Ed Psych: 'ASD traits but not enough' what else could be behind it then?

[popgoestheweezel]

Had a meeting with ed psych yesterday, she says although ds (6) shows asd traits and CAST score was over the threshold she thinks he is too sociable to be classed as ASD.
The suggestion is now that he is referred to CAMHS (we have already seen the community paed three times), our concern is if it's not ASD then what are they going to suggest as the reason for his behaviour...?

Thanks for the offer of those passport/cloud docs, I can't find them now so I will pm you with my email address.
Reward charts are a major disaster round here and just exacerbate the situation- he gets super-stressed cos he knows he's being manipulated and cannot tolerate waiting for anything! Already this morning I have had endless grief; ''when are we going on holiday? I want to go today, now. I don't want to wait. I haven't been on a holiday for two years. Milly has been on holiday 5 times. Its not fair that you're not allowing me to go on holiday. You're stopping me from going!' then ' 'when is it my birthday? I want to be seven now! All my friends are seven, why didn't you make my birthday earlier so I can be seven now! It's not fair, everyone is seven except me!' then 'carry me downstairs like a baby. Wrap me in my duvet and carry me down' I told him I couldn't cos he was too heavy for me and it would be dangerous with the duvet' he shouted at me so I just went downstairs by myself. A few minutes later he stomps into the kitchen gets a knife out of the drawer and thrusts it at me, grunting. And he'd only been up 15 mins!

The fantasy used to work well if he was in the right frame of mind but seems to be less effective now, not sure if that's because he's getting older and less easily distracted, or he's so rarely in the right frame of mind now or we're getting less good at it. On the better days distraction does work but you have to work very hard at it, it takes real imagination and determination and sometimes you just lose the will to live!
Medication would be an absolute last resort for me, I'd have to exhaust every other intervention first.I do wish I had a side effect free magic wand though and could take all this stress away for him.