Asperger? Hyperactive?
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EN:
Can I know how was the process done for the two assessments? How many meet up were there? Were there any Q&A, feedback based on teacher/parents observations, the number of test done etc? What kind of test was carried out?[/quote]Hi EN,[quote]DH and myself are thinking of seeking a 3rd opinion and have DS assessed for AS. Does anyone have a good psychologist to recommend??
For the first assessment, we completed both teachers and parent observation questionaires. He has his first assessment at the age of 5. The psychologist assessed him using the WISC-III assessment and found significant discrepancies btw his processing and verbal/cognitive IQ. Suspected he may have sensory issues and he was further assessed by an OT. He was diagnosed to have poor vestibular and proprioceptive awareness, coupled with hypersensitivity to tactile touches and auditory inputs and poor fine and gross motor skills.
After the diagnosis, he went through intensive occupational therapy for more than 2 years. The 2nd assessment was done by the psychologist in the therapy center. As the therapists have worked with him more than 2yrs (during the summer holidays he will attend their summer school), they completed the observations and conducted a number of tests which included TAPS, OT assessments and diagnostic questionaires for ADHD and autism. Again, they could not find any conclusive evidence for ADHD or Asperger. I pointed out to the EP that I do see signs of AS, but she concluded that it is simply a trait of a high IQ child.
It is really frustrating as his behaviour in school can be very disruptive to the teachers and other students. However, we dont have those issues at home as he will complete his own work and happily sit in a corner and read his books. He doesnt ask for the TV, nor ask to play computer games or the Wii. He will clean up after himself and wash his own dishes after meals. But once he gets to school, he just simply transforms into Mr Hyde. We are really at our wits end as we dont know how else we can help him to integrate better in school :stupid: -
EN:
Great! Great! There's now a plan in place. Your DD is luckier, there was no art school when DS1 was young, so the alternative was to work towards uni. But that kept him going at a very fast rate, and he make it to uni in record time.
Yes, that is the plan that I cook up and share with her during her hospitalization stay last week. I can see that she is a changed girl this week.
We'll watch your DD, and I'm sure she is fired up with her new found hope. She'll achieve something none of us can ever imagine, given the passion so early, and knowing her love so young. -
Thanks 2ppaamm, for replying to my old, old post!
Can I ask you and anyone else with experience, is it too early to diagnose a child as Asperger’s syndrome at the age of 3-4years old? Will the tests be accurate if conducted at this age? Eg if a lot of Q&A is required, how can a young child focus long enough to answer all of it properly?
Thanks. -
[quote]Can I ask you and anyone else with experience, is it too early to diagnose a child as Asperger's syndrome at the age of 3-4years old? Will the tests be accurate if conducted at this age? Eg if a lot of Q&A is required, how can a young child focus long enough to answer all of it properly? [/quote]
Soup, based on the readings that I have made on the web, it seems that asperger is usually diagnose in bigger children or adults. You might want to do a lot of read up to find out more about asperger and do check out on youtube on egs of asperger children. -
[quote]I pointed out to the EP that I do see signs of AS, but she concluded that it is simply a trait of a high IQ child. [/quote]
Seems that the test done on your child is comprehensive enough. Have you read the web on the difference between highly gifted and asperger?
http://www.sengifted.org/articles_counseling/Amend_MisdiagnosisOfAspergersDisorder.shtml
Anyway, like what 2ppaamm said in the earlier postings:
[quote]Does not matter if she is AS or not as a mother. Being diagnosed only help us explain her behavior in school. As mothers, we'll love our kids regardless, right?[/quote] -
soup:
Dear Soup,Thanks 2ppaamm, for replying to my old, old post!
Can I ask you and anyone else with experience, is it too early to diagnose a child as Asperger's syndrome at the age of 3-4years old? Will the tests be accurate if conducted at this age? Eg if a lot of Q&A is required, how can a young child focus long enough to answer all of it properly?
Thanks.
As far as I know, it is never too early. It can be disgnosed at very young age. They do not classified the child as AS by just asking a series of questions. The process to confirm which Autism spectrum does the child belong to is a tedious one, at least this is what my gal had gone through in KK. They also watched her during \"play\". to look out for prominent behaviour. One of the traits as I had shared before for AS child is repetitive movement/action. Also, my girl liked to line up her toys and flash cards in a straight line when she was two years old and this was one of the symptoms as well.
The most depressing one is the behavioral problem. Even now though not as often as she was younger, my gal still cannot stop perstering me repetitively saying the same request again and again until I finally oblige to her particular request which can be very unreasonable. Even if I shouted for her to stop crying and talking and screaming. She will never stop and kept fussing until I took out the cane. Mentally, one can go crazy hearing all the fuss and sometimes I even suspect I may have mental depression whenever she dsiplayed this behaviour.
My family did not have the luxury to go shopping and eating in restaurants when she was young because of her bahavioral problem. As a mother, I was not afraid of losing face if she made a scene but I did not have any idea of how to control her in public. There was a period of time also when she was so afraid of crowded places.
If I ever brought her to a friend's house for gathering, she would only play on her own while the rest of the kids could mix and play among themselves. She did not know how to socialise and interact with her peers but she could talk to older Auntie and taxi Uncle for example.
My girl case is defintely a AS case. Things only improved after her P1 SA1 when I drilled her \"heavily\" to bring up her academic performance and by exposing her to different tuitions to increase her chance of interaction with children of her age including the boys. Once her confidence was boosted especially when she could get encouragement and praises from teachers and peers, she started to open up and could slowly make attempt to try to interact with her peers. I always think it is very important to keep building their confidence. A simple word like \"You have done a great job\" is very important for them. -
[quote]They also watched her during \"play\". to look out for prominent behaviour. One of the traits as I had shared before for AS child is repetitive movement/action. Also, my girl liked to line up her toys and flash cards in a straight line when she was two years old and this was one of the symptoms as well. [/quote]
The last test he sat for has this as well. What the psychologist did was to give him his reading material (he is into reading on cars), he was given Torque magazine to read & then interrupted to ask him if he is interested to play with spin top.
Often I have seen he line up his cars, lego too. The psychologist repeatedly ask me if my child does play pretend. I never really observed until this question was posed. So, after the test, I tiptoed to see. True enough all the toys are line up in two rows. But then I heard in a very soft tone, he was muttering while playing. I startled him actually & he told me he was pretending to prepare his toys for a battle.
Does your child line things up in a row with no intention or there is a specific reason to it?
Mine always been asking questions. Chase me and remind me until I find the answer through the internet or at least find the necessary resources so that he can observed what he wants to know. I thought repetitive movement are rigidity in adhering daily schedules? The only thing that is still apparent in the daily schedules that must be met, is my child quirkiness of having to see me 1st thing in the morning unless I have done my diligence by saying good bye (like travelling). Otherwise, he will scream blue murder for hours when he was a toddler. As he grows up, he will take the initiatives to find me the whole house then he will call me up. By now, I usually will wake him and say good bye before leaving the house.
Not sure the result still. The Q & A mostly negative on our observation. Another thing about asperger is their inability to read facial expression. But ds told me he noticed the psychologist frowning while he is doing his WISC. -
soup:
from your 1st post on this thread, your child behaves very much like my boy when he was younger whom KKH diagnosed as ADHD and not Asperger.Thanks 2ppaamm, for replying to my old, old post!
Can I ask you and anyone else with experience, is it too early to diagnose a child as Asperger's syndrome at the age of 3-4years old? Will the tests be accurate if conducted at this age? Eg if a lot of Q&A is required, how can a young child focus long enough to answer all of it properly?
Thanks.
Whatever it is, what is impt is what you intend to do with whichever diagnosis?
Our intention then was to find out why he was such a non-conforming child and get professional advice on how we should manage him. But KKH seemed rather eager to put him on medication to subdue him which we thought was not a good long term solution. In fact, after a couple of weeks, we saw no diff in him with or without medication.
In any case, IMHO, what is important is the parents have to work closely with the caregivers and school teachers. These days, your child will not be alone. My boy's class in P1 had at least a couple of autistic, another AS and another couple of so of ADHD (or it seemed). So it's utmost imprtant for parents to work closely with teahcers to lighten their load. -
Full.Cream:
Some kids respond well to medication, but some do not.
Our intention then was to find out why he was such a non-conforming child and get professional advice on how we should manage him. But KKH seemed rather eager to put him on medication to subdue him which we thought was not a good long term solution. In fact, after a couple of weeks, we saw no diff in him with or without medication.
What they need more than medication is understanding and support from parents, teachers and peers. Even the canteen vendors have to be understanding towards them because they may get rowdy in the canteen and 'cut queues'.
I've worked with a few kids who are not on medication and they are doing well in Secondary school. Leaders in their CCA, have many close friends, good results and learning to be great team players while donig groupwork. They can achieve alot more than others if given the chance and the guidance
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I got it wrong. The medication is actually some stimulant and it acts on the central nervous system.
I think for most cases of ADHD, they will outgrow it. Very often, (I guess) the kids are just too gifted and feeling bored and impatient during regular class.
On hindsight, we are glad we took him off it after a while. We can say this coz we somehow managed to cope despite many hair tearing moments!! :lol:
Whatever it is, AS or ADHD, it's good to work closely with the teachers. Some of these kids does not understand the concept of punishment and if the teachers are unaware and thought their are just misbehaving, itmay do even more harm to them.
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