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DS 2 - behaviour issues - being referred to a paediatrician

11 replies

OatcakeCravings · 24/05/2010 13:28

Hello everyone.

I'm not entirely sure what I'm hoping to achieve by posting here but I'm really worried about my DS and I thought that perhaps some of you could have a look at my sons behaviour and let me know what you think.

My son will be two in a weeks time. He has been 'difficult' since he was about 7-8 months old. Initially I though he was just a spirited child who was very determined and head strong. However over the last 6 months his behaviour has escalated. My main problems with him is that he is violent! He hits, pulls hair, scratches and bites - much of the time this behaviour is unprovoked - well as far as I can see. He'll just walk up to a random child in the park for example and hit them or pull their hair or throw something at them. He goes to a childminder four days a week and behaves like this there my childminder lists this kind of behaviour in his diary and sometimes he will have hit another child or pulled hair etc up to 12 times in one day.

When pulled up on his behaviour he just laughs it really feels like he doesn't care that he is hurting someone. I say to him that its not nice to pull Mummy's hair or hit Mummy etc and he laughs and does it again. No form or punishment works eg naughty step, taking a favourite toy away etc but I suppose that could be because he is too young to understand.

He rarely does what you ask him to eg he won't tidy anything away when you ask him or hold your hand when out walking if he doesn't want to. He goes ballistic if any child touches one of his toys but expects to take anything from anyone if he likes the look of it.

He doesn't get hit at home or shouted at (well not much! sometimes I do lose my temper and shout but I am often at the end of my tether especially if he does something dangerous like run out into the road or is particulary aggressive to another child).

Apart from his behaviour the rest of his development seems fine - his verbal skills are fine he uses a lot of words and puts 3-4 together to make short sentences. His fine motor skills are fine but his gross motor skills were slow at developing - he didn't walk until 19 months for eg.

At his two year review I told my HV all of the above and she was quite concerned and has referred him to the community paediatrician to see if there is anything causing this behaviour. She didn't want to give me any labels but she was thinking along the lines of ADHD/Aspergers. Both of my nephews on either side ie my husbands nephew and my nephew have been diagnosed with the above condidtions and I realise there is a genetic element to them.

Now I also realise that all of the above behaviours are common in a two year old but its the relentlessness of it all that worries me and also that fact that he doesn't seem to want to please me or any other adults.

I realise this has been really long and I applaud you if you've managed to read it all. I just wondered if anyone else had a child like this or if it sounds to you if something could be wrong with him.

Thanks for 'listening' as it were.

OP posts:
StarlightMcKenzie · 24/05/2010 13:39

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OatcakeCravings · 24/05/2010 14:01

Hi Starlight,

The HV said there was at least a 12 week wait for an appointment. She didn't specifically say aspergers/adhd but when I mentioned it was in both sides of our family she nodded and said yes there was evidence there were genetic links but she stressed that she didn't have any qualifications to make any such diagnosis. However why would she refer him if she thought there wasn't a problem?

OP posts:
ArthurPewty · 24/05/2010 14:04

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OatcakeCravings · 24/05/2010 15:01

Hi Leonie,

It's a real worry isn't it? Lately I've been spending just a little of every day in tears because I'm really worried that the childminder is going to tell me that she can't look after him anymore.

Did the Paed have any suggestions for you as to how to manage your DDs behaviour?

OP posts:
ouryve · 24/05/2010 15:53

DS1 was that spirited baby and very difficult toddler - not all that aggressive, back then, but a real livewire and very difficult to discipline. He now 6 and has a diagnosis of autism and is in the very slow process of having his ADHD investigated.

He's never been very responsive to rewards - star/sticker/reward charts make him suspicious and anxious, rather than give him an incentive to do something. He is only just beginning to understand rewards and they have to be very motivating - poo training is costing us an arm and a leg!

Similarly, at your son's age, he did not respond well to having toys removed. He just didn't care.

It took a very long time, but we worked hard at the time out thing. At 2, time out was sitting on our lap with our arms around him until he calmed down. We moved to sitting with him in a corner for a minute. He progressed to sitting by himself for a minute (after calming down). That took until he was almost 4 to achieve, but we felt it was worth the effort and tears because the only way to get him out of a negative pattern of behaviour was to stop him dead and give him the tools and environment to self-calm. It still is.

ArthurPewty · 24/05/2010 16:53

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lingle · 24/05/2010 17:50

good luck oatcake. It's wonderful that he has such good language (both mine had massive langauge delays) but in some ways that makes it harder for you to really analyse the sitation - the good speaking can "mask" problems "getting" things IYSWIM.

lou031205 · 24/05/2010 18:04

Hi Oatcake. It is so hard to have your concerns suddenly 'focused'. I remember the day so well that DD1's keyworker took me to one side and asked if she could get DD1 some extra help. I had known that something wasn't right, but everyone kept ignoring me. Suddenly, someone was saying 'hang on a minute'.

I won't bore you with the details of DD1's story (much ) but suffice to say, she also had a list of 'behaviours' which individually could all be explained away but together painted a worrying picture.

I think, for example, that if you had said "DS runs into the road", I would say that I wouldn't expect an almost 2 year old not to. But with everything you describe together, I would agree that it does sound as if your DS is perhaps needing some extra support to help him cope with group situations and social awareness.

firsttimer08 · 26/05/2010 08:33

I don't mean to worry you, but my 19 month old son has exactly the same problems since he was 14 months or so. He was also completely non-verbal and with very little receptive language either, biting, pulling other children's hair (regular complaints from nursery), throwing food, snatching toys. He was seen privately by a paedatrician and was given an ASD diagnosis. Since then we have started an ABA programme and he has come along immensely, with lots of words and much better behaviour. He is still the same though when we go out i.e. refuses to hold our hand and will run out, not stay still and is basically uncontrollable. He has almost stopped biting other children and pulling their hair, though he continues to snatch toys and will have a mini-breakdown if another child is playing with his toys. Its hard work teaching him to share and take turns, but I am glad that we have intervened early on and seen positive results. I would suggest that while you wait for your appointment you should start working on your DS's problem behaviours and I am sure you will see start to notice a difference.

OatcakeCravings · 27/05/2010 10:54

Firsttimer,

How did you manage to get your son to stop biting, pulling hair etc? Nothing either myself or the childminder has done so far works.

I would be really grateful for any advice or tips you could give me.

Thanks

OP posts:
firsttimer08 · 27/05/2010 16:18

I think the main thing to reducing the biting has been to praise him when he's been good - but not to give him reinforcement from negative behaviour. For example, sometimes he may bite just to get a reaction out of us (i.e. if we use a loud voice or give him attention). You should just tell him in a firm voice "no biting" - move him away from the child in question for a short time (or if he has bitten you, then you should ignore him for a while), but then re-integrate him. You should get a reaction from him i.e. he should get upset etc and realise he has done something wrong. DS still does the occasional biting - but it is a LOT less. He also does the same thing you mentioned i.e. starts to laugh and finds it funny if we react to his biting, pulling. Same with snatching or any other problem behaviours.

Key to seeing an improvement is to do this consistently i.e. the childminder and you should both follow the same plan.

Hope this helps. feel free to ask me any more questions or cat me, if you prefer to chat/email.

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