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Feeling like nursery are really pushing to label my son

116 replies

Dumbledormer · 28/09/2023 10:36

This is a difficult post. First of all I hugely like and respect my DS’s nursery workers but I’m getting a lot of mixed messages and I feel like I’m going crazy.

DS is two (literally just turned last week) and was born 5 weeks premature. He’s been going to nursery two mornings a week since he was 1. Nursery flagged a concern with me that he wasn’t responding to his name at around 18 months and that he walked on his tiptoes a lot and that these can be early traits of autism. Contacted HV who came out to assess him and was not hugely concerned. Advised to “watch and wait”.

Did my own research, panicked a lot then calmed down and looked at things to do to help. Managed to get a private speech therapist a couple of months ago who found him to be speech delayed on meeting him but didn’t think he was autistic (although mentioned later that she now wasn’t sure as nursery had a different view when she spoke to them). Anyway shortly after this, we broke up for the summer and he’s come on in leaps and bounds. Always responds to his name, follows instructions, has a handful of words that he uses functionally. Points to request and points to share excitement at something he’s seen. Really enjoys being around other kids, although doesn’t play with them unless they chase him or he chases them but will try to copy what they do. Eye contact is great and loves people copying him. Still walks on his tiptoes but this has got less and less. Doesn’t appear to be phased by changes in routine at home, eats well although can be fussy with new foods which I think is fairly typical and he sleeps well.

Nursery’s concerns before we broke up for the summer was that he wasn’t happy when they changed the layout of the room one time and moved the toys back to their original place i.e. struggles with change. He’s never done this at home and we are in the middle of renovating so stuff is moved round a lot. Obsessed with water play and struggles to engage with others when water is about (it’s fair - he still loves it) and that he’s very sensory seeking, he won’t sit down for story time and wants to be off playing with toys and no spatial awareness.

He’s been back at nursery a couple of weeks now and is doing two full days. The most recent comments are that he’s just picking at his lunches (which are free at nursery) when all the other kids are eating their full meals and I’ve been emailed a list of SEN toddler groups to take him to as they think it’ll be good for me to get more support with him as he’s clearly struggling.

Spoke to HV yet again, who is still unconcerned but has agreed at my insistence to now refer him to SALT and talk and play.

He’s not perfect, he’s a toddler and the things I find difficult are the frequent tantrums when he doesn’t get his own way and when being made to wait. He really likes to be very theatrical and throw himself to the floor and scream but these last seconds and always end as soon as he gets what he wants or is distracted by something else. His new thing is crying if strangers speak to him and most recently covered his eyes when an elderly gentlemen tried to talk to him. Again, all quite normal I think and he usually warms up to strangers eventually if they give him some space initially.

Basically, I’m trying to be as open and as realistic as I can about my son’s strengths and weaknesses, I’ve thrown myself into researching kids on the autistic spectrum and I just really don’t see it in my DS.

BUT nursery do! Am I just completely in denial? How can I question their collective expertise but it just sometimes feels like they are talking about a different child. They haven’t always got it right either, I remember them flagging concerns that he had PICA when he was a lot younger and shoving everything he touched in his mouth. This also made me worry like mad but he just grew out of this behaviour like most kids do.

Sorry for the absolute essay but just wondering if anyone else has experienced this with a nursery before?

OP posts:
AmericasfavoritefightingFrenchman · 28/09/2023 15:11

Waiting is a skill and there are different ways to make adjustments. Our nursery- who as I said I didn’t sufficiently appreciate at the time-found that DC struggled with waiting it and handled it by letting him go first on days that were ‘bad’; within the first five on better days. Rarely or never last. But they didn’t segregate 🤷‍♀️

Dumbledormer · 28/09/2023 15:07

Nevermind31 · 28/09/2023 14:51

I would be concerned about the need to strap (ie physically restrain) a child!
why does he have to be segregated?

Yeah, I wasn’t happy about that but they said they have to strap him in otherwise he climbs out. Not sure why they can’t persevere with him eating at the table with everyone else. He manages perfectly fine at home and at his playgroup (but I suspect this is because they are given snacks at playgroup so it’s more incentive for him to stay sitting).

They keep him separate to the other kids at pick up as waiting is not his strong point and will throw a tantrum if prevented from going out the front door. No aggression but as I said upthread his tantrums are on the theatrical side and nursery don’t want him to upset the other kids which I understand but they made this decision after the first day back in September and I feel a little like they are not really giving him much chance to adjust.

OP posts:
Nevermind31 · 28/09/2023 14:51

I would be concerned about the need to strap (ie physically restrain) a child!
why does he have to be segregated?

Jellycats4life · 28/09/2023 14:48

They used my private SALT report to get 1:1 funding for him and yet it feels like he’s automatically not included in things the other kids are doing because it’s known he’ll struggle.

I do think nurseries and preschools often take the piss when it comes to claiming for extra funding, then using said funding to pad out their coffers and not on meeting the needs of the child.

Dumbledormer · 28/09/2023 14:39

Thanks everyone for your messages so far. I’ve read them all. I am trying to make sure I fully engage with the nursery’s concerns and have followed all their suggestions. I’m aware I may be more sensitive when they bring stuff up as I only ever seen to get negative feedback about my wonderful boy and I try very hard not to feel defensive and accept what they are saying but it’s tough. It’s things like they have to strap him in a low high chair when eating so he doesn’t wander off or he has to wait in a separate area to his peers at pick up and although they are claiming this is for my sons benefit, I can’t help but wonder if it’s just easier for the nursery staff and is it really benefiting my DS to segregate him in this way? They used my private SALT report to get 1:1 funding for him and yet it feels like he’s automatically not included in things the other kids are doing because it’s known he’ll struggle.

OP posts:
TeenLifeMum · 28/09/2023 14:07

It’s frustrating when “professionals” refuse to see your side, which is where it sounds like your post is coming from.

My dd had a teacher who seemed to pick on a couple of dc per year and diagnose them. His son is severely autistic so he felt he was an expert. While I appreciate he had knowledge, dh and I felt invisible to him and what he described was so different to what we’d seen. He actually told us all her previous teachers had done us a disservice by lying to us. That was said in front of the head teacher. she was in year 4 and the family psychiatrist assessed her, sen lead assessed her and they found nothing.

year 5 we went to parent’s evening early on and the teacher said “I’ve been looking over these notes from last year and I have to say I’m really confused because I’ve not witnessed anything her previous teacher mentions. Could you talk me through so I can try to understand?” We were like “actually no because we never understood it either. Can we just start from scratch and go with your observations because last year was really hard?” And that’s what we did.

Dd is now year 11 and that teacher stopped teaching 2 years after she’d had him and part of that was his constant desire to diagnose dc.

while there are many experts who can advise, it’s good to keep an open mind but you know your dc best so use all the information to steer you.

NameChange30 · 28/09/2023 13:52

"That's why I’m so passionate about ND kids being diagnosed. They don’t need to be in need of support at primary school to warrant it. At some point, they deserve to know who they are. Not spend the first fifteen years of their life trying, but failing, to fit in with their neurotypical peers."

This. So much this! It's exactly why I've been fighting to get my bright 6yo assessed.

Jellycats4life · 28/09/2023 13:49

NameChange30 · 28/09/2023 12:59

Do you think autistic people can't get degrees abroad?!

🙄

Or, indeed, do they think that autistic kids can’t be academically able or gifted?

They can: it’s what the Americans like to call twice exceptional.

My autistic girl has just started grammar school, where she’s on the SEN register. The main reason I wanted her to go there was because I figured they’d have a lot of experience with the kind of brainy ND kid that gets passed over in comprehensive schools. I was right. Because there are a lot of brainy, quirky kids out there with autism, whether their parents are aware or not. Sometimes secondary school is when the wheels fall off and, after a mental health crisis, they get a diagnosis.

Look around MN and you’ll find so many threads where parents of secondary age kids say they’re finally seeking a diagnosis, despite knowing for years that their child was probably autistic, but because they were “fine” and “not struggling with anything”. Except now they weren’t fine and life was incredibly hard.

That's why I’m so passionate about ND kids being diagnosed. They don’t need to be in need of support at primary school to warrant it. At some point, they deserve to know who they are. Not spend the first fifteen years of their life trying, but failing, to fit in with their neurotypical peers.

Sorry @Dumbledormer that’s kind of off topic and not levelled at you directly.

NoNeedToHurry · 28/09/2023 13:44

Honestly, just work with the nursery on this. At the end of the day, if your son isn't autistic he won't get a diagnosis of such but there is no harm in exploring the concerns that nursery have. I would let nursery do any referrals they feel are necessary and attend appointments. Eventually your son will either go down the diagnostic pathway, or he won't. He won't end up labelled with something he doesn't have.
And if nursery are happy to put strategies in place to help his development this can only be a positive thing. Does he have an IEP?

FofB · 28/09/2023 13:38

OP, my daughter was very prem. It took years for her to 'catch up.' She didn't speak until she was 3. She had physio and hydro physio weekly- this helped improved her spatial awareness. She tiptoe walked but the physio helped with this.

I am not in a position to comment on the SEN needs but I can say that it took a long time for her to catch up with the other kids. When she started school, she was, by far, the smallest child in the school. However, the school took this into account and they were brilliant; they took into account that developmentally, she wasn't in the same place as the other children.

SparkyBlue · 28/09/2023 13:38

@HeadAgainstWall0923 you've totally described my DS. No meltdowns or tantrums at home he was good as gold but when he started school he would hide under the desk and refuse to engage.

YouJustDoYou · 28/09/2023 13:09

My ds's nursery did this. He wasn't SEN in the end, just a very, very high needs kids with speech delay due to maternity not cutting his tongue tie.

NameChange30 · 28/09/2023 13:03

Dumbledormer · 28/09/2023 12:41

Thank you, this is really interesting and useful to read. One of the reasons the HV dismissed what I told her about nursery’s concerns is that she said he would be worse at home than at nursery as autistic kids often mask. It’s helpful to read this isn’t always the case.

HV sounds woefully misinformed. Some autistic children mask, some don't. Home is usually a less challenging environment, calmer with more one to one attention and the presence of their main carer(s) who they know and trust. It makes sense that nursery/preschool would be more challenging. And I would say that a 2yo is probably incapable of masking whereas a 6yo, for example, may well be able to mask (mine does).

NameChange30 · 28/09/2023 12:59

SeptemberSky · 28/09/2023 12:13

@Dumbledormer Your child sounds completely normal to me. I had a similar experience with my DS, he was referred for speech therapy and statemented as special education needs. He was also diagnosed with several other suspected issues (including autism) between the ages of 2 and 5. I remember one of his conditions was diagnosed based on the fact he liked hugging too much, didn’t play with other toddlers etc etc.

He is 20 now and in Japan doing his degree.

There are a lot of poorly educated people working in nurseries talking bollocks.

My best advice is, sure investigate things, no real harm in that but please don’t worry too much.

Do you think autistic people can't get degrees abroad?!

🙄

superninny101 · 28/09/2023 12:53

Some children do indeed mask outside the home and let it all out in their safe space, but every autistic child is different. I had the opposite experience to you OP. I knew my DC was autistic but was told for nearly 10 years, by numerous teachers, heads. Drs etc. that I was wrong. My child is now diagnosed and not in school, partly due to the damage done by years spent masking. However, if you met them you would have no idea they were autistic....

StaunchMomma · 28/09/2023 12:49

You need to remain open to BOTH options, OP.

Autism doesn't necessarily look like you think it is. The staff are trained and have experience of other children with needs, you don't.

You seem like to want to bat all of the concerns away and insist there is no issue but you need to accept that there may be.

If staff agree when he starts school then you need to get him assessed, in my opinion. That might not be what you want but it is what's best for him.

Dumbledormer · 28/09/2023 12:41

HeadAgainstWall0923 · 28/09/2023 12:19

I used to work with a HV team and on one occasion was asked by a Nursery Manager to visit the home of a 2.5 year old boy who they suspected to have autistic traits.

The purpose of my visit was to meet the parents, discuss any concerns they had and do some observations of the child in his normal and familiar environment.

During my time there the child acted and behaved in a way that I considered to be completely typical behaviour for a child that age and nothing stood out as being off, or worrying. I left the house quite perplexed as to why the nursery had raised concerns.

However, about a week later I went in to his nursery setting to observe him in that environment and it was like I was watching a completely different child. He was fixated on certain objects or jobs and would be oblivious to other activities, he wouldn’t play or interact with the other children, he wouldn’t look at or engage with staff, he was always playing on his own and wanting to remove himself from the other children (hiding in corners for example) and I noticed he was constantly putting toys in his mouth and licking them. I spent about an hour with him and could completely understand why the nursery staff had raised concerns.

Like I said, it was like I was observing a completely different child to the one I had observed in his home and when with his family.

He was referred to Portage for further assessment and he was diagnosed.

As many other posters have said, you only have experience of your child whereas the nursery staff have no doubt worked with 100’s of children so they will easily be able to tell when something just doesn’t seem right with one. They will especially recognise atypical behaviours in relation to you son when it comes to how young children communicate with and interact with other children in large numbers which again is something you perhaps won’t have been exposed to if you haven’t spent time observing him yourself in the nursery setting.

I would take on board their concerns and work with the staff rather than try and push their concerns aside.

If there are concerns that are justified then the earlier they are recognised and managed then the far better outcome for your son.

Edited

Thank you, this is really interesting and useful to read. One of the reasons the HV dismissed what I told her about nursery’s concerns is that she said he would be worse at home than at nursery as autistic kids often mask. It’s helpful to read this isn’t always the case.

OP posts:
washrinse · 28/09/2023 12:37

Hi OP. Nursery incorrectly labelled one of my kids. But they could have been right. I guess what I’m saying is keep an open mind. No harm will come from investigating further.

ilisten2theradio · 28/09/2023 12:35

I would take all the referrals offered and see.
My DD has Aspergers it was diagnosed when she was 6. I had previously had concerns and dismissed them as not being "enough " to get a Dx .
As she got older the differences became more apparent.
Having said this she is very intelligent and has a masters in computer science and is living independently with a well paid programming job and a good social life with understanding friends and partner.
I feel that the diagnosis and subsequent help received enabled her to manage so well.

itsmyp4rty · 28/09/2023 12:32

SeptemberSky · 28/09/2023 12:13

@Dumbledormer Your child sounds completely normal to me. I had a similar experience with my DS, he was referred for speech therapy and statemented as special education needs. He was also diagnosed with several other suspected issues (including autism) between the ages of 2 and 5. I remember one of his conditions was diagnosed based on the fact he liked hugging too much, didn’t play with other toddlers etc etc.

He is 20 now and in Japan doing his degree.

There are a lot of poorly educated people working in nurseries talking bollocks.

My best advice is, sure investigate things, no real harm in that but please don’t worry too much.

TBF my ds just got mostly 9's in his GCSE's and is predicted all A*'s in his A-levels and will be going to uni next year - but he's still autistic. He wasn't diagnosed till just before secondary school OP and this is when it tends to become much more obvious. Before that I had no idea and it was never suggested to me by anyone - until his teacher went on a course and just had an inkling.

Two is very young either way and unless it was very severe I think they'd be reluctant to diagnose at this age - but it might be worth starting the process just because it is likely to take a very long time to get anywhere.

Jellycats4life · 28/09/2023 12:28

Dumbledormer · 28/09/2023 11:55

I like your small pink flag analogy 🙂

Don’t worry, I’m accepting all and every bit of help that is being offered. I’m keen for as many professionals to see him as early as possible so that support can be put in place ready for school. Heading to my first portage play group session tomorrow so it’ll be interesting to see what they say.

Thank you for taking my post in the spirit it was intended. And I’m glad my analogy made sense!

Just remember that no child will be misdiagnosed with autism. It’s far more likely for kids to slip through the net and not be diagnosed. Keep learning what you can (I threw myself into all sorts of things: Instagram accounts, podcasts, you name it. It really helped me to throw off all the misconceptions I had) because some of it may start to resonate.

And above all else, just get on with your life as you navigate your way through all this.

ChristopherTalken · 28/09/2023 12:25

Honestly, all of us probably go through a massive stage of denial. I know I did. Because I didnt see it. I watched all the videos on tiktok etc of 'Signs my DC were autistic', and none applied to DD. She didnt stim, thrived on routine changes, affectionate with great eye contact. She did have speech delay, and the SALT was the first person who asked if I had considered it. They even said that you would never pick DD out in a room as being ND.

But she is. And nothing actually changes with that, only now I know her brain just works a bit differently, and that then means I know I have to advocate for her to get her the right support. As she has got older, she too has come on leaps and bounds with her development and speech, but other ASD symptoms came with it. I feel like they go hand in hand.

muckandmerriment · 28/09/2023 12:21

Similar story to yours. DS was speech delayed and showed other traits that were picked up as possibly ND by nursery but had been missed by us - or rather we had not entertained the idea because he didn't fit the classic description. He was formally diagnosed at the age of 7 with ASD. The advice we were given was to wait and see. Too hard to tell sometimes in the early years - could be autism, could be speech & language disorder, difficult to tell when they are so young. DS also hit many developmental milestones - language developed at roughly the right age but still using single words at the age of 3.5 years. Responded to his name, made eye contact, engaged in reciprocal play with his sister and us etc etc. I'm glad we waited, and I'm glad we went for formal diagnosis when the time was right.

CattingAbout · 28/09/2023 12:21

I think for a nursery to be picking it up I'd take it seriously. They are frequently dismissive of parents concerns over ASD

I agree with this - my eldest is autistic and his nursery had some concerns early on but didn't say anything. We were first time parents and hadn't really been around other kids the same age so weren't aware quite how differently he was developing from his peers. Given the 3 year waiting list for an ASD assessment in our area, I really wish they hadn't sat on it for so long.

HVs have massive caseloads and unfortunately sometimes go for the 'wait and see' approach under pressure to keep waiting lists down.

OP, if it turns out to be nothing, by the time you get to the top of waiting lists your DC will have caught up with peers and no harm done.

HeadAgainstWall0923 · 28/09/2023 12:19

I used to work with a HV team and on one occasion was asked by a Nursery Manager to visit the home of a 2.5 year old boy who they suspected to have autistic traits.

The purpose of my visit was to meet the parents, discuss any concerns they had and do some observations of the child in his normal and familiar environment.

During my time there the child acted and behaved in a way that I considered to be completely typical behaviour for a child that age and nothing stood out as being off, or worrying. I left the house quite perplexed as to why the nursery had raised concerns.

However, about a week later I went in to his nursery setting to observe him in that environment and it was like I was watching a completely different child. He was fixated on certain objects or jobs and would be oblivious to other activities, he wouldn’t play or interact with the other children, he wouldn’t look at or engage with staff, he was always playing on his own and wanting to remove himself from the other children (hiding in corners for example) and I noticed he was constantly putting toys in his mouth and licking them. I spent about an hour with him and could completely understand why the nursery staff had raised concerns.

Like I said, it was like I was observing a completely different child to the one I had observed in his home and when with his family.

He was referred to Portage for further assessment and he was diagnosed.

As many other posters have said, you only have experience of your child whereas the nursery staff have no doubt worked with 100’s of children so they will easily be able to tell when something just doesn’t seem right with one. They will especially recognise atypical behaviours in relation to you son when it comes to how young children communicate with and interact with other children in large numbers which again is something you perhaps won’t have been exposed to if you haven’t spent time observing him yourself in the nursery setting.

I would take on board their concerns and work with the staff rather than try and push their concerns aside.

If there are concerns that are justified then the earlier they are recognised and managed then the far better outcome for your son.