Originally Posted by DeeDee
Originally Posted by Ophelia
Ds7 reads at a 9th grade level/spells well, but struggles with math and writing. Nightly homework has been a nightmare; so much crying and meltdowns.

That alone is a red flag that something is going on. At 7, homework should be a brief affair.

We have already resorted to just giving him answers on math a few times because it's heartbreaking to watch. (No, I am not proud of this.) He's supposed to read for 20 minutes each night in addition to normal homework, and so I've signed the paper saying he's done his reading all year. I've never had him read once, because it's not realistic with the amount of time it takes him to get homework done and into bed on time. All of this upsets me because I'm inadvertently teaching him to lie and cheat, essentially, but he tends to follow rules, so I hope he'll be ok. frown

Quote
Did they do any testing for executive function or attention? Any testing along the lines of Conner's Rating Scale? An ADOS (which is the main test used to diagnose autism)? A Vineland test of adaptive skills? Testing on all facets of language skills, with particular attention to expressive and social language use? I would want testing in all those areas.

I didn't include the other tests previously because I wasn't sure they were relevant. The remainder of tests/scores were:

Test Observation Form
Withdrawn/Depressed 55 /<69%
Language/Thought Problems 61 /87%
Anxious 58 /79%
Oppositional 55 /<69%
Attention Problems 55 /<69%

Revised Children's Manifest Anxiety Scale-2

Inconsistent Responding Index 0
Defensiveness 62 /88%
Total Anxiety 60 /84%
Physiological Anxiety 58 /79%
Worry 59 /82%
Social Anxiety 57 /76%

Gars-3 Mom
Restricted/Repetitve Behaviors 8 /25%
Social Interaction 6 /9%
Social Communication 5 /3%
Emotional Responses 11 /63%
Cognitive Style 10 /50%
Maladaptive Speech 8 /25%

Teacher
Restricted/Repetitive Behaviors 4 /2%
Social Interaction 3 /1%
Social Communication 2 /<1%
Emotional Responses 3 / 1%
Cognitive Style 6 /9%
Maladaptive Speech 5 / 3%

BRIEF-2 (Parent)

Inhibit 61 /88%
Self-Monitor 74 /98%
Behavior Regulation Index 66 /95%

Shift 64 /91%
Emotional Control 71 /97%
Emotional Regulation Index 70 /95%

Initiate 63 /97%
Working Memory 66 /96%
Plan/Organize 60 /93%
Task-Monitor 73 />99%
Organization of Materials 73 /99%
Cognitive Regulation Index 68 /99%

Global Executive Composite 74/ 99%


BRIEF-2 (Teacher)

Inhibit 49 /58%
Self-Monitor 50 /68%
Behavior Regulation Index 50 /62%

Shift 48 /60%
Emotional Control 47 /69%
Emotional Regulation Index 48 /60%

Initiate 54 /71%
Working Memory 54 /77%
Plan/Organize 51 /69%
Task-Monitor 54 /76%
Organization of Materials 65 /93%
Cognitive Regulation Index 56 /72%

Global Executive Composite 53/ 67%


Achenbach Child Behavior Checklist 6-18 (Parent)

Anxious/Depressed 59 /81%
Withdrawn/Depressed 62 /89%
Somatic Complaints 57 /76%
Social Problems 56 /73%
Thought Problems 71 />97%
Attention Problems 61 /87%
Rule Breaking Behavior 53 /62%
Aggressive Behavior 57 /76%

Affective Problems 68 /97%
Anxiety Problems 60 /84%
Somatic Problems 50 /<50%
Attention Defecit/Hyperactivity 66 /95%
Oppositional Defiant Problems 51 /54%
Conduct Problems 50 / <50%


Achenbach Child Behavior Checklist 6-18 (Teacher)

Anxious/Depressed 51 /54%
Withdrawn/Depressed 50 /<50%
Somatic Complaints 50 /<50%
Social Problems 50 /<50%
Thought Problems 60 />84%
Attention Problems 52 /58%
Rule Breaking Behavior 50 /<50%
Aggressive Behavior 51 /54%

Affective Problems 50 /<50%
Anxiety Problems 50 /<50%
Somatic Problems 50 /<50%
Attention Defecit/Hyperactivity 54 /65%
Oppositional Defiant Problems 54 /65%
Conduct Problems 50 / <50%


Quote

I am not a testing expert. But based on my experience as a 2e parent, assuming you sent all the scores, this eval did not really look to rule out ADHD, ASD, or anything else along that line-- it looks very perfunctory and aimed mainly at assessing IQ, achievement, and visual-motor. I would want someone with autism expertise to do an ADOS, possibly a BRIEF, the other things mentioned above, spend time with your child, and interview you about your concerns.

I apologize for leaving things out the first time. He did have the BRIEF-2, and I assumed the examiner just decided to use his teacher's scores since mine were so high? -Maybe my answers were not consistant, but it seems my portion was not taken into account. He did interview me for about 20 minutes, and the neuropsych eval. lasted approximately 4-5 hours (as opposed to the one I had a while back, which lasted 8 hours). An assistant was sent for an in-class observation, and the examiner told me she reported no problems. His teacher told me he had a meltdown in class (art club was cancelled, and he was extremely upset) approx. an hour before the observer arrived, and the information was relayed about the meltdown. He had problems for the rest of the day, though.

Quote
If you talked to a "regular" neuropsych, I'd recommend going to someone who has seen a LOT of kids with autism, whose main practice deals with ruling in or out. We found that at a children's hospital autism center (after several really useless misdiagnoses).

Thank you. I see that's the consensus. I had considered it, but the waiting lists for an ASD evaluation are so long here at the hospital based autism centers that I avoided them in hopes of getting him help more quickly. --That's worked out well. smirk


Quote
It is not OK to ignore a disability and excuse it as "just gifted"-- it doesn't help the child. I would want to really be thorough and rule all these other things out, and have a real explanation for the problems, before naming it "just gifted." Because so far you have no explanation for the struggles-- garden-variety gifted does not necessarily include or explain those struggles and certainly gives you no path toward a remedy.

This is exactly how I feel, and also why I'm having so much trouble figuring out whether I'm over-reacting. DS is almost a carbon copy of me in regard to everything I'm seeing, even with the same strength in VCI. I had identical problems in math (not writing), and mine also started with multiplication that I could not memorize. I am now 40 years old, and so I'm painfully aware of how 'gifted issues' can affect someone's entire life. Nobody tried to figure out what my problems were, and when I tried as an adult, nobody took me seriously. (Mensa member w/ 3rd grade math level.) So, I'm trying to balance what I think I seeing with trying to avoid projecting my own stuff. Ok, I am officially rambling. laugh

Quote
Some gifted kids are intense; and some have single interests. But not all are impaired by those interests (most are not).

Yes, this was my understanding, too. He also goes on these tangents a few times a day where he'll start repeating lines from his favorite tv show. (So, when it was Dr. Who, it was "Allons-y!" or "Geronimo!" or "Hello! I'm the Doctor!", etc.) He'll just suddenly start, and will repeat the word or phrase every 20-30 seconds, sometimes for an hour at a time. I usually try to distract him with something else related to that interest in order to get him to stop. This process will happen about 2-3 times a day, and usually every day. Other times, he will do the reciting facts about his interest at people when he's trying to have a conversation. However, he can also have fairly normal conversations at times, too, but will still throw in things about his interest at the end. --I will work on the flexibility.


Quote
Some 2Es have a hard time with math facts-- but have a beautiful grasp of more abstract concepts. (Many teachers believe this is impossible, but I've seen it.) Some kids are practically born with math facts installed; for others it takes years to internalize them even if they understand a great deal of math otherwise.
This would be wonderful, and I agree, because I've heard that before too. We do have a multiplication table printed out for him to use at home, but his teacher wasn't willing to let him use it in class. We will keep it nearby for next year's homework too. He was able to learn 6's and 7's when we made up a stories about Dr. Who with the facts in order. (6, 12, 18, etc.) It seems like it would be a lot of work to recite a story in your head every time you need to know 6x7, though. eek


Quote
I would say seek a second opinion privately, and in the meanwhile ask school to make a Response to Intervention plan (RTI) to help DS with the things that are difficult for him.

Can I ask for this without any actual evidence (on paper) of a problem? He's just finished the year with a D in math and also science. -I'm not sure what happened with the science grade, because I assume there's no math in 2nd grade science.

Also, do you know whether this is something I need to request before school starts, or just wait until classes resume? They do have office hours over the summer.

Thanks very much for your helpful feedback smile