Reply to Need private school ASAP for ADHD 5yo — eloping, dysregulated, needs active learning

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Reply to "Need private school ASAP for ADHD 5yo — eloping, dysregulated, needs active learning"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=theflash1985][quote=Anonymous][quote=Anonymous]Was preschool okay? What accommodations did he need there? [/quote]

OP doesn't want to answer this. Wonder why. [/quote]

[b]LOL. I was playing video games with my son and getting him ready for bed.  :D [/b]

We confirmed his ADHD in preschool after his private Christian school admitted he’d been covering his ears, hiding under desks, and not responding to questions and being mute. At home, he started showing anxiety and physical aggression on us from holding it all in all day. [b]We got him diagnosed that week with ADHD and severe anxiety, [/b]did PCIT therapy over the summer which helped tremendously, and had an IEP ready for fall. (Fun Fact: The first IEP they gave us was literally blank — we had to tell them every single accommodation and service a kid with ADHD and Anxiety needs. PGCPS is insane - won't be here too much longer.)

[/quote]

Diagnosed within a week? Have you actually had a neuropsych evaluation?

It usually takes months to get a diagnosis. When you have a child like this a) you want the best and most experienced provider - a developmental pediatrician or a highly recommended psychologist to do a full neuropsych. You must have one.

Also, is your kid in therapy? He needs to be. If he spent any time in an orphanage or with bio parents, I would be concerned that there are other issues at play. (This is also why you need a neuropsych evaluation). I say this from experience with an adopted child with intense emotional dysregulation (only at home, great in school). They were later diagnosed with autism as a teen and have struggled with school refusal. You need to stop being so defensive while simultaneously being in denial. There isn’t a magic solution here - no magic school, no magic OT program. Just hard work.

Also, a FIVE YEAR OLD with ADHD should not be playing video games. And playing video games (or any screen time) before bed is absolutely moronic. You need to take a parenting class for kids with special needs pronto. [/quote]

It does not take a neuropsych to get an ADHD diagnosis.  And, if you have good relationships with your school and pediatrician, you can get diagnosed within a week.  A neuropsych is not always recommended as early as age 5.  [/quote]

Anyone doling out ADHD diagnoses to 5 year olds without extensive testing should have their licenses revoked.[/quote]

This. Especially with a kid with violent behaviors. When we were getting my kid diagnosed with ADHD and later autism, I was looking for “the best of the best” providers and obviously, neuropsych evaluations were recommended by all.[/quote]

I'm sure that you believe you made the very best decisions for your child.  But they are not the very best decisions for every child.  I see a lot of value in getting a quick diagnosis so that you can get immediate services and accommodations in school.  Those quick evaluations do not prevent you from getting additional evaluations.  But failure to get a diagnosis can prevent your child from getting school services.  [/quote]

When kids are that young they usually don’t need a diagnosis and can get services through a school assessment of developmental delay. But yes, if you need something quick to push that, do so. An expensive neuropsych in 6-18 months won’t help now. [/quote]

Hmm. Has the “quick diagnosis” and advice from that provider helped? It sure doesn't look like it. The kid absolutely needs a neuropsych and should get on a list ASAP. They should also be looking for a a whole new mental health team here. [/quote]

A “neuropsych” doesn’t even diagnose ADHD. I’m all in favor of consulting experts but in such a young kid it’s a lot less simple than shelling out $8k for a “neuropsych,” although I’m sure many providers would take OP’s money. What OP needs is whatever paperwork is necessary to get an IEP or update it (or BIP if they don’t have one), plus and advocate to get the school to implement it or find a new placement. [/quote]

Stop providing misinformation. A neuropsych diagnoses ADHD, using the TOVA, questionnaires, and other tests of attention. The evaluation lasts between 4-8 hours and will also help determine whether behaviors are due to learning disabilities, mental illness and other conditions. In the case of this adopted child, is important to figure out which behaviors are driven by anxiety, FASD/in útero drug exposure, reactive attachment disorder, learning disabilities, or neurodivergence. A pediatrician or school psychologist doesn’t have the expertise for this.

Not only that, everyone on this thread agrees that the school SPED departments are overworked and aren’t always 100% operating in the best interest in the child, and yet you are recommending that their evaluation and recommendations are all that’s needed? [/quote]

You are not describing a “neuropsych.” You are describing a different type of evaluation. We had a “neuropsych” that included none of what you listed. Sounds like you feel like you got adequate testing which is great. But in general a “neuropsych” means a battery of cognitive testing not everything else you listed. [/quote]

NP but my child got a “neuropsych” which was a neuropsychological evaluation from a child psychologist and it was 6 hours split over 2 days and he was officially diagnosed with adhd, anxiety disorder, and a coordination disorder. The evaluation was in addition to a 1 hour parent interview and Vanderbilt assessments from both parents and teachers. The eval showed tons of data such as that his visual spatial skills were like, 0% and that his poor fine motor skills were not a result of weak musculature but a result of him not being able to send messages from his brain to his fingers to complete complex tasks such as tying his shoes despite having an overall IQ of 130. It was incredibly detailed and helpful both for school and for general knowledge of how to parent him and what type of OT would actually be helpful, since handwriting focused OT had done nothing for him.[/quote]

And the bulk of that testing likely had nothing to do with ADHD. The ADHD testing was not part of the “neuropsych.”

A kid like OP’s needs a careful differential diagnosis considering of things not covered by the standardized tests that are part of a neuropsychological battery.

moreover OP probably needs to triage efforts to get behavioral experts on board and an advocate to address the IEP, neither of which requires a diagnosis at this point unless the school is saying kid is not eligible. [/quote]

The PP is correct and you are incorrect. A neuropsychology assessment is one of the best ways to identify and diagnose ADHD[/quote]

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