Reply to Mixed Receptive-Expressive Language Disorder

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]DS, in 6th grade, was just diagnosed with this.  He's long had ADHD and dyslexia and has struggled a ton in school.  He has had speech evaluations in the past but no one ever flagged this specifically.  Any insights/recommendations/encouragement.  We're trying to wrap our heads around this, including whether it goes together with an autism spectrum DX (he has not been DX'd ever as being on the spectrum and has had a recent neuropsych evaluation).  Many thanks![/quote]

OP, MERLD is not a spectrum disorder.  it is a language based disorder.   Was your testing done by the school system or by an actual psychologist?[/quote]

The testing was done by a very good SLP.  He separately had neuropsych testing and the neuropsychologist recommended speech-language testing.[/quote]

OP I totally understand your confusion.  If you trust your SLP and the psychologist, and neither of them used the word "autism spectrum" then you have nothing to be concerned about. Do keep in mind however that many of the therapies will be the same as what a chid on the spectrum would receive.

We are in MCPS.  My DS is 13, with significant ADHD which impairs his language and social interactions because he can't focus long enough to really "catch" social queues. You can imagine the snowball effect this has! We had him tested 3 times over the years. Twice by neuropsychologist and once by a developmental pediatrician at Kennedy Kreiger (KKI).  All agreed on ADHD, and early on one psychologist suspected MERLD but that was later replaced by the signifiant ADHD diagnosis.   All the while MCPS kept stomping their feet, trying to shove ASD down our throats because their "quasi-psychologist" who has MAYBE a Masters degree and not a Doctorate degree felt that was the correct diagnosis.  This is because they have zero idea what they're talking about.  Its easier for them to just shove your kid into a neat little box so that they can just be done with it.  That has disastrous outcomes, so if you're in that position please be weary of this.

FWIW we pulled DS out of MCPS and put him in private because they pretty much washed their hands of DS.  They thought they had him figured out and treated him as such- as a low achieving kid who would not amount to much.  [/quote]

Can you tell me how your son is doing there? Sounds like mine who was diagnosed as having a receptive delay then later we found out that it's the severe ADHD. Language is okay. [/quote]

Hi PP.  It feels/seems that DS is FINALLY turning the corner academically although he has a while to go still. When he was in MCPS he fell a little further behind every year  - even with an IEP. it was a snowball effect and it had to stop  Also, while in public he saw a tutor once a week to try to help close that gap just a little. She has been his tutor for at least 5 years. Now that he's in private he sees her once every few weeks as a "check in" and she has noticed a significant difference in his reading comprehension, and his critical thinking has also improved.

Now we are steadily working on the social part too via a weekly social skills class.

It's a very slow and steady process and sometimes you wonder if all this stuff you're doing is helping.  You just have to trust it, align yourself with the right team of people.  My experience, and others may disagree, is that MCPS is just not equipped to handle kids with complicated learning profiles.  I believe they do try, and many of them have their hearts in the right place - but it's a really broken system :( [/quote]

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