Processing...

Our evaluation with the child psychologist and occupational therapist was last Wednesday.

I thought I would update right away, but honestly it was a lot to process.

And we don't know the results until this Friday.

Honestly, I am still not sure what to think of the experience or what I was told. Currently, autism of any level is "off the table" according to what the psychologist told us at the evaluation. Apparently, he is too talkative. Having met autistic children and adults and parents of autistic kids, I know very well that autistic individuals can be talkative and social. I found it really odd - and frankly wrong - to take autism out of the equation simply based on the fact that he interrupted me hundred times during the evaluation.

And then I get this feeling of guilt that I am "upset" or "confused" about autism not being a possibility - obviously as a mother I would love for a doctor to see and say he is totally normal. Except that is not what she said - she said that we are obviously looking at "something", most likely severe ADHD and SPD (sensory processing disorder). She said that many of the symptoms/behaviors can mimic autism, especially Aspergers/high functioning. Even with her admitting that his behaviors (especially in repetitive behaviors/stimming) appear autistic, she refused to use the autism diagnostic checklist during their playtime.

If she decides this is what he is dealing with (ADHD/SPD mix), the only options we have are occupational therapy (OT) and later on, medication. When I expressed my worry that while he does okay in school now (3 hours, twice a week), that he could be overwhelmed later on when it is 8 hours a day, five days a week her answer was "well, that is when you use medication".

We are already doing the other things suggested, like diet changes (he doesn't have sweets, sugar, junk, and after taking out food colorings we saw no difference though we do avoid them in general anyway). We already are using the parenting techniques she mentioned. I feel as though she heard our cry for help and answered with a generic label.

We will see what Friday holds. What her final conclusion is. If nothing else, we have gotten in touch with an OT that we like through this (who was much more helpful!) and at least she is taking his sensory issues seriously. We also get the "results" of the school testing on Friday, I thought they were helpful as well when I met with them during that evaluation.

In case you can't tell, I am still processing, I am feeling muddled. And I am feeling rather foolish that I hoped the first doctor we met with would listen to me and take his entire history into account, not just the good day he was having that day. I came in to her specifically with questions about "Level 1" Autism - because when I read those criterea, when I look at the books and the examples and the checklists, I see my boy in the pages. I can absolutely accept that it can be something else, but I at least want my concerns taken seriously.

Everyday since the evaluation has been very hard for Rocket Boy - he is in a sensitive period right now, and everything and anything is setting him in tantrums, fear, or crying. I can see the confusion in his eyes when he can't handle the world, and it makes me even more determined to make someone listen. I'm his mom, I know him better than anyone, and I know that I have to work for him to find out what our answer is - no matter what that ends up being.

Piles and Piles of Paperwork

Wonderful news in our journey - we got an appointment for autism evaluation. The child psychologist's office called me back and we have a spot for a 3 hour evaluation, on November 5th. There will be a parent interview, child interview, a play session, and then an evaluation with the occupational therapist to look at motor skills and sensory issues. Then the next week (on the 14th) I meet with the team to discuss the findings. That same day I will also meet with the school district team to discuss their findings.

So basically, the 14th is a pivotal day for our family.

I probably won't sleep between the 4th and the 14th.

In preparation for the evaluation they have sent ahead piles of paperwork and questionaires. The GARS-3, the BASC-2, a sensory evaluation sheet, an Autism checklist from another source, a checklist from our hospital system, and the normal intake papers. On top of that, I will by typing up documents to accompany several of the sections, since my comments and concerns won't fit in the little space provided. I am all about providing everything that might be needed and covering my bases before I am even asked. I also get flustered when something emotional is going on, and I don't want to forget anything.

Rocket Boy's behavior has been in a pretty downward spiral as of late. Yesterday, he tried to choke me...yeah. My three year old put his hands around my neck and squeezed and yelled. I have no idea where he got that from. We are very careful about what he sees on TV and he has never seen that kind of violence at home. Ever. That meltdown and aggression started when I asked him to stop running his car into my leg and he threw it at me. I took the car and the meltdown commenced. He finally passed out for a nap. I had to lay down and calm down...and just cry. Hearing my little boy yell "I don't like you!" and throw things and hit me and get so physical - no mother wants to experience that.

I hope that this evaluation leads to answers and help. Rocket Boy and I need tools to help him.

School District Evaluation

The start of our journey with Rocket Boy was a high ASQ:SE score. He scored a 170 (not including the extra points from areas I marked as concerning) and the cutoff for "normal" is 70. This confirmed for me that the issues we were having was not all in my head. The public health nurse who helped us with the screening suggested contacting our school district as a good place to start since Rocket Boy was past the age for the Early Intervention programs.

And so, we contacted our school district. Initially we were told it could be two months before we would be seen, even with the high ASQ:SE score on file. I decided to send the evaluation team a document outlining some the behaviors we were seeing at home and socially, hoping that it would speed up the process. It did, and they fit us in just a week after that email went out.

Today was the evaluation. Rocket Boy did super, as I knew he would. He is very smart, but of course I think that since I am his mama. When it comes to cognative skills and learning ability, RB is ahead of the curve. Today just confirmed that again for me. We won't know the actual scores for a few more weeks but their initial tally today showed that he is advanced. Since I tested within "gifted" range as a child, this wasn't a huge surprise to me - but it doesn't stop me from feeling proud!

However, given my concerns and his ASQ:SE score, they want to observe him at preschool. They will not be looking so much for educational delays or issues but more for social abilities. They want to see him among his peers and trying to "attend" (pay attention) to tasks. They agree that while he may be able to sit still for three hours right now, his immediate meltdowns after school time is over shows just how much effort that takes for him.

They were able to give me the names of some Occupational Therapists and Child Psychologists in town who we can contact for private evaluation. His social/emotional issues will not receive help from the school if they don't interfere with learning, therefore we will most likely need private evaluation to get any therapies or help.

Step One of this journey is completed, or at least mostly completed. I will sleep a little better tonight just knowing we put one foot in front of the other today.