aflsh
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Re-assessment of Son
Posted: 01-11-08 16:35pm
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Hi
My son was diagnosed with "receptive
Language disorder" when he was 2 years
old. He was not yet speaking at this time
and our pediatrician noticed it during a
routine checkup. Anyway he underwent a
series of testing and he received quite a
bit of therapy during his first 2 grades
of school. By the time he was in Grade 3
they stopped all therapy. He seems to be
doing well, but my concern now is that he
is 18 and about to graduate high school.
He is having trouble finding a job and I
really don't think he can handle being out
on his own. Do you think we should have
him reassessed as an adult, and try to get
him in some kind of job program or
secondary school program?
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ladylee70
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Posted: 01-11-08 22:29pm
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What were his grades like in school? Did
the teachers have concerns with his
academics? What about social skills? Have
they mentioned that he doesn't seem to
understand what they are saying or asking?
Have you noticed that he has difficulty
understanding directions, instructions or
what people are talking about in
conversations?
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Tmddyan
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Posted: 01-13-08 15:36pm
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It would be a good idea to get him
reassessed. There are work training
centers that help a person get in to the
"real" world. often they find people with
autism or a disability a place to work in
the community
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aflsh
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Posted: 01-14-08 12:23pm
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| ladylee70
wrote: | | What were his grades like in
school? Did the teachers have concerns
with his academics? What about social
skills? Have they mentioned that he
doesn't seem to understand what they are
saying or asking? Have you noticed that he
has difficulty understanding directions,
instructions or what people are talking
about in
conversations? |
His grades are poor. He has trouble with
social skills and understanding
instructions. He told me once that
sometimes when people talk there is a
delay. It's like those foreign films that
are translated you see lips move but
nothing comes for a second or two. I
can't understand what that would be like
but for him it's normal. I wish I could
get him help. He is a great kid, and like
I said high functioning. Alot of people
think he is just wierd. He also has no
fingernails cause he chews the nails and
the cuticle off. It's not pretty. I am
trying to get help for him, but not sure
where to start.
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Tmddyan
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Posted: 01-14-08 13:18pm
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I would start by finding the work force
training center for your area. they would
have an idea of a place for a job and
would also help him with the things that
are deviant(nail biting etc) People need
to realize that we are all the same
---people with different needs wether it
be help in one realm or another.
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Mommy35
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Posted: 01-16-08 14:08pm
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I think if you look into a vocational
rehabilitation center in your area
(sometimes you can find one at the
unemployment office) and get him in for an
assessment. They will help him get a job
based on his likes/dislikes and abilities.
They may also provide job coaching for
him while he adjusts to his new job.
I work with a girl with Autism and she
bites her hand so bad it bleeds sometimes.
It's self stimulation and very normal.
Good luck to you. Your son is lucky to
have a mom who is as supportive as you are
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Tmddyan
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Posted: 01-16-08 14:17pm
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actually its SIB--self injurious
behavior--yes it is "normal" but its not
the ideal and we need to come up with a
behavior that can replace it.
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aflsh
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Posted: 01-17-08 12:06pm
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Yes I have had to take him to the doctor
for infections in his fingers. The doctor
had to drain them with a needle. He was
surprised at how calm Kyle was while he
was doing it. He kept asking him are you
sure this doesn't hurt. Kyle just grunted
at him. Kyle has very limited facial
expressions. He can lie to you with a
very straight face. Unfortunately I think
he is replacing this behaviour with
smoking. With his problems, I think it is
going to be very hard to get him to quit.
He has no income so I don't even know
where he is getting them from.
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Tmddyan
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Posted: 01-17-08 13:14pm
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I have a client that does this as
well--when they are upset i think that the
brain rerouts the nerve messages so they
cant feel it(just a theory) if you were to
do it to them it would hurt but they cant
feel it when they do it.
really look into the work training
centers. I dont know if you have something
like tesh or not.
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aflsh
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Posted: 01-17-08 14:30pm
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I am trying. I'll let you know how we do.
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Tmddyan
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Mommy35
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Posted: 01-18-08 06:33am
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| Tmddyan
wrote: | | actually its SIB--self
injurious behavior--yes it is "normal" but
its not the ideal and we need to come up
with a behavior that can replace
it. |
You are correct that biting or picking is
a SIB, but we like (as does her
psychiatrist) to refer to it as self stim.
It's a habit at this point, since she's
been doing it for most of her life. Of
course it isn't ideal and we certainly do
try to replace the biting with other
things she can do that is more acceptable,
but it's really easier said than done and
if you have any ideas on this I would love
to hear them.
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Tmddyan
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Posted: 01-18-08 13:34pm
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You reinforce a behavior that is
incompatible with finger biting. That is a
behavior that is the opposite of finger
biting. for instance if it is biting
fingers we would reinforce clapping hands
if they are upset, or perhaps
coloring(depending on the age) anything
that they can do that they would be unable
to bite their fingers while doing. you
start slowly. sit down and have a five
minute session. if at the end of 5 min.
their is no finger biting--give them their
favorite treat( a little not a lot--you
dont want to satiate their desire for
it(basically get tired of it) )----- then
set how many sessions you want to do this
for before you increase the time--you may
want to require 5 sessions of no finger
biting before adding another minute.
pretty soon you could go all day with out
finger biting. You should also record your
results so that you can see the progress.
basially you can write down the time and
give a + for no biting and a - if he bites
fingers. if at any time during the session
fingers are bitten do not give the
reinforcer. Make sure that when you
reinforce this you say his name and
something like--"good job you didnt bite
your fingers at all and kept your hands
busy." or any variation as long as you
name what it was that he did that was
good
if finger biting occures redirect to
whatever it is that you are having the
person do and start over. it helps if you
have a atimer there so that you can see
it--it just helps keep track of the time
better.
I finished a course on behavior management
just recently and have tried this
myself--it really does work. just dont
expect immediate results or you will get
frustrated--behavior modification takes
time.
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aflsh
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Posted: 01-19-08 13:56pm
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That is very interesting. Actually it
makes a lot of sense too. Keep yourself
busy, and you won't get into bad habits.
That's my problem with Kyle. He needs to
keep busy. I have tried putting him in
sports, (skating, curling), I tried dance
classes, scouts, cadets. He had a paper
route for a few years, but doesn't want to
do it now. We live in a small town, so
there are not too many options. We keep
trying though.
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Tmddyan
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Posted: 01-20-08 15:32pm
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you could also use differential
reinforcement. this is wehre there is more
than one behavior present and you ignore
one and reinforce the other---the first
one that i gave you though would work
better because it teaches him something
appropriate to replace the innapropriate
behaviors with . Is there something that
he really likes to do? if you can find
that you will have a good start---just
dont push it. If he wants to do it. Ive
seen so many things that a guy likes get
turned into a program that they have to do
that they dont want to do it any more.
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aflsh
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Posted: 01-21-08 13:07pm
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unfortunately, the other habit that he
likes to do is smoking. I am also trying
to talk him into quitting. He likes to
talk about history. Particularly, World
War 2. He knows a lot of facts about it.
He likes to write short stories. He loves
to read. He likes playing games. I find
him a very interesting kid to talk to.
(not bias or anything lol). I wish I could
help him more.
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Tmddyan
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Posted: 01-22-08 14:43pm
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hum--do the same thing to replace the
smoking. YOu might want to only tackle one
thing at a time--Id start with the one
most dangerous to him.
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aflsh
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Posted: 02-08-08 12:55pm
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| Tmddyan
wrote: | | hum--do the same thing to
replace the smoking. YOu might want to
only tackle one thing at a time--Id start
with the one most dangerous to
him. |
I think I will need help with that.
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Tmddyan
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Posted: 02-08-08 14:09pm
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no problem just pm me and ill help you
with any questions that you may have.
which one is more dangerous to his health?
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aflsh
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Is it Aspergers?
Posted: 02-08-08 14:11pm
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You know, the more I read, the more I am
convinced that Kyle could have this
diagnosis. A lot of these behaviours match
his. He was diagnosed with receptive
language disorder in 1992. This does not
explain his social skills. He is 18 now
and can't drive a car. He took driver's ed
but he failed. He doesn't want to try
again. He can't find a job. He has few
friends. When he was first diagnosed, he
received extensive therapy (speech, OT,
physio). He also has a history of ear
infections. He had ear tubes in both ears,
twice. There are a lot of little things
that I could go on about. My point is how
do I go about getting a diagnosis of
Aspergers or ruling it out. Our family Dr.
has referred us to the psychiatrist. I
have also contacted our local coordinator
of school services at Kyle's high school.
Is there any specific tests or questions I
should ask? Is it possible he could have
aspergers as well as RLD?
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