Reply to Best intervention for 3 year old with behavior challenges

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[quote=Anonymous]OP, I'm going to give you a list so it's easier to read. All of these suggestions come from my life.

1) Do you have to work? Do you have to work as much? Can you afford a nanny? Day care/school can be incredibly stressful for SN kids and create /exacerbate problems.

2) The eating thing sounds like it could be ARFID. Unless your kid is not eating enough calories to survive, feed him what he eats and forget food therapy right now. Literally cookies for breakfast if that is what it takes. If he has a crappy diet, he will need the miralax. If he is not eliminating, he is not going to be hungry no matter what you do. Forget potty training, make sure he's cleaned out, not impacted, and just try to get him peeing and pooping without a fight again. Ironically, the best way to help him might be to just keep giving him Miralax and liquids but otherwise not mentioning it at all.

3) If reducing demands doesn't get him eliminating, you need a child therapist. I think the specific person matters more than their background. Someone who deals with toileting, and someone who can do home and child care observations. We used a psychologist for something similar but I don't live near you so I can't recommend. Maybe an OT could work, too, or a behavior analyst as long as you got a good one and not one that was really rigid and focused on "control". I think that might be a personality mismatch for your guy.

4) Make a developmental pediatrician or CHOP appointment for a full eval. There will be a wait so this will just get you on a list. You can decide later if you want to go now, or wait.

It will get better. Your kid is 3. That is little, and I suspect since he is articulate he may be "tricking" adults into thinking he is more developed than he is. His emotion regulation just hasn't caught up to his smart little verbal brain yet, but it will. I really think reducing some demands and stress will help. [/quote]

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