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What to do when my daughter hits me
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<blockquote data-quote="InsaneCdn" data-source="post: 517448" data-attributes="member: 11791"><p>That's quantity, not quality. Sleeping that soundly at this age? Our difficult child was like that. And the cause was... mental and emotional exhaustion. Wasn't quite as early a problem as yours... noticed sleep issues more like age 3, about the same time as motor skills issues. </p><p>Sleep is a tricky thing... sleep problem can be a cause, or an effect, of other problems!</p><p></p><p>Has she ever had a comprehensive evaluation? Plus Occupational Therapist (OT) and Speech Language Pathologist (SLP) evaluations?</p><p>Speech Language Pathologist (SLP) evaluation would consider things like APDs... if she hasn't had comprehensive Speech Language Pathologist (SLP) evaluation, or if it was several years back, it would be good to do this... some things that they can test for now, they didn't use to test for (we got caught on that). If they aren't testing for auditory figure ground, then they aren't using a comprehensive test.</p><p></p><p>Occupational Therapist (OT) evaluation would look at sensory integration/processing issues, plus motor skills. Both sides are important. Even subtle impairments can have a huge effect. Occupational Therapist (OT) also has therapies that help, as well as other interventions and accommodations to recommend.</p><p></p><p>Both of these are worth doing <em>before</em> you get a comprehensive evaluation done. The comprehensive... looks at everything else. There are "some" who include a review of sensory, motor or auditory issues, but they can't test to the level of Speech Language Pathologist (SLP) and Occupational Therapist (OT) unless those are on the evaluating team. Otherwise... the Speech Language Pathologist (SLP) and Occupational Therapist (OT) reports are taken into account by whoever does the comprehensive evaluation.</p><p></p><p>And before you get to the comprehensive evaluation... start up a parent report. It's not called exactly that.. and it's found over on a post in "site help and resources"... or, just look for a post by susiestar, because the link is in her signature (it's how I get there...) This will help you pull together all the facts, figures, trends, etc. so that you have it all organized. Makes it much easier to answer questions and/or to push back on recommendations that you know do not make sense.</p></blockquote><p></p>
[QUOTE="InsaneCdn, post: 517448, member: 11791"] That's quantity, not quality. Sleeping that soundly at this age? Our difficult child was like that. And the cause was... mental and emotional exhaustion. Wasn't quite as early a problem as yours... noticed sleep issues more like age 3, about the same time as motor skills issues. Sleep is a tricky thing... sleep problem can be a cause, or an effect, of other problems! Has she ever had a comprehensive evaluation? Plus Occupational Therapist (OT) and Speech Language Pathologist (SLP) evaluations? Speech Language Pathologist (SLP) evaluation would consider things like APDs... if she hasn't had comprehensive Speech Language Pathologist (SLP) evaluation, or if it was several years back, it would be good to do this... some things that they can test for now, they didn't use to test for (we got caught on that). If they aren't testing for auditory figure ground, then they aren't using a comprehensive test. Occupational Therapist (OT) evaluation would look at sensory integration/processing issues, plus motor skills. Both sides are important. Even subtle impairments can have a huge effect. Occupational Therapist (OT) also has therapies that help, as well as other interventions and accommodations to recommend. Both of these are worth doing [I]before[/I] you get a comprehensive evaluation done. The comprehensive... looks at everything else. There are "some" who include a review of sensory, motor or auditory issues, but they can't test to the level of Speech Language Pathologist (SLP) and Occupational Therapist (OT) unless those are on the evaluating team. Otherwise... the Speech Language Pathologist (SLP) and Occupational Therapist (OT) reports are taken into account by whoever does the comprehensive evaluation. And before you get to the comprehensive evaluation... start up a parent report. It's not called exactly that.. and it's found over on a post in "site help and resources"... or, just look for a post by susiestar, because the link is in her signature (it's how I get there...) This will help you pull together all the facts, figures, trends, etc. so that you have it all organized. Makes it much easier to answer questions and/or to push back on recommendations that you know do not make sense. [/QUOTE]
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