My daughter, N, 3y1m, has an appointment on Tuesday with a Developmental Pediatrician. Our family doctor referred us there. What should I expect?
She has several issues. Can anyone here help me make sense of them? Also, what should I bring up at the Ped's office?
-Extreme social anxiety. DD literally shuts down in social situations, and becomes mute (even with me) and will not make eye contact. Her entire body becomes stiff and she almost seems to regress developmentally for that moment.
-Severe dermatillomania. She picks and picks and picks at her lips, skin (belly, legs, sides) and nails until she bleeds, and keeps doing it. Her nails are kept very short (and she still complains about them being too long and picks and picks at them. She had MRSA on her scalp due to the picking :(
-Severe issues with water touching her face. She reacts as if it's acid. It's extremely difficult to bathe her, she cannot tolerate it.
-Issues with "icky" things. Foods included. She has a very difficult time when she sneezes- she freaks out and is incapable of wiping her own nose- she is just very distressed with it. Wipes hands multiple times when eating.
-Above average sensitivity to hot and cold (foods, weather, bath water).
-EXTREME insatiable hunger. Bloodwork was done, don't have the results back. I'm wondering if she feels like she needs the full sensation.
-VERY overwhelmed by noise and crowds. Will eventually go into her own world and block everything out, including people talking to her directly.
Some other things
-Gets fixated on certain objects (toys) for days at a time and will play with nothing else.
-Extremely territorial and posessive, does not share or take turns.
-When playing, things must be a certain way.
-Will usually not play with other children. When she tries it seems awkward for her.
-Will color for hours at a time- will color all day long if we let her.
-Will draw hundreds and hundreds of things on her paper (circles, "N"s, stars, etc.) . When her paper is used up, she gets a new one. She has notebooks filled with these drawings. She is capable of drawing a wonderful very detailed face with eyebrows, pupils, facial hair, etc. but won't do so- she only draws the above mentioned things (right now it's "N"s).
-Lines up toys frequently. Also puts things in bags constantly. Takes them out, puts them in, takes them out. Repetitively.
-Has issues making eye contact. Usually will, but her eyes don't remain there for very long- it is hard to get her to have constant eye contact for more than a few seconds.
-Very unathletic, to say the least. Has issues climbing, always has, and needs help doing so. VERY scared of falling, but does take risks occasionally (hangs off of the side of the couch, etc).
-VERY clumsy, walks into walls, trips a lot, etc.
-Has trouble regulating the loudness of her voice
I have noticed some arm/hand flapping... I've got video that I need to post.
What do you make of my DD? I'm sure there are some sensory issues going on but is there anything else that stands out to you?