I'm feeling a bit overwhelmed at choosing for my DS7 which areas to address first. The neuropsych report came with over four pages of recommendations. He was diagnosed with DCD, and most likely has dsygraphia -- although has not been officially diagnosed. I know that the more you can address when they are young, the more impact it can have. But where to start and how to choose? I don't want him overscheduled, and our insurance doesn't pay for anything so it is all out of pocket expenses for us.
Key areas we know where he needs help/therapy:
* fine motor - especially handwriting
* written expression
* gross motor
* sensori-motor
* core muscle strength
* coping skills
* visual-spatial
* being challenged academically - gifted pull-outs don't start at school until 3rd grade, and he was NOT challenged last year in any way
We have already decided to work with a learning specialist to help with the written expression as this is causing so much difficulty at school and really holding him back. She also does a bit of visual-spatial work with him as well as handwriting. Last year he was in OT for fine/gross motor, and then we switched it to a handwriting/social group. But we really can't take on that additional cost right now. He does a one day a week afterschool karate class (gross motor, core) and chess (visual-spatial / cognitive challenge). But I don't feel that these are often enough/intense enough to really help make much progress for him. I have enrolled him in a weekend gifted class which I think he will really like and should challenge him.
How do I choose? How do I not feel guilty that I can't give it all to him?
