My ds is nearly 7years old so his evaluation was more "academic" and less "play." At the results appointment I asked if they had considered that he would be 7 next month and the Dr. said that their evaluations are down to the month--so he was evaluated at 6y 7m.
Ds' appointment was from 9-1.
1. I did an intake summary for 10-15min. with Dr. in “playroom” for 10-15min. (room with table, bed sized bench, toys and a one-way mirror)
2. Filled in more surveys (filled out a couple extensive surveys pre-appt) while the Dr. did some sort of table flip chart with ds; then followed the speech evaluator, testing ds in the playroom.
3. Did history of ds with Dr., from pregnancy to present, in exam room.
4. Dr. did physical with ds, then health and family history with me in exam room.
5. Ds went to do psychological and IQ testing in playroom while…
6. I filled in more surveys with social worker in exam room.
The official schedule was:
09:00-11:00 MD Medical/physical
MA CCC-SLP Speech/Language
11:00-1:00 PhD Cognitive/achievement
The doctor said that she could see why I was concerned about Asperger's (ds currently has an ADHD/w disturbance of emotion and conduct diagnosis from his psych) but also said that ds was on the borderline (regarding age) for diagnosis. I was so tired after that appointment; Ds' therapy appointments tend to wipe me out too, though I usually only talk briefly with the therapist then sit in the waiting room with dd.
The results (as transcribed from the Dr.’s teeny tiny handwriting)
1. Average to high average ability (performance IQ – TONI 3 =117 > verbal SIT-R 94).
2. Achievement commiserate with ability (WIAT II – word reading =140, reading comprehension =121, spelling =130, numerical operations =102).
One score somewhere was abnormally low; I think it was part of the verbal SIT-R, a section with “strange stories” where you identify what someone is feeling knowing that the feeling is not what they said (like a person who hates apple pies saying “thank you, it’s just what I wanted” when given an apple pie—why would they say that? because they didn’t want to hurt the giver’s feelings).
3. Mild to moderate pragmatic language disorder.
4. Social developmental delay; in part due to ADHD.
5. ADHD combined.
6. Disruptive behavior.
7. Anxiety (performance and social anxiety)
8. Chronic motor/vocal tics
9. Possible CAPD.
10. Hyperacusis/sensory concerns.
1. Speech therapy with attention to pragmatics.
2. Continue CBT to address anxiety and behavior.
3. CAPD evaluation.
4. OT to address sensory concerns.
Regarding Asperger’s, the Dr. said that he appears to meet the criteria but that he was a little young for diagnosis and that the ADHD complicates the picture (she went into a lot more detail than that; apparently the diagnostic team spent a lot of time debating this point). We will reevaluate in a year – added maturity and addressing some of his other issues may give us a clearer picture. The appointment took about 2 hrs.