Right, now, I am trying not to get too worked up and silly about this as our OT has been very helpful and supportive to date. But we had a session today and she went through all DS's problems areas (we have been seeing her since before xmas so she knows him quite well).
She then made a comment about last time we saw her. He had got wet on his sock and started screaming as we were about to leave. I whipped shoe and sock off and gave him a piggy back, thus defusing the situation and calming him down. She has someone with her so I didn't want it to escalate and I know what DS is like about socks etc.
Anyway, she mentioned that she thought I might be giving rewards for this behaviour by offering a piggy back. I completely agree that some of these sensory issues become worse because they develop into routine based avoidance issues but how are we supposed to know how to deal with this as parents without help?
I got a bit upset, not defensive, I accepted that these things can be behaviour related i.e. they do things to get a result but they might start off genuinely enough. However, on this occasion DS was not looking for a piggy back, he just wanted his sock off and I wanted him not to scream. Mission accomplished I thought.
Feeling like no one understands now - sorry for myself sob particularly as we discussed the options for obtaining an alternative ASD diagnosis out of the area and she said 'no one pays any attention to private reports as it just means you have bought the dx' I despair!