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Could DS be misdiagnosed as ASD? I am worried the label may do damage.

83 replies

Oneconfusedmum · 28/11/2014 23:25

So DS got ASD diagnosis couple of weeks before his 3rd birthday. He is minimally verbal or is it non-verbal (has a few words, uses them ocassionally)
There is a family history of speech delay (dad & uncle spoke first words at 3-3&1/2 respectively- both are doing well & don't have any autistic traits except they can be bit reserved). Also DS has had glue ear since baby days- not quiet resolved as Grommets keep falling. His comprehension is good- both us & Nursery feel that- however during assessment he was not in a mood to listen (he was tired during all the assessments due to them being close to his nap time)
He used to be social/ used to imitate gestures etc & still does when he wants to please you- but when his grommets fell & his hearing detoriated he became withdrawn (around 2.3yrs). He does have hyperactive tendencies and in the absence of stereotypical behaviours the diagnostic team labelled his running & jumping repeatative- he doesn't do any of these for hours but does tend to do them when he is bored. It's easy to distract him from these- so I never thought they were repeatative & restrictive. He does play appropriately with toys, but only briefly- his attention span is short (but they said he was too young for ADHD diagnosis)
I still think his glue ear can have impacted on his speech which could make him withdrawn which in-turn make him seek stimulation from running / climbing etc. wether there is an element of ADHD in addition to the speech delay.
I am not sitting & doing nothing- we are doing PECS & interaction as per NHS advise -I have read ABA can be good for ASD as well as developmental delay & we are looking into it.
But guess on some level I am worried wether the ASD label will harm DS's future where he maybe rejected based on it without actual assessing his potebtial. I am not in denial, I do know he has issues. But also I feel he has so much potential. I am also concerned how the so called 'specialist health visitor' tried telling me how all his beahviours were autsitic on her first visit- I feel as they had sent her to do the parent interview the panel gave too much weight to her opinion.At ADOS he wasn't his normal self, but they didn't particularly hear me out when pointed it out- for example he does have joint attention but if he is distracted by all the toys in the assessment room- he doesn't listen.I feel the problem is inability to process auditory stimuli. (APD secondary to glue ear)
Sorry for the long ramble, but my question is can children can be misdiagnosed as autistic when the underlying problem is something else. Anybody with any experience of this? I felt the panel of 'experts' were in a hurry to give him ASD label.

OP posts:
Glittery7 · 06/12/2014 22:52

My daughter was diagnosed swiftly and easily with ASD aged 5. I often question her diagnosis but I'm grateful for it and the educational support it is providing.

sammythemummy · 07/12/2014 08:32

I'm sorry for the dx you received, it's a very very hard pill to swallow when you expected it but worse if you didn't.

My dd was assessed at 2, she scored 6 in the ADOS score (I think cut off was 12?) and very low for social interaction. Although she passed, I was still worried that a) She still scored high b) still had limited language and very hyperactive.

Fast forward a year later she was dx with ASD at 3.5, by then she started displaying a little more behaviours and her language was classed as severe.

A year later from that (4.5) and with 7 months of ABA she's doing fantastically! She's conversational, learning to read, write and overall happy.

Her language is still behind but I'm confident that she will be mildly delay by next year.

Her "label" has enabled me to really knuckle down and get the right therapy for her, to get funding through charities and her statement.

I think you need to give yourself time to digest it and start working on your ds as soon as you can.

You really don't need to disclose his dx to anyone in the future if you're child is doing well (even schools) but I would say to make the best use of it now that you have it.

sammythemummy · 07/12/2014 08:36

By Very low in social interaction= Unlikely asd as she was very engaging and playful

amazinggrace2001 · 12/07/2015 16:04

OP I can sympathise with your feelings. When my son was at preschool the SENCO there flagged up that my son had issues with communication and mentioned autism. I went into complete denial. Had appts with paed, SALT etc. and still would not see anything. Fast forward to age 8 and After I started working with teenagers with LDs and ASD I recognised a lot of similar traits in my son. I now regret all that time in between , although to be fair his traits have become more pronounced as he has got older. We are now waiting for an ADOS assessment which has taken over a year so far. I am pretty sure he will be diagnosed with ASD- it would e prob been Aspergers but that term not used here now. It is a diagnosis as it is a condition. Calling it a label makes it sound like we are imposing it on our children. I still find it hard to say ASD, autism and Aspergers to lay people as worried about their perceptions of it. Maybe ask for second opinion if you were are worried about it.

amazinggrace2001 · 12/07/2015 16:06

Maybe go on the Early Bird course to learn more about ASD and to see if you think the diagnosis fits

amazinggrace2001 · 12/07/2015 16:07

Also using techniques for parenting an ASD child can be useful for communication and language anyway

signandsingcarols · 12/07/2015 17:50

not sure if you noticed, this is an old thread, so OP may not pick up on your comments....

amazinggrace2001 · 12/07/2015 18:34

Thanks- hadn't noticed! Never mind

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