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How much should we be doing?

post #1 of 7
Thread Starter 
My DS is almost 7. He was diagnosed with Asperger's Syndrome when he was 5 1/2. His therapists would say that even within the realm of Aspergers, he is high-functioning. He is academically at the top of his class, completely mainstreamed with no IEP, has some friends and gets invited on playdates. Most people don't see any difference between him and the rest of his classmates.

But...when you know what you are looking for, the ASD is totally apparent. He has a limited range of emotions, his eye contact isn't normal, he doesn't have appropriately reciprocal conversations. He has weekly private OT, a weekly private social skills group, and we do RDI some. He was GFCF for about a year and a half. We've done a handful of others things (more biomed, hippotherapy, etc.). We have spent $20,000 out of pocket in the last year on therapy.

All of this is a long-winded introduction to my question: how much do you think you sacrifice in terms of time, money, and other things to remediate the ASD symptoms in a kiddo who starts out like this? Sometimes I think we should be doing everything we can -- pulling him from school, doing a full-time RDI-ish program in the hopes of moving him that small, but huge distance from here to neurotypical. Then sometimes I think that when people talk about their kids being recovered, they actually means their once non-verbal, in-their-own-world kids now look like mine -- which mind you is great -- it's just still spectrum-y. When I am in this space I think my job is just to support and encourage him while accepting that he will always be autistic.

I think he is doing well, probably better than he would have been without all the therapy, but it is truly incremental progress. I wonder if I throw everything into it for a year or two would it be faster or more significant? Is that what I should be doing? Is it even appropriate to try to make him more neurotypical?

I am obviously incredibly grateful that this is the problem I am faced with. But it really is something I struggle with -- balancing working on stuff and accepting; figuring out how much I give up in terms of my career, my attention to my other kids, my time in the hopes of some uncertain progress with a kid who is already pretty blessed.

Any thoughts?
post #2 of 7
That's such a hard question.

What's the OT for? Does he have major sensory issues? If he has a diagnosis, can he get services through the school? Do you want an IEP? Have you applied for the Medicaid waiver?

I'd say if you're feeling like it's too much, it might be too much. What kind of results did you see from the biomed approaches, or hippotherapy?

You say that he can't hold a reciprocal conversation--does his social skills group work on that? Is he peer matched in that group?

It might be more worth your resources to go intensive on the things that appear to be more effective for him and leave off that which you're unsure about, kwim?
post #3 of 7
Quote:
Originally Posted by christinelin View Post
Sometimes I think we should be doing everything we can -- pulling him from school, doing a full-time RDI-ish program in the hopes of moving him that small, but huge distance from here to neurotypical.
why do you think homeschooling would be better for him? I seriously doubt the social isolation of homeschooling would be helpful to him at all. At school, he sees the same kids over and over, it sounds like he has friends there. It sounds like his teachers work with him. How would being alone with you help *cure* him?

I found that stress of homeschooling a child who cannot hold up her half of a conversation more draining than I can express. My DD needs to spend chunks of time with other people who interact with her, partly so she can practice and partly so I can recharge.

Quote:
Is it even appropriate to try to make him more neurotypical?
Is he happy?

For my DD (PDD-NOS), my goals are that she be functional (able to attend school or work when she is old enough) and that she be basically happy -- that her life work *For Her*.

Also, could some of the things he's doing as therapy be replaced by regular activities for kids which might be less expensive?
post #4 of 7
Thread Starter 
Answering questions:

Quote:
Originally Posted by BetsyNY View Post
What's the OT for? Does he have major sensory issues?
I would say he has normal ASD sensory stuff -- hypotonia, poor core strength, some sensory seeking/avoiding behaviors.

Quote:
If he has a diagnosis, can he get services through the school? Do you want an IEP? Have you applied for the Medicaid waiver?
He didn't qualify for an IEP. I don't even know about a Medicaid waiver. Is it likely he would qualify?

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What kind of results did you see from the biomed approaches, or hippotherapy?

Not tons from either. Perhaps subtle stuff, but we have basically stopped both and I don't see much difference without it.

Quote:
You say that he can't hold a reciprocal conversation--does his social skills group work on that? Is he peer matched in that group?
The group does work on that stuff. It's mostly Michelle Garcia Winner stuff -- are you familiar with her? The group is definitely appropriate. It just seems like not enough.
Quote:
Originally Posted by Linda on the move View Post
why do you think homeschooling would be better for him?
I don't, really. But I also know that when kids are diagnosed younger, they often have many, many hours a week of therapies. Mine just gets a couple -- and I can't see where many more would come from besides pulling him out of school.

Quote:
I found that stress of homeschooling a child who cannot hold up her half of a conversation more draining than I can express. My DD needs to spend chunks of time with other people who interact with her, partly so she can practice and partly so I can recharge.
I get that.

Quote:
Is he happy?
Mostly, I think.

Quote:
Also, could some of the things he's doing as therapy be replaced by regular activities for kids which might be less expensive?
Yes -- I am definitely looking into that.


Thanks for being a sounding board. I have more to think about, certainly.
post #5 of 7
fwiw, i think sometimes it's important to just be present. for me, that's hard to do when i'm running around pursuing x.y.z therapies. that doesn't mean we do nothing around here (we do OT, some RDI), but i try to stay as balanced as possible. (some days i utterly fail - lol). i think it's easy, as a parent of a spectrum kiddo, to feel like you're supposed to DO THINGS all the time. even those of us who don't feel the need to "cure" our kids often find ourselves feeling this pull to put in more effort. the reality is that my daughter isn't going to be neurotypical - ever. that doesn't mean i don't try to teach her skills to get through her day safely, successfully, happily - but i try not to wage war on autism, per se. i mean, as cheesy as it sounds, this process really is a marathon. i have to learn to pace myself - to focus on really listening to her, to cushioning those sharp edges whenever i can, to help her celebrate who she is, to try to educate others about what it means to treat her respectfully.
so, i'm not really answering your question, i guess (sorry), but i think if you really watch your child and trust your gut, you'll be on target 99% of the time. now, if only that meant it'd be easy 99% of the time, too .
post #6 of 7
Quote:
Originally Posted by christinelin View Post
I would say he has normal ASD sensory stuff -- hypotonia, poor core strength, some sensory seeking/avoiding behaviors.
is he in any regular activities -- swim team, judo, etc.?

Swim team was the best thing ever for my ASD dd. I think it is good for kids to get what they need through normal activity rather than therapy when ever possible.

(I'm not against therapy.)

And 5 1/2 is young to be dx with aspergers. It's not usually dx'ed until at least 6. Kids who are dx'ed with ASD younger are far more extreme and not a far comparison for anythying.

To me, pulling your son, who is basically happy and functional, out of school so he can spend all his time in therapy could cause real self imagine problems. It would be telling him that the way he is is wrong and must be fixed.

Your post title is "how much should be doing?" For me, I want to everything possible to help my DD be the best version of her ASD self, but nothing at all to try to make her neurotypical.

She learns to act more neurotypical, but with her it is an act and its very tiring.
post #7 of 7
Quote:
Originally Posted by Linda on the move View Post
Your post title is "how much should be doing?" For me, I want to everything possible to help my DD be the best version of her ASD self, but nothing at all to try to make her neurotypical.

She learns to act more neurotypical, but with her it is an act and its very tiring.
I agree with this whole heartedly. Learning to deal with stresses and anxiety, coping with day to day routine, and building strong and healthy interests are all at the top of our list. No amount of therapy is going to make them neurotypical... but having a good base for day to day skills, and to have them know themselves and what makes them happy ... those are the things that will help them feel secure, and help them succeed in the long run. Your son sounds like he is doing really well! My boys are sounding similar these days! They are always going to stick out as quirky and odd, but are already very confident in who they are. I coach them through the day to day... it is a constant thing for us. We talk about others points of view, why we do the things we do, why people act in certain ways and what may be behind certain behaviors, and show them the step of how to do the things we all need to do in our lives ( how to cook, clean, change the oil in the car, plant a garden, how to grocery shop and meal plan... like a verbal rundown on how to get it done! constant social stories! not a lecture though! lol) Finding a stress outlet, and sharing our own struggles and the tools we have found to deal with stress and problems really seems to help them build thier own internal dialogue when they come across problem situations. Telling them what is going on in our minds really seems to help. Sorry this is all over the place... what I mean to say is that all you need to do is be present with them and share yourself with them. Therapy isn't going to do those things for you. As someone with a million AS traits myself, therapy would surely be helpful in certain ways, but it feels like treatments are often " best guesses", and that the professionals are " close" but maybe don't quite completely get it yet( as treatments and therapies change through the years you can see that pattern). The things I explain above are the things that I am thankful that my parents helped me with, things I wish that I had more help with and things that I have seen my boys blossom with.
What are you most concerned about right now?
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