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Unusual hand posturing / rigid finger positions?
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<blockquote data-quote="buddy" data-source="post: 505130" data-attributes="member: 12886"><p>This is a common form of transition problem, therefore he does have problems with transitions... transitioning from a preferred activity to a less preferred activity.</p><p></p><p> </p><p></p><p>SO anyway, HI! smile... I just jumped in there and didn't even welcome you, so sorry... tee hee.</p><p></p><p>My son could not discuss anything and those parts of Explosive child and other methods are only now starting to help at age fifteen. The parts that did work were to lower overall stress in the home by very carefully selecting my "battles" and priorities. I did not pay attention to the words he was saying for a long time in terms of reacting negatively that is (I didn't ignore because this, if not done right, for many kids can make things worse...ignoring is an obvious change in parental or adult behavior and that makes it so that really you are attending to the behavior when ignoring it. My son is triggered big time by people ignoring him and he will get very very hurt). So, making my list of A basket behaviors and sticking to that made a HUGE difference. He was overwhelmed with being corrected and in deep doo doo for so many things... once stress went down, in our case, then anxiety and behaviors went down.</p><p></p><p>About attention seeking.... This is a good skill to have. The hardest kids to work with are the kids who are so withdrawn and impaired that they do not want interaction. Negative behaviors get attention and adults then assume that is WHY the child is doing it. When analyzed by professionals who have training beyond the basic functional assessment level know that this is the most common mistake in behavior analysis. Usually the child has underlying reasons for doing behaviors. They may escalate and be tying to get someone to stop what his happening or to come and reassure them etc... but it is not what usually STARTS the behavior so just with drawing the attention almost never works for those situations. (of course we all know times, especially for less intense issues when not attending or redirecting does work so not saying it would never work, just saying never to assume that). The trick is in part to distract to help them gain appropriate ways to get attention and then to figure out what skills or problems are driving the original behavior. (so much easier said than done but well worth the effort when you can get to the bottom of it.)</p><p></p><p></p><p>The stereo typed movements and behaviors during stress do sound like characteristics of autism . If you can find a therapy center or child development center that specializes in autism you might get a better evaluation to rule this in our out.... they are better aware of the spectrum. Psychologists and psychiatrists tend to go to a mood diagnosis and let me give you a great example. My son has a well documented history of a brain injury and has been both medically and educationally labeled with Autism over and over since he was 4. He recently had to for the first time, be inpatient in a hospital for medication adjustment. Though it was clearly a medication reaction and he clearly has a neurological disability, he came out with a Mood disorder-not otherwise specified diagnosis. I didn't sweat it, it gets him the services he needed from them. It does not apply to his situation in real life though, just how he presented at that time. i would never put it on a history form for therapy etc... just not his deal, and no one who knows him thinks it is, not even our new consulting psychiatrist.</p><p></p><p></p><p>One thing in your case I would add, you know best though, so take this as it fits...</p><p></p><p>I would consider a pediatric neuro evaluation just to make sure there are not any motor or brain injury or even genetic conditions that may be causing some autistic like symptoms. There are a host of medical diagnosis that have autism like issues as symptoms of the bigger diagnosis. In real life we still need to work with the specific symptoms and behaviors but it is always nice to know if there is anything going on. I have a friend who has a son who had meltdowns, trouble sleeping, eating issues, some autistic and sensory issues.... Wasn't getting a diagnosis. We went to visit and about age 8 I said to her do you think he has CP? I was checking his tone and how he held things and just his general hand postures... sure enough he did. He also ultimately has this genetic condition that is causing ongoing illnesses and medical complications with seizures and breathing at night... NOT saying this is your son in any way... doesn't even sound close to what I saw...just saying that until they knew the bigger picture they couldn't really be prepared for what to look for. Just food for thought if you have nto already been there and done that.</p><p></p><p>Sounds like along with neuropsychologist, Occupational Therapist (OT) would be important for both motor and sensory issues....(you already have Speech Language Pathologist (SLP) right?) .</p></blockquote><p></p>
[QUOTE="buddy, post: 505130, member: 12886"] This is a common form of transition problem, therefore he does have problems with transitions... transitioning from a preferred activity to a less preferred activity. SO anyway, HI! smile... I just jumped in there and didn't even welcome you, so sorry... tee hee. My son could not discuss anything and those parts of Explosive child and other methods are only now starting to help at age fifteen. The parts that did work were to lower overall stress in the home by very carefully selecting my "battles" and priorities. I did not pay attention to the words he was saying for a long time in terms of reacting negatively that is (I didn't ignore because this, if not done right, for many kids can make things worse...ignoring is an obvious change in parental or adult behavior and that makes it so that really you are attending to the behavior when ignoring it. My son is triggered big time by people ignoring him and he will get very very hurt). So, making my list of A basket behaviors and sticking to that made a HUGE difference. He was overwhelmed with being corrected and in deep doo doo for so many things... once stress went down, in our case, then anxiety and behaviors went down. About attention seeking.... This is a good skill to have. The hardest kids to work with are the kids who are so withdrawn and impaired that they do not want interaction. Negative behaviors get attention and adults then assume that is WHY the child is doing it. When analyzed by professionals who have training beyond the basic functional assessment level know that this is the most common mistake in behavior analysis. Usually the child has underlying reasons for doing behaviors. They may escalate and be tying to get someone to stop what his happening or to come and reassure them etc... but it is not what usually STARTS the behavior so just with drawing the attention almost never works for those situations. (of course we all know times, especially for less intense issues when not attending or redirecting does work so not saying it would never work, just saying never to assume that). The trick is in part to distract to help them gain appropriate ways to get attention and then to figure out what skills or problems are driving the original behavior. (so much easier said than done but well worth the effort when you can get to the bottom of it.) The stereo typed movements and behaviors during stress do sound like characteristics of autism . If you can find a therapy center or child development center that specializes in autism you might get a better evaluation to rule this in our out.... they are better aware of the spectrum. Psychologists and psychiatrists tend to go to a mood diagnosis and let me give you a great example. My son has a well documented history of a brain injury and has been both medically and educationally labeled with Autism over and over since he was 4. He recently had to for the first time, be inpatient in a hospital for medication adjustment. Though it was clearly a medication reaction and he clearly has a neurological disability, he came out with a Mood disorder-not otherwise specified diagnosis. I didn't sweat it, it gets him the services he needed from them. It does not apply to his situation in real life though, just how he presented at that time. i would never put it on a history form for therapy etc... just not his deal, and no one who knows him thinks it is, not even our new consulting psychiatrist. One thing in your case I would add, you know best though, so take this as it fits... I would consider a pediatric neuro evaluation just to make sure there are not any motor or brain injury or even genetic conditions that may be causing some autistic like symptoms. There are a host of medical diagnosis that have autism like issues as symptoms of the bigger diagnosis. In real life we still need to work with the specific symptoms and behaviors but it is always nice to know if there is anything going on. I have a friend who has a son who had meltdowns, trouble sleeping, eating issues, some autistic and sensory issues.... Wasn't getting a diagnosis. We went to visit and about age 8 I said to her do you think he has CP? I was checking his tone and how he held things and just his general hand postures... sure enough he did. He also ultimately has this genetic condition that is causing ongoing illnesses and medical complications with seizures and breathing at night... NOT saying this is your son in any way... doesn't even sound close to what I saw...just saying that until they knew the bigger picture they couldn't really be prepared for what to look for. Just food for thought if you have nto already been there and done that. Sounds like along with neuropsychologist, Occupational Therapist (OT) would be important for both motor and sensory issues....(you already have Speech Language Pathologist (SLP) right?) . [/QUOTE]
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