We are in the midst of having John looked at for Apergers. How we got here frustrates me. I feel like we should have been here four to five years ago. That said, it is OK. I'm not sure much would have been differently in the intervening years and possibly the news of such a diagnosis would have devastated us back then. Right now it's just not a big deal.
John had significant delays in language. His pediatrician first noticed when he was 15 months old. By the time he was 2 1/2 his language was at least a year behind. It was time to look into speech services.
John was tested both by the Parent Infant Education (PIE) Program for Arlington County and by a doctor at Children's. Both organizations noted his high activity level. PIE called it busy. Busy in Arlington is be nice to parent speak for your kid is crazy hyperactive.
In the end, John was diagnosed with sensory integration dysfunction and language delays. The county provided speech and occupational therapy (OT) in our home until he was three. At that point he was provided with an Individual Education Plan (IEP), moved to Ashlawn for therapy and was offered a community based special ed teacher as well.
By kindergarten he was receiving these same services at Glebe, although he lost his special ed teacher. His IEP ran out and he lost all services because he was too smart. I wasn't. I signed the document allowing them to dismiss John from services.
At that final IEP meeting, my one concern was that John would not be able to sit in a classroom. Their answer was that he could carry notes to the office. I was incredulous...so I'm sending my kid to your school for 30+ hours a week so he can take notes to the office? You didn't just say that?!?! They did.
Our pediatrician took pity on us, did a little further testing and formally diagnosed him with ADHD, hyperactivity type. We began meds and John had all summer to adapt.
In the meantime, it was clear we would not be sending John to Glebe for 1st grade. We heard bad stuff about Drew. My aunt came through with financial help and we sent John to Montessori School of McLean (MSM). John was in heaven and the office was right next to his classroom in case he needed a time out. He didn't. Even better, he made a best friend.
John was stable until about half way through second grade. What a blessing because no one else in the family was stable for that period. Things began to unravel for him when a new teacher was hired. Maybe it was a confluence of events, maybe it was her, maybe it was John, but the free ride was over. That spring we went back to the pediatrician for an increased dose in John's meds. This was our first increase and it still amazes me that it lasted as long as it did.
John experienced his first episode of being bullied/teased that year. The kids would upset him until he overreacted, thus getting him in trouble with the teacher. It worked every time.
It was about this time we put John back in OT, this time privately.
For a variety of reasons, we applied for both John and James to attend Drew when it was time for John to begin third grade. Both boys were accepted. Yay!
John has had wonderful teachers at Drew and is very happy. That said, we are seeing his social skills fail to mature at the same rate as his peers. In third grade he participated in a private social skills group after school. It cost a small fortune and didn't really meet his needs. The time also conflicted with his new swim schedule for fourth grade. All great reasons to quit.
In October of fourth grade I went to the school counselor seeking help, guidance. He offered me the moon but never came through. It would seem that when he observed John the kid was perfect. Great.
Also in October, John ran his first 5k. It was for Autism Speaks. Joseph spent most of the time on the ground in silent tantrum. I remember looking around, figuring everyone was thinking Joseph was autistic. This went on for a couple of hours. By the time we left I decided they were probably right.
That fall John landed in another serious bullying situation at swimming. It was devastating. After two months the coaches managed to stop it. I live in fear of the next bully...John is such the attractive target.
Since then our pediatrician suggested Joseph might be "spectrumish." I had held off before, but now I started investigating what Autism Speaks had to offer via their facebook page. I uploaded an app for rss feeds and added theirs. I learned and learned. The picture was starting to clear. John may well have Aspergers.
By January I was desperate. John needed help. I got my ducks in a row and requested a Student Study meeting. I had evidence that my gifted child couldn't spell...surely that affected his education...and thus qualified him for a social skills group, yes?
The committee wasn't buying it. I finally came forth with my fears for middle school transition given John's proclivity to be a bully target. He needs a social group. He is maxed on his meds, we were seeing a new doc, and any decent doc is going to require he participate in therapy to receive additional meds. His inability to read sarcasm, to be literal, will be his end in middle school English. Finally I mentioned that I thought he might be Aspergers. There was nodding of heads.
The committee came through and offered to test John for Aspergers. I didn't even know this was a possibility. He's also being tested for everything else. Amazing.
So now we sit in limbo. The committee has two months to test John. His meds are hardly working. We are doing weekend "vacations" from his meds and giving him a low dose of another drug instead. We worry because we are watching John unravel and are mostly powerless to stop it. But, we are thankful nonetheless. There will never be a better time for John to unravel...and this will hopefully be a good basis for accurate testing.
In the meantime we have taken John to his new doc. We've gone beyond the expertise of the pediatrician. She met with us, observed, examined and interacted with John. As we were finishing up I showed her the list of tests being run by the school, and that he was being tested for Aspergers. Her words? "I think so." This is the same doc who ended our NF nightmare in September with, "I don't think so." Her plan is to await the results of the educational testing, then use it in hopes of justifying more extensive neuro psych testing as medical necessity to our insurance.
So, for now we wait. Is it ADHD with all the bells and whistles, or is it high functioning Aspergers? ADHD probably means little to no help at school. Aspergers might get him services, but what will that mean in the long run? I keep telling myself he is and will be the same kid either way, I hope.