Friday, July 29, 2011
Then last night Rory was again asleep before he was (which is rare). I was putting him down to bed when I accidentally bumped his head. He started crying so I sat and rocked him on the glider in his room for a while. He sat there whimpering this fake little whimper for a while so I wouldn't stop holding him. Every time I went to put him to bed he would say "No, how about the chair again?" I decided there wasn't anything more important at that moment than holding him and rocking him like I used to do every night. It feels like an eternity since I have last rocked him to sleep. I finally laid him down to bed and he made me give him the required 100 million kisses, which I gladly gave.
Moments like those are really what it's all about. <3
Thursday, July 21, 2011
I about fell over in shock when he was eating his carrot and then said "It's a cube!" But then a few seconds later he ate a pea and said "It's a spehere!" *jaw drop* I don't know where he learned those shapes! I'm so proud of my little smarty pants!!
Wednesday, July 20, 2011
Anyway, I told the ST about his dx and she agreed that it fit him. We talked a little about his rituals and routines and how I struggle with when I should allow him to stick to the rituals and when I should force him otherwise. She basically said to break it as much as I can but if I don't have the energy for it that day, then that's okay. Forcing him to break from his rituals can throw off his whole day so it's very hard for me to decide whether or not it is worth it to force it on him. But it makes sense that the more we force it, the more he will get used to the idea of change and that is good. I guess I will just keep taking it one day at a time. I have actively been working on this and I do see improvement - however very slowly.
Tuesday, July 19, 2011
Sunday, July 17, 2011
So tonight was just a blast. When I told Michael it was time to eat he initially refused which is normal. But after a few mins he decided it was ok to go eat. When he got to the table he was mad the plate he used for lunch was gone. He got distracted from that by this dinosaur sippy that was on the table. He had this small US flag that he had shoved in the tail before but I had taken it out earlier. He was mad about this and trying to put it back in. The dino fell a couple of times and he got so upset he started throwing the cup. So I took it away and he went into a huge meltdown.
He was screaming while James was trying to watch a movie. This was annoying him so he came in the room and started yelling at him. Of course this made him scream harder. Then James slapped his hands and flicked him in the back! I started yelling at him because that was inappropriate and completely unnecessary.
Finally after forever Michael said "I'm sorry mama" and started crying and hugged me. He was calming down and started spinning the knobs on our china hutch. James then saw and got ticked and stuck him in time out. So the screaming started back up. While he was sitting in the time out chair, James was getting into a power struggle with him. I broke in and did a diaper change to hopefully reset him. It was working until I went to sit down and eat again. Michael got mad I was not standing and started to flip out. I thought maybe if I gave him yogurt he would calm down. I got it out and he was saying "No how about plate?" I finally figured out he wanted the stupid plate he had used for lunch. I took it out of the sink and washed it off. He then asked me to put the yogurt on it and he happily ate dinner.
All this was over the course of more than an hour! I'm going to die early from this stress I think!
Thursday, July 14, 2011
Tuesday, July 12, 2011
Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS) is one of the autism spectrum disorders and is used to describe individuals who do not fully meet the criteria for autistic disorder or Asperger syndrome.
PDD-NOS may be thought of as “subthreshold autism," or a diagnosis one can give a person who has “atypical symptomatology.” 2 In other words, when someone has autistic characteristics but some of their symptoms are mild, or they have symptoms in one area (like social deficits), but none in another key area (like restricted, repetitive behaviors), they may be given the PDD-NOS label.
In the DSM-IV Criteria for a Diagnosis of Pervasive Developmental Disorder Not Otherwise Specified, PDD-NOS is covered in a single paragraph, which mainly asserts what it is not:
"This category should be used when there is severe and pervasive impairment in the development of reciprocal social interaction associated with impairment in either verbal or nonverbal communication skills or with the presence of stereotyped behavior, interests, and activities, but the criteria are not met for a specific Pervasive Developmental Disorder, Schizophrenia, Schizotypal Personality Disorder, or Avoidant Personality Disorder. For example, this category includes “atypical autism” – presentations that do not meet the criteria for Autistic Disorder because of late age at onset, atypical symptomatology, or subthreshold symptomatology, or all of these." 1
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., rev.). Washington DC: Author. (Pg. 84)
When might a person receiv a diagnosis of PDD-NOS?
That will vary, of course, but in one study, researchers found that those with PDD-NOS could be placed in one of three very different subgroups: 4
- A high-functioning group (24%) who resembled people with Asperger syndrome but had transient language delay or mild cognitive impairment (such that they could not receive the Asperger diagnosis which requires no speech or cognitive delay).
- A group (24%) who resembled people with autism but who had a late age of onset, or otherwise did not meet the criteria for autism.
- A group (52%) who were autistic-like, but displayed fewer stereotyped and repetitive behaviors.
Monday, July 11, 2011
The reason he gave him that dx and not Autism is due to the fact that he has eye contact (mostly with me or other family members - not to strangers), shows me items of interest, and is affectionate. In all other areas, he showed signs/symptoms of Autism. So basically they give the PDD-NOS dx when they meet most or have significant issues in other areas of Autism but don't fully meet all the criteria.