Sick and tired of ASC diagnosis and management

We have a wonderful nine year old boy who has spent the last two years being pushed from pillar to post in educational settings.  After two years we expected to be given a clear diagnosis following weekly consultations and meetings and assessments.  We have been told from the original diagnosis simply needed a rubber stamp from speech and language therapist which was grey and non-committal.  My partner has spent the last two years reading and researching nearly every day and night.  We have changed the way we manage his behaviour in accordance with published methods.  We haven't got it right yet but we are improving.  CAMHS have recently completed a 3DI assessment which was hailed as the definitive answer.  We have a report that states Atypical Autism is a query and that he has met all areas to qualify for a positive diagnosis for Hyperkinetic Disorder.  There are a great of conflicting comments in the body of the report that seem to form an opposite picture to the one we described, at length(over ten hours).  Now we are are told that it is not ADHD nor is it ASC but in fact we have to bring in the boundaries and 'grow a pair'.  Every book, forum, coffee morning, meeting and professional agree that he shows all the signs of high functioning autism and ADHD yet now the lead professional is doing a U-turn and appears to be going against the 3DI and the findings of everyone's findings previously.  It is a matter of behaviour management.

We are constantly beating ourselves up about the way we manage our boy and are now hitting an all time low.  We have little faith or confidence in our ability and knowledge as parents after being different things all the time, being shown up meetings with school when professionals contradict weeks of conversation with no warning.  We have tried everything we have found to try and support mungo and his two younger siblings.  Now we have run out of things to try and CAMHS are blaming Mungo's challenges on our parenting.  we need to start re-affirming the boundaries and ensure that he is given the tools to deal with life as any other child his age.

For example recently he has gone without dinner at school on a number of occasions because he is distressed.  The most recent occurred when he stepped out of the dinner queue to help a younger child open a yoghurt.  He returned to the queue and having lost a couple of places meant that he then missed out on the meal option he was waiting for as they ran out.  He then got cross and stormed out of the dinner hall and into the playground.  He had set his mind on that dinner option the night before when we told him what he could have.  He was upset that because he was actually helping someone it was unfair that he then lost out on dinner.  He could not adjust to the alternative and did not eat until he got home, seven hours after breakfast.  Today when we asked that he be given an opportunity to eat a packed lunch if occurred again we were told that he would use it as a controlling behaviour.  To get mum down and get what he wants.  We have stated previously that if he is unhappy or has a melt down he becomes hungry afterwards.  If he is wobbling, hunger is a key trigger for full on meltdown and that we felt it was in the best interest of the school staff and pupils as well as Mungo if he were given the opportunity to eat something when he had calmed down sufficiently.  Response: This is an example of Mungo trying to control and that all steps should be taken to stop him digging his heels in.

What is the point of attending meetings every week listening and responding, completing reports, giving feedback, informing key people, sharing the bits that that work and those that don't, attending appointments, seminars, courses and all the rest of it if no one actually listens to us?  Afterall we're only parents.

  • That's a lovely post..thanks it really helped me too..crying here but in a good way..and well done .

    I could have written the school thing myself.

    ((HUGS)) to all

    Oatie

  • Oh God - I so sympathise with that frustration...  I think you've got to get the diagnosis sorted out - until they stop blaming you and start accepting there is a medical issue here, you're going to carry on banging your head against that brick wall aren't you?  We had exactly the same with our kids at some point or other.  Our eldest, who doesn't have ASD but is probably a bit 'fringy', had desperate trouble settling in at school at first - and we were regulars at the Head's office, our parenting skills being unsubtly criticised at every turn (at the same time as smugaholic parents of 'well-behaved' children patting themselves on the back for their superior efforts, tut-tutting in our son's direction...).  He's now 12, is doing extremely well and his behaviour is nothing less than exemplary - we haven't become better parents in that time - he's just grown up...

    Our daughter has now been diagnosed with ASD and selective mutism after a referral to Great Ormond Street, after our (good) GP thought it was 'probably immaturity' but referred her to the Paediatrican (who also gave every appearance of being on the ball), who thought it was just selective mutism since she had good eye contact etc etc.  But, purely because our daughter is mute with strangers, the Paed couldn't do the normal assessment, so referred us to Gt Ormond.  We thought then - if anyone's going to give us the right answer, it'll be them.  My biggest fear was that we'd come away with a postive or negative diagnosis we just weren't convinced about but, I have to say, after two long sessions and various observations/tests being performed, I really do feel we can be confident they've got it right.

    But unless you manage to get a referral to somewhere like this (and it was only because our daughter is selectively mute that we 'lucked out') I do wonder how on earth you can hope to get an expert reliable opinion, especially if your kid is high functioning. 

    If you're anything like us, you're not going to rest until you feel your son has had a proper, full, assessment by medical professionals you really trust are experts in the field.  Trust your instincts - we were in denial for months about our daughter, but when we looked into it, we became pretty sure (but certainly not 100%) it was probably ASD.  If you share that feeling about your son, I'd push for a second, third and fourth opinion - whatever it takes - you need that certainty because, let's face it, we're not doctors....

    And, of course, this has only come after having been treated with huge amounts of suspicion by the school who (I'm sure) assumed shoddy or downright abusive parenting was to blame.  Even when the school did raise the possibility of ASD, they managed to do it in a way that just irked - almost as if to say 'We've decided it's not you - it's your daughter - can you go away to the GP now and get her fixed...?' 

    Your rage so resonates with me - and your post so reveals how much you care and how hard you're working.  Don't lose faith in your abilities - I have several times and know how it feels - you will come through this and your son will grow up to be the fantastic person you know he is - because he's lucky enough to have you on his side...

    Very best of luck - we can now see the light at the end of the tunnel and I'm sure you will one day...

  • I'm curious about the school's approach - that their priority seems to be stopping him doing anything that could be interpreted as taking control.  I can see the argument around equality and fairness collectively.  I can also perceive the therapy argument that he needs to adjust his behaviour where things are changeable or adjustable to make it easier to progress socially.

    At the same time there does seem to be this notion of having to fit in socially, when ASD implies that is going to be very difficult throughout life. Some behaviours may be acquired through being frustrated by difficulties and can be changed. But this idea of stopping him taking control, which is an ASD symptom, and not that easy to entangle, puzzles me.

    Have the NAS monitors got any ideas on this? There does seem to be a school of thought that setting boundaries to behaviour is a way of dealing with ASD, but it is one that doesn't deal with the individual but some notion of a "norm". So how easy is it for someone with an ASD to normalise at will?

  • Hi Been wondering how you are getting on? Hope you are all bearing up OK.

    Oatie

  • Oh my! I really feel for you both but I also know exactly where you are coming from as I am having the same problem with our school. So much so that I am removing my children to a smaller establishment.

    I can understand your bitter disappointment when you have turned yourselves inside out to try and sort these types of issues out. On the one hand us poor parents are told we are to blame but then the schools cannot see that they have our poor confused kids for longer than we do and that therefore they must accept a far share of the responsibility for their care and well being too.

    We are currently at the stage where if this smaller school cannot make necessary adjustments then we will take the decision to home school. I am lucky enough to have the time to do this if necessary but I realise not all parents have the finances or time to do this.

    Stick with it and keep trying you can only do what you think is right and work with the information you have at the time. I wish you all the best and hope things start to be less problematic soon.

    Kindest regards

    Oatie