Thursday, April 12, 2012

Diagnosis Process

When my son was three the first diagnosis that made since to me was something I saw in a book called aspergers syndrome. We got in with a developmental pediatrician who ordered speech therapy. I left thinking speech was ridiculous, he has an amazing vocabulary. Instead I enrolled him in a developmental pre school. He went part time for 2 years. By the end of 4 yr. old pre school, I took him for Play therapy.  After a couple months they suggested we get a psychological evaluation.  We then saw a child Psychiatrist who told me to read The Bipolar Child and set up therapy with a male therapist who had no children,  He agreed that the little guy was quirky, anxious and had a temper. He had no clue as to how to get this child to use the bathroom like other 4 year olds. After awhile therapy was history. We enrolled him in kindergarden. He had really bad separation anxiety.  He spent his 1/2 day of kindergarden talking about sharpies. He would tell his teacher what colors they made and what kind of points they had. He would blurt out noises in class and had a hard time sitting in his seat and doing any writing. He was put on ADHD meds. which helped him survive kindergarden but he was soooooooooooo evil when the meds wore off.  He got off the school bus threatening to blow up the school and my how his vocabulary grew that year.  He learned every cuss word know to man... His testing was very uneven. He was exceptional with word recognition, decoding, reading but his math/handwriting was not good at all. He was seeing a new therapist who also thought he met the criteria of Aspergers.  We saw the Developmental Dr. again who had no doubt that he has Aspergers.  His exact words were a psychiatrist wold give him 12 labels but the best diagnosis for him is Aspergers, sensory integration and Dysgraphia. With these labels, we were able to get an IEP for 1st grade, He was able to get speech and OT. He had a great teacher and Special Ed teacher. I volunteered all year so we made it. He was also on medication to stabilize his anger outburst.  Second grade was good too.  His teacher had an Autistic child so his behaviors did not bother her.  He had been in the same school for 4 years and knew everyone. Third grade was another story. He had to move up to the intermediate school.  He had so many changes and did not know the staff. He did not want to go to school. He would fight not to go. He was sick a lot too. He couldn't keep up with the work.  He could do the work at school with help but had no clue as to how to do it at home. He was moved away from the other kids because he was disrupting the students from doing their work. He shut down even more. He was always telling, which wasn't very popular with his peers. He was being picked on and teased. The special Ed teacher made arraignments for him to ride the Special bus to promote independence.  He was teased about this too. We went through many medicine changes. We tried moving him to the Autism class. He left the class and told the principal that he had problems but not like those kids. He was then moved into another class for the last 6 weeks. He had been getting honor roll but this teacher expected more so his grades dropped. He was still fighting us to stay home. This summer was worse with peers. Fourth grade did not happen. I went to orientation alone.  He never went.  We had home bound teaching for the first half of the year. The second teacher convinced me I could home school. We pulled him out and tried a computer program called Switched on School. It is a really good program but we had to unschool for awhile because he had totally shut down. We went to yet another therapist that we stayed with for 4 years. We did individual and group therapy. We saw a very caring psychiatrist who was recommended by the Developmental Ped. He was at wits end with meds as my son was growing.  By now we had added ADHD, Anxiety, Dyscalcula and Bipolar to the diagnosis. We continued different methods of home schooling. We saw very little Aspergers at this stage of progression.  When we started 7th grade we tested at learning RX and saw how bad things were still going. I found a program called Play Attention that would be covered by our insurance. We moved again to Christian Psychotherapy.  We have therapy there twice a week as well. He receives play attention a computer based program to help him focus. He also receives talk/play therapy. His therapist specializes in Education. She ran a long series of tests over a 2 month period. This is were we are now, still Aspergers, ADHD combined, bipolar by history, meaning he has shown behaviors, conduct disorder, and learning disabilities in Math/Writing, dysgrapia and Dysclcula. We are seeing a Psychiatrist who prescribes medication but looks at the core health.  He prescribes diet, and natural supplements. He ordered testing for EEG for food sensitivities, testing for Neuro transmitters and sent us to a Dr. of natural health for hair analysis.  This test showed that he was lacking in so many minerals and was anaemic. He was not toxic to chemicals that one would expect.  His diet has been so restricted as most children on the Autism Spectrum that he is suffering greatly.  We have added a liquid supplement/trace mineral. We noticed his coloring looked better right away. We tried a GF/DF diet with much resistance. It is on hold for the time being as it added more stress to all of our lives.  He is attending church which has always been a problem for him and anyone sitting near him. He enjoys home school bowling and wants to meet new kids.  He finally realizes that the kids who treat me bad that are nice to me today are still going to set me up.  We are making progress sometimes it feels like baby steps or some days we have regression.  But God knows what He is doing and we trust him to guide us and give us wisdom in raising this wonderful child of mine.

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