Social & Communication Disorder - autism?

Hello everyone - some may remember me from last year when I was having a hard time with getting a firm diagnosis and basically people to listen about my then 15 yr old daughter Amy.

Amy is now 16 and has just started college doing animal care. She is very happy doing finally something where her passion lies - in animals. She struggled all the way through mainstream school - having to try sooo hard for her average grades. She was a "model pupil" according to teachers - basically in my opinion because she tried so hard, got on with her work, was frightened to ask for any help and so didn't give them any bother! She would wait til she got home to ask. Having had a lot of it out with teachers over the yrs we did finally start getting somewhere in getting Amy assessed, however it came about because she started getting so ill with pressure of exams etc.

Amy started to get severe anxiety attacks so we are told, but Amy describes them as "not being there" "not part of what's going on" etc and these would send her into a panic Especially as it was a crucial part of trying to achieve her GCSE grades.

We where referred for scans, which proved normal, then she was assessed by Speech and Language as the child consultant "picked up herself" that Amy was struggling to communicate or give relevant specific answers.

The final assessment shows that Amy has a significant "Social and Communication Disorder" scoring low on some of the tests.

A follow up appointment with consultant said (after going through her history and reports etc) that although Amy does or had in the past some very obvious autistic traits that he really didn't want to put a firm diagnosis on autism. He said it would be so mild that really "would you want it diagnosing" ..... He basically said there are two issues, the Social and Communication Skills which could be helped with (where and how???) but also he wants her referring to a mental health team for her anxiety "not being there" panic episodes, and also to a child and family unit.

I don't know what to think, whether to be pleased they aren't diagnosing her or wishing they had to get some answers - as I don't know how far being diagnosed with a Social Skills Disorder will help as should anyone be aware this exists purely on its own with a firm diagnosis like this! 

What I want is what's best for Amy, to help her along in life and she really does struggle at times socially, and understanding sometimes basic information and instructions.

I also want the anxiety attacks??! Derealisation disassociation / zoning out / not being there episodes to be diagnosed properly as to what they are and if they are all part if ghe same condition.

i requested to the hospital to write to them explaining where we are at but consultant sent a very basic three lined letter saying Amy has trouble understanbasic instructions and could they make sure she understood.

what do others think ? Am I expecting too much? Am I wanting a diagnosis on something that isn't there?

Her autistic traits in the past were cleanliness, hand washing, terrible fear of noise, tantrums, lack of social abilities, hated change in surroundings and routine. Her traits aren't as apparent now, acute sense to smells and noise at times, would rather have routine, social skills prob, lack of basic understanding (jokes pass her by a lot as she doesn't understand) 

So sorry for long post - please reply folks I would really appreciate it.

also what can I expect to happen at child and family unit? All sounds a bit intimidating even to me. 

Thank you everyone for reading this xx

  • OP's daughter has a lot of Asperger's traits, it's clearly not SCD!

  • Surely the consultant knows what they are talking about, they are the experts. Showing autism traits but not clear autism, it is a new form of mental health disorder called Social & Communication Disorder which I believe your consultant may have caught also. Reminds me of the difference between a cold or a flu, only the doctor knows. The whole issue here is a social communication disorder..

    Will the NAS have to change there name to the SCD ? Double funding !

  • I thought there had to be a two doctor concurrance with diagnosis, autism can not be made independantly by one consultant.

  • Hi. You replied on my discussion about 'blanking out episodes' in my son.  I agree that your daughter has Aspergers traits. I have a friend whose son had quite severe symptoms and at 13 they told her twice he didn't have it. At 16 they finally assessed him again and agreed with her. It may help to keep a diary of her traits and what she does. That way you have more evidence. Also have you had her assessed for an Auditory Precessing Disorder. That is when they gave difficulty understanding what is being said to them. My son also says he feels dissociated sometimes. like he isn't there properly. I think it is over stimulation that just bombards their senses and overwhelms them and the feeling is worse when he is anxious. He also sits there quietly at school. He will ask for help once but if he still doesn't know he will sit there and write nothing as he is afraid of getting it wrong if he doesn't understand 100%.  Have you tried any natural remedies to help with her anxiety?  I give my son a double dose of Omega 3 daily and that definately helps him.  B vitamin complex is great for nerves. I also use rescue remedy for melt downs and that helps. If she has trouble switching off her mind their is a great app called SimplyNoise that has all different types of 'white noise' to help the Brain tune out. 

  • No worries.  Derealisation can be very scary, my 12yo panics a lot with it, especially if she is feeling unwell on top.

    I don't understand those tests, but the main thing to challenge is why you should be withheld a diagnosis because of one clinician's opinion on labelling.  She's your child not his and why should she be denied support.

  • Sorry about my grammar and spelling - writing this on my iPhona with one finger! So heaven knows what I'm writing :) thanks again x

  • Thank you intense world your guidance in this has been fabulous - may get back to you too about a couple of things especially the derealisation - Amy finds it very difficult cot cope with at times.

    azalea - ahhh I remember you very well, I hope you are enjoying your animal care xx

    azaezl - thank you so much too you are all a godsend when we have no idea where to turn.

    I feel at my wits end, have for years but finally thought we were getting somewhere. But I will fight this for Amy xx

  • Thank you so so much everyone with this. I have just checked to see what assessments Amy had and it says CELF-4 Subtest - does this mean anything to anyone?

    This is what they are basing Amy's speech and communication skills on.

    Core Language (CLI) percentile rank 1 degree disorder moderate

    Receptive Language percentile rank 4 degree disorder moderate

    Expressive Language percentile rank 1 degree disorder severe

    Language and Working memory percentile rank 2 degree disorder severe

    Just wondering what you make of this as regards to where on earth you get help for these skills.

    It states at the end of the report - the summary, that Amy suffers with high levels of anxiety and difficulties with communication and interaction. Also states she has moderate eye contact.

    I was just wondering if anyone has any knowledge of these ranks etc.

    I will take all your comments on board and I'm going to get back in touch with her Speech and Language assessor about it all, her consultant paediatrician and going to phone the helpline for more advice re the female assessment at the Lorna wing centre - thank you all. Xxx

  • I agree so much with intense world, you have been fobbed off, they have no right to deny her an ASC assessment so insist upon one and don't give up until she's had a thourough assessment. I'm sick of reading of people being told their child "has autistic traits but it's not severe enough" "why label them" "well he/she seems to be coping fine so I don't think autism is the answer"....it's all rubbish and basically a way for them to save money. It makes my blood boil because both myself and my daughter have been through the same rubbbish and I'm still battling with her school because she's not the type to lash out etc she gets left to it and struggles.

    I wish you so much luck with this, keep battling and don't give up x

  • I would personally say your daughter definitely has Asperger's, she sounds very much like my 12yo.  I have Asperger's myself and I know what I am talking about.  You have been fobbed off.  I would say insist she gets the label of autism as it will make her eligible for support that the SCD will not.  This is probably why they are avoiding giving her a diagnosis, because they don't want people claiming on support and resources.

    You are right, how and where will she get support for socialising issues?  It doesn't exist unless you pay privately.

    The consultant is wrong, ask for an official assessment of ASC done at a specialist centre that recognises the female presentation.  It can be called a 2nd opinion, or a 1st if she hasn't had a full ASC assessment yet.

    SCD is a condition alone which falls outside the autistic spectrum of diagnoses and therefore will qualify for less support, if any.

    It makes my blood boil that autistic females continue to be fobbed off in this way.  She is clearly masking her traits and suffering.  This doesn't mean she has "mild" autism or has overcome it in some way.  It's a neurological disability that is lifelong.

    You are emphatically not expecting too much!  derealisation is something me and both my ASC daughters suffer a lot with.  It's not anxiety, depression or anything else, it's a condition that seems to be part of autism spectrum for a lot of us.  Derealisation can make you panic but you don't get derealisation because of panicking.

    Insist they assess her fully and do not allow them to deny her the diagnosis.  I hear so much about clinicians saying "we don't like to label" when it's a crock of crap, they are just denying diagnoses for their own agendas and it's very wrong and against legislation and rights.  Ensure you get a specialist in females.  On this website, there is a centre very expert in females called the Lorna Wing Centre.

    If you want any more information let me know.

  • What I mean about hospital writing to "them" I meant wrote to her new college, but they send a very basic letter to them, sorry I wrote this as I was thinking and probably missed a lot of crucial facts out. 

    Can I just also ask - is this Social and Communication Disorder a new term for a previtree term or diagnosis, would this have been under the autistic spectrum and have they pulled it out to be a condition on its own?