Reply to OT eval at school for sensory processing issues

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[quote=Anonymous]Honestly, a chronic hitter/biter can be reformed through behavior modification within a relatively short time.  What is the school's procedure for when an incident occurs?

A lot of kids without any SNs act out from time to time.  Yes, 4 is a little old for this.  Regardless, you need to figure out the triggers.  Is it the same kinds of things every time, e.g., being territorial over toys for example or do the incidences vary.  Is your kid being picked on by another?  Is it at the end of the day?  Does being tired/hungry make the behavior worse?  How is the supervision?  My kid was a day care where a lot of this behavior went on b/c the staff were pretty much checked out.

If this behavior is stemming from a chronic issue like anxiety or impulse control, an OT can be useful in helping to manage the excess energies.  If your kid has a speech delay, they may be frustrated when they can't express themselves.

If the school is giving you a free evaluation, I'd take it.  (But the principal is a moron for suggesting SPD b/c it's not a diagnosis.  It's not to say sensory issues don't exist, but so-called diagnoses of SPD are usually masking true diagnoses of autism, ADHD, or learning delays.

I would talk to your pediatrician as well.  There are in-depth parent questionnaires (and God help me I should know the names having filled out enough) that can help you pinpoint potential areas of concern.  That might help you answer if a full on evaluation by a developmental pediatrician is in order.[/quote]

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