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Preteens

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What made you get your child assessed for ASD

48 replies

Worriedmummmm · 24/07/2024 23:41

My to a lovely 9 year old boy. He’s always had ‘quirks’ - I put this down to his intelligence - exceptional, but not extraordinary - I imagine 1 in a 100 sort of bracket. I have previously read that high intelligence is often paired with high emotions so attributed a lot to this.

After a little reading for an entirely separate reason, I suddenly realised that a number of his ‘quirks’ are ASD traits. Which makes a lot of sense. He is intellectually very smart, but has always been emotionally immature; could read at 3 (and I didn’t really teach him; I taught him the alphabet and the concept of blending sounds. He was then reading. By the end of the same week that we started blending), but would choose baby books until he was probably 6 or so. His interests are slightly young, and have always been so, and he wants to be young; he talks about not being little with a lot of sadness, and is very young in himself. Until quite recently he wanted to be an egg that could talk. All cocooned and cosy. He used to talk about this a lot. Sounds weird, but is very normal coming from him!!! He has fixations on things; he knows a lot about a few topics which he will monologue about without noticing his audience has no interest! He also can’t moderate his volume. At all.

He has one friend who he was obsessed with; we have worked on this being healthier. The friend is also good at boundaries and we are very open about the friend asserting this, and with the parents too.

He sensory soothes a lot. He did lots of ‘odd’ things when he was younger which he has stopped. Now it’s a lot more subtle so I’m only now joining the dots. So he wears feminine clothing - he won’t wear certain things which he thinks are for ‘girls’ (head bands, skirt/dress/certain colours) but he does wear a lot of his sisters clothes which are fluffy or furry, he has grown his hair long so he can suck it, he has started to murmur or groan when watching tv. He wears bed socks during the day come rain or shine. He DETESTS getting wet and or cold. But sometimes will allow it, for example the pool, but usually with rules, like he doesn’t get splashed and his hair stays dry. He is also quite self-centred but in quite an innocent way; he just doesn’t think of others. When told to consider x y or z, he will often be hugely empathetic. It just didn’t occur to him to consider it. This applies to anything and everything really; I have other children so this conversation has been going on for his whole life. He will literally move a sibling so he can sit next to me for example ‘because I want to sit next to me.’ He has learned that this doesn’t go down well, but this doesn’t stop him from doing it every. Single. Time.

And the emotion. Wow. When he’s happy, his whole body is alive with joy. But when he’s sad, it’s tears and the end of the world. He cries most days. About nothing. His ear getting wet in the shower, his hair being washed, something tiny at school which he has saved up to get sad about, you get the picture. He is easily comforted, again like a small child. Cuddles and everything’s resolved. Overall I’d describe him as happy - the sadness are like clouds that pass over the sun; once they’re gone it’s all forgotten. Until next time he’s sad, when he’ll be sad about every past time!

These are just a few of the things. They all create a picture which might sound negative, but actually he is a pretty amazing little kid. His intellect leads him to be so quick at comprehending it’s delightful. He has a particular skill which he is years ahead on, and he has an amazing imagination. His nature is such that he has a very involved world, and he brings you into it.

So whilst it’s occurred to me that he might be neurodivergent, I’m wondering whether it would actually help him to get assessed, as we have parented to his needs anyway, and he finds schoolwork very easy, and he manages his behaviours really well at school. He doesn’t really understand rules, or rather he doesn’t have an understanding of rudeness, but he does have an excellent memory, and when told x is rude, he will then avoid it. He doesn’t generally get in trouble in school, and as he gets upset when anyone gets told off ‘for no reason’ it gives me a good opportunity to explain that actually said kid was being rude/naughty, and he then knows to avoid it.

So, if you have a child like mine (and I fully appreciate that he may not have asd; I’m not a professional, and many of these are neuro-typical traits also) what was it that made you seek a diagnosis?

I don’t want to seek a diagnosis for him for no reason, but at the same time, he’s only 9 now and I don’t want to be in a position where things get really difficult in a few years time and we then need to wait a further few years due to waiting lists. They are 2-3 years around here and we cannot afford private assessment.

Possibly clouding my vision is I have recently realised that I probably have ADD; suspected for a few years in terms of some of the more obvious characteristics but only recently realised what a major impact it had on me for school work, and still does when being given information in certain ways. This understanding was literally a friend telling me about her kids diagnosis from his experience in the classroom - absolutely lightbulb moment for me. I was just seen as bright but lazy, and failed to achieve potential in exams, but did OK so never met any thresholds. I’m very articulate hence it was put down to laziness, and I was pretty lazy too, cos things like listening were too hard. Actually my way was harder, eg I’d rather figure out the maths formula than listen to the teacher explain it! I’m keen he’s not ‘missed’ like me.

OP posts:
JazbayGrapes · 06/08/2024 17:01

What is it that you want to get out of it?

BeadyLeaves · 06/08/2024 17:11

I would say that for a lot of kids they often come across issues that are more difficult with the transition to secondary. Have you talked about it with his school? I would consider trying to get referred for an assessment now because the process takes so long. You don’t have to proceed with it if at any stage you decide it’s not a path you want to go down.

AdiLane · 06/08/2024 17:15

One of my DC’s definitely has aspects that could signify ASD.

However, we know the strategies that are needed to support him. A formal diagnosis wouldn’t make a difference to him or us, so we haven't taken it further.

A colleague if mine pursued a diagnosis. Her DC wanted to join the Army. It made this very difficult. Her view was that the diagnosis wasn't of any advantage vfir schooling, home it family but made the long term much trickier. There is no ‘undiagnosis’ once it is made.

JazbayGrapes · 06/08/2024 17:20

A colleague if mine pursued a diagnosis. Her DC wanted to join the Army. It made this very difficult. Her view was that the diagnosis wasn't of any advantage vfir schooling, home it family but made the long term much trickier. There is no ‘undiagnosis’ once it is made.

These are my thoughts too. Pathologising childhood/adolescence may backfire when choosing a career path. Unless your child really cannot cope with everyday life - then military service would be the least of worries.

Worriedmummmm · 06/08/2024 20:23

Well that’s just it really. At the moment I can’t see a benefit - we parent to his need and he manages school. It is getting slightly more difficult to parent him as he gets older, but he’s still very manageable.

I suppose I’m more curious as to what tipped parents into seeking a diagnosis if they had a child who coped as I obviously don’t know what the future holds for him.

I have another, older child who had (in retrospect) signs but didn’t have much of an impact on them, other than a slight sense they were different. In the last few months there are new behaviours and they have sudddnly stopped coping. They are on the diagnosis pathway and fast tracked for other reasons, for which I’m really grateful. So I guess I’m mindful/cautious in case my son suddenly presents in an escalated way, as he won’t qualify for fast tracking, and I don’t want to be in a position where I’m massively regretting not seeking diagnosis for him earlier.

Interesting (and sad) about the army - I have a friend who signed up from an early age - 18 I think. It was his autism that made his parents push him into it as they thought the regimen would suit him, which it has. I hadn’t considered it to be a barrier. Very good point around no way to undiagnose however.

Thanks for the replies guys - I was a long time unread. Food for thought! 🤩

OP posts:
lorisparkle · 06/08/2024 20:39

We got a diagnosis for ds1 so that his 'quirks' are more understood at school. In a general basis he is fine and loves school however on the rare occasion when things don't slot into place it can escalate quickly. His primary school did not really understand him but secondary were better. The school he went to for sixth form have been amazing. His diagnosis also helps him understand why he may struggle with certain aspects of life.

With ds2 we were actually looking for an ADHD diagnosis for similar reasons but things went badly wrong at secondary school and he now has a diagnosis of both ADHD and autism. Again he was happy with the diagnosis as it explained to him why he struggles with things. It has also enabled us to access support more easily.

Both boys found puberty a tricky time (in different ways) and this is often my experience in my job working with autistic children/teenagers.

Abawaba123 · 06/08/2024 20:47

It’s very very common for autistic kids to be basically ok (even thriving) at primary but be totally unable to cope with the transition to secondary, so it’s best to pursue a diagnosis before that big transition and adolescent hormones kick in.

AdiLane · 06/08/2024 21:37

Abawaba123 · 06/08/2024 20:47

It’s very very common for autistic kids to be basically ok (even thriving) at primary but be totally unable to cope with the transition to secondary, so it’s best to pursue a diagnosis before that big transition and adolescent hormones kick in.

What difference will a diagnosis make?

outside1inside · 06/08/2024 21:47

Everything you said is the reason we went for diagnosis. My DD is so similar to your ds. I left it until age 11 to start the process because I thought 'what's the point' by 11 it became clear she was struggling with being 'different' for no apparent reason. So we went for diagnosis for her own mental health and piece of mind.

JonestonePattern · 06/08/2024 21:58

AdiLane · 06/08/2024 21:37

What difference will a diagnosis make?

Although schools should responds to needs regardless of what diagnosis or lack of diagnosis there is, this doesn’t always happen. If two children have similar needs and there are resources to support one, the one with the diagnosis would be more likely to receive it.

It allows people to understand themselves which can be crucial for mental well-being. Even if nothing changes around them, just knowing can help some people.

Singleandproud · 06/08/2024 21:59

I left it (but saved up just in case) until she started secondary school and her MH started deteriorating as she was struggling with the noise and unpredictability. She thought she was losing her mind. Diagnosis brought her validation and calm, a few very basic accomodations and plenty of downtime and everything is fine.

She came to me after having done the autism quotient test online and scoring high, not knowing my previous thoughts but having an awareness day at school, we also have lots of family members going back generations in living memory and people have had traits but obviously not diagnosed. We discussed diagnosis and the consequences of that for certain careers and migration if she wanted to work in certain countrys. She was old enough to make that decision and felt it would bring her more peace of mind and wouldn't want to work in a country / industry that didn't allow people with autism anyway. Because I saved up we were able to go straight for a private assessment and had it complete in 6 weeks rather than the 4+years for NHS.

We also discussed how an assessment only looks for deficits so she was aware too which was quite important. She had been fine at Primary and the assessor said that her extreme ability had masked her disability.

paisley256 · 06/08/2024 22:03

Without diagnosis the fact they feel like square pegs in round holes without explanation, can result in very poor mental health especially if their difficulties or differences mean they are ignored by peers and are labelled strange or weird.

My son finally got diagnosed by adult services at 19 and he understands himself so much more and accepts himself more too. I wish he had been diagnosed earlier as I'm sure school and his interactions with other kids would've been a lot easier. They also said he had adhd ocd and anxiety too.

I pushed for diagnosis as he struggled with change, found people and relationships hard and lots of sensory stuff.

Dilysthemilk · 06/08/2024 22:34

Key is the transition to secondary. What can be managed in primary cannot in secondary. So it’s a way to gather the support your child might need before this. I think also doesn’t your child have a right to know?

AdiLane · 06/08/2024 22:43

JonestonePattern · 06/08/2024 21:58

Although schools should responds to needs regardless of what diagnosis or lack of diagnosis there is, this doesn’t always happen. If two children have similar needs and there are resources to support one, the one with the diagnosis would be more likely to receive it.

It allows people to understand themselves which can be crucial for mental well-being. Even if nothing changes around them, just knowing can help some people.

I work with and in schools, some children diagnosed, some not.

Some parents do seek a diagnosis, many don't as they are reluctant to ‘label’.

The biggest difference for the child is the hard work and effort put in by staff, parents (and including the child) to evaluate learning. This allows strategies to be developed and implemented consistently by everyone.

Getting to know the individual to implement appropriate strategies has the same impact with or without a diagnosis.

Children diagnosed to necessarily have any more funding either.

timetorefresh · 06/08/2024 22:48

We are currently pursuing a diagnosis. My DS sounds a lot like yours, but everything seemed ok til he hit year 6. Suddenly he realised he was different, he was bullied and he couldn't cope any more. School have had to put loads in place for him, not academically as hes a high flier in that sense, but a lot of those things will now move with him to secondary, while we are waiting on the pathway

Oblomov24 · 06/08/2024 22:49

I agree, some children later resent their diagnosis. Once it's done it can't be undone.

BigTroubleinSmallBoots · 06/08/2024 23:05

We decided to seek a ASD diagnosis for our DD this year after her primary school strongly recommended that we investigate it. After a lot of discussion with the SENDCO at school and with friends who work in child mental health, we decided to go ahead so that she had the self knowledge that would help preserve her mental health through her teen years and beyond, school could make reasonable adjustments for her, her transition to high school could be as smooth as possible and so that we could advocate for her.

It feels like the start of a long journey we’re taking with her, but we are with her every step of the way. She is highly intelligent and creative but struggles to understand others sometimes, especially her peers. She is so fun and sharp witted yet has internalised the school peer’s attitudes of that she’s a cry baby weirdo which makes her so anxious. Knowing that she has ASD is hard for her also as she only knows autistic children with more profound difference and learning disabilities than her, but it is also starting to help her make sense of who she is. Overall I am glad we had her diagnosed, it is an ongoing part of our discussions and explanations with her, but not the focal point of her. She is still herself, nothing changes post diagnosis, and we love the very bones of her.

audiehd · 06/08/2024 23:31

Hi! I'm autistic and I had a lot of similar traits at that age, though ultimately I wasn't diagnosed until I was fifteen/sixteen as I was experiencing a stress-induced health crisis and my school referred me to CAMHS. This is no disservice to my own mother, who tried to have my assessed as a child but was turned down by a dismissive GP.

When I did get diagnosed, I felt a huge weight light from my shoulders. I had spent a long time having no understanding of why I failed to reach certain expectations while exceeding them in others, which along with years of masking had created a maelstrom of self-hatred and depression. Along with this, I began experiencing severe anxiety and migraines several times a week, which had a massive impact on my school attendance and prompted my referral. Once I had my diagnosis and had finished my GCSEs, the worst of my health issues had abated and I continued on to sixth form, university and post-graduate study with minimal assistance besides the knowledge of how my mind worked and my own limits.

I know all of that sounds scary, but ultimately those problems were solved not by the diagnosis but instead the understanding. It's worth looking into and maybe even beginning the referral pathway, as often secondary school is where symptoms become a lot more problematic, but it might be worth speaking to your son and asking his opinion as well. As others have said, while a diagnosis does open up some small amount of support in school and later in the workplace, it does create a barrier to some careers such as those in the military. I'd recommend speaking to an autism-focused charity for more opinions on that, as well as perhaps asking the SENCO at his school whether or not they think the pros would outweigh the cons and what positive difference a diagnosis could make.

Ultimately I think the best option is to explore different coping strategies and techniques along with an open conversation with your son about the possibility of him being autistic. That knowledge is power in and of itself, even without the official medical wording, as it opens up a community of like-minded people and all of the things they find helpful. I don't necessarily mean to talk about it straight away, but as he enters his teens it could be useful for him to know he has the option of pursuing a diagnosis at any point if he feels that clear-cut answer would benefit him.

Also, as a last note, you sound like a fantastic mother and I can imagine any autistic person would be grateful to have a parent put so much thought into this. Whatever you choose to do it'll be with your son's best interests at heart and when it comes to that, I don't think there is any wrong answer.

bows101 · 06/08/2024 23:53

For us the diagnosis was important in getting the support we needed in school and everyday life.
If we had been able to cope alone, then a diagnosis wouldn't have made much difference (it's only a report stating what we know!) but school was a huge challenge.
As time goes on (probably high sch?), I think it will be important for my DC to understand himself and why he is like how he is. I also would like the opportunity to try medication if my son felt he would like to try it to help him.

TheFormidableMrsC · 07/08/2024 00:03

My specialist HV picked up that my child was possibly autistic. I already had my own suspicions given his very challenging behaviour and she made the referral. It was the best thing for him. He immediately had additional support at pre school. At primary he had excellent intervention and support strategies. It helped me access courses to understand the diagnosis. I have no regrets. It was the right thing for my child to be able to access the support he needed. He has since been diagnosed with combined type ADHD and has access to medication for that.

You do you with your child. I am absolutely confident that early diagnosis and intervention was the best path for my son.

TheFormidableMrsC · 07/08/2024 00:04

Dilysthemilk · 06/08/2024 22:34

Key is the transition to secondary. What can be managed in primary cannot in secondary. So it’s a way to gather the support your child might need before this. I think also doesn’t your child have a right to know?

I totally agree with this.

planAplanB · 07/08/2024 00:42

I pursued a diagnosis for my DS8 because he was unable to regulate himself and was therefore unable to physically get into his classroom each morning due to extreme anxiety and the meltdown that came with this. He was also having friendship difficulties at school and a couple of external clubs because he can't read body language and tone of voice. His diagnosis has helped so much.

dollopz · 07/08/2024 02:05

if you suspect things could get difficult in secondary (as it does with many) then a diagnosis can help him understand himself and help others to understand him too. Specialist evidence can also create the building blocks for an EHCP, gain more time for exams if slow processing exists, enable access to educational support, learning aids, openness to strategies which would be otherwise inaccessible. Financially possibly PIP. Lastly Autism comes under the umbrella of a protected characteristic which offers rights and protection in the workplace.

AngelusBell · 07/08/2024 02:23

AdiLane · 06/08/2024 21:37

What difference will a diagnosis make?

Understanding by the child why they are different.
Protection from bullying.
Anxiety often peaks in Y7/Y8 and attendance drops - school has to make reasonable adjustments.
Support for difficulty in transitions around school.
Exam access arrangements.
Lower risk of exclusion/self-exclusion.
Lower risk of depression later on.

AngelusBell · 07/08/2024 02:25

bows101 · 06/08/2024 23:53

For us the diagnosis was important in getting the support we needed in school and everyday life.
If we had been able to cope alone, then a diagnosis wouldn't have made much difference (it's only a report stating what we know!) but school was a huge challenge.
As time goes on (probably high sch?), I think it will be important for my DC to understand himself and why he is like how he is. I also would like the opportunity to try medication if my son felt he would like to try it to help him.

There is no medication for autism, only ADHD.

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