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Advice please on DD. Possible autistic spectrum?

40 replies

LilRedWG · 20/12/2017 12:43

I'm not sure where to start, so I'll start from the beginning - this may be very long. Apologies in advance.

DD is 11.7 and we've always had little things with her development.

She didn't sit until seven months, but then sat for two hours straight.

She was a later walker - had physio and had to wear special boots - two before she walked.

Her speech was poor and unintelligible - we thought it was down to glue ear - grommets fitted at age four - speech therapy from age three until she was seven.

As a little one everyone said how bright she was but then she lagged behind massively with reading and writing at school - finally put on the dyslexic pathway at the end of year three.

At the end of year three my school loving little girl said that she didn't want to go to year four as it would be her last year in 1st school (three tier system).

By the October half term of year four she was physically clinging to me screaming at the start of school. The deputy head suggested that I take her in to 'help the teacher' ten minutes before the start of school. We started a long process of me withdrawing. First I took her into the classroom to her lovely teacher, then just to the doorway, then to the end of the corridor etc. etc. School were amazing and they supported her massively with transition to the middle school (which is on a shared site).

Year five was better than expected - she had an amazing teacher who offered massive support and DD really clicked with. However the nightly stomach ache, which started in Y4 continued and homework was an enormous battle with what I can only describe as meltdowns - not a tantrum. DD would be totally out of control, curled up in a ball under the dining table screaming and crying. School didn't see any of this - they saw a hardworking, happy child but agreed to put pastoral support in the form of THRIVE in place.

Y6 was horrific for the whole family. Every evening DD would have terrible stomach pains, be anxious to the point of hyperventilating and finally fall asleep in our bed. DH would then have to carry her through to her own bed when he came up. Homework resulting in screaming, shouting, more meltdowns under the table. THRIVE practitioner at school was lovely and tried to support as much as possible. Teachers overlook incomplete homework etc as they knew how hard she worked at school and we kept them up to speed with home. Finally, the decision was made to withdraw DD from the English portion of the SATs but to get her to sit the maths - this helped her anxiety go down a little and she was thrilled when she passed it.

Now, we are in Y7 - THRIVE practitioner has left.

DD is 11.7 and has a reading age of eight, but is secure in the majority of subjects, which is testament to her "fabulous work ethic" and perseverance. I am immensely proud of her but something is not right.

On top of the educational problems and anxieties she is anxious about loud noises and always has been - she wore ear defenders to school discos when little, hates change with a passion.

She has known that we are spending Christmas at my IL's for a year but is still struggling to come to terms with it - "but we always have Christmas at home - that's how we do it!".

If we say, "Yeah, we'll do that tomorrow", then as soon as we wake it is a constant, "When are we doing it, can we do it now?".

Her school shoes have been the same style for the past three pairs, she won't have new trainers (which she desperately needs) because "they aren't comfortable", her leggings have to be a size 8 or she won't even try them on. If she thinks something looks uncomfortable she won't try it or feel it. We've had meltdown in M&S because she couldn't find anything comfortable.

She can't keep up with conversations with groups of her friends, either on chat or face to face.

I could go on, but I've probably bored everyone. I have a doctor's appointment tomorrow, alone, to discuss DD. It's not worth taking her along as she seems to put a mask on when around others - only immediate family see her behaviours. How do I get the GP to take me seriously. When I've been before they have prescribed antacids for her stomach and that's it. :(

If you have got this far, thank you for taking the time.

OP posts:
Shybutnotretiring · 21/12/2017 22:08

oops, thanks, I have reported myself!

LilRedWG · 22/12/2017 13:49

Thank you all. I had a text survey through to rate how likely I'd be to recommend practice for what I saw the GP for. Didn't rate them well. Need to find out which GP is the best for this...

OP posts:
AVeryBigHouse · 23/12/2017 18:25

I think the idea that symptoms should be observed in two different settings is quite an outdated one. It's very frustrating that gps aren't given up to date training in asd issues.

Good luck.

Orlok · 23/12/2017 18:56

I also think symptoms can be observed in 2 settings if you know what you're looking for. But most teachers have limited knowledge of ASD, particularly in girls.

Didiplanthis · 23/12/2017 21:17

This reply has been deleted

Message withdrawn at poster's request.

Didiplanthis · 23/12/2017 21:19

There is very little training for GPs available on ASD. Which is rubbish I know. unless it's changed alot in the last 15 years - which I doubt.

HardAssSanta · 23/12/2017 21:29

This is the RCGP autism toolkit

Ellie56 · 24/12/2017 03:17

I think you are right to have concerns OP. Your GP sounds unbelievably ignorant.Can you ask to see another GP at your practice?

We've lived with autism for nearly 20 years and the issues and behaviours you describe in your daughter are very similar to those shown by our son. We knew he was autistic when he was 3, but it took 5 years before anybody really listened to us and he got a diagnosis.

He used to mask at school and then all hell would break loose as soon as he got home. It didn't help when teachers said there was nothing wrong with him, he was just naughty, awkward and lazy. Hmm

We had problems with homework. Someone once explained to me that children with autism live their lives in boxes and school things belong in the school box and home things belong in the home box. So they have a meltdown when you try to put the two together. School got round that problem by letting him do his homework at lunchtime in school.

DS has all sorts of sensory issues with clothes. He won't wear long sleeved shirts, jeans or anything fitted. He will only wear jog bottoms or Primark chinos, sports socks, short pyjamas and cuts the labels out of everything. I had his old school shoes heeled and soled because we could not find a new pair of shoes he was prepared to wear.

He also has problems with loud noises and as a child could not cope with certain words and the sound of people laughing.

DS used to talk at people rather than to them and could never keep a conversation going. It is only since he has been having speech and language therapy at his specialist college that his conversation and communication skills have improved.

I would go back to the GP, badger the school and anybody else who will listen. Good luck. Flowers

LilRedWG · 24/12/2017 08:45

Thank you all so much for your support. It is so sad to hear that you have all had similar battles.

Not really in a position to fund privately at the moment but if things don't improve we may have to.

Have a wonderful Christmas. xx

OP posts:
TwoBobs · 29/12/2017 23:26

Please don't give up. Go back to your doctors and ask to see another GP.
My 9yo DD has ASD. It took 2 years to get the school to believe us. She was presenting right under their very noses, they just chose not to see it, just like the GP you saw.
Also, Google and ASD support groups near you. They really helped me at the beginning when I wasn't sure if it was ASD or not. Hearing another, experienced Mum say "well done for spotting it early" really encouraged me to trust my instincts despite what school was saying.
You are her Mum and you know your daughter best. Believe in yourself and trust your instincts.

Didiplanthis · 30/12/2017 18:42

This reply has been deleted

Message withdrawn at poster's request.

LilRedWG · 02/01/2018 09:52

Time to get going, although the break has made me think LOTS and one question I have is (and this is probably stupid):

How will DD benefit from a diagnosis. I mean, is it worth the stress on her and the family? Will we get support or just a piece of paper?

Sorry.

OP posts:
HardAsSnails · 02/01/2018 10:47

Diagnosis might not bring masses of support, but it can be incredibly affirming and empowering. My ds was diagnosed at 6 (he's 14 now) and me at 45, I think we'd both agree that it's better being autistic with a diagnosis than without. Having said that, ds has received support as a result of his diagnosis and I have received support and adjustments at work and university too.

ObscuredbyFog · 02/01/2018 11:18

The older she gets, the more her coping strategies need attention as schoolwork will become more pressured etc.

School can help in lots of ways BUT without a diagnosis and following the recommendations in that, they may see that help as optional or worse not see the need for it at all.

If she can't keep up with friends' conversations, (slow processing speed) how can she understand all of the verbal information in lessons?

A dx could lead to her having the information in lessons presented in a way she can understand, and concessions for exams. Without it, it's only your word that she 'can't' as opposed to in some teachers' views 'can't be bothered'.

imip · 03/01/2018 00:10

Hi op, I have 2dds with ASD (currently 9 and. 5) and lots of behaviours you mention are v similar to my dds. The size 8leggins shows such rigidity of behaviours, that is such an issue with my eldest dd with ASD.

I had such a massive fucking battle getting them diagnosed, but the process was much simpler with dd4 (I have 4dds). I simply kept repeating to the gp that she was not qualified enough to diagnose autism in a girl and I wanted to be referred to a specialist with more knowledge. Getting a referral with dd2(the 9yo)was easy as she also displayed some dyspraxia tendencies, but we were refused at panel (story of our life,); and so began our journey.

As a op mentioned, always frame your argument in terms of the triad of impairments. I think that under dsm 5 you only need to show symptoms in one setting, and with dd4 they did diagnose only in my 3di interview and ADOS. School didn’t even bother to fill in their report and I suppose cahms ‘trusted’ my knowledge - I’m often at their ASD seminars, though not with those particular clinicians that I saw with my youngest dd.

I found this board a great store of confidence for the times I came out of meetings feeling down and stupid (constantly I was told I just wasn’t coping with 4 kids -it was utter bullshit, I was really struggling. (And still do) with dd,s ASD. The best diagnosis from the community paediatrician was ‘sibling rivalry’.

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