Reply to ADHD Behavior therapy for 3.5 year old

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[quote=Anonymous]I posted in response to your previous thread, and suggested the exercise routines and yoga.  I think I would be skeptical too.  I would push the developmental pediatrician on exactly what they're going to do in therapy and what the goals are.  
My son did the OT "how does your engine run" therapy...I'm not sure it helped.  I personally think whoever came up with the engine running metaphor was a little crazy -- my son's response was always something along the lines of "My engine is super fast! I am a super fast race car!" and then he'd go running off.  I tried to use a different metaphor, like train running off the tracks, or ball of yarn unraveling or something.  The engine thing was counter-productive for us.
I sit in on my child's therapy, so I'm pretty aware of what goes on in his therapy, at least.  I would say that, even at 6, it is a real struggle for him to recognize his triggers and be self-aware enough to assess them and then implement calming strategies when he's amped up.  We've made some progress, but it's slow going.  
Some kids are more self-aware than others...3.5 is very young for a child to be self-aware of when he's getting amped up, I think.  It's more helpful for the adults around him to recognize the early warning signs and figure out how to get him back on track.  
I have heard some people say that intensive OT -- like 2-3 times a week for a short period can be very helpful.  We did it once a week for a year+, and it was hard to tell if it was making any difference.  Maybe we would have been better off with like daily OT for a month.

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