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Kids With Special Needs and Disabilities
Reply to "best place for second opinion on ASD diagnosis?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I think it probably doesn’t matter, as a practical matter, if she has ASD or not. So I would wait to reassess until she’s a little older. You may never get a definitive answer or unanimous agreement. But some of the things you mention as counter-evidence, like being social and affectionate, are common in children with ASD, so you also may have a skewed sense of what the current diagnostic criteria are. [/quote] Of course a correct diagnosis matters. Nobody has unlimited time and money for therapies; so OP needs to focus on what is actually needed, which is informed by the diagnosis. Also, kids with ASD are not "social and affectionate' in the same way NT kids are. Social deficits are core ASD deficits. You can't get an ASD diagnosis without serious impairment in that area. So, if OP is observing that her child has similar social skills as her twin, then that's pretty important evidence to consider. [/quote] I’m not sure it does. Therapies are determined by the child’s needS.[b] I have a kid with ASD and he is socially motivated and cuddly (or was—he’s a teen now). Deficits in pragmatics aren’t the same thing as not being social or wanting to connect[/b]. I find that people unfamiliar with ASD often expect ASD kids to be asocial and cold, but that isn’t what I see in my son or his friends, and I think OP’s description of her dad reflects an inaccurate perception of ASD.[/quote] This describes my teen DS with ASD (Aspergers diagnosis). Our search for the correct diagnosis also led us down many paths OP! Delay in receptive and expressive speech. PDD-NOS age 20 months. Wouldn't make eye contact with dr., had a melt-down, and my favorite, DS would not "pretend play" and feed a baby doll!!! Not surprising to me, as DS has no siblings cousins. Then, a few months later, no speech delays at all and pretend play--boys stuff--at preschool! None of our providers, incl. IE team, agreed with PDD-NOS. Then the sensory issues and OT. Then impulses. This led to getting an ADHD diagnosis, twice. No ASD with each of these pre-k looks. Then still more problems. Pragmatic speech. How to socialize. Exec. function. Strong singular interests. AS diagnosis grade 1. That said, having been in an ASD school program for several years now, and observations at events, birthday parties, school presentations, I would agree that "Autism looks different in girls" EVEN AMONG THE GIRLS WE KNOW FROM CLASS and "...it's a spectrum." Good luck OP! [/quote] not OP, but what were the signs and symptoms of your DS with ASD? Because this development sounds a lot like my 4.5 yo DS with socialization delays. He also has a strong singular interest. Everyone who has seen him has ruled out ASD, but given what people are saying here about social, affectionate kids having ASD, I keep wondering "Are they wrong? Are they missing something?" He doesn't seem to have problems with joint attention. He is social with adults, just not with most children. [/quote]
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