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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]NP. Does she like to role play, does she want to be in control of playing as well as in control of you and her sibling and her friends? Does she have fast mood swings from happy to upset or mad and back to happy? [/quote]

No, she does not like to role play (and dislikes imaginative play in general). Yes, she wants to be in control, always. I've considered PDA. As for mood swings, it is not entirely clear. I wouldn't say mood swings are a huge problem, but rather that she is very inflexible and constantly irritable, so we are always delaying with bad moods. Sometimes she will explode and then get over it and seem fine in 30 minutes, while the rest of us are still reeling, but I'm not sure if that is technically a mood swing. I'm curious what you're thinking!

We have considered if she might be autistic, and discussed it with various therapists, teachers, and her psychiatrist. Although she has some qualities that would put her in the autism category (inflexible, no imaginative play, sometimes very literal (most people have ultimately felt that she would not receive an autism diagnosis as she is socially fairly neurotypical, doesn't have any particular interests, has hit all of her milestones on time. She isn't even quirky, really. I also questions a PANS diagnosis.

She does well academically and doesn't seem to have any significant learning differences. Not sure if that is important information when making suggestions!

[/quote]

DP. Based on what you said it’s not like an autism diagnosis would help figure out the right therapies!

signed,
“autism mom” who would love some magic autism therapy for emotional regulation [/quote]

Op here. What is DP?

Basically what you are saying is what all of the experts have said-- an autism diagnosis doesn't really change what we need or help us figure out what we need, and we need to focus on finding solutions instead of figuring out labels-- but we haven't had any luck.  I am wondering if I should ask about Concerta instead of Focalin, mostly because it lasts longer and she is somewhat more manageable when her ADHD meds are in her system.[/quote]

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