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Help with 4 year old
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<blockquote data-quote="SRL" data-source="post: 317762" data-attributes="member: 701"><p>Hi Karif, I'm glad you've been able to get some professionals to take a look, and glad that they agree. What I suggest that you do at this age is to consider this a working diagnosis, that is a sort of tentative diagnosis that you try on for a few years and see if it fits. See how he responds to treatment and how he develops over the next few years.</p><p> </p><p>A few thoughts: since he's exhibiting some characteristics of both Autism Spectrum Disorders (ASD) and BiPolar (BP), so your homework in both areas and put together a treatment plan from both camps. Bipolar usually means medications but there are some areas medications probably won't help him, but that the Autism camp will have worked extensively with. You also are more apt to have a better outcome if you don't rely only on medications for issues like anxiety, problems with transitions, etc. </p><p> </p><p>Attachments to bottles, lovies, and pacifiers pretty much all boil down to the same few categories of solutions:</p><p>1) Let it go for awhile in hopes the child will ditch it themselves or be older and better able to rationalize with.</p><p>2) The Bribe</p><p>3) The Gradually Reduce or Substitute Approach</p><p>4) Cold Turkey</p><p> </p><p>There's a zillion variations that desperate parents have utilized but they all pretty much boil down to these. I had one that was extremely attached to his pacifier at bedtime and at age 4 when nothing else worked I took it away cold turkey. I planned it for a time when my husband would be home to help (when child was well and we had no major things on our calendar), cut up his pacifiers, and went for it. The first week was really bad, the second still a little rough, but then it was over forever. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p> </p><p>Potty training was equally bad--he didn't respond to the usual little bribes so I had to go with big ones (Magic School Bus Computer games). Got the job done, though. </p><p> </p><p>Glad to hear the learning is kicking into gear! That's always so exciting--I could watch it over and over and over again.</p></blockquote><p></p>
[QUOTE="SRL, post: 317762, member: 701"] Hi Karif, I'm glad you've been able to get some professionals to take a look, and glad that they agree. What I suggest that you do at this age is to consider this a working diagnosis, that is a sort of tentative diagnosis that you try on for a few years and see if it fits. See how he responds to treatment and how he develops over the next few years. A few thoughts: since he's exhibiting some characteristics of both Autism Spectrum Disorders (ASD) and BiPolar (BP), so your homework in both areas and put together a treatment plan from both camps. Bipolar usually means medications but there are some areas medications probably won't help him, but that the Autism camp will have worked extensively with. You also are more apt to have a better outcome if you don't rely only on medications for issues like anxiety, problems with transitions, etc. Attachments to bottles, lovies, and pacifiers pretty much all boil down to the same few categories of solutions: 1) Let it go for awhile in hopes the child will ditch it themselves or be older and better able to rationalize with. 2) The Bribe 3) The Gradually Reduce or Substitute Approach 4) Cold Turkey There's a zillion variations that desperate parents have utilized but they all pretty much boil down to these. I had one that was extremely attached to his pacifier at bedtime and at age 4 when nothing else worked I took it away cold turkey. I planned it for a time when my husband would be home to help (when child was well and we had no major things on our calendar), cut up his pacifiers, and went for it. The first week was really bad, the second still a little rough, but then it was over forever. :) Potty training was equally bad--he didn't respond to the usual little bribes so I had to go with big ones (Magic School Bus Computer games). Got the job done, though. Glad to hear the learning is kicking into gear! That's always so exciting--I could watch it over and over and over again. [/QUOTE]
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