Anonymous
01/12/2023 05:45
Subject: Disciplining the undisciplinable - HELP me with my 4yo DD
Anonymous wrote:Just curious, how exactly does an occupational therapist change this behavior? And, with a 4 year old?
NP here. So, I don't know exactly how it works, just that it can. My dd, while not as explosive as OP's, did work on it in OT. All I know is, OT helped my dd learn self-regulation.
OP, you've gotten some good advice here. I would defenitely reach out to your ped, it might be time for a referral to a developmental ped. Also get a referral for an OT evaluation. That's something that you can usually get into relatively quickly-while pursuing the dev ped and whatever they recommend. OT is fun for kids, and if you see no benefit, you can just stop. An OT therapist can also give you ideas for a 'sensory diet' at home for her.
It's something you can do in the meanwhile.
Anonymous
01/11/2023 21:17
Subject: Disciplining the undisciplinable - HELP me with my 4yo DD
I’d try contacting a BCBA for an in-home behavioral consultation. www.bacb.com to find one in your area.
I’d get hearing, vision, allergies tested, meet with a pediatrician and nutritionist, get started with school evaluations/data collection/keeping a paper trail, etc as well- but think the in-home behavioral consult will be your best bet for a quick answer to what’s going on.
They aren’t a magic solution but many have training related directly to in home parent training. Find one with that training background. The BCBA should be able to assess the situation- typically involves interviewing you, récords review, identify some challenges or things that do or don’t work, maybe some Direct assessment tools, etc. They may have you record data on your behavior as well as child’s behavior, observe your interactions during different activities, etc. After that assessment they might provide parent training, work directly with the child, or both. They may also act as a liaison between school or other professionals.
You’ll need to be open to taking direction and having someone in your home on a regular basis for this to work. Frequency of visits varies dependent on child-specific concerns following the assessment and what you want and the professionals think you need to achieve. It’s very child and family specific but not always easy or cheap. Can be a great option though if you’re on board 100%. Think of it as more of a collaboration when done well. Do your research up front and find someone with educational and experience that matches your needs and someone you like as they will be in your home.
I’d get hearing, vision, allergies tested, meet with a pediatrician and nutritionist, get started with school evaluations/data collection/keeping a paper trail, etc as well- but think the in-home behavioral consult will be your best bet for a quick answer to what’s going on.
They aren’t a magic solution but many have training related directly to in home parent training. Find one with that training background. The BCBA should be able to assess the situation- typically involves interviewing you, récords review, identify some challenges or things that do or don’t work, maybe some Direct assessment tools, etc. They may have you record data on your behavior as well as child’s behavior, observe your interactions during different activities, etc. After that assessment they might provide parent training, work directly with the child, or both. They may also act as a liaison between school or other professionals.
You’ll need to be open to taking direction and having someone in your home on a regular basis for this to work. Frequency of visits varies dependent on child-specific concerns following the assessment and what you want and the professionals think you need to achieve. It’s very child and family specific but not always easy or cheap. Can be a great option though if you’re on board 100%. Think of it as more of a collaboration when done well. Do your research up front and find someone with educational and experience that matches your needs and someone you like as they will be in your home.