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Kids With Special Needs and Disabilities
Reply to "2nd neuropsych very different from 1st. "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]My son had a neuropsych at 8 that diagnosed LD and likely ADHD. At 11, he was retested and they ruled out ADHD, said his LD was remediated and his IQ had jumped 30 points. Neuropsychs are very helpful but they are also a snapshot in time. I’m glad I didn’t limit his opportunities based on the first eval. [/quote] Yes, these evaluations are a snapshot in time. I am an SLP who is part of a team of evaluators for the court system, so I often get an individual’s entire school record and any private evaluations they have completed to review. Some tests for Autism and ADHD are checklists that are confusing for parents and gen Ed teachers to complete and the behaviors/impact of those conditions overlap quite a bit—one rater’s restricted and repetitive motor movements (stimming; Autism) are another rater’s fidgeting (ADHD). Some tests are really screening measures, like the GARS, but get over-interpreted as definite diagnostic measures. In my opinion, a single professional shouldn’t diagnose Autism based on parent report or an observation in a clinical setting; observations with peers and in a naturalistic setting are critical pieces to assessing Autism. When I review school records, kids often have conflicting or evolving diagnoses from private providers and changing eligibilities from the school system [b](developmental delay to speech and language impairment to autism to intellectual disability is a surprisingly common pattern).[/b][/quote] That pattern doesn't seem surprising to me?[/quote]
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