Reply to Waiting on new dev ped - but would you suspect Asd?

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[quote=Anonymous][quote=Anonymous]Does it scream extreme behavior challenges? That is what it seems to me. And there is just a total disconnect sometimes. Like, he knows how to behave and he just can't. And at school I feel like he sometimes acts like he doesn't even know he is there. I think it might be anxiety. I don't know. It is so hard. I'm so tired and he's only 4.[/quote]

He knows how to behave and just can't" is ADHD impulsive at it's core.  Add in slow acquisition of skills (speech and OT) but responds well to therapy and it really sounds like ADHD.  And average skills on paper but qualitatively seems immature?  That is very typical for ADHD too.

Even if it turns out to be something else, although it doesn't sound like it to me, you did the right thing.  You clearly identified his needs and sought out intervention that worked.  You are absolutely doing right by him.

I will also say that things will allow certainly get better from here.  I say that for a variety of reasons.

1) Kids with special needs are almost always at their most challenging when they are at an age/stage where all kids struggle with the same issue.  3/4 is an age where almost every kid struggles with impulsivity and experiments with defiance, so a kid who is wired that way will be even more that way than at other ages.

2) Play based preschool can be really hard for kids who need a lot of structure, they constantly he the message that "you can choose whatever you want" followed closely by "except that".  It is confusing and frustrating.  Kindergarten is often easier.

3) Meds will help

4) He will presumably go to K either at public school, which has a ton of expertise in kids with disabilities, or at a school you chose because they are a good match for him.

So, please don't borrow trouble from the future, and know that you're a great parent who has absolutely done right by him so far and will continue to do so.[/quote]

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