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My son was 2.75 years old when we had him evaluated (too old for EI too). At the time I was 6 months pregnant with my second, so I'm definitely feeling for you! My son has a high functioning autism diagnosis, and we feel that occupational therapy has been very helpful for him. He had many sensory issues, most of which he has learn to cope with; some don't seem to be an issue at all anymore. He still hates water on his face, but he doesn't become upset like he used to (he'll just ask for a towel now). Haircuts are still a bit of a challenge, but at least he'll tolerate it for a few minutes rather than me waiting for him to fall asleep to cut it. (There was concern he was developing a mullet since I was only able to get the front, top and sides.) Also, perhaps you can ask the OT if a weighted blanket might help your son to relax at night. We use a weighted belt for my son every once in a while, and it really helps him calm down and get centered.
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I hope you don't mind me mentioning this, but we found dietary intervention to be extremely helpful for our son (gluten-free/casein-free diet, plus we eat a traditional foods diet). It took 3 weeks for the casein to leave his system, and 5 months for the gluten to be out. I'm not sure what your son's digestive system is like, but my son's wasn't great (not horrible though). After 5 months off gluten, his bowels began to move the way I felt they should. When we re-introduced casein after being off it for 7 months, he became this crazy roller coaster of emotion. My sweet boy would be fine one moment, then having a tantrum the next. Things that hadn't bothered him off dairy were suddenly worth crying over. The thing that upset me the most was when I heard he was aggressive to a classmate (he's in a special needs preschool). My son is normally very gentle, so I really hoped it was the casein. We removed dairy again, and 3 weeks later he was back to his sweet self. His teachers keep a daily communication folder for us, and you can see how erratic his behavior became while consuming casein. I highly recommend giving dietary intervention a whirl. It's daunting at first, but with the internet, you find fantastic advice from the many others in the same boat who are making it happen.
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Congratulations on your newest family member, by the way! I hope the summer takes it easy on you for your final trimester. Best of luck with your vax paperwork; how incredibly annoying! I hope your son can meet with an OT soon and get things moving. When we started this journey, I felt like all we did was wait. Having a baby definitely made it go faster though... Best wishes to you and your family!