Reply to Mixed Receptive-Expressive Language Disorder

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I always wonder why the MERLD posts attract such vitriol.
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I suspect it's because it gets confused with autism a lot, and nobody wants the autism label if their child isn't really autistic.  [/quote]

Vitriol poster here.

Actually neuropsych dx'ed DS with PDD NOS.  But not on the obvious language problem alone.  He added in "stereotypical behaviors" and was visibly irritated when I called them tics.  It was all very confusing as those only started when DS was 7 following strep and were accompanied with OCD.  He actually had what NIH dx'ed a couple of years later as PANDAS.  We weren't really sure where to go after neuropsych but ended up at a psychiatrist who treats a lot of kids with autism and he said definitively DS did not have autism and dx'ed him with "tic-related OCD."

Whether it was autism or not, he would have needed the language therapy.  But OCD/Tics/PANDAS requires something completely different from autism, so diagnosis can matter.[/quote]

So, if your child is not MERLD,,  and something very different, why are you posting regarding a MERLD question?[/quote]

Kid had MERLD, dx'ed by SLP, neuropsych dx'ed PDD NOS based on language problems plus "stereotypical behaviors," psychiatrist saw the language problems and agreed with SLP but disagreed with PDD and dx'ed tic-related OCD, later re-dx'ed at NIH as PANDAS.

So in essence DS had two things:  MERLD and PANDAS, and he did not have autism.  The language problems plus the tic-related OCD caused the neuropsych to dx PDD NOS instead--no longer in the DSM I understand, but a variant of autism.

If all of that sounds confusing, you can imagine how confused I was back in the day before autism was a very frequent dx and PANDAS had barely been heard of.[/quote]

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