Reply to can you have multiple diagnoses? say ADD, Language disorder and Auditory Processing disorder

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[quote=Anonymous][quote=Anonymous]Can a child have Auditory Processing disorder, ADD, and a language disorder?  [b]Or would most physicians just call this ASD?
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My nephew was a rule out PDD NOS at 2 yo.  But now at 6 y.o. I do not think he is still on the spectrum.  I think he has multiple disorders especially a language deficit which impacts everything.  I believe he thinks socially, and can be social without a lot of language.  He likes to do things with friends, especially non language based activities - like play at the park, or crafts etc.  He likes kids and asks for them, and smiles at them, but is not very verbally comfortable with them.  He can do the "basics" like greeting and showing them around the house, showing his toys, etc.  but when it comes to pretend play he just can not keep up verbally.

Also my sister has him on celexa for severe anxiety.  He started speaking and answering us immediately after this.  So I even wonder if he had selective mutism.  Anyway, he has a lot of things going on, but he is so compassionate and always has been.  He is so affectionate and always has looked at us, his family, in the face and been aware of our feelings and seemed emotional in tune with us.  He has no negative behaviors.  And does not some reassurance when things change, because of his anxiety.  His teachers call him a people pleaser and perfectionist.

I think this school thinks he is Autistic.   Of course this is fine if appropriate, but to me he is so much more improved since he was 2 y.o.  Could this be MERLD?  He definitely is a visual learner.

Does any know someone who spends time getting to know the child and family before giving an ASD diagnosis?  If it is autism I would be really surprised.  I just think it is something else and would like someone who did not use a language based test but other ways to determine what is going on?

I understand there is a different approach with ASD and Merld or significant Language Disorder and would want to make sure we were using the appropriate techniques at home and in class.

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My DS has ASD but he does not have auditory processing disorder or ADD according to his neuropsych eval.  His language disorder is only for pragmatics - so if he ONLY had problems with pragmatics (and not the obsessive interests and repetitive behaviors AND the pragmatic language problems) -  the diagnosis would be "social communication disorder".  So no, it would not be called ASD.  FYI, DS is very affectionate to his friends and family and his eye contact is fine.  He is great with language, he attends a language immersion school and scores in the top 1% for expressive/receptive language.  Definitely no MERLD but definitely ASD.

Please tell your sister to take her son for an evaluation either with a developmental pediatrician and/or for ADOS/ADI-R testing if she is concerned that her son is on the spectrum.   A lot of people have preconceived notions about how kids with ASD kids "look" like and many things that are NOT ASD presents like ASD.  Good luck![/quote]

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