Reply to Loaded question: MERLD and autism

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]PP, Camarata published the "Late-Talking Children" book in 2014 (as was the interview) and republished it in 2015.  It's not that recent and nothing new, it's just based on all his prior research b/f DSM V changes in 2013.

It's also bizarre your obsession on treating language disorder when Camarata talks about clinicians conducting a “confirmatory” diagnosis.  As a parent if you're just looking to SLPs to confirm a language disorder--guess what, that's what you'll find.  SLPs are not qualified to diagnose autism without specialized training:  http://blog.asha.org/2014/04/10/can-speech-language-pathologists-diagnose-autism/

We all know that most children with autism are late talkers and most late talkers don't have autism.  We also know that the numbers of children with the autism "label" is artificially inflated by IEP designations.

The OP's child is just 3, stop trying to "help" her by ramming your obvious skew that it's not autism.  Come back and rant all you want about language disorders when your child has actually a had a neuropscyh evaluation.  At 3, her developmental pediatrician was being conservative and not over zealous with a diagnosis.  What her child's diagnosis will be in a few years will be anyone's guess.

However, it doesn't matter if it's a language disorder or autism (btw, kids with autism can have language disorders too), her kid sounds in need of practical help.[/quote]

If you'll pay for it, I'd be happy to get my kid a neuropsych if you think it would be helpful.  Thanks for offering.  Our insurance and developmental ped will not authorize it given how my child is doing.  [b]Why are you so insistent that all kids with language disorders have autism?  OP[/b] is saying her developmental ped ruled it out.  That is a specialist authorized to rule it out or in.

I don't insist PP.  [b]The fact that your child has a DSM diagnosis 4 year out of date would reason enough for your developmental pediatrician or insurance to green light additional testing.[/b]  Parents like you avoid getting a full educational evaluation b/c they fear autism lurks out in the waters like Jaws ready to strike.

Plus aren't you the poster who bullied her ST to keep seeing your kid although her job had changed?  Then you were so happy with the "MERLD" finding that you wore down the developmental pediatrician to change the ICD autism code to the ICD code for MERLD.  So you could officially say your son had MERLD and no longer autism (and least according to diagnostic codes used for billing.)

Dr. Camarata is trained to diagnose autism.  His wife, Mary Camarata has training too but usually defers to her husband if you call to see her and there is any question.  You don't know much about them or what they do, yet you feel the need to slam them.  They are far from perfect, but [b]its all many of us have as a resource right now[/b].[/quote]***whoa is you.  Goldilox can't find the porridge that's just right.

I know the Camarats diagnosis autism.  I have hight respect for them.  As Camarata himself says that without biomarkers to identify autism, we must rely on behavioral proxies.  "Indeed, reading Volkmar and Reichow (2014) was a poignant reminder that, prior to the development of the ADOS and other instruments such as the Screening Test for Autism at Three (STAT, Stone et al., 2004), an ASD diagnosis was founded solely on clinical judgement. Of course, clinical judgement remains the gold standard for diagnosing ASD, but [i]the advent of instruments such as the ADOS and the STAT have provided a standard context for gathering information on young children including tod- dlers and pre-schoolers upon which to form a clinical judgement.[/i]"

https://medschool.vanderbilt.edu/developmental-disabilities-lab/files/developmental-disabilities-lab/public_files/Publications/Validity%20of%20early%20identi?%20cation%20and%20early%20intervention%20in%20autism%20%20spectrum%20disorders-%20Future%20directions%20%20%20STEPHEN%20CAMARATA.pdf[/quote]

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