Anonymous wrote:Children's national or Kennedy Krieger if you want insurance to cover it.

This.

It does sound like sensory issues, but you haven't seen these things until now? Seems late for SPD to suddenly show up - but I'm not a doctor, and my son has had sensory issues since birth...so I'm coming from that point of view.

Sounds more like anxiety or OCD to me.
Any big changes in her life recently that would prompt a change in behavior? I'd probably go with a psychologist first.

Your first sentence sounds like sensory processing issues. An OT can help with that. We have gone to ITS in Kensington and Fitness for Health in Rockville (not technically OT, but therapeutic exercise, which for us was very similar). (Neither takes insurance unfortunately.)

A neuropsych is one of the more expensive things to do. I would start with a developmental ped if you can get in to one (no recommendation there sorry) or a really good child psychologist.

Children's national or Kennedy Krieger if you want insurance to cover it.

I highly recommend Dr. David Black: http://caatonline.com

His speciality is autism spectrum, but I would recommend him for all concerns about social cognition, and what you list, especially about her weak emotional vocabulary, fits into that.

Anonymous wrote:

Anonymous wrote:For a 8 yr old, I wouldn't bother with a dev ped and just go directly to a neuropsych eval which is probably what a dev ped will refer your DD when you meet with one.

I'd get one evaluation or the other. A neuropsych evaluation can screen for anxiety as well.

OK. Where do I go for that? I see a lot of argument on these boards about which one provide "real" results.

We are not of the means to have to do this multiple times if the first one is bogus.

Anonymous wrote:For a 8 yr old, I wouldn't bother with a dev ped and just go directly to a neuropsych eval which is probably what a dev ped will refer your DD when you meet with one.

I'd get one evaluation or the other. A neuropsych evaluation can screen for anxiety as well.

For a 8 yr old, I wouldn't bother with a dev ped and just go directly to a neuropsych eval which is probably what a dev ped will refer your DD when you meet with one.

I would get an hearing test for the sound concerns, if anything.

Our 8 year old daughter has increasingly become more and more sensitive to sound, noise, lines in her socks, bumps in her shoes, tags on her clothes, the tighteness or looseness or her hair when tied up, etc.

She has always lacked connection to emotions other than anger or sadness.

I have head yeas of people telling me it's just how kids are.

She also has an incredible will and has recently had accidents on the playground because she didn't want to stop playing to walk 12 feet to a bathroom.

I think there's something up.

We live in Montgomery County.

Can you recommend a developmental pediatrician?