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William L. Holcomb, Ph.D., BCBA-D  
Male
Southborough, MA

Specialties: Autism

My Posts
At least some of your son’s behavior does not sound outside of the range of typical development. For example, I have included a link to a website below at the National Institutes of Health regarding typical speech and language development. It includes checklists that help you determine if your child is “on track” with communication development as well as de...
Since you mention that your son has already been seeing a speech therapist and an OT, I am going to assume that you are receiving these services through your local Early Intervention Program (EIP). Has your son’s pediatrician or anyone at the EIP recommended any additional assessment and treatment? Whether or not they have, if you feel that your son may hav...
As you describe your niece, it does seem as though her speech and social behavior may be delayed. Have her parents had her assessed by her pediatrician and/or her local educational authority (LEA)? If a child is suspected of having developmental delays, they are entitled to a CORE evaluation by the LEA (usually the local school district) as soon as they rea...
From what you are describing, it does seen as though your son’s play behavior is unusual. The repetitiveness of the play (both your description of him doing the same thing for hours and that it is the same topic/theme every time) is concerning. You mentioned that it is difficult to get him to do anything else. When you try, does he get upset? Also, when h...
Since you are his grandparent, I will assume that your grandson’s parents share your concerns. I definitely recommend that they take your grandson to his pediatrician immediately and discuss what you have described. Based on your description, I imagine your grandson’s doctor will refer him for further assessment and treatment. I recommend that you ask the ...
First, I think that the question of whether your health care professional is qualified to diagnose a particular condition is dependent upon their training, experience, and the local standards and regulations regarding diagnosis (but I would be most interested in the first two factors). Second, it is always a difficult situation when a person has a concern ab...
A month or so ago I answered a very similar question, and this is basically what I wrote. The first question I ask almost every time I hear about a child like your son is: have you already taken him to the pediatrician, and what does he or she think? Did your son’s pediatrician think something was different enough to refer you to a local Early Intervention ...
Here is a question I ask almost every time I hear about a child like your son: Have you have already taken your son to the pediatrician, and what does he or she think? Did your son’s pediatrician think something was different enough to refer you to a local Early Intervention Program (EIP) for further assessment and treatment? If you and the doctor feel that...
Realizing that doctor has already diagnosed your son with autism, did he or she suggest any further assessments to better define your son’s needs? I almost always recommend that a child who has been newly diagnosed with an autism spectrum disorder (ASD) be seen by a team of educators and clinicians who specialize in ASD. There has been much debate as to whe...
It sounds to me like you have been looking at some information, somewhere, about diagnostic categories (most people I meet don’t ask about a differential diagnosis of selective mutism versus autism). Based on you descriptions of your son’s behavior, it might be either of those, or actually just behavior within the typical range of development. I feel th...