Anonymous
Post 12/19/2011 18:26     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

Anonymous wrote:
Anonymous wrote:She is 8, does well in school but has borderline difficulties across the board -- with attention, with visual processing, with social skills. She is very smart too -- everyone comments on this -- how amazing her vocabulary is, what a good reader she is, how creative her stories are, etc.

When I see her around other kids, I wonder why this child can come home and write a 20 page detailed creative story, but with friends has trouble carrying on a conversation. Her eight year old "friends" talk about kids at school and what happened during the day, etc. They are gorwing into little people. My dd's conversation is stilted and she asks a lot of the same questions over and over again and her play is very immature. I was kind of hoping to get the answers out of the neuropsych to explain this and I didn't. So, I guess I'm asking. Is no one going to be able to answer this who doesn't observe her all day long at school and at home?

to
Some of what you describe fits my child -- being very bright but unable to perform as would be expected in some ways, having difficulty with social relationships even though very social and wants to play/have friends, difficulty participating in conversations but can talk freely in great depth (although my child wouldn't be able to write as you describe). Very immature play -- basically, in our case, no imaginative play, which makes sustaining friendships very difficult at this age.

Our child has a expressive/receptive language delay and dyspraxia, and likely also auditory processing disorder and/or dyslexia, yet is probably gifted. The language delay shows most when child has to respond to conversation (i.e. child has to fit oral speech into a "box" that matches conversation give/take). Yet, when child can speak outside the box, he/she is excellent speaker. Our speech-language person told us that this was one aspect of an expressive language disorder -- the more requirements on the responsive speech (speed, content, tone, etc), the harder it is to do.

Also, the expressive speech issue makes social interaction very difficult -- child has hard time expressing needs, negotiating, understanding non-verbal communication, following multi-step directions, and engaging in imaginative play (because child can't sustain story length).

We don't get the stilted repetitive questions, although we do get a lot of questions about things one would think are understood, I think because DC doesn't necessarily hear/process everything well

If I were to do further evaluations for us, I would look for someone who can untangle giftedness from LD from attention issues, as these are often overlapping.



OP here again... From what I have been told, they are not overlapping. But I would love to hear what you know. My DD is in the 100% in many verbal IQ areas, but they do not consider her gifted. And despite her processing speed challenges that is not considered a learning disability. And attention issues can cross over both those areas but are not necessarily related to one or the other.
Anonymous
Post 12/19/2011 13:00     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

Anonymous wrote:She is 8, does well in school but has borderline difficulties across the board -- with attention, with visual processing, with social skills. She is very smart too -- everyone comments on this -- how amazing her vocabulary is, what a good reader she is, how creative her stories are, etc.

When I see her around other kids, I wonder why this child can come home and write a 20 page detailed creative story, but with friends has trouble carrying on a conversation. Her eight year old "friends" talk about kids at school and what happened during the day, etc. They are gorwing into little people. My dd's conversation is stilted and she asks a lot of the same questions over and over again and her play is very immature. I was kind of hoping to get the answers out of the neuropsych to explain this and I didn't. So, I guess I'm asking. Is no one going to be able to answer this who doesn't observe her all day long at school and at home?

to
Some of what you describe fits my child -- being very bright but unable to perform as would be expected in some ways, having difficulty with social relationships even though very social and wants to play/have friends, difficulty participating in conversations but can talk freely in great depth (although my child wouldn't be able to write as you describe). Very immature play -- basically, in our case, no imaginative play, which makes sustaining friendships very difficult at this age.

Our child has a expressive/receptive language delay and dyspraxia, and likely also auditory processing disorder and/or dyslexia, yet is probably gifted. The language delay shows most when child has to respond to conversation (i.e. child has to fit oral speech into a "box" that matches conversation give/take). Yet, when child can speak outside the box, he/she is excellent speaker. Our speech-language person told us that this was one aspect of an expressive language disorder -- the more requirements on the responsive speech (speed, content, tone, etc), the harder it is to do.

Also, the expressive speech issue makes social interaction very difficult -- child has hard time expressing needs, negotiating, understanding non-verbal communication, following multi-step directions, and engaging in imaginative play (because child can't sustain story length).

We don't get the stilted repetitive questions, although we do get a lot of questions about things one would think are understood, I think because DC doesn't necessarily hear/process everything well

If I were to do further evaluations for us, I would look for someone who can untangle giftedness from LD from attention issues, as these are often overlapping.
Anonymous
Post 12/19/2011 12:47     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

OP here. Is there a difference between a language specialist and a SLP?
Anonymous
Post 12/19/2011 11:15     Subject: Re:Long..sorry...hear me out -- questions about Neuropsych and follow up


You need a language specialist. I'd also highly recommend the book The Mislabeled Child by Drs. Brock and Fernadette Eide. They go through each disability, its symptoms, why it's confused with other disorders, and how to treat it.
Anonymous
Post 12/19/2011 09:18     Subject: Re:Long..sorry...hear me out -- questions about Neuropsych and follow up

What about semantic pragmatic language disorder?
Anonymous
Post 12/19/2011 07:20     Subject: Re:Long..sorry...hear me out -- questions about Neuropsych and follow up

What about auditory processing disorder?
Anonymous
Post 12/18/2011 23:06     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

I doubt it is the same neuropsych because mine was not a man, but two women.
Anonymous
Post 12/18/2011 23:06     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

Anonymous wrote:AS


What does this mean?
Anonymous
Post 12/18/2011 22:36     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

AS
Anonymous
Post 12/18/2011 22:22     Subject: Long..sorry...hear me out -- questions about Neuropsych and follow up

Anonymous wrote:OP here. We've done bio-med already -- our DD does indeed have gluten allergies and has had, in the past, yeast imbalances. I'm surprised, slightly, to hear everyone whose responded so far jump on the ASD possibility -- is that the only possibility, really, with stilted language and awkward conversations? If it is, i'm fine. I've long gotten over the possibility of it being devastating but is that really the only possibility? And if it is Aspergers or PDD-NOS or whatever, would I be doing anything besides what I'm already doing with Speech and OT in school and social group? BTW, it was a private provider and they said when we met that she absolutely did not fall into the ASD category because she was so social -- she is very interested in being social rather. She loves kids, and tries to keep up with them, but something is definitely off.


17:10 again and again I'm wondering if its the same neuropsych we had because he told us the same thing -- absolutely not an ASD. he was absolutely wrong. I am NOT saying your DD is on the spectrum, just relating our experience.

I have to gently disagree with the idea that diagnoses don't matter. I hear that fairly often and frankly I think its an attitude that just perpetuates the shame and stigma of an ADS. Its a medical disorder, lets deal with it in a straightforward manner. Its not the third rail. For us the diagnosis was incredibly important not just so we could understand what our DS needs, but so that he could understand himself. he is doing incredibly well, has friends, and sees this as just one aspect of who he is, but not a defining thing.

But I digress. Dan Shapiro is a fantastic developmental ped but I don't know if he's taking new patients.