Ok, I'm gonna be devil's advocate here. One could have ADHD *and* have the congenital ear issues. You've got an audiologist and SLP practicing out of field when they're saying wait on meds. Has he been seen by a psych/neuropsych? And is there literature to support the idea that an ear canal injury causes this? I don't know, just thinking out loud here.
See, here's the thing. If you look at something like the Quotient test that a psych or ped would run, it's going to be largely visual. There are some other tap tap tests like that that they use for attention. My kids have done several over the years. They're all visual, ALL of them. They can't even control auditory enough to do a test with that. Those tests are visual.
So when you're saying it's making him present like he's ADHD-inattentive, you're saying his real life, in the classroom, as you try to teach him, as he's in church or the store, etc., yes? And I'm with you there. But I can tell you that there is nothing more unfun that waiting on interventions or tests based on the word of an SLP or other person practicing out of field, and then a few years later realizing you DELAYED getting interventions or missed something or could have gotten a diagnosis or more effective treatments sooner.
Your safest position would be to have a psych as part of your team and to make sure that the people who are making decisions about a psychological diagnosis are practicing in field. That would be my advice. And I'm all for cognitive therapies, sure! Psychologists do them all the time. There's Think, Talk, Laugh, a really good book of exercises by a psychologist. Around here psychs are doing Cogmed. You have all kinds of options.
Has he actually had some computerized testing for attention that would exclude the auditory disability and focus on the OTHER aspects of inattention?
With my ds, I've been to so many therapists and had so many wishful therapists. Honestly it's wearisome. You're gonna have some hindsight in a few years, and you may have some regrets if you keep your team too narrow. Not pursuing the psychologist is one of those things you may live to regret. Knowledge is power. You could do some evals, think really hard about it combines with your other data, and still decide to keep your path. Nuts, going to a psych does not mean you have to go on meds. I didn't put my dd on meds for YEARS after her diagnosis. Read the threads here. I've probably been the single most *you can wait on meds* person on the boards here. Lots of vocal posts pointing that out, pointing out other options and paths. The thing is, I've also been burnt by SLPs practicing out of field. And when you've got an SLP or audiologist telling you hey maybe if you do xyz he won't test as inattentive in a year, that's practicing out of field. That's wishful thinking. That's the kind of thing you may regret later if it doesn't work out like they're hoping.
And it's easily solvable. You just add a psych to the team and get some evals and sort it out.
For your question of what cognitive therapies, well frankly nothing you're listing makes ADHD go away. It can bump their working memory, kick in the EF part of the brain, give them some functional bumps. Some wishfully thinking people will come on and praise how much better their kid is doing thanks to the $1k Cogmed or this or that. But really, they're still ADHD.
I really like metronome work. You can't go wrong with metronome work. It's free, targets the EF portion of the brain, willing get things moving, and is easy to customize to what you're trying to target. You can also do it with a therapist. To me it's a highly recommendable, good for almost anybody kind of thing. It's the kind of thing that if you show up at vision therapy, they're bringing in the metronome. At the PT we used, she was bringing in bodywork plus metronome. Can't go wrong with it. Heathermomster has posted a basic set of instructions.
Edited by PeterPan, 12 January 2018 - 10:00 PM.