We've been working with the book What to Do When Your Temper Flares and it has been somewhat eye-opening for him. I think he's starting to get the idea that he can choose to not be angry and he can control his emotions. The pediatrician said his self report papers showed that he feels that these jusy come up and he doesn't have any control over them and counseled us strongly to make sure not to reinforce that.
He also self-identified as hyperactive with some attention issues.
HOWEVER, the dev pedi also said that his report for the neuropsych was not completely interpreted in a way that was at all helpful. She wrote that he was "above average intelligence," however he had some clinically significant issues with visual processing and writing skills. The large majority of his WISC placed him falling firmly in the gifted-to-highly gifted range. So we really are looking at a 2E situation with some dysgraphia or dyslexia.
The developmental pediatrician agreed that his tendency for temper tantrums is concerning, however, because it is infrequent (once a month or so) and he holds it together in any other setting besides home, it's highly indicative that he can hold it together but it's REALLY hard. Couple this with the fact that those skills are behind for his age, let alone for his abilities in other things, and it makes a huge disparity.
SO... with all of that said the pediatrician so he would not work with medication since the one we've tried had bad side effects and he doesn't seem to have attention related issues that prevents him from completing schoolwork or other required things. He really wants him to work with a cognitive behavioral therapist, which is absolutely what I wanted. He also listened to me about the importance of a full night's sleep and the fact that this kid snores so he wil refer us for a sleep study.
Of course, he recommended The Explosive Child, which I have on my shelf. However, I was unaware of the huge helps on Dr. Green's website.
We were also told to watch for signs of Intermittent Explosive Disorder (which is just like it sounds) as he nears his teenage years. He said he's ambivalent about this being totally ADHD.
I really have appreciated this board and all of the help trying to puzzle this kid out. Out of all of my kids, he's the one that I feel could maybe go the furthest with a passion.
The dyslexia/dysgraphia thing has me a bit hesitant. I haven't had a strong spelling curriculum for him until this year because we were working so hard on being a fluent reader. (LOE Foundations is finally where it clicked.) I have had him doing Sequential Spelling this year knowing that he could not retain/remember he ruled when he was learning to read. I have seen some of those patterns transition over to his other writing so I'm hoping as he continues writing more other patterns will transfer over. And now, at least, he's more apt to use an appropriate phonetic option if he doesn't know how to spell something. So my plan was to keep using SS; I want to pick something and stick with it the whole way. But knowing that his visual bit was so wonky, do I move him to something like Spelling You See that really reinforces the visual stuff?
Edited by blondeviolin, 06 May 2017 - 09:21 AM.