP was very unprofessional). Either ways he has caught up in speech and reading, is at grade level in a mainstreamed classroom in FCPS, and is out of his IEP. He has extreme disparity between verbal (way below average) and non verbal (he is two to three grades above), on all testing that has been done He does have a 504 for anxiety around fire drills and extra time for writing. We did CBT 2 years ago, and that helped him overcome his school avoidance over fire drills, but he still needs to be taken out before the fire drill. Since he was a child he used to have long defiant temper tantrums (atleast 30 mins to sometimes upto 2 hrs), it was almost daily till he was 5, and then reduced in frequency. Now he has an outburst once in 10 days to 2 weeks, but his intensity is much higher, meaning he cries loudly and throws things around. He is the sweetest and most helpful kid once he calms down, and there is no real trigger for his outbursts. For example something that he does voluntarily and routinely for 10 days, makes him explode on the 11th day. Or sometimes it is due to another kid's behavior at school. This ONLY happens at home. And these outbursts happen like a cycle regularly once between 10-15 days. We took him to a psychologist for behavior management, with whom we had done CBT before, she said she suspects autism and wants ADOS done. Now I called Children's and they recommended doing both ADOS and neurospych (for anxiety and learning disparity). Psychologist thinks neurospych is of no value and we should do only ADOS. So my question is, given that he has a mix of past and current issues-Speech/language, verbal and non verbal learning disparity, anxiety, defiance... is neuropsych going to provide any value? For that matter, will ADOS even provide any value? Right now his angry defiance at home is our main concern. [/quote]
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