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    Joined: May 2013
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    Originally Posted by polarbear
    I'll second the suggestion above to pursue private neurospych testing or at least some type of private, comprehensive educational eval. Your dd has an ADHD diagnosis, and you also suspect some type of 2e issue may be impacting her ability to complete her work as quickly as her peers. A neuropsych eval will not only give you test scores, but will also give you important feedback that will help you to understand what the test scores mean related to the behaviors you're seeing (slow to complete school work). It might be a working memory issue, it might be a focus issue, it might be a fine motor issue... really, it could be any of 1000 things, and having an unbiased and comprehensive look from a professional will help answer so many questions. You will also get a report outlining the accommodations (as well as remediation if necessary etc) that your dd needs, and that's where you begin with advocating - with a professional report in writing, as well as the knowledge you'll gain through the eval.

    I also have found it helpful to look forward past the immediate school situation when thinking about what to do in situations like this. Right now you're focused on how to get your dd into the GATE program in 4th grade, but the CogAT testing for that program isn't the only place in her life where the challenges she has (ADHD, possible something else impacting processing speed etc) are going to impact her ability to show her full knowledge. At some point in time she'll most likely have to take timed standardized tests, eventually she'll be taking College Board etc tests, chances are that in middle school and then later on in high school her homework load will increase... things like that. The earlier you start implementing accommodations and the more you understand and have proof of why they are needed, the easier it's going to be to have them in place and not have to fight for them when they are going to count. You're seeing a bit of that "deadline" looming with the gifted program admissions testing - it *is* possible to get accommodations for the CogAT such as extended time or oral response etc. It's *not* an IQ test and it's not a test designed to tease out learning differences, so your school shouldovided you've gone through the process of requesting accommodations for *all* testing (classroom and state testing etc). It sounds like your dd needs extended time (and she might need other accommodations you're not aware of). All of this, from my perspective, is reason to pursue an outside eval, and to pursue it now, not later.

    Best wishes,

    polarbear

    I agree, I just need to get the school to see that there really is an issue and she needs a 504 plan. All they see is a very bright high achieving child, and since she's not graded on anything right now, and there are no timed tests (other than the CogAt which they are saying she doesn't need to take anymore even without a 504), they don't see an issue. But let's just say she gets into GATE. In GATE they accelerate math two years. DD will probably not be able to finish the tests or work unless accommodations are made (for instance cutting the work load). Or it could be they just don't want any 2e kids there. I sent an email to the GATE lead teacher, asking about testing and the ADHD, and she said she's looking into the situation and will get back to me.

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    Originally Posted by master of none
    My DS has slow processing speed. We used to speak, then count to 10 before expecting any kind of response for him. Now, he can pretty much have a normal speed conversation, but he cannot follow a fast paced discussion and will tune out. He has a "quick" mind when it comes to making connections and recognizing absurdities. But it seems to be the processing of the language that slows him down. He is also a very fast reader--up til about 4th grade, his teachers sometimes punished him, thinking he had not actually read the material because he was so fast. And they'd tell me how poor his skills were, etc.

    He is also very quiet at school. School can be crazy with lots of things going on. My DS doesn't have ADHD, but I imagine if he had that super slow processing speed coupled with difficulty knowing what to focus on and what to tune out, it would be quite challenging.

    My DS does have a 504. One thing it has on it is that he needs to be directly called on with a direct question if he is going to be graded on class participation-- discussions just move too fast for him to process, form a response, and raise his hand before the topic has moved on. Prior to his 504, he used to crumple up his math fact papers and his teacher quietly adjusted how she presented it to the class, making it untimed and unstressed. She did this on her own. But a 504 might have worked too.

    Testing gave us that information for us to understand and years later, we were able to say to teachers-- no, he's actually listening and participating, he just can't go that fast-- which helped them not take it personally.

    One other thing to consider is -- is the slow speed related to taking in, putting out, both? We know we have a taking in issue here. We know we have a handwriting putting out, and we wonder if we also have a speech putting out issue--pragmatic speech. Our neuropsych said no, but we still have to wonder sometimes when we see what he gleans from some of the literature (lol). Testing can help tease it all out--looking at memory in various forms-- my DS is horrible at names and faces and forms, but has excellent auditory memory. That's useful to know and we wouldn't know it without having had a complete battery of tests.

    Were those tests expensive? Where did you go for them?

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    I'd start by approaching the school psych and basically state what you did above - "I've been researching both the Weschler and WISC IV and it is my understanding that both tests have timed components. We believe she has potential issues with processing speed and/or working memory and we're concerned those issues will impact the overall score. My understanding with the WISC IV is that a GAI is a possibility if that is the case, is there an equivalent for the Weschler?" or maybe just go with a simple "if this was your kid, what test would you want her to take and why?".

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    For parents who are considering neuropsych testing - fwiw, yes, it can be very expensive. MON's price through CTY is actually less than what the full price was for us through a local (non-gifted specialist) provider. We were fortunate to have insurance that covered part of the cost of testing - but they key to getting that coverage was to have the referral for testing come from our children's pediatrician as a *medical* referral. The testing would not have been covered if it was considered "educational" - and I really don't understand how the differentiation is made, but our neurospych's office staff helped work through the issue of what they needed to use for a diagnostic code in order for the testing to be covered by our insurance. That doesn't mean that all insurance companies cover it - but please know that most neuropsych office staff folks will be very used to answering the question "will xxx insurance cover this testing" and if they don't know the answer, they will most likely be willing to check it out with a call to your insurance rep.

    Even if you have to pay for it yourself, if you can, and if you have a child that you suspect has 2e issues, it's sooooo worth it in the long run to go ahead and have the testing run. Chances are the questions you have aren't going to go away. Suppose you have the testing and find out all is well - it will allow you to move forward without wondering is there an issue. And if you find a challenge, you'll get help with not only understanding the challenge but help plannign a road map for how to deal with the challenge. OTOH, if your child has a challenge that goes undiagnosed because you put off testing... you're most likely going to spend money in other places trying to simply tread water to keep your child afloat. JMO, but I think it's better to be able to move forward knowing for sure what you're dealing with so you can spend your money wisely as the years move forward, rather than second-guessing what will help and possibly losing future $ and time.

    polarbear

    Last edited by polarbear; 10/15/13 11:56 AM.
    Loy58 #171333 10/15/13 12:18 PM
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    Originally Posted by Loy58
    Is your DD a perfectionist and could that be slowing her down? Would the school consider a WASI (although if you really want the information about processing speed this might not give you what you want)?


    Sorry about the delay replying. I don't think she's a perfectionist. She has been bringing home spelling tests where she didn't even attempt to write some of the words and she doesn't seem too upset or disturbed about it. I asked her why she's not even trying to write the words down and she says it's because the teacher goes too fast. I asked her if she can raise her hand and ask the teacher to slow down, and she said she's not allowed to raise her hand or ask such a thing. I wrote a note to the teacher saying that DD is having a problem with the spelling tests going too fast. Teacher never replied but told DD she can't slow down or the other kids will start talking. She wrote a note on the top of the next test saying "Keep trying! It will get easier!"

    What is the WASI? Need to look that one up.

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    I just called one neuropsych and they said it would cost $3300...some insurance plans might cover some of it. They will not break it down and just do a WISC (or processing speed, or any other part of it).
    That covers IQ, Woodcock Johnson (or other achievement tests), processing speed, sensory functioning, learning style, learning inefficiency, executive functioning, memory, language, and perceptual motor. That sounds good, but we're not wealthy. I know our insurance plan covers zero for neuropsych testing unless there is a special circumstance like a TBI.

    Last edited by blackcat; 10/15/13 12:37 PM.
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    I took DS to the large university near us after his brain injury and there was the neuropsych, a resident, and a student all doing the assessment together (the resident did most of the actual testing). I asked the neuropsych about DD and he said he doesn't see cases like her, he deals more with brain injury type stuff. I think they ended up billing insurance about $3000, insurance paid maybe half, and we were left with a $23 co-pay (whew). If there was ever a time when I found something good in the TBI, that was it because DS needed an eval anyway.

    Now I'm looking at a place online where it is $1,075 plus another $400 to evaluate for ADHD. I wonder why the huge difference.


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    Originally Posted by blackcat
    one neuropsych and they said it would cost $3300... That covers IQ, Woodcock Johnson (or other achievement tests), processing speed, sensory functioning, learning style, learning inefficiency, executive functioning, memory, language, and perceptual motor...

    Now I'm looking at a place online where it is $1,075 plus another $400 to evaluate for ADHD. I wonder why the huge difference.
    Does each include the same tests? Performed by someone with the same credentials and experience?

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    I don't know what the difference is. I left a message since people rarely answer phones. I think when I tried to get DD into the neuropsych that DS went to, they told me they would only see DS, but recommended this other place for DD (the one that charges $1000). It specializes in ADHD and learning disablities. I'll look for clinical trials but you'd think the neuropsych that is seeing DS would have known about that.



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    The Wechsler Abbreviated Scale of Intelligence (WASI) uses vocabulary, similarities, block design and matrix reasoning subtests similar to those of the WAIS to provide an estimate of full scale IQ in approximately 30 minutes. The reason I mentioned this was I was looking at your short-term goals for school placement. This test tends to be cheaper, so some schools prefer it. Still, in light of your concerns, a more complete assessment might provide you with better information for helping your DD in the future.

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