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Foster child with possible PTSD or autism

8 replies

Jamie79 · 25/05/2019 17:45

I’m the legal guardian of my nephew due to the death of my brother due to suicide and the mental illness of his mother.

He is 4 years old and been through a lot of trauma (abandonment, bereavement, neglect , possibly more we don’t know), for the last two years he’s been in a fairly stable situation with me. We have contact with a social worker and I follow their re are reviews etc.

He is behind with communication, he doesn’t communicate or play with other children, and is violently aggressive toward me and other children, it’s almost constant, and he has some other symptoms that could be autism, but maybe also they are ptsd too depending on how you look at it.

I am concerned about possible ptsd or autism, his father was on the spectrum and they have some similar behaviours from childhood, my brother wasn’t diagnosed until adulthood and I think this is largely why he did not cope with life very well . When I’ve spoken to the social worker she said before he’s speaking properly there’s no way to test for autism, not much we can do. But he is speaking a bit but maybe he’ll never speak properly if where not given specific support in that regard.
She doesn’t seem to think there’s anything wrong, but she isn’t a specialist in ptsd or autism either.

...all they’ve offered me is parenting lessons, which will help, but they haven’t offered or suggested anything else to help my child , no counselling or assessments.. are there any other avenues I can go down to make sure he gets any help he needs?

OP posts:
Hairyheadphones · 25/05/2019 17:48

It certainly is possible to test for autism in a child that isn’t speaking yet!

Speak to his GP and ask for a referral to the community paeds.

Fingers crossed you all get the support needed.

Gintonic · 25/05/2019 17:52

Has your nephew had any speech therapy? In my area you can self refer. They will probably also ask you to get a hearing test, to rule out that as a cause of the communication problems.

If you think he shows signs of autism and/or PTSD you can go to your GP and ask for a referral. You don't need social services to do this. There are also charities that provide therapy for children who have experienced trauma at reduced cost.

Does he go to any sort of preschool? If so they will be able to give a view as to whether his behaviour is in the normal range for his age, and that will be helpful evidence for getting an assessment.

There is lots of useful info on line for example the national autistic society, that may give helpful advice in managing his behaviour.

Good luck

stargirl1701 · 25/05/2019 17:55

You may also want to consider attachment issues given the number of adverse childhood experiences he has experienced.

Pppppppp1234 · 25/05/2019 17:56

Is he starting school in sept OP? This will be something they pick up on almost immediately. Can you get in touch with the SENCO at the school he is due to go too? Or at his nursery? I’m surprised nursery haven’t picked up on anything.
I’d take him to the Gp and ask for a SALT assessment as well

Tableclothing · 25/05/2019 17:58

Given the background you describe its quite possible he had attachment difficulties too, poor lad.

Definitely go to the GP, ask for referrals to paeds (autism) and CAMHS or whatever mental health services are available.

Also try to find out about your local SENDIASS service (special educational needs and disabilities information advice and support service) and get in touch with them. Information likely to be on your council website.

Pppppppp1234 · 25/05/2019 17:58

I’d agree with @stargirl1701
Does he show any signs of attachment disorder?

reefedsail · 25/05/2019 18:07

Of course it is possible to diagnose children who are pre-verbal with autism! How does the silly social worker think people who never become verbal get their diagnoses??

However, it may be very difficult indeed to pick autism out from PTSD, reactive attachment disorder and social delay caused by neglect.

Have you thought about school? It sounds like you are going to need an EHCP and possibly a specialist setting from the get go. SENDIASS would be a great place to get some signposting.

nuttybutter · 26/05/2019 09:24

I'd research attachment disorder. Best of luck to you x

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