Reply to Oppositional Defiant Disorder Diagnosis

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Who was he hitting/kicking/throwing stuff at? What was going on when he ran out of the room? If peers, I would t really say he is “well liked” right?[/quote]

OP Here:  He wasn't throwing items at anyone he was throwing them on the ground from the desk when he was upset.  He hit a child who got in front of him in line when they were coming in from recess.  He would leave the classroom when he was upset, put on the spot, or it was too noisy and hide in the bathroom.  The kids are 7 so he is well liked as this doesn't happen everyday and he has a pretty solid friends group, playdates every weekend etc.[/quote]

This sounds like ADHD or anxiety.  Psychoeducational testing misses a lot of things that a neuropsych picks up.  While ASD is a possibility you should discuss at the neuropsych exam, based on other information you've provided it doesn't sound like it.  It sounds like he has some sensory issues, which is one diagnostic criteria for ASD, but also occurs with ADHD and anxiety.

Does your kid have any trouble on the playdates?  Does he engage in joint play with the other kid, or is it parallel play?  Does he have any particularly intense, narrow interests? Does he engage in any type of repetitive activity or motion.  This is not just classic arm flapping, but any kind of repetitive motion of the body such as running, twirling, jumping or playing with a fidget?  If it's no to all that, ASD is unlikely.  Whether to do any specific testing for ASD is a matter of the neuropsychologist's professional judgement together with your own reports or concerns about his behavior.[/quote]

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