Which specialist or therapist can help with reasoning skills? - Mothering Forums

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Old 05-07-2014, 05:11 PM - Thread Starter
 
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My 4.5yo ds lacks cause and affect reasoning skills, self-help skills, cognitive reasoning skills.  He knows some names for colors but doesn't know his colors, despite us going over colors with him daily.  He hasn't been able to learn shapes either, except maybe a circle (but can't tell the difference between a circle and oval, for instance).  He's not retaining information well, learns very, very slowly, if he even gets to a point where he can grasp a concept at all.  With a ton of work he is now able to use the toilet but lacks the reasoning skills to remove clothing out of the path of urine so his shirt hangs down and gets soaked on top of his pants that he hasn't pulled down hardly at all, even though we show him several times per day how to pull the pants down far enough and he shows us that he is physically capable but then just doesn't do it when he uses the potty.  His OT was having him try to copy things and he didn't even grasp the concept (though she simply explained it) of what she wanted him to do (she held up a laminated paper with a line or shape on it and gave him his own paper, asked him to make one just like hers) - he kept trying to just draw ON her laminated paper.  He was asked to build a "train" (3 blocks in a row with one block on top of the side block) - shown exactly how and given enough blocks to copy it.  He just lined them up 4 in a row and didn't put the top block on, despite the OT showing him over and over.  We got a swing-set recently.  He got off the swing, sat down and pushed the swing away from himself in anger - it came back at him and hit him.  He did it again and again, each time NOT expecting it to come back (being surprised) and we had to tell him to MOVE.  How can that show up on a "test"?

 

We had him evaluated by our regional center two years ago and they told us since he's not autistic or have down syndrome then he has to be even lower scoring on certain tests they gave him (I think he'd score even lower now than he did then but still not sure that would be helpful).  

 

We tried a special ed preschool class but he didn't learn hardly anything and he has attachment issues (we adopted him 2.5 years ago) that got worse, he picked up tons of negative behaviors (now chews on everything as other kids in the class did), and his anxiety shot through the roof and he began to have seizures (got too excited/tired) so we took him out and he improved in some areas but still not much cognitive/reasoning skills being learned.  

 

He saw a developmental specialist last year but I really feel like she didn't see half of the issues he's dealing with, like she just dismissed everything because he was "so cute" and "smiling so big" so he couldn't be "that" delayed.  Yes, he is.  My 18mo is passing him up pretty quickly here.  I feel like things need to be done NOW while he is young and people are blowing us off like he doesn't really have any issues, or at least any to do anything about - as if he'll "catch up" but he isn't.  He does have visible brain damage shown on his MRI from premature birth-related brain injury.  We also highly suspect, as does our family therapist, that he may have fetal alcohol syndrome but it has not been diagnosed as of yet.  

 

Should I ask to see a different developmental specialist who will take our concerns seriously?  Is there a certain type of therapist who can work on reasoning skills with him?  He did 3 ABA sessions through the regional center and did very well with it but the developmental specialist said that ABA wouldn't be right for him because it's too structured for him since he is not Autistic - ???  She says other "behavioral therapies" can work better for him but didn't elaborate on it, then we switched insurance so we'll have to see a different specialist.  

 

The only other thing I can think of is to let several years go by, work on attachment and getting his anxiety down and then try putting him back into school - ???  I don't know where else to get help for him.   


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Old 05-07-2014, 05:30 PM
 
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This may sound silly, but I would try cod liver oil. It is different than fish oil which is body oil.
A small spoonful a day of cod liver oil, even if a bribe is required (a chocolate chip or some other goody) may yield some brain development. There are flavored ones now so not the fishy putred stuff you may envision. Carlson's lemon flavored is not offensive and when mixed with a shot of lemonade, easily taken. It is regular cod liver oil, not fermented, which is another subject. Many people rave about it, but I would take baby steps and try the lemon Carlson's with a squirt of lemonade.
It is highly nutritious, helpful for the immune system too. If you don't note any cognitive development, it is still worthwhile.
The UK government, until 1971, actually funded free cod liver oil, for decades, to children age five and under because the results were so impressive (health wise). Read a bit though on the information online pertaining to cod liver oil and brain development, it is so interesting.
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Old 05-07-2014, 05:42 PM - Thread Starter
 
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Quote:
Originally Posted by Asiago View Post

This may sound silly, but I would try cod liver oil. It is different than fish oil which is body oil.
A small spoonful a day of cod liver oil, even if a bribe is required (a chocolate chip or some other goody) may yield some brain development. There are flavored ones now so not the fishy putred stuff you may envision. Carlson's lemon flavored is not offensive and when mixed with a shot of lemonade, easily taken.
It is highly nutritious, helpful for the immune system too. If you don't note any cognitive development, it is still worthwhile.
The UK government, until 1971, actually funded free cod liver oil, for decades, to children age five and under because the results were so impressive (health wise). Read a bit though on the information online pertaining to cod liver oil and brain development, it is so interesting.

 

Not silly at all.  In fact, we put him on cod liver oil and pro-biotics as soon as he was in our home, so he's been on them for 2.5 years now, just as our biological children are.    


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Old 05-08-2014, 09:11 AM
 
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Oh good! I wish I could be of more help though. I hope that you will get more responses.
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Old 05-11-2014, 08:25 AM
 
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I would contact your local school and request special education services. When does he turn 5? The kind of specialist he needs is a well qualified special education teacher.

 

It sounds like he may have a cognitive impairment. He learns very slowly, and he most likely still will even in the ideal school situation. However, the more people he has working with him and helping him develop, the better off he will be in the long run.


but everything has pros and cons  shrug.gif

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Old 05-11-2014, 04:42 PM
 
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You should definitely contact you local school to have him evaluated.  even if he won't start kinder this year, he will be qualified for some services.  Are you seeing a neurologist for the seizures?  If so, I would bring up the delays.  Seizures can cause developmental delays, and plenty of kids start with absence seizures, where the just "zone out" for a little bit.  The only way to tell is an EEG.  they can do 24-48 hour EEGs at home now (someone comes out, hooks your child up, then they carry the machine in a little backpack).  If you are not seeing a pedi neurologist, make an appt ASAP.

 

I would also contact another developmental ped.  I would go to the appt with a list of the milestones you have not met yet.  Doctors see a snapshot, and make a judgement on that.  If you come with a list, they can get a better picture of where your child is, and what your concerns are.  I would make a few copies, when the person comes in to take your vital signs, you can give them the paper.  Docs seem to do better if they have a few minutes to read & think before they deal with the child & family.

 

As far as what therapists you need, I would say that depends on the source of the problem.  I would recommend a pedi psychologist who specializes in educational testing.  the school should be able to supply you with one, however, since the school year is about to end, they may not do anything until the new school year, so you might want to look into private testing if your insurance will cover it.


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Old 05-25-2014, 08:42 AM
 
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Piggybacking on the previous comment--depending on where you live, sometimes you can still get a lot done via the school district office over the summer.
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Old 06-19-2014, 07:34 PM
 
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Avoid School Diagnostician.

My advice to to avoid school appointed anything. While there are some exceptions, and I have met great caring people in the school system, the schools have a different agenda than you do. If your child is diagnosed with a disability, it costs them money, additional problems, additional money. Find yourself a good diagnostician outside the school system, and then take the diagnosis back to the school and have them act on it.

After 18 months of fighting with the school over my sons diagnosis, we went to the regions leading clinic/expert associated with Baylor College of Medicine. He later told us that he could see something was wrong within a few minutes, where the schools diagnostician said it was nothing, and denied Special Ed. Services

Sadly every family of a child with disabilities that I know of has an adversarial relationship with the school system. You have to fight for everything. Second guess them always, don't assume that everyone you deal with at the school cares.
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Old 06-20-2014, 10:28 AM
 
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Quote:
Originally Posted by FiveandCounting View Post
Sadly every family of a child with disabilities that I know of has an adversarial relationship with the school system. You have to fight for everything.
This isn't true of everyone on this board. I'm sorry that you've had such a rough time of it, but this sweeping generalization isn't true *for everyone*.

but everything has pros and cons  shrug.gif

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Old 08-10-2014, 12:55 AM
 
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Speech Language Pathologists can help with cognitive skills, particularly executive functioning skills like problem solving, thought organization, etc. I would ask for a referral to an SLP who has expertise in cognitive re/habilitation. Often times those at children's hospitals have this type of expertise.
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