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

Forum Index » Kids With Special Needs and Disabilities

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

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]It sounds like it’s pointing to ADHD and ruling out ODD[/quote]

No, it actually sounds like autism. ADHD is inability to focus or hyperactivity, but this evaluator is trying to describe ignoring/unawareness of social cues. [/quote]

(the tell is “even when pointing out what peers are doing …”)

OP what did autism evaluation say?[/quote]

Op here. The autism eval said no indicators for autism, but happened more than a year ago.[/quote]

If that evaluation was done by anyone affiliated with the school, or a doctor in the same school district, I’d get a second opinion.

I’d ask, in writing, for a BCBA to conduct an assessment of transitions so they can create the necessary classroom tools or address skill deficits in this area.

I’d start a home ABA program. Focus on parent training. [/quote]

Op here. We paid privately for the autism assessment and it was done by a neuropsychologist. This was when DD was 2, almost 3, so not in school yet.

We’ve tried to get ABA but can’t get insurance to cover it without an autism diagnosis. That’s why we did the autism eval was to try to get the diagnosis. We should maybe get another one.

Will the school provide the BCBA or do we need to arrange and pay for that privately?[/quote]

You might try a comprehensive evaluation if you’re having difficulty getting a diagnosis. It’s sometimes used as a bridge to a diagnosis that can provide more comprehensive and thorough background information to the provider that’s writing the diagnosis. These are usually 15-25 hours long and consist of various different assessments and observations in home, school, community, etc. At age 3 it might include things like: a review of background information, ABLLS-R or VB-MAPP, Vineland, PPVT, EVT, baseline data collection for specific behaviors of concern, interviews with parents and teachers, etc. Assessment tools selected will be based on age, parental/teacher/child concerns, and direct observations. It might be performed by one qualified individual or several individuals typically in the same office and might also include separate speech, OT, and PT evaluations. Sometimes doctors will use that information to provide a diagnosis in lieu of a neuropsych evaluation / psychologist performing a diagnostic assessment. This is kind of the old school way people got diagnoses before there were standardized assessment tools and people sought out neuropsych evaluations mostly based on insurance requirements. Personally I think it paints a much better picture of the whole child than a 3-4 hour assessment in an unfamiliar office.

If you can’t find one person to do all the assessments, find individual providers and present everything- in a nicely laid out easy to read binder- to the pediatrician. 
[/quote]

Op here. I’ve tried to find someone to do a comprehensive neuropsychology exam (privately, at our own expense) but they’ve told me that DD is too young and they don’t do them prior to age 7. The developmental ped has done 4 different evaluations (basically just administering those milestone tests), which all pointed to various issues but the providers wouldn’t diagnose ASD (we asked, they said that’s just not the picture they were seeing and instead went with global developmental delay). We also got a separate autism specific evaluation with a neuropsychologist but it was only administering the autism test, it wasn’t totally comprehensive like what you describe above.

I don’t know where the disconnect is-I am in the SW area of the US and I wonder if they just approach things differently than DC. Maybe we should try to go to california or DC to follow these things up.[/quote]

What state are you in? There is almost certainly an autism or child development clinic at the children’s hospital in your state or region. Better than private evaluations.[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics