Preschool IQ test - uneven scores?

[Guest]

For the kids for whom it wasn't enough, well that's where you get kinda pissy and wonder why the SLPs treating it wouldn't get trained in a KNOWN EFFECTIVE METHODOLOGY. Grr.

OhE, saying this gently but you have the experience of only one child, your own. And while I can appreciate what you are saying about making a phone call, I don't think it is fair painting all people that are not PROMPT certified with the same brush. SLPs sometimes go beyond their basic training to specialize in certain areas, and some may be new while others more seasoned. A professional to me learns from the experience of others when said professional wants to make a difference. They learn a lot more from experience than the training. A good professional of any kind cares about the quality of their work and works at getting better. I'm not saying that every SLP will be that way but to me, the person that puts top priority on finding ways to help my child, is a professional I want to deal with.

[Lecka]

CBT is just a common thing recommended for ADHD. Saying you have an ADHD diagnosis is enough reason to consider it.

 

LIPS goes with speech therapy, it doesn't go with OT. I bet there is something with a similar sounding name.

 

That -- saying "snapping" instead of "pinching" -- whatever else it might be, things like that are often on lists for "red flags for dyslexia." I don't know what "other things not directly related to reading" it might mean, but it is just one more reason to think you are looking for dyslexia-esque reading materials/techniques.

 

At some point you may want to read Overcoming Dyslexia or something. Not that it is the end-all be-all but you might see some more things from it and maybe you notice and put things together.

 

The thing is ---- having a good imagination can go along with dyslexia-type stuff too. It is not all deficits at all. There are associated strengths, too. It sounds like a lot of people are seeing those things too.

 

My older son has had a speech goal related to his "rapid speech rate." It does make it harder to understand kids when they talk too fast. I had no idea that could be a speech goal ;) But he was older than your daughter at the time and he would get kind-of flustered a lot. But it is just one of those things -- I am like, "oh, that can be a speech goal???" He does much better now.

 

Edit: and there strengths for ADHD, too, I have just read more about dyslexia.

Edited June 25, 2017 by Lecka

[Guest]

CBT and Social Thinking will be roughly equivalent and serve similar purposes.

 

Ummmmm, no! Absolutely not! While M. Garcia Winner may borrow concepts from CBT and other approaches, she is an SLP, not a psych. CBT is done by psychs.

Edited August 13, 2017 by Guest

[Daria]

The other brilliant thing about PROMPT, if there happens to be motor planning going on, is that you can harness it to bring multi-sensory to your LIPS, etc. That's what we did, and it was SUPER POWERFUL.

 

To me, personally, I don't get why they aren't using PROMPT for EVERY child. Why should kids with more typical delays not get it? There's no harm to it, and it gives you the ability to instantly cut to the chase and get the dc there. So much trouble could be saved. Oh, that wouldn't make them money if it took less time to do the therapy. Hmm. 

 

Oh yeah, Liz here is never cynical.

 

PROMPT is a methodology that is designed very specifically for one type of speech problem -- problems caused by apraxia, which is poor motor planning.  SLPs don't use PROMPT for every child because, if the issues aren't caused by apraxia then PROMPT won't work.  Those kids need other techniques that are designed for low muscle tone, or poor phonological processing, or hearing loss, or whatever their particular issue is. Saying that every child should get PROMPT because it's powerful, is like saying arm casts are a powerful tool, so they should give them to the kids with sprained ankles.  

 

Generally, in my experience, kids with apraxia aren't missing specific sounds.  They don't have patterns like "she says T for K" or "he voices the unvoiced sounds".  Instead, once they're past the point where they have no sounds, they have difficulty using the sounds they have in the right order, and the errors they make are unpredictable and inconsistent.  Southern Ivy isn't describing that, so while it's possible that her kid has apraxia, it seems unlikely. 

 

There are also many factors that can contribute to difficulty with intelligibility that don't even have to do with what's going on in the child's mouth.  Kids can struggle with intelligibility because of pragmatic problems that make it hard for them to monitor their listener's understanding, look towards their listener, or stay on an expected topic.  They can be hard to understand because they speak too fast, or have too little redundancy in their speech.  They can be hard to understand because poor word retrieval causes errors that cloud the message.  

 

Getting a full evaluation, by someone who is a generalist and can sort out all the issues makes sense as a place to start.  If the person identifies a specific issue, whether that's social thinking, or apraxia, or word retrieval, then it may make sense to look for a specialist in that area, but jumping straight to a PROMPT specialist, doesn't make sense.  

[Guest]

That -- saying "snapping" instead of "pinching" -- whatever else it might be, things like that are often on lists for "red flags for dyslexia."

Or social language/ pragmatics:

 

http://www.asha.org/public/speech/development/Pragmatics/

 

Which is why a SLP should be sorting this out. We are just a group of moms with experience with our own children. No matter how helpful we want to be, we could misguide someone basing recommendations on experience with our own kids!

Edited June 26, 2017 by Guest

[Lecka]

It doesn't come across as social language/pragmatics to me.

 

But yes -- I agree it is for a speech therapist to say, but it is still good to know it is a dyslexia red flag, because a speech therapist might not mention that if it is not what they are focused on.

 

But things do definitely overlap!!!!!

 

Edit: I see things like this example mentioned a lot wrt dyslexia, and if it is just the occasional thing it isn't even like a "need speech therapy" thing. So it is possible a speech therapist could think it is not a concern, too. Or it could be this, or that.

 

Whatever the speech therapist thinks -- it is still something that is on lists of red flags for dyslexia, and I think it is worth mentioning.

Edited June 26, 2017 by Lecka

[PeterPan]

The girl loves nature and art. She loves climbing her tree and hanging off anything - she's got some wicked arm strength. Her imagination is one of a kind. I really just need to have her tell me stories and write them down. We could get them published and make tons of money. haha

 

Mom and I talked about continuing with math, doing science experiments and watching Magic School Bus, reading Bible stories and living books for history, and hitting OT and speech hard. 

Ooo, definitely! That's interesting that she has a strong ability to narrate. My dd was like that at that age, with reams and reams. Your plan sounds good. :)

 

It's typically only if she's watching TV (like, really in the zone) or if it's noisy. 

 

Makes sense, and that's really good! Getting glazed with tv is normal for any kid, and the noise would go back to the APD question. With my ds, the not responding was just in random, quiet locations where there wasn't an explanation. Like it was really, really odd. Like he'd be talking to you just fine, like you think it's fine, and then all of a sudden he's not responding. He did it with the audiologists (students plus prof), and you could tell the prof's radar was really going off! We were walking down a hallway and he had been conversing with one of the students. Then he just stopped responding. Really wild. But yeah, the tv thing, the noise thing, I've seen that with other kids.

[PeterPan]

The thing is ---- having a good imagination can go along with dyslexia-type stuff too. It is not all deficits at all. There are associated strengths, too. It sounds like a lot of people are seeing those things too.

 

 

Bingo! People will extend it farther and talk about right/left brain, the alphabet soup of diagnoses, etc. My dd is *not* diagnosed with dyslexia, only straight ADHD, and I found Dyslexic Advantage really insightful with her. I think exploring strengths and realizing maybe some of her strengths are unusual or maybe not common to ALL kids, but part of her unique combination, can really be healthy. It puts you back to seeing her as a WHOLE child, not only a broken child. 

 

Your child doesn't view herself as broken. I always find it challenging to stop and go ok, you've got this whole list of things that aren't working, and you're addressing them lots of ways during the day. Now make sure you're ALSO working to his strengths, doing things that really work with his gifts.

[Guest]

It doesn't come across as social language/pragmatics to me.

From the link:

 

"Pragmatic disorders often coexist with other language problems such as vocabulary development or grammar."

 

There are many possibilities that we are not qualified to tease apart, especially for a child we have never met. I think it is pretty clear at this point that the girl needs a SLP eval. There are certainly language issues that people that know her are noticing!

Edited June 26, 2017 by Guest

[Guest]

Quote:

"The child with dyslexia has trouble almost exclusively with the written (or printed) word. The child who has dyslexia as part of a larger language learning disability has trouble with both the spoken and the written word."

 

Language-Based Learning Disabilities (Reading, Spelling, and Writing)/ American Speech-Language-Hearing Association

http://www.asha.org/public/speech/disorders/LBLD.htm

[Lecka]

I don't disagree with that, but I am someone where my older son also had a lot of OT-type needs and when he had neuropsychological testing in 4th grade he was diagnosed with dysgraphia (handwriting issues).

 

This often goes along with information about dyslexia and grouping them together was helpful to me.

 

There is also nothing there about associated strengths.

 

In the "dyslexia" books -- I am being generic -- you tend to see information about reading, speech/language, handwriting, ADHD, executive functioning, and associated strengths.

 

I think it is not perfect but it can be helpful to see what is associated and might need to be looked into more. Plus there may be creative ideas for the associated strengths.

[Lecka]

I also wonder if it has to do with "scope of practice" for speech therapists. I don't know a lot about this, but sometimes they are limited in what they can work on to things in their scope

of practice.

 

/just an aside

 

(What I mean is -- when you say "language-based" then that is something for speech therapists. When you say "reading" that may not be something for speech therapists. And I don't know, it is just something I wonder. I have heard it come up for other things.)

Edited June 26, 2017 by Lecka

[Lecka]

Edited -- sorry, a tangent.

 

Okay, here is my issue with things taken from the speech therapy website.

 

In practice for me -- what category of people at school (and/or privately) have worked with my older son?

 

Speech therapist, occupational therapist, reading specialist, school counselor, resource-room teacher.

 

All these people working with my son, one child.

 

All basically seeing the same thing with him.

 

But is the speech therapist also an OT? Also a reading specialist? Also a school counselor? Also a resource-room teacher?

 

No.

 

The speech therapist does the things that go along with his/her background and training.

 

But they are at the meetings with all these other people, and know all these other people. They are aware of their students' associated needs and how they can support them within their field of speech therapy.

 

So I think it is nice (and accurate) for the speech therapy association to include themselves in "______"

but they are still speech therapists and are going to come at it from a speech therapy angle.

 

But they are not going "wow, all you non-speech-therapists sure are stupid."

 

Edit: on the other hand maybe they provide insight to others especially pertaining to the language-related things they are seeing with the student, and maybe they have great information about how that fits into other things that may be more in another person's area in practical terms.

Edited June 26, 2017 by Lecka

[Crimson Wife]

  Trying to remember here, but basically a 5 yo should be 100% intelligible, irrespective of letters missing. It's something we have watched for years on my ds, and it's *exceptionally* concerning that you're getting it flagged so much. Don't blow that off.

 

Yes, a 5 y.o. may have a few substitutions (/f/ for voiceless /th/ is a common one) but should be close to 100% intelligible by unfamiliar listeners.

 

[Crimson Wife]

I also wonder if it has to do with "scope of practice" for speech therapists. I don't know a lot about this, but sometimes they are limited in what they can work on to things in their scope

of practice.

 

/just an aside

 

(What I mean is -- when you say "language-based" then that is something for speech therapists. When you say "reading" that may not be something for speech therapists. And I don't know, it is just something I wonder. I have heard it come up for other things.)

 

Assessment and intervention for disorders of reading and writing (composition rather than penmanship) *ARE* within the scope of practice for SLP's according to their professional organization, the American Speech-Language-Hearing Association.

 

However, state licensing boards may or may not allow SLP's to formally diagnose dyslexia as opposed to "phonological processing disorder". Once I (hopefully) get my SLP certification, I could run a CTOPP, an OWLS, and other dyslexia tests. But depending on the state, I might need to call it "phonological processing disorder" and make a referral to a psychologist for formal Specific Learning Disorder-Reading evaluation. I haven't been able to get an answer about my state and it's one of the reasons I am undecided about pursuing a graduate certificate in Educational Therapy. The ET coursework would give me the training to assess LD's but if I cannot formally diagnose in my state as a SLP, I'm not sure it's a smart financial investment.

[PeterPan]

Assessment and intervention for disorders of reading and writing (composition rather than penmanship) *ARE* within the scope of practice for SLP's according to their professional organization, the American Speech-Language-Hearing Association.

 

However, state licensing boards may or may not allow SLP's to formally diagnose dyslexia as opposed to "phonological processing disorder". Once I (hopefully) get my SLP certification, I could run a CTOPP, an OWLS, and other dyslexia tests. But depending on the state, I might need to call it "phonological processing disorder" and make a referral to a psychologist for formal Specific Learning Disorder-Reading evaluation. I haven't been able to get an answer about my state and it's one of the reasons I am undecided about pursuing a graduate certificate in Educational Therapy. The ET coursework would give me the training to assess LD's but if I cannot formally diagnose in my state as a SLP, I'm not sure it's a smart financial investment.

 

So then help us out here. We've had discussion on this SLP diagnosed "phonological processing disorder" before, and iirc people were trying to say it's NOT dyslexia, that it's something ELSE that is magically language-based for phonological processing and is NOT the phonological processing of reading. Like maybe it's how they hear the sounds but not how they process them to text? I have no clue. Kinda tried to stretch my brain on that one and never got there, but I'd tried to roll with it.

 

It sounds like you're saying they're equivalent. Is that what is really going on?

 

There's some funkiness with billing too. Like one SLP we saw put autism as a diagnosis (yes), but for insurance purposes would code it as SCD. So there's what they diagnose it as to get insurance to pay for the therapy too.

[Southern Ivy]

Fascinating - 
My mom got my daughter yesterday and my sister just talked to dd this morning. She just messaged me and said that the speech difference between now and a month ago is drastic. For the last month, dd has been off food dyes, minimal sugar, and fewer preservatives. 

"I just talked to Riv. Her Speech improvement and the ability to understand her is incredible....It's a HUGE difference. I usually have a very hard time understanding her. She was incredibly clear today."

It's amazing what cleaning up a diet can do. I thought I was notice more logic and higher vocabulary these last couple of weeks. It's so nice to have someone else randomly comment on it too. 

[Lecka]

That is great!!!!!!!!!

[Lecka]

Crimson, thanks for that explanation.

[kbutton]

I am glad you are seeing improvement in your DD's speech lately with a cleaner diet. I have a lot of allergies/sensitivities, so I am a firm believer that it can really be powerful for (some) kids. It sounds like you are on to something helpful!

 

The longer this thread gets, the more I wonder if you are going to end up with an alphabet soup kiddo as someone has already said. My younger son, who literally has a diagnosis of LD-NOS (learning disability-not otherwise specified--as "we know it's there, but we don't know what it is" as you can get), finally had his alphabet soup explained a little better by a connective tissue disorder diagnosis (there are numerous kinds, and some kinds have stronger links to things like learning and coordination issues than others, but the possibility is there across the board)--it explains the motor problems that are not developmental coordination disorder, the jaw stability issues that are apraxia/oral motor issues with feeding that are not quite like "can't produce speech" apraxia, the ADHD (in his case inattentive, disorganized), etc. It doesn't really explain the APD, but the APD explains the language issues, and there is family precedent for that sort of thing (and APD seems to go along with other connective tissue disorders a lot of the time).

 

I would encourage you on the speech side of things to periodically record her speech. My son had a speech eval at almost six, and he was working on perfecting R's and L's at the time (conventional speech therapist familiar with PROMPT and published/highly recommended for apraxia), and the SLP told us he was fine. She said it was probably an APD thing. Fast forward two years, and he started losing sounds, speaking more rapidly, etc.--all the stuff that OhElizabeth said is a red flag for lack of motor control. He essentially did not have the jaw support to speak correctly, so he changed his whole way of speaking to accommodate what his jaw could handle, and this made him lose sounds, etc. It really is a multi-faceted sort of thing. PROMPT has helped him a lot (we used a different provider to assess him this time, and she connected dots between things that should have been caught when he was an INFANT). He might never be able to speak correctly all the time, but he can (now) switch back and forth and knows how to use his motor patterns to speak correctly (still learning to do better, speak longer, etc.). In his case, the extra jaw stability is also important because it affects his eating as well. He can't eat very quickly at all, and he fatigues while eating. He is already low weight due to his connective tissue disorder, so it's all a big thing wrapped up together. Anyway, I would record her (some video, not just sound), and revisit that over time. If she loses speech sounds, that's a big red flag. 

 

Anyway, I am more and more convinced that anytime a child has some kind of language issue or is at risk for one, this should be considered a long haul, things will unfold over time, sort of situation. It seems like language just hits so many things. We thought my older son was more cut and dry, but we're finding that he has been compensating for his language issues for years with exceptional logic. Updated testing shows a spread in scores that is astonishing--his highest area of testing 4 and 5 years ago is actually his highest DISABILITY area. I'm still working to find my footing and make plans for that turn of events. Thankfully, while there has been a bit of "wasted time" in some areas (lack of progress in composition and some higher order verbal thinking), he's done just fine in others, and a lot of the therapy we did (vision therapy, OT, ADHD meds, ABA--even music lessons) has been great. He needed those other things as well. 

 

Don't panic if you can't get all the answers at once, but assume that language disability of some kind (or various kinds) is present in some fashion--as a result of ADHD plus APD/phonological stuff, present on it's own with other stuff, who knows. But it seems (to me with hindsight about my kids) to be something that is happening in your situation.

 

Some of us have some kind of therapy that has worked with our kiddos that was, like OhElizabeth says, "rocket fuel" for our specific children. Some therapy that coincided with a sensitive developmental period (as Montessori folks like to say), and then the child took off. Others have more slow and steady progress that feels like a drip, drip, drip, but then they see results. I am confident you will find the right combo of things for your kiddo, but you might need to keep a lot of information tucked away in the back of your brain as little pieces of the puzzle come together. Revisit them, and see what unfolds. Keep a log of things you see, make copies of work, write as descriptively as possible about what you see and keep it in a file, use checklists for various possible problems and date them to track what you think you see. It will help you later. 

 

 

[Southern Ivy]

I am glad you are seeing improvement in your DD's speech lately with a cleaner diet. I have a lot of allergies/sensitivities, so I am a firm believer that it can really be powerful for (some) kids. It sounds like you are on to something helpful!

 

The longer this thread gets, the more I wonder if you are going to end up with an alphabet soup kiddo as someone has already said. My younger son, who literally has a diagnosis of LD-NOS (learning disability-not otherwise specified--as "we know it's there, but we don't know what it is" as you can get), finally had his alphabet soup explained a little better by a connective tissue disorder diagnosis (there are numerous kinds, and some kinds have stronger links to things like learning and coordination issues than others, but the possibility is there across the board)--it explains the motor problems that are not developmental coordination disorder, the jaw stability issues that are apraxia/oral motor issues with feeding that are not quite like "can't produce speech" apraxia, the ADHD (in his case inattentive, disorganized), etc. It doesn't really explain the APD, but the APD explains the language issues, and there is family precedent for that sort of thing (and APD seems to go along with other connective tissue disorders a lot of the time).

 

I would encourage you on the speech side of things to periodically record her speech. My son had a speech eval at almost six, and he was working on perfecting R's and L's at the time (conventional speech therapist familiar with PROMPT and published/highly recommended for apraxia), and the SLP told us he was fine. She said it was probably an APD thing. Fast forward two years, and he started losing sounds, speaking more rapidly, etc.--all the stuff that OhElizabeth said is a red flag for lack of motor control. He essentially did not have the jaw support to speak correctly, so he changed his whole way of speaking to accommodate what his jaw could handle, and this made him lose sounds, etc. It really is a multi-faceted sort of thing. PROMPT has helped him a lot (we used a different provider to assess him this time, and she connected dots between things that should have been caught when he was an INFANT). He might never be able to speak correctly all the time, but he can (now) switch back and forth and knows how to use his motor patterns to speak correctly (still learning to do better, speak longer, etc.). In his case, the extra jaw stability is also important because it affects his eating as well. He can't eat very quickly at all, and he fatigues while eating. He is already low weight due to his connective tissue disorder, so it's all a big thing wrapped up together. Anyway, I would record her (some video, not just sound), and revisit that over time. If she loses speech sounds, that's a big red flag. 

 

Anyway, I am more and more convinced that anytime a child has some kind of language issue or is at risk for one, this should be considered a long haul, things will unfold over time, sort of situation. It seems like language just hits so many things. We thought my older son was more cut and dry, but we're finding that he has been compensating for his language issues for years with exceptional logic. Updated testing shows a spread in scores that is astonishing--his highest area of testing 4 and 5 years ago is actually his highest DISABILITY area. I'm still working to find my footing and make plans for that turn of events. Thankfully, while there has been a bit of "wasted time" in some areas (lack of progress in composition and some higher order verbal thinking), he's done just fine in others, and a lot of the therapy we did (vision therapy, OT, ADHD meds, ABA--even music lessons) has been great. He needed those other things as well. 

 

Don't panic if you can't get all the answers at once, but assume that language disability of some kind (or various kinds) is present in some fashion--as a result of ADHD plus APD/phonological stuff, present on it's own with other stuff, who knows. But it seems (to me with hindsight about my kids) to be something that is happening in your situation.

 

Some of us have some kind of therapy that has worked with our kiddos that was, like OhElizabeth says, "rocket fuel" for our specific children. Some therapy that coincided with a sensitive developmental period (as Montessori folks like to say), and then the child took off. Others have more slow and steady progress that feels like a drip, drip, drip, but then they see results. I am confident you will find the right combo of things for your kiddo, but you might need to keep a lot of information tucked away in the back of your brain as little pieces of the puzzle come together. Revisit them, and see what unfolds. Keep a log of things you see, make copies of work, write as descriptively as possible about what you see and keep it in a file, use checklists for various possible problems and date them to track what you think you see. It will help you later. 

I'm really feeling like she will be as well. I went to sleep last night trying to remember the name of a fantastic SLP in the neighboring city. Woke up today and remembered her first name, so I was able to google enough to find her. The receptionist was awesome and really listened to what I was wanting and needing. She's going to pass the info along to the clinic's owner (the SLP I looked up.) and check on a few things, one being whether dd needs to be on meds or not for the test. I'm betting yes, but we wanted to verify. 

They also have an audiologist that they work directly with, so it's nice to have that referral is/when we need it. 

 

I'm trying to get recommendations to a psychiatrist who does CBT. We love our ped and I don't want to have to fire her over meds. :/ 

 

Thank you so much for the encouragement. I woke up this morning really feeling like I had a good direction to move in. 

[Daria]

I'm really feeling like she will be as well. I went to sleep last night trying to remember the name of a fantastic SLP in the neighboring city. Woke up today and remembered her first name, so I was able to google enough to find her. The receptionist was awesome and really listened to what I was wanting and needing. She's going to pass the info along to the clinic's owner (the SLP I looked up.) and check on a few things, one being whether dd needs to be on meds or not for the test. I'm betting yes, but we wanted to verify. 

They also have an audiologist that they work directly with, so it's nice to have that referral is/when we need it. 

 

I'm trying to get recommendations to a psychiatrist who does CBT. We love our ped and I don't want to have to fire her over meds. :/ 

 

Thank you so much for the encouragement. I woke up this morning really feeling like I had a good direction to move in. 

 

That sounds like a great plan!  

 

The one thing I'd say is that using a psychiatrist for CBT is likely to be prohibitively expensive.  My kid sees a fantastic psychiatrist who does CBT, but given that she charges $500 an hour (standard for psychiatrists in our area, and only a tiny part is covered by insurance), he only sees her for med management and does CBT elsewhere. 

[Lecka]

It does sound like a great plan! Wow, you have already gotten a lot done!!!!!

[Southern Ivy]

That sounds like a great plan!  

 

The one thing I'd say is that using a psychiatrist for CBT is likely to be prohibitively expensive.  My kid sees a fantastic psychiatrist who does CBT, but given that she charges $500 an hour (standard for psychiatrists in our area, and only a tiny part is covered by insurance), he only sees her for med management and does CBT elsewhere. 

Yeah, all the pediatric psychs are out of network I'm finding. So....I just made an appt with our ped for July 12 for meds. Fingers crossed. 

[PeterPan]

I'm really feeling like she will be as well. I went to sleep last night trying to remember the name of a fantastic SLP in the neighboring city. Woke up today and remembered her first name, so I was able to google enough to find her. The receptionist was awesome and really listened to what I was wanting and needing. She's going to pass the info along to the clinic's owner (the SLP I looked up.) and check on a few things, one being whether dd needs to be on meds or not for the test. I'm betting yes, but we wanted to verify. 

They also have an audiologist that they work directly with, so it's nice to have that referral is/when we need it. 

 

I'm trying to get recommendations to a psychiatrist who does CBT. We love our ped and I don't want to have to fire her over meds. :/ 

 

Thank you so much for the encouragement. I woke up this morning really feeling like I had a good direction to move in. 

 

That's some brilliant problem-solving, keeping the ped for your other stuff and getting a doc who specializes in it to handle the meds side. Remember, meds aren't a permanent, unchanging choice. They're just a choice. They're a choice you can make for a time.

 

That's awesome that she's getting improvement with diet changes! And to be able to pair that with evals and know ok, we've gone as far as we can go with x, then we did y, now we know we should do z. That's really good!

 

The SLP may not care about meds. Is her behavior calming down with the diet change? SLPs can handle *some* behavior. She just needs to be within the realm of workable. :)

 

Ooo, I see you got an appt with the pdoc! That's coming up fast. Yes, around here a pdoc doing meds and CBT is $350 an hour.

[Lecka]

Wow, you are getting in fast with your pediatrician! Good luck at the meeting :)

[Southern Ivy]

That's some brilliant problem-solving, keeping the ped for your other stuff and getting a doc who specializes in it to handle the meds side. Remember, meds aren't a permanent, unchanging choice. They're just a choice. They're a choice you can make for a time.

 

That's awesome that she's getting improvement with diet changes! And to be able to pair that with evals and know ok, we've gone as far as we can go with x, then we did y, now we know we should do z. That's really good!

 

The SLP may not care about meds. Is her behavior calming down with the diet change? SLPs can handle *some* behavior. She just needs to be within the realm of workable. :)

 

Ooo, I see you got an appt with the pdoc! That's coming up fast. Yes, around here a pdoc doing meds and CBT is $350 an hour.

No, it's the pediatrician...the one who doesn't believe in ADHD. lol 

All the psychiatrists that were recommended to me required a doctor's referral from their hospital network...and that network is not contracted with our our insurance. :/ So....I'm just sucking it up and going in to our normal ped. 

 

 

I haven't really noticed behavior changing much. :( 

Edited June 26, 2017 by Southern Ivy

[Southern Ivy]

Wow, you are getting in fast with your pediatrician! Good luck at the meeting :)

haha - Actually, they apologized for it being so long to get in. (She's on vacation.) Perks of a small town. ;) 

[PeterPan]

It would be interesting to notice if you're replacing the foods you're taking out with foods that are high in good fats. My ds' speech improves with omega3. We use flax oil, but some people use fish. When I first got into this, people were all the rage over Nutriveyda, a nutrient shake. So it's just something you could look at, not only what you're taking *out* but what you're putting *in* to see if there's a pattern.

[PeterPan]

Ahh, you're in a small town. That explains it. You might need to travel for all this stuff. You could even just ask her straight if she has a suggest for a ped who does a lot of ADHD and disabilities, somebody in the big city. You'd only need to see that doc every few months, so a long drive wouldn't be a biggee. Like a pdoc works, but so does a ped or some other kind of doc. 

[Southern Ivy]

It would be interesting to notice if you're replacing the foods you're taking out with foods that are high in good fats. My ds' speech improves with omega3. We use flax oil, but some people use fish. When I first got into this, people were all the rage over Nutriveyda, a nutrient shake. So it's just something you could look at, not only what you're taking *out* but what you're putting *in* to see if there's a pattern.

 

We tried some fish oils - they were chewable and "lemon" flavored, but she could taste the fish (because that is NOT something easily hidden). I do need to find a good omega3 for her, but not sure what she'll take and I hate wasting money for her to not take them. :( 

 

Ahh, you're in a small town. That explains it. You might need to travel for all this stuff. You could even just ask her straight if she has a suggest for a ped who does a lot of ADHD and disabilities, somebody in the big city. You'd only need to see that doc every few months, so a long drive wouldn't be a biggee. Like a pdoc works, but so does a ped or some other kind of doc. 

Oh, I definitely have to travel. We have a good system here and a lot of the doctors with the hospital have certain weekdays they are in our town. But, the SLP I want is in the city and we drive there for church anyway, so it's not a big deal. 

 

[Guest]

deleted for privacy 

 

Edited August 13, 2017 by Guest

[Crimson Wife]

My DD likes the orange Coromega packets. They taste a bit like a creamsicle

 

 

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[PeterPan]

My ds takes flax oil, straight from the bottle on a spoon. I'm not saying he likes it.  :ack2:  Then he gets a flavored calcium, which he doesn't really like either but which tastes slightly better.

[Southern Ivy]

My DD likes the orange Coromega packets. They taste a bit like a creamsicle

 

 

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I think she would do those. I'll check them out. Thank you