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[quote=Anonymous]OP here again. Thanks for all the support!

To 16: 37: DD loves movement, so she's taking ballet and karate and we try to take her to outside activities as much as we can. We're considering working with a therapist who is a psychologist and a dance therapist combined to help turn this strength into even more of an outlet for expression.

To 16:40: Yes, I contacted Dan Shapiro, and his voice mail says his office is currently closed to [b]all[/b][u] new patients. We only have until March for DD to turn 4, so I'm not holding out too much hope. We might take the winter class though to at least get to meet him and other parents. We have had some classroom observations -- we had also hired an educational consultant/psychologist to observe at the old school. She didn't notice any of the ADHD/autism-like behaviors because DD's former situation was so egregious.

To 16:41: We felt exactly the same way at the former daycare, down to the 20 minutes of hysterics at drop off because of hating the school environment! We felt the same way about "how could we not have seen this?" but we had to remember we're first-time parents and we aren't trained in this, so we were really thankful to have our eyes open to what is actually developmentally appropriate. Our current daycare teacher and director have many more years of experience than at the former school, so while I do trust their opinions more than DD's former teachers, I also recognize that they don't have the qualifications to diagnose. Maybe what we're seeing now is residual trauma from however many months she really hated the former daycare? Did your son's issues completely resolve in the new environment? After how long? It has been about 2.5 months for us in the new school.

To 17:15: We definitely will keep working through symptoms. I guess the part I struggle with is if I'm trying to find something that might not be there. Because of course I still hope that this is just a phase that she'll grow out of and there isn't really something wrong, but I don't want to just give up because I'm hearing the lack of diagnosis that makes me feel better. The feedback I get is somewhat helpful, but usually the therapists all start with the same thing. And you're right, it is SO EXHAUSTING to keep filling out forms over and over and keep explaining all the interventions we're doing/have tried. Is there an area psychiatrist who specializes in preschoolers who is particularly good with the hard-to-pin-down cases?

To 17:18: Yes, I'd read about how girls are under-diagnosed for both ADHD and ASD because they present differently, and often later. DD is definitely sometimes a problem in the classroom and at home, which is part of why we've been so motivated to find an answer.

Update: The invoice DH brought home tonight says ICD9 codes of #1 "CNS (Minor Neuromotor Abnormality)" and #2 "adjustment disorder." Under recommendations it says "Follow up, same clinic" and checked the box "other" and she wrote "pm" in the line next to it and then "as needed" under length of appointment.

What does that mean? Anyone familiar with KKI know what follow up we should request? There's also a note to refer to social work/psychiatrist for further evaluation and recommendations. I thought that was what we were going to KKI to get? Should I contact Georgetown or Children's next? I also reached out to Stixrud but they are out of pocket so I'd rather stick first to practices that accept insurance if at all possible. [/quote]

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