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Kids With Special Needs and Disabilities
Reply to "Neuropsych - no diagnosis "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]What made you think your child might have ADHD, OP? I saw what you said about sometimes impulsive and chatty but it’s not just that, correct?[/quote] OP here. DS is currently in 3rd grade in public school. 1st grade teacher suggested we “talk to our doctor” because of DS having emotional outburst and low frustration tolerance. This was also first year back after pandemic. We spoke to ped who said to have school therapist evaluate as a first step. She observed in the classroom and didn’t think further evaluation was necessary and said the teacher was overreacting. Nonetheless, we started a positive behavior plan and by the end of the year the teacher was glowing about our sons progress. Fast forward to third grade - we still hear the same concerns from teachers at conferences but no, there are not regular phone calls home. Teachers report low frustration tolerance particularly in social settings. He is easily baited by other children. He is a “big feelings” kind of kid. We are doing a social skills group but I wonder if I’m in denial and we need to do more. The other part of me says that just because he has social challenges, I don’t need to drop thousands to get a doctor to tell me what I want to hear and medicate him. We could totally wait and see if he matures but will I be doing some kind of permanent damage to his self esteem if it does turn out he has a legitimate issue that needs to be medicated? Sorry for the rant here. [/quote] I dunno, OP--I don't think you're in denial. I think the social skills group is good. Third grade is a big year for development. I'd be tempted to keep an eye on it and see how things go next year. With that said, you could also try occupational therapy for emotional regulation (maybe in a summer day camp setting), but that might be hard without a diagnosis of some kind.[/quote] DP I do not think OP is in denial either. But I think our system for identifying kids' needs is horrible and the process is very confusing. I think it is important to remember: - Schools don't necessarily provide supports for kids with more subtle/less significant needs. Either they don't have the expertise to identify those needs or are just trying to ration their limited resources for those kids with the most needs. Not blaming schools, their resources are limited, but the upshot is that you may not want to take what the school therapist says as the last word. - IME, teachers don't share fake concerns with parents. On the contrary they are often hesitant to share concerns because that's often not a fun conversation. - A neuropsych is expensive. So is therapy. Sometimes, therapy feels easier to pay for because it is smaller amounts at a time versus thousands of dollars that you have to drop immediately. But the therapy adds up to as much or more as a neuropsych over the course of a year. Either is absolutely too much of a financial burden for many families, which is a huge problem, but many others can afford it but are worried about wasting money. If you are in the second category, consider how much $5-6k is to you really versus the benefits it can provide. A good neuropsych will really help you focus on the services that will truly benefit your child. It may be there is a more targeted test to identify those needs, but the neuropsych will definitely give you a fuller picture. - Nobody is going to force you to medicate your child. They will give you their professional opinion about what your child needs. [/quote]
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