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[quote=Anonymous]Hi op. Lots of kids do see ot for emotion regulation issues, it’s not that off base. It’s just that an OT isn’t going to give you any type of diagnosis it’s not what they are trained to do.

I will be honest with you, we pay a lot out of pocket to get to see the right people. It’s not easy (we are two feds so make a good combined income but not super high earning feds yet and definitely not crazy earners). So just want to share that unfortunate reality. Our mental health care system is just very flawed and it makes it hard for therapists to interact with the insurance system without drowning. So most are out of pocket then you’re out of network and get reimbursed if anything.

This all being said, I would not discount child find. While the services may be within schools I believe there is an evaluation component that might be helpful to you.

We started with just a regular therapist. Our pediatrician actually said the data for OT on things like sensory issues isn’t great so she didn’t recommend it (some people I’ve definitely heard success with it) but either way I think you need someone that can help you figure out the root before going to OT. Sensory issues usually are linked to something else, they don’t usually come by themselves so first figure out what the foundational piece is.

So for us, tantrums weren’t like you describe but there were outbursts at school with peers. We started with a psychologist (LCSW or LCPC is also great, not a psychiatrist they are only for meds) who has a lot of experience with anxiety and adhd which were the suspects for us. They have really helped us navigate this whole process, they can help with initial potential diagnoses (or diagnose, but at 3.5 ours held off on diagnosis in the beginning because it wasn’t totally clear). They understand all the different options - OT, neuropsych evals, child find, etc. It seems like you would really benefit from having someone help you understand the landscape, I know it’s greatly helped us.

I know it’s so hard. And it’s incredibly difficult when tantrums ARE normal for 3 year olds (or in our case, some biting or hitting can be normal) but what you describe is not typical. Like the other poster said it may just be that she feels deeply and needs time to learn more concrete regulation skills, and some changes to environment (for us it was shorter days at school, lots of 1:1 time with mom or dad without sibling etc, and us changing some of our responses), or it might be more going on. For us I think we’re probably going to land like the pp, probably some adhd going on but our interventions right now are helping. Good luck![/quote]

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