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If???

(4 Posts)
pandyandy2 Tue 09-Feb-16 11:07:00

If a child was referred for ASD Assessment yet did not meet whatever criteria for a diagnosis of ASD, would it just be a case of that's it now, no ASD, just get on, or do he team of professionals often diagnose what they think is the actual cause of the child's developmental difficulties?

Thanks.

zzzzz Tue 09-Feb-16 12:09:39

I think if they can come to another dx they will, if they are not qualified to do so they will refer on and if they feel there is nothing that is diagnosable they will generally list any difficulties as a descriptor. nb just because your child doesn't fit any set dx doesn't mean he isn't significantly effected. Another poster posted that over half the children in her child SS had no dx because they just didn't fit in the box IYSWIM

KeepOnKeepingOn1 Tue 09-Feb-16 14:29:11

Behavioural nurse, after observing DS2 in class, said that he met the diagnostic criteria for ADHD but felt there should be further investigation re ASD. Consultant initially thought ASD and definitely not ADHD. Then, following ADOS, changed her mind and said definitely not ASD so must be ADHD.

I asked for referral to GOSH HF ASD clinic for 2nd opinion.

He was then given a definite diagnosis of ASD and there was no further mention of ADHD.

It can often be the interpretation of one person (hence why GOSH have mutlidisciplinary panels and pay attention to existing reports and collect lots of data from home and school) at one point of time. It can't be really be set in stone and often, for one reason, or another, profs err on the side of caution if they are not absolutely sure.

I have sat in on lots of assessments for DS1 and DS2 and it seems that it can seem as if there are a couple of 'moments' of clarity relating to what DC do or don't do, or say or don't say in response to diagnostic questioning that can be the most revealing in terms of meeting criteria. But, even if there is one 'thing' (like fairly typical eye contact) that is not 'what was expected/is expected of a DC on the spectrum', this can be sufficient to result in doubt because as the initial consultant said to me, ASD is a life-long diagnosis and can never be taken away.

pandyandy2 Tue 09-Feb-16 17:15:50

Thanks for those replies, that makes things clearer!

I am a black and white person but this whole process is much about the 'grey areas' and it's v hard to get used to that... but I am/we are ...gradually

xx

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