Reply to Can you help me decipher therapist notes for almost 4 yo DD?

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[quote=Anonymous][quote=Anonymous]I always feel like they are saying something without coming out and saying it. This is regarding Larla, age 3 (almost 4):

At the end of last year, she was transitioning independently following the classroom routines; but this year, Larla is struggling following direct instructions. Sometimes she shows she understands the directive but will get distracted half way or will not respond to the re-drection and continue on with her activity. Even when pointing out what other peers are doing, she doesn't always join them at the rug, even when the routine has been modeled to her in the past. It is important to note that she is not defiant or fighting re-direction; when given moderate support (holding her hand or guiding her to the rug), she will join her peers.

Are they trying to say she’s regressing? Or that she doesn’t understand? Are they alluding to ASD or ADHD? What am I supposed to do to follow up or provide support here?

We have similar struggles at home. I just do not know what to do.[/quote]

Well, they might be trying to say she is regressing, but at this point in the school year she might just be re-adjusting.  Does she have a larger class size?  Even with same teacher, the classroom dynamic or complexity of instructions can change.  I do think since it may be regression it's something to keep an eye on.

It sounds like they are implying inattentiveness, to me. But they aren't necessarily implying anything.  If they know you are seeking outside support, they don't need to urge you to do so.  They are providing the day to day observations that will inform the analysis.  You don't need to substantively respond to each communication, you can just say "Thank you for the observations." And put it in your binder.  You seem to have a good handle on this so just carry on with your efforts.  Sometimes it just takes time.[/quote]

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