@penelopepinkbott
I would go straight to the GP, get them to send off a referral for assessment.
NHS will likely say there is too little info to progress the referral. So you need to have ready copies of reports (about an a4 page each if possible) from both childcare providers and a parents report from you outlining the difficulties, 2-3 pages. Have several sections
- introduction: lovely boy, outline his development from birth and where this is delayed (speech, possibly walking, too early to say if toileting, was he irritable or difficult to settle, did he nap, picky eater), has some social and communication difficulties, behavioural issues - biting etc, restricted and repetitive behaviours, two childcare providers have refused to have him due to behaviour and have indicated they see strong signs of autism (reports enclosed).
Then go into more depth on the issues with specific examples, use bullet points
2.Social and communication difficulties
3.Restricted and repetitive behaviours and sensory issues
If all of this is very new to you, spend an evening or two reading up and print or save several web pages outlining symptoms and giving examples. If you see anything else that fits or a different heading add it in; it’s about your child.
To be clear, unless you have this information laid out like a proper report from multiple sources, the nhs will muck you around until the point of school when it’s out of control. You need to lay it on thick and think about what your son is like on his worst day - you are aiming for them to accept him for assessment.
Once you get on the list, it is usually easy enough to track down a private provider and get seen within a year, ask a local autism charity for advice on this and check with the nhs trust where your child has been referred as to what guidelines the private report would have to follow to be acceptable for ratification. DO NOT come off the NHS list until you have the private report sent through and ratified by them, they will then scoot you through to intervention if there is a diagnosis and then you get referrals to speech and language/OT or whatever else is required.
I know it is very daunting and emotional. You will get through this, your little boy is still wonderful, he just needs some support and it will be so worthwhile to find out what is or isn’t going on for him.
Former childhood pincher here 👋
Diagnosed autism and adhd late 30s
My DC were diagnosed before me.
All of us would have been aspergers, high functioning previously but it’s now all under autism.
Regards the hurting others, my DC was a biter, couldn’t cope with others getting close to him or not behaving as expected.
Controversial but we used Jo Frost naughty step technique. And it worked (mainly because he was removed from environment and had quiet space to regulate). We also spent a tonne of time discussing feelings and developing empathy from about 2.5, and did social stories once we had diagnosis.
Wishing you lots of luck!!