Shallcoco - posted on 09/16/2011 ( 5 moms have responded )
My best friend's son is 4 1/2. He is a really sweet and intelligent boy. He knows his days of the week, months, colors and seasons. He can count to 100 with few mistakes, and he is starting to be able to read three letter words and sometimes four letter words. He is also starting to be interested in adding and subtracting by using his fingers. However, he has some quirks that seem to point to a potential problem or issue, but she has not been able to get a solid diagnosis for him. He didn't have any speech by the age of 2, and he started with a speech therapist at 2 1/2. His speech improved, and he was referred to a preschool at age 3 for slight developmental delays. Once he got into the preschool, he was diagnosed with Auditory Receptive Disorder. Currently, he is in his second year at the preschool and is doing well. His parents have been unable to get him potty trained so far - he does use the toilet to pee, but only has bowel movements in a pull-up. He knows when he has to go, and will ask for a pull-up. He did poop on the toilet twice at age 2, but he has never been willing to do it again. They have tried everything; the sticker method, rewarding with toys or treats - they tried every possible suggestion out of three different books over the last 2 1/2 years, but nothing has worked. At one point, they tried saying that there were no more pull-ups, and he held his bowels for days at a time, even with fiber drinks, etc. At the doctor's suggestion, they have not been too pushy with him about it for fear that it will make the situation worse. It seems as though he finds some sort of comfort with the pull-up. He also has a hard time explaining things. If he is holding is stomach like it hurts and you ask him what's wrong, he will say "There's something in my belly. A hundred things." He seems to place a lot of emphasis on numbers. He will say, "what number is your muscles?," or "what number is your toy?" The bigger numbers are better, and he is very competitive about it. He wants to be bigger, stronger, taller, faster, etc., and he describes it with bigger numbers. He also asks questions that he already knows the answers to - "What means like?" or "What means I don't care?" He seems to get obsessed with things and will talk about the same subject or repeat the same phrases over and over for an entire day. Recently on a long car trip, he sang the same two lines from a song for one hour without stopping or taking a break. He also mocks or imitates characters that likes; it's almost as though he becomes that character, and he will say that he is them. He is also very focused on girly things. He likes pink, glitter, dolls, butterflies, etc., to the point that it seems like an obsession. He says he wants to be a girl, and he will put things on his head (towel, etc.) to imitate long hair. He used to sing in a really odd way; not using words, just different sounds, but he has stopped doing this. He still sings out loud (but using real songs/words) all the time. At home, in the car, at the store. He has been hushed on the school bus by the other kids for singing. Usually, he seems to get stuck on one song, and he will sing it for a long time. He also repeats things to himself under his breath. Sometimes it's something that you just said to him that day, and sometimes it's something he heard weeks or months ago. He also doesn't seem focused at times, and he never stops moving. He has difficulty following two step directions, and the pediatrician said it seems like he has an "internal distraction." He had an evaluation today, and it seemed very thorough. However, the doctor said that it looks like OCD. My friend is not happy with this diagnosis, and I agree with her. It seems like there are a lot of little quirks that all stem from one issue, but they are not getting diagnosed together - speech delay at 2, auditory receptive disorder at 3 and now OCD at 4. Does this sound familiar to anyone? She has gone through the school, the pediatrician, and now the children's hospital for a diagnosis, but it doesn't seem like anyone can put their finger on it. The doctor today said she initially thought PDD after reading the questionairres completed by my friend and her husband, but changed her mind after talking to their son. I feel like he is getting symptoms diagnosed instead of the underlying issue! Does this sound like it could be something on the Autism spectrum?