|Weekly Update Af dum
||[May. 9th, 2008|11:36 am]
Working our way through one step at a time
Week in brief:
Meds not showing same effects outside of the home as inside of the home. Grandma and school reports high emotionality, lack of control.
I think it is not that he cannot take control because at home he shows he can, but that he doesn’t know how else to act in these situations and so he acts like he used to, but know he is more attuned to what is going on around him and notices that people do not approve or include him in the same ways as other children and thus he reacts. If he has been attuned to the cues from others the whole of development he wouldn’t be so affected by them.
I am at a loss as to how to talk to the school about how what they are doing contributes to how he acts. I don’t want to press to have them do something if there is no plan and I still don’t have a plan. I wish school would end so I could really focus.
When to see the Behavioral Therapist and found out disturbing news that M scored very high, across all parents and teachers for depression, anxiety, and somatisation, in the 90th percentile of the clinical range for a seven year old. He is also in the 96-98 percentile for his ADHD in both the inattentive and hyperactive subtypes. While this all sounds dire to me she promises that prognosis is good because of two things. First, he does not show any conduct problems, defiance and other things that often come with ADHD,. Secondly, he is cognitively able to engage in imaginative play, which will be an asset in treatment.
She would like us to do Parent Training for behavioral therapy, because BT for ADHD can’t really be done in the office setting. He will also get CBT for the anxiety and depression. She says we can stagger these so one week he goes and the next week we go in, but if his appointments are at the same time as A’s we can have him go every week and then we can go every week/ every other week.
Our homework this week is ‘special time’ where we each spend one on one time with him for 15-30m each day. In this time we play a game he likes and chooses. We are not allowed to correct any behavior , give any directions, or ask him questions. We are merely to comment, continuously on what he does and what we like about it. Doug will do this on his days instead of every day.
Our other homework is to try to break down tasks so he cannot not comply, and praise him for each step. For example, in brushing teeth which is a fight, we should ask him to brush his teeth and then follow him to the bathroom, praise him for going into the bathroom, wait till he picks up the toothbrush and praise him for that, and then if he puts it in his mouth we are to praise him for that and if he swishes it around for a bit, praise. If he doesn’t do it properly, but makes a token effort we are to praise.
When behaviors happen that we don’t like we are to ignore them completely, unless they are somehow dangerous to himself or others.
***We need a med’s follow up and when we finally get a hold of the doctor we need to figure out what type of appointment we should be setting, because, since we aren’t bringing M to the office they want to schedule us for a parent conference, which only happen Monday at 8am and are an hour long, instead of just a recheck. Talk to Ped about sleep study – sleep disorder because of frequent waking, exhaustion even on meds.
***The food log has been a bust, partially. Need to reinvent it and go back to offering healthy foods instead of just whatever he will eat. Need to actually limit dairy to 2 servings a day. Need to actually add fiber each day. Need to push the fruits and veggies. Sadly the best way to handle keeping his nutrition up and the best way to handle his tummy issues are exactly opposite.
***Weight this week was 53.4
***We need to talk to the therapist about Biofeedback training and if it would work for him
***We need to set a meeting with the teachers this year, Sally, and the teachers for next year and start talking about making the transition to the next classroom.
***We need to schedule an appt with the therapist for Moo, as well as another for parent training. We need to talk to her about some key things we want addressed –like cues from other people, school, personal space, strangers. Social training would help him a lot. We also need to figure out how to talk to him about ADHD. Want to go to Borders and get him a book.
***Working with gasto still. X-ray showed clear, but many BM of unusual size after that, 5 the day of the xray (Monday) and 2-3 each day, since. Lesser complaint of bellyaches this week, post Monday. If bowels were clear where did all this come from? Called left message.
***need to note, post and backdate a ‘poop adventure’ post so it is somewhere.