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General Parenting
Eight Year old with ADHD diagnosis, possible encopresis and ODD
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<blockquote data-quote="buddy" data-source="post: 493551" data-attributes="member: 12886"><p>I hear you... I imagine there is some behavioral component to it. But just will share that many issues can be neurologically started but behaviorally compounded! How do you handle the clean up process? It is clear he knows this upsets you. I KNOW this will be hard. But if you can just matter of factly, I mean no scrunching your nose, no tone of voice nothing...just ...ok time to clean up. and bring him to the tub and have a bunch of garbage bags there so he can put the laundry there and clean himself up. He needs to do as much as he can do himself. the whole time no prompts except if he needs help with water temp etc. All of it just the same tone as a normal wash up. </p><p></p><p>My son has many behaviors that are triggered by a sensory or neurological issue, but for sure attention or power struggles will reinforce the behaviors and keep them happening longer. </p><p></p><p>It does not have to be either or. He really may seek it and also may have Obsessive Compulsive Disorder (OCD) types of fears that come and go making being able to handle the toilet ok sometimes and not others. It is just never really clear. Wish I could say it is simple, sigh... once this gets fixed, there will probably be another issue but in the end I always do look back and realize we have come a LOOONNNNGGG way.</p><p></p><p>one more thing...and as usual, ignore me if I am way off base, just sharing my experience...</p><p></p><p>Our pediatrician is fantastic! BUT I will say that I would not take a diagnosis about his overall disability from him. Once I have it he is totally on board and supportive, but that is not their field. They do not do standardized testing and complete, thorough evaluations. great you are wanting referrals from him. As I said and I think IC joined the idea... an Occupational Therapist (OT) evaluation may be really helpful for you. If nothing else you can maybe rule out an issue that way.</p></blockquote><p></p>
[QUOTE="buddy, post: 493551, member: 12886"] I hear you... I imagine there is some behavioral component to it. But just will share that many issues can be neurologically started but behaviorally compounded! How do you handle the clean up process? It is clear he knows this upsets you. I KNOW this will be hard. But if you can just matter of factly, I mean no scrunching your nose, no tone of voice nothing...just ...ok time to clean up. and bring him to the tub and have a bunch of garbage bags there so he can put the laundry there and clean himself up. He needs to do as much as he can do himself. the whole time no prompts except if he needs help with water temp etc. All of it just the same tone as a normal wash up. My son has many behaviors that are triggered by a sensory or neurological issue, but for sure attention or power struggles will reinforce the behaviors and keep them happening longer. It does not have to be either or. He really may seek it and also may have Obsessive Compulsive Disorder (OCD) types of fears that come and go making being able to handle the toilet ok sometimes and not others. It is just never really clear. Wish I could say it is simple, sigh... once this gets fixed, there will probably be another issue but in the end I always do look back and realize we have come a LOOONNNNGGG way. one more thing...and as usual, ignore me if I am way off base, just sharing my experience... Our pediatrician is fantastic! BUT I will say that I would not take a diagnosis about his overall disability from him. Once I have it he is totally on board and supportive, but that is not their field. They do not do standardized testing and complete, thorough evaluations. great you are wanting referrals from him. As I said and I think IC joined the idea... an Occupational Therapist (OT) evaluation may be really helpful for you. If nothing else you can maybe rule out an issue that way. [/QUOTE]
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Eight Year old with ADHD diagnosis, possible encopresis and ODD
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