Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Language disorder evaluation. Please have your child go back to speech-language therapy. This is very common for children to be dismissed from early intervention but then for deficits to show up in the later grades. Not being able to follow a conversation or understand the language she hears is classic receptive language.

Do you have a specific recommendation for this? We haven’t worked with anyone in a really long time. Is this a different testing than going to a neurophysiologist initially for comprehensive testing?

I’m a little overwhelmed by all the different types of testing/therapies. I’ll do and pay for whatever is needed…but trying to figure out what is needed

DD does have perfectionist/OCD tendencies.

Not that poster bit do an auditory processing evaluation with an audiologist.

Ok, I scheduled an auditory processing eval with Potomac Audiology. - Not sure if she needs this, but this place takes our insurance so might as well get it done.

Is this different than expressive-receptive language evaluation? Any recommendations who to got to for this? I feel like this might be what we need - will this also check for slow processing?

IS this also different from neuropsych eval? I'm not too worried about ADHD or executive functioning (she can focus and is pretty organized and good with time management for a 13 year old, no behavior issues, has lots of friends, aware of social stuff). But she definitely has slow processing.

Anonymous wrote:

Anonymous wrote:Language disorder evaluation. Please have your child go back to speech-language therapy. This is very common for children to be dismissed from early intervention but then for deficits to show up in the later grades. Not being able to follow a conversation or understand the language she hears is classic receptive language.

Do you have a specific recommendation for this? We haven’t worked with anyone in a really long time. Is this a different testing than going to a neurophysiologist initially for comprehensive testing?

I’m a little overwhelmed by all the different types of testing/therapies. I’ll do and pay for whatever is needed…but trying to figure out what is needed

DD does have perfectionist/OCD tendencies.

Not that poster bit do an auditory processing evaluation with an audiologist.

DAISY Pascualvaca in the Foxhall medical building, DC or ask your pediatrician or school psych for a suggestion.

Anonymous wrote:Language disorder evaluation. Please have your child go back to speech-language therapy. This is very common for children to be dismissed from early intervention but then for deficits to show up in the later grades. Not being able to follow a conversation or understand the language she hears is classic receptive language.

Do you have a specific recommendation for this? We haven’t worked with anyone in a really long time. Is this a different testing than going to a neurophysiologist initially for comprehensive testing?

I’m a little overwhelmed by all the different types of testing/therapies. I’ll do and pay for whatever is needed…but trying to figure out what is needed

DD does have perfectionist/OCD tendencies.

Anonymous wrote:If you get some testing from the school, do you then need to do less with a private group? Like does that make the overall testing cheaper?

Not in my experience. There was a flat fee for testing.

I would ask how much experience they have with the complex issues you describe. How familiar they are with presentation of autism in girls and later diagnosis. Also experience diagnosing OCD.

We have had several evaluations. One was through insurance, the other two were private pay. Those were more thorough and comprehensive, but I don’t think that generalizes to all providers. For us, it was a matter of timing. We were making some school decisions and needed the testing and reports more quickly. The reports were much faster with the private pay testing - months faster.

If you name some practices you are considering, people here will likely have feedback.

Language disorder evaluation. Please have your child go back to speech-language therapy. This is very common for children to be dismissed from early intervention but then for deficits to show up in the later grades. Not being able to follow a conversation or understand the language she hears is classic receptive language.

What can I ask to discern if the quality will be good or not?

Any other recommendations in MD?

Definitely go with the place that takes your insurance. There is a lot of variation in quality among providers who both do and don't take insurance. While you're on the waitlist at the place that takes insurance, I'd see what their reputation is and if people have had good experiences there.

OP here - thanks for the specific recommendations.

I found a place in Northern VA that takes our insurance and has availability in a couple of months for the testing. It seems to be a practice that does testing and also therapy for all kinds of things - so it's not just focused on neuropsych testing only. Any reason not to go this route?

Are these super pricey groups who don't take insurance doing something different or more? I feel like I'm missing something. I can afford to pay the high fees but what is the advantage of paying thousands when it seems I can get it for a copay? Please help me understand the advantages/disadvantages!

Thanks!