Anonymous
Post 07/14/2025 10:40     Subject: Dyspraxia
I don't know that there is any need to get a dyspraxia dx if you have an autism dx. Most children with autism have symptoms of dyspraxia. The providers you are already connected with will be familiar with that profile.

If you feel like your child is not getting the motor-related services he needs, it could be worth repeating the neuropsych to see what supports could be most helpful and to understand your child better. DS had a neuropsych at 5 and she recommended he come back at 8 and then again around 11 or 12.

Finally- dyspraxia is not really in a neuropysch's wheelhouse from a diagnosis standpoint. A PM&R doctor or neurologist would generally be the ones to dx dyspraxia.
Anonymous
Post 07/14/2025 10:36     Subject: Dyspraxia
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Yes it's very possible either that it was missed, was not apparent enough at a younger age, or that the evaluator doesn't use it.

I just had a well respected neuropsych tell me that he doesn't use "x" dx even though it's in the DSM and has never dx'ed it. He said he thinks the sx are better explained by other dx'es.

so get an eval from another dr who may have a different approach


Why diagnosis shop?


Maybe they actually want to help their child?


Yeah but just because there’s a diagnosis in the DSM doesn’t mean that a clinician has to use it or that there is any benefit to it. SCD was basically invented for the DSM when they got rid of PDD-NOS. But very few clinicians use it, there are not specific therapies for it, and there are not well established clinical instruments to diagnose it. It was a category created in the DSM, not some kind of newly discovered virus that you need to get your kid tested for.

Dyspraxia is also an example of this. My kid had OT and PT testing that showed he has poor motor skills and poor motor planning. That’s clear to everyone. He did get a clinical dyspraxia dx eventually but it was totally unnecessary because the challenges are obvious. If there was some kind of special therapy for “dyspraxia” of course I would feel differently.

Now if you were getting a full battery of testing of your kid and for some reason they skipped the fine motor and motor planning tests then yeah, that’s something to ask about.


PP here. The diagnosis helped my kid. It enabled her to better understand the cause of her challenges, instead of just labeling herself “stupid,” as she had been doing prior. It enabled her to explain her symptoms to PE teachers, at camps, etc and eventually, even to friends who might wonder why she took so long to tie her shoes or could not quickly put her hair up in a ponytail (and so many daily activities involve motor planning that it definitely impacted her socially).

Anonymous
Post 07/14/2025 10:31     Subject: Dyspraxia
^and she has an IEP to help with those things at school.
Anonymous
Post 07/14/2025 10:31     Subject: Dyspraxia
Anonymous wrote:
Anonymous wrote:Dyspraxia can present in different ways. My kid has minimal physical issues other than just generally being not athletic and uncoordinated, but has extreme difficulty with mental organization in writing and things like telling stories. Our evaluating Dr has told us many times that there is a lot of overlap in this type of symptom and autism, so i could see how someone could misdiagnose one for the other if the testing wasn’t great or comprehensive.

Why haven’t you had a a reevaluation for 8 years?


That’s not dyspraxia. Dyspraxia is a physical condition.

Also constant reevaluation is not necessary.


It’s not purely physical. My DD has the (classic)physical symptoms of dyspraxia - but it also impacts sequencing in terms of doing word problems, multi-step tasks (needs to be broken down into smaller parts), following more complicated instructions, etc. it’s definitely a parallel to the physical impact.
Anonymous
Post 07/14/2025 09:49     Subject: Dyspraxia
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Yes it's very possible either that it was missed, was not apparent enough at a younger age, or that the evaluator doesn't use it.

I just had a well respected neuropsych tell me that he doesn't use "x" dx even though it's in the DSM and has never dx'ed it. He said he thinks the sx are better explained by other dx'es.

so get an eval from another dr who may have a different approach


Why diagnosis shop?


Maybe they actually want to help their child?


Yeah but just because there’s a diagnosis in the DSM doesn’t mean that a clinician has to use it or that there is any benefit to it. SCD was basically invented for the DSM when they got rid of PDD-NOS. But very few clinicians use it, there are not specific therapies for it, and there are not well established clinical instruments to diagnose it. It was a category created in the DSM, not some kind of newly discovered virus that you need to get your kid tested for.

Dyspraxia is also an example of this. My kid had OT and PT testing that showed he has poor motor skills and poor motor planning. That’s clear to everyone. He did get a clinical dyspraxia dx eventually but it was totally unnecessary because the challenges are obvious. If there was some kind of special therapy for “dyspraxia” of course I would feel differently.

Now if you were getting a full battery of testing of your kid and for some reason they skipped the fine motor and motor planning tests then yeah, that’s something to ask about.
Anonymous
Post 07/13/2025 19:16     Subject: Dyspraxia
Anonymous wrote:
Anonymous wrote:Yes it's very possible either that it was missed, was not apparent enough at a younger age, or that the evaluator doesn't use it.

I just had a well respected neuropsych tell me that he doesn't use "x" dx even though it's in the DSM and has never dx'ed it. He said he thinks the sx are better explained by other dx'es.

so get an eval from another dr who may have a different approach


Why diagnosis shop?


Maybe they actually want to help their child?
Anonymous
Post 07/13/2025 18:18     Subject: Dyspraxia
Anonymous wrote:Yes it's very possible either that it was missed, was not apparent enough at a younger age, or that the evaluator doesn't use it.

I just had a well respected neuropsych tell me that he doesn't use "x" dx even though it's in the DSM and has never dx'ed it. He said he thinks the sx are better explained by other dx'es.

so get an eval from another dr who may have a different approach


Why diagnosis shop?
Anonymous
Post 07/13/2025 14:06     Subject: Dyspraxia
Anonymous wrote:Dyspraxia can present in different ways. My kid has minimal physical issues other than just generally being not athletic and uncoordinated, but has extreme difficulty with mental organization in writing and things like telling stories. Our evaluating Dr has told us many times that there is a lot of overlap in this type of symptom and autism, so i could see how someone could misdiagnose one for the other if the testing wasn’t great or comprehensive.

Why haven’t you had a a reevaluation for 8 years?


That’s not dyspraxia. Dyspraxia is a physical condition.

Also constant reevaluation is not necessary.
Anonymous
Post 07/13/2025 11:10     Subject: Dyspraxia
Yes it's very possible either that it was missed, was not apparent enough at a younger age, or that the evaluator doesn't use it.

I just had a well respected neuropsych tell me that he doesn't use "x" dx even though it's in the DSM and has never dx'ed it. He said he thinks the sx are better explained by other dx'es.

so get an eval from another dr who may have a different approach
Anonymous
Post 07/13/2025 09:20     Subject: Dyspraxia
Dyspraxia can present in different ways. My kid has minimal physical issues other than just generally being not athletic and uncoordinated, but has extreme difficulty with mental organization in writing and things like telling stories. Our evaluating Dr has told us many times that there is a lot of overlap in this type of symptom and autism, so i could see how someone could misdiagnose one for the other if the testing wasn’t great or comprehensive.

Why haven’t you had a a reevaluation for 8 years?
Anonymous
Post 07/13/2025 08:37     Subject: Dyspraxia
Anonymous wrote:
Anonymous wrote:There’s no treatment for dyspraxia so not sure what the point would be.


Really? My DD went to OT for a long time.


OT is therapy for the symptoms- which if they are diagnosable should have been totally obvious. My dyspraxic kid was in OT well prior to any diagnosis. for that matter I’m not sure OP helped that much other than an initial jump in coordination at 4. The key really is exposure and practice, and that comes at home and school.

Anonymous
Post 07/13/2025 05:59     Subject: Dyspraxia
Anonymous wrote:There’s no treatment for dyspraxia so not sure what the point would be.


Really? My DD went to OT for a long time.
Anonymous
Post 07/12/2025 23:43     Subject: Dyspraxia
There are therapies for dyspraxia. I feel like it would be difficult to miss, but possible.

If your child is having coordination issues, it's probably more prudent to go directly to an OT for an evaluation.
Anonymous
Post 07/12/2025 21:22     Subject: Dyspraxia
There’s no treatment for dyspraxia so not sure what the point would be.
Anonymous
Post 07/12/2025 17:55     Subject: Dyspraxia
Is it possible that a neuropsych evaluation done 8 or so years ago would miss dyspraxia?
My son recieved a broad "autism" diagnosis but as I read about dyspraxia, it describes him pretty well. Im wondering if he should be reevaluated.