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[quote=Anonymous]OP here.  I want to say again what a source of help this thread has been to me.  I wanted to give an update and just respond to some of the newer posts.

First, my son just had his first play therapy session. After we met with the doc, she referred us to a psychiatrist in a practice equipped to deal with younger children, who referred us to a play therapist in her practice who specializes in younger children. We had an eval with her, and yesterday was his first full on session with her. He seemed to do well.  In two more play sessions, the third will be with just the parents, and we'll talk about what she's seeing and get some guidance on how to best parent him.  We also got a lab order and will be taking him into get blood drawn to rule out something outside of his little brain. He's FREAKING out about that.

I wanted to specifically thank you all for mentioning the Legos issue. I specifically brought that up with them, and they agreed with you all that pulling legos from him was NOT helpful, so we've returned them, but we limit how much time he can play alone.  He has to let us join, or his brother, or SOMEONE after a certain period of time.  We also are bringing Legos with us to use as reward systems for participation.

Things are still consistently bad so I'm so glad we're on this path. Just this morning in the car he said that he didn't like life and wished it would go away.  He says things like that daily.

I'll certainly get the Grumble book mentioned here, so thanks for that.  Also, regarding supplements, he's gets a very high quality vitamin and fish oil every morning. Unfortunately it doesn't help. But it is important because he frequently does not want to eat what is offered, and we don't force him.

Finally, I haven't seen any OCD behaviors. I will watch him more closely though, and thanks for that. In terms of PANDAS... I don't think so, but he certainly has had strep.

Anyway, it's hard not to feel like a failure.  I'm trying to feel optimistic and I'm excited to learn all I can about how to parent him better, but right now, to be honest, I feel like we just need to keep him afloat until he is old enough to get medication.  I hope I'm pleasantly surprised though and we see changes through therapy.  It's just so extreme.  But truly, thank you all so much again.

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