Please Please HELP !!!! | Autism PDD

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It’s getting worse and worse. Nicky (5) Pdd-NOS has been having bad meltdowns. He also is starting to show signs of low self esteem. He doesn’t even want to color anymore. He says all he can do is scribble. He is constantly saying. I can’t do it or I’m no good at this. He doesn’t want to play with anyone anymore. He has had times when I couldn’t get him to stay home instead of playing with the neighbors. My dw was going to take him upstate to his cousins house. His cousin Jake also 5 are so close. He is always wanting to see him. Last night he had a MAJOR melt down when she told him. I don’t want to go anywhere. I just like my family, Mommy daddy and chloe (our dog). When asked he said. Last time (a month ago) I broke Jakes train. I’m no good at it.

 

    My question is . I need to get him to see someone. But who. We went to a neurologist  and he wanted to put him on Ritlin. I’m not going that rout. I have talked to people who think he is too young too. Who else can help? I want to get him more help then the school can do. I’m telling his school that I do not want him going to nt pre k. He has special ed ½  day and nt pre k the second ½. I think he may be upset because he cant do some of  the things the nt children can. This may be leading to his low self esteem.

Please help. It is breaking my heart to see this once VERY happy boy so sad.

 

Thank you

John

keith and kam are both on risperdal.  it has helped with the meltdowns and self esteem issues.  i think you have to try it b4 you realize how in control these kids can be. good luck

k8

I think you may be right about no NT pre-k. Clearly, your son is experiencing stress and anxiety. If you go to a medical doctor, that doctor will want to give your so MEDICINE.  That's what they are trained in.  Get in touch with whatever local autism organizations you can so that you can find out if there is an autism center near you.  These places have psychologists who are experts in ASD and can give kids therapy and, probably more importantly, give parents training.  Also, if your son is going to be in a special ed setting but the staff in that setting really know nothing about autism, he may be in the wrong place there, too.  Maybe not.  It's possible to get a consultant to come in and give help to the teachers and staff so that they KNOW how to educate your son in such a way that they do not increase his stress.

Get more involved in the autism community in your area.  That is where you are going to find the resources you need.  I think this IS an emergency.  Nicky is beginning to show emotional distress because of his disability.  Certainly, there are medications that can help with this but trying behavioral techniques first is probably wise.  I don't think we on this board can give you specific advice, long distance, so seek out someone locally who can.

John,

Something to think about when considering medications is quality of life.  The question I've always asked myself is how is my kid functioning?  & is it affecting HIS quality of life. That usually answers most of my questions about meds. I don't necessarily medicate behavior in and of itself (JMHO).  Ritalin & Adderall seem to be the ADHD meds used for the very young. 

Others were correct about stress, it really affects children-maybe not only the preschool changes are affecting him, but maybe something else is going on in preschool-a new person has joined? A favorite child hasn't been coming? A favorite toy or activity isn't happening lately? New style of teaching? Maybe something as simple as they don't sing a favorite song anymore.  Our kids don't transition well.  They are creatures of habit and crave routine.  They don't do change.  They melt down often.

Something that you said about him really jumped out to me, and that is he just isn't functioning in the way he used to.  My son did that.  I think that really bears watching.  My child would develope then stall then regress.  That was his pattern and really still is.  Maybe when he's telling you he can't color anymore maybe he really is having trouble-the kind you can't see.  Coloring is fine motor control, which could becoming an issue for him now that he's getting older and doing older work in preschool. Sensory/motor issues are a big deal for our kids.  Ds started OT 6 mo. ago- and that has been a HUGE success. 

There is nothing wrong with having a play date with one of the neighbors.  But even the usual child will have friends that fall in/out of favor, maybe it's as simple as that.  Maybe more.  The only way to find out is to have them over one at a time & see how they play.  Maybe he needs help playing now.  Maybe he doesn't know what to do b/c the other children are changing.  We have one very sweet little boy who plays nicely with ds now, he is 3 years younger and it works well.  Hang in there.

SH

 

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Horizon hit it right o the money.  It's important to become the "cruise director" for your child.  Having your son go out into the neighborhood to play as NT kids do won't work.  Invite the NT kids to play at YOUR house.  YOu or your wife will have to supervise the whole time.  Have things at your house that are attractive to other kids and perhaps they don't have themselves.  A ball pit in the basement.  A fenced trampoline.  A pool in summer.  A GREAT climbing thing.  Computer games. Also, if you or your wife can encourage board games, that is GREAT.  It's structured and age appropriate but not too difficult. Things will not go smoothly at first. Don't be surprised if your son whines about the rules and who's breaking them. But this sort of poor social skill can be helped over time, especially when you start young.  And, yes, make him play with other kids.  But don't let him THINK you are "making" him.  Make the play as attractive to him as you can.  Get him involved in as many structured play activities as you can.  If there is a soccer club for kids as young as he is, join that.  Don't completely ignore social groups for spec. needs kids, either. My son participated in both NT and spec. ed. activities when he was young and he learned from both.  I have yet to meet a person who thinks the expensive social skills groups they took their kids to helped all that much.  Our kids tend not to be able to generalize social skills which means, what they learn with one group they won't necessarily transfer to another.  So what's the point of learning to be social with a group of kids you only meet once a week?  Also, all the kids in the group are kids with trouble in the area of social skills. It's the blind leading the blind.  A better idea is to get parent training to learn how to guide your child. That IS helpful.  Another thing is that has been recent research that shows that outside social skills groups don't help much with ASD kids.  Unlike getting them social skills training IN school. 

Frankly, there's not a snowball's chance that you'll be able to get the school district to pay for private placement unless you can PROVE that they've failed and failed over time.  Your son hasn't been AROUND that long to prove this.  You may be able to get them to cross-district or to send him to a state approved private school which is very much like sending him to a public school.  But MOST of the state approved private schools are for more involved kids.  Still, if you want names of good lawyers and advocates (they can give you some excellent advice, even if you don't need them to come to the IEP meeting, which can get expensive), post your state and I'll post a list from the advocacy group I belong to.

There are Therapist trained in Autism that can help. We got as referal from Doctors Office. Some may even have a small group setting, they can also set up a behavior plan for your child.

John,

My son is about the same age as your Nicholas and my heart truly goes out to you. My son is not as verbal as your son, but he is talking enough to usually get his point across, so my son does not tell us when he is feeling like you son does, so we have to watch his behaviour to pick up on what is going on with him.

My son is in a spec. ed Pre-K program five days a week that has at least two NT children in the classrom everyday, so my son interacts with lots of different kids and he is not the only one in the room that has challenges with certain things.

We had considered trying to place my son in an NT preschool program at the begining of this school year because even though he is very delayed in speech and social skills, he is academically at his age level (or above), but decided against it because we thought that he would not be as happy in a totally NT environment where he would really struggle just to get through the day.

I think that you are right, that part of the problem with Nicholas is that he is being pushed too hard right now. Maybe you could cut out the NT preschool half of the day for now and maybe phase him into more gradually over the course of the year. Even for some NT kids a full day of school at that age is just too much.

A neuro psychologist would be your best option for seeking answers to your current issues. We have also decided to not medicate our son and his behaviour has come so far in the last few months that he really does not seem that he is going to need medications.

My personal theory about interventions is simply that I do all that I can for my son, as long as we don't push my son to the point where he is simply so overwhelmed that he starts to lose ground. I think that point is different for every child, but maybe that is what is happening with Nicholas. It is just all too much for him and he now just wants to be with the comfort and predictability of his own home and his own family.

 

Also, you can ask for something called "play therapy" in school (get it on his IEP). This is the way that psychologists "talk" to little kids.  They learn through expressing themselves in play and talking about what they are doing.  Your son is very verbal, so this may help him. However, this is also somewhat imaginative, so it won't work for all ASD kids.  ANyway, it might be worth looking into.

Thank you all so much. I’m currently looking for groups in my area. My dw has called his dr. to ask who he recommends. Nick’s Dr. is young and has been very helpful in the past. I am also taking him out of his half day nt  pre-K. I also contacted a group of Dr’s who are starting up a social behavior group in our area. I just hope we can afford it. I contacted a lawyer (my brother) who is going to get in touch with an educational lawyer, to see about out of district schooling. Thank again. You are all wonderful. And I don’t know what I would do with out all of you.

 

Oh by the way should I make Nicky play with the neighbors? They come asking for him all the time.

 

John

My hubby used make ds play with other kids -(I use the word 'play' very loosely). I had to put on a whole kids entertainment routine just too make sure the kids left happy and came back again. It was really hard going.

HOWEVER - today I understand how much it helped ds. It helped him enormously and eventualy he enjoyed having these pals around, now he invites them over himself.

Yeah get the neighbours round - if he really can't handle it, wait a few days and try again..then try again (that happened to us s'times).

I agree with TZ- I think you should check with your local autism community and those psychologists that they recommend. It is hard to see your child go through this.

Another idea is try and take him to do those things you know he can do so you can try and boost his esteem there. I know it is hard bcause he might not want to go but Ihave done that with my NT daughter. She says she can't do something and I get her to do it and then when she does, I see the biggest smile and she says "I can do it!" - It might work, it is definately worth a try.

I wish you nothing but the best of luck!! To both you and Nicky.

I agree with Pam and Tzoya, try the local autism society.  Find psychologist who understands ASD.  They can help him and you.  I always thought that Adam was too young for a psychologist when it was recommended to me at age 4, but I have found that the earlier intervention you get the better.  I have never left it all up to the school.    If I had to do over again, I wouldn't have started my ds on meds at age 4--he's now 7. I really think behavioral modification could help. Yes they will probably still have some meltdowns, but this can help them to learn to control themselves. Maybe as he gets older, he may need medication, but 5 is still young especially when these docs want to put them on antipsychotics which can have some serious side effects to sensitive individuals. Its hard to reach them when they are going through the meltdown-- I just have to let my son go through it and I intervene when it becomes a safety issue.. I hope things improve for you--- I don't have the answers myself as I struggle daily with severe aggressiveness in my ds--I just wanted to tell you from my experience. Everyone has different opinions.  Call your nearest autism society to see who the parents like for their ASD kids. Many ASD kids need small settings in school. Don't go to just any psycologist. Many know NOTHING beyond behavior modification and I can almost guarantee that conventional methods will not work for an ASD child. He may not need medication. Lucas was worse on meds. See the Autistic Specialist in your town before asking for any meds. If you ask, you will receive. JMHO, of course

 

Thanks,

John

It is a very difficult decision to medicate your child.  Rebecca started on methylin last winter.  She was nearly 5.  It is a very low dose liquid like ritalin.  Now she is taking ritalin and methylin.

When she started taking the methylin we noticed a big difference right away.  Her sister had a b-day party in a dance studio.  Normally I would have expected Rebecca to run around the room and jump up and down in front of her reflection in the mirror.  Instead she was able to focus and participate in the party -- right down to choosing a costume and learning a dance routine (she didn't do it w/ the big girls but in the video you can see she is doing it on the sidelines).

This week she had all "good days" in her communication book.  She has 15 mg over the course of the day and she is monitored by her dr for growth and wt gain.  She takes a long acting ritalin capsule (I open it up and sprinkle it inside a breakfast pastry) in the morning so that she doesn't need to see the nurse at lunch (that didn't work well at all last year), and then a dose of methylin when she gets off the school bus.  Sometimes we skip the pm dose -- if she takes it too late you can just forget about bedtime.

She still has good days and bad days but it really does seem to make a difference in her ability to focus.  She is a bit of a perpetual motion machine and the meds make her calmer.  But she is still an incredibly active kid.

She has been able to participate in things like NT activities at school where before meds, I would have just been chasing her around and around the gym.

-- Meg & Rebecca age 5 PDD-NOS

Hi John,

We have really found success for my 5 year old PDD-NOS son through a developmental pediatrician (one of the 2 in our area)--she has really worked with our family well.  Regular pediatricians don't have the experience needed in our situations, and I have found that the psychiatrists & psychologists we have seen have only been interested in working with us if we consider meds.  I interviewed a lot of Drs. before I found the particular one we have now so you will have to do a little hunting.

Another suggestion I have for your son's self esteem is to find something he may be good at.  Something they have in our area & is becoming more popular is a Therapuetic Horsmanship program.  The other kids thought it was SO cool that Will,  my son, was riding horses & doing tricks on horses!  I could claim it on my insurance as therapy & I'm not sure he got actual "therapy" out of it, but it did make him proud & I loved to see the interaction between him & his horse!

When Will plays with the neighbor kids around here I make sure to be close & available as most the time it involves chasing and Will always being "it"--which he enjoys for a bit,  but then he gets his feelings hurt.

Good luck!!

Tzoya, Thanks so much

John -- Here is the list of New Jersey advocates who are recommended by COPAA, Council of Parent Attorneys and Advocates.  These people specialize in spec. ed. issues and know their stuff.  They are certainly not the only lawyers and advocates in NJ, though.  As for trying to get the SD to pay for private school, you'll need a LAWYER.  That lawyer will tell you at your first meeting whether or not you have a case and, if not, what other options you may have.  Remember, the law has now changed and School Districts can get THEIR lawyer's fees paid by the parent if those parents bring them to a hearing for unfounded reasons or for what the Hearing Officer considers frivolous reasons. And that can cost THOUSANDS in addition to your own costs.  Anyway, here is the list:

Ms.   E. JENNIFER BROWN  (Advocate)
EJENNB CONSULTING
1114 CALIFON COKESBURY ROAD
LEBANON, NJ 08833
Phone: 908-832-6754
Email: jenn.bubb.brown@gmail.com
 
 
 LISA  K. EASTWOOD, ESQ.  (Attorney)
723 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Phone: 201 867 0751
Fax: 201 867 2830
Email: lkeastwood@verizon.net
 
 
 NANCY FRIEDMAN-COHEN  (Advocate)
107 CEDAR GROVE LANE, STE 104
SOMERSET, NJ 08873
Phone: 732-220-0055
Email: nancyfcohen@yahoo.com
 
 
 CAROLE ANN GERONIMO  (Attorney)
10 SOUTH FRANKLIN TURNPIKE
RAMSEY, NJ 07446
Phone: 201 512 4400
Fax: 201 512 4403
Email: cageronimolaw@optonline.net
 
 
Ms.  STEPHANIE GLASER  (Advocate)
S.A.G. EDUCATION ADVOCATE
POB 1533
HIGHTSTOWN, NJ 08520
Phone: 609 529 2524
Fax: 609 426 9253
Email: artmom@aol.com
 
 
 ELIZABETH H HAMLIN  (Attorney)
GARRITY, GRAHAM, FAVETTA & FLINN, PC
1 LACKAWANNA PLAZA
MONTCLAIR, NJ 07042-8205
Phone: 973-509-7500 x 219
Fax: 973-509-0414
Email: ehamlin@gsb.uchicago.edu
Website: http://www.garritygraham.com/
 
 
 LAUREN HIRTES  (Advocate)
P.R.I.D.E.
55 MADISON AVENUE, SUITE 400
MORRISTOWN, NJ 07960
Phone: 973- 347-1976
Email: lspan@optonline.net
Website: lspan@optonline.net
 
 
 LISA KRIZMAN, ESQ.  (Attorney)
LAW OFFICE OF LISA K. KRIZMAN, LLC
1930 EAST MARLTON PIKE, STE. Q
CHERRY HILL, NJ 08003
Phone: 856 751 4131
Email: lisakrizman@krizmanlaw.com
Website: http://www.krizmanlaw.com
 
 
 RACHELLE H. MILSTEIN, ESQ.  (Attorney)
45 NOTTINGHAM DRIVE
WATCHUNG, NJ 07069
Phone: 908-561-1977
Email: smilstein@milsteinlaw.com
Website: http://www.milsteinlaw.com
 
 
 ELLEN SMOLKO  (Advocate)
SPECIAL EDUCATION ALLIANCE
10 CRENSHAW DRIVE
FLANDERS, NJ 07836
Phone: 973 252-4541
Email: esmolko@optonline.net
Website: http://www.nj-sped-advocate.com
 
 
 SHELLEY LYNN STANGLER  (Attorney)
SHELLEY L. STANGLER, PC
155 MORRIS AVENUE
SPRINGFIELD, NJ 07081
Phone: 973-379-2500
Fax: 973-379-0031
Email: shelley@stanglerlaw.com
Website: http://www.stanglerlaw.com
 
 
 JERRY TANENBAUM  (Attorney)
SCHNADER HARRISON SEGAL & LEWIS LLP
WOODLAND FALLS CORP. PARK
HADDONFIELD, NJ 08033
Phone: (856) 482-5733
Fax: (856) 482-6980
Email: jtanenbaum@schnader.com
Website: http://www.schnader.com
 
 
 RENAY ZAMLOOT  (Advocate)
23 WELLINGTON DRIVE
ANNANDALE, NJ 08801
Phone: 908-730-0080
Email: rzamloot@earthlink.net


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