If you want a second opinion, you could try a developmental pediatrician instead of a pediatric neurologist. You should check with your health insurance and see what they cover and what they don't, and if you are able to get a second opinion (most insurances allow you to). The developmental pediatrician can diagnose PDD or ADHD as well. I think they have different methods of diagnosing, but either is qualified to make a diagnosis. I was recommended by one of my daughter's therapist's when I went in for our visit to go in with a journal of notes, summarized of course, of behaviors that we were concerned about. She also wrote up a summarization sheet of what she was concerned about. Anyways, trust your maternal instincts. One of my daughter's therapists has a son with ADHD who can not sit still. He also has sensory issues. She said at one point that there are lots of overlaps between ADHD and autism (because she saw a lot of similarities between my daughter and her son in some of the behavior but her son could not sit still for the life of him where my daughter can). Some of the sensory integration therapies I do for my daughter, this therapist does for her son with ADHD, so I guess there is a lot of overlap. Doesn't mean ADHD shouldn't be of any concern. Anyways, no matter what he has, figuring out therapies that work for him, however they want to label him is most important. I guess an accurate diagnosis would help you better figure out what works more quickly, though.
IQ test? Okay, this is all in my opinion, so take it with a grain of salt, but I think IQ tests are not great to judge by at a young age unless they break down the IQ between verbal and nonverbal. If your son is less verbal, he may have better spatial relations and math skills, so don't think your son is stupid because of their stupid IQ test. It might give you a sense of where is strengths lie and what he needs help on, and maybe they can figure out what type of educational environment would be better for him, or maybe it won't tell you anything, so personally I'd ask the doctor why he wants to do the IQ test and what the information will do for you guys. I had my IQ tested as a kid because my verbal skills were pretty bad, but my math skills were high. They were really confused why I was testing in elementary school on those yearly aptitude tests like around 10% in English and above 99% in math and spatial relations, so they wanted to do an IQ test on me. Just way my brain worked. I eventually got better on the english because they told my parents to tutor me at home in vocabulary, grammar, reading comprehension, etc. So, in that case, the information from the test provided my parents with some useful information. But if the info ain't going to help, then I'd be skeptical about having it done at so early an age.
thanks for the response...i think i will check into a 2nd opinion. I'm not even sure they'd do anything different w/ his therapies... I've heard that too that ADHD and autism can overlap too.. The neuro MD said b/c my son has a hard time focusing/sitting still in a class room or lets say if there is a lot of "sensory background" other kids,noises,toys etc he is all over the place,energy level goes up and behavior goes bad. Testing one on one w/ teacher/therapist he is great can focus and sit for an hour. She said that CAN be a red flag for the ADHD..I just wonder about these quirky behaviors i mentioned previously..
He is very verbal lets say his expressive speech is behind (for his age) and receptive is also behind..(been testing about one year behind across the board)he does better w/ kids younger then him....
The IQ test(school psychologist will do) was recommended by his teacher now to see what we will do for next year (kindergarten)I want him main streamed (he needs it socially) but he may need an aide in the class to redirect if he is disruptive,and for xtra help and pulled for his Speech The neuro MD also wanted to get an idea what we were looking at in terms of delays..He did pretty well on her "informal test in the office"I too was a little hesitant to do IQ test (in fear he will not do well) but will take w/ a grain of salt and realize he is just 4 years old......
thanks agin for the input
i think she means PDD-nos
hahahha sorry, i do that all the time i did mean PDD-Nos
I think it was just a typo too.
Yes typos are easy to make. I figured out what you were trying to say anyway.
Sometimes, the therepies are pretty much the same. But with autism when children are older, they start to differ. Our daughter had some kind of "point system" behavior mod program that only worked temporaily. This 2nd grade teacher was more accustomed with add/adhd issues and she learned to "act" better. That was all it was, just an act. They didn't address the real issues root causes. Just an example, she gets points for not licking her hands, well, her hands are still dry. Maybe hand lotion is a more appropriate way to deal with the real issue. But she There should be more sensory issues addressed. This is when there are things like sensory integration, or brushing.
ADHD can be managed with medications, such a Adderall or Ritalin, and with behavior management technics. That is why your doctor probably told you to read the information about ADHD. Many parents of ADHD children have a hard time deciding to medicate their children for ADHD. I do not believe that there are any medications for PDD-Nos or Autism, unless the person with PDD-Nos or Autism also has ADHD. About 40% of children with ADHD outgrow their ADHD symptoms around puberty. I believe that most people with PDD do not outgrow their diagnosis. ADHD children are also socially delayed, speech delayed and fine/gross motor delayed by 1 to 2 years versus their peers with same age. Unlike most PDD children, ADHD children that are treated with the correct medication and with behavior management therapy tend to like their peers, have good eye contact and do well from a social point of view. If you want to find out more about ADHD, please check out from your library any of the ADHD books by the ADHD writer Russell A. Barklay. Good luck.
In some cases low doses of an SSRI like Prozac takes the "edge" off some overwelming stimulus in persons with autism/PDD.
Also sometimes anti-psychotics are indicated for management of manic behavor.
I have a friend whose son with PDD-nos is on Geodon.