Disheartened and feel like giving up after son's appointment

My 2 year old son had his first face to face appointment with the paediatrician just before Christmas. He's already had a few appointments since 2019, including a telephone consultation with the paediatrician and a face to face with the nurse. 

Originally we were told by the paediatrician that she would be seeing him every 3 months, with the nurse seeing him alternate months. She said she may even diagnose him as early as March, she just wanted to see if the nursery picked anything up first (he's starting this month). 

However, at the appointment he mainly stuck with me and my husband. He didn't want to move around and play, he was just really clingy. He eventually done a small puzzle, but because he kept looking at me she said that was a good sign. She was concerned about his 'weird finger movements' as she called it and him spinning. But nothing else concerned her and she said as there was nothing obvious she thinks she'll wait around another year before seeing him, he's 3 in September so she said maybe the end of this year. 

She kept saying it's fine, he's really young, it could be a phase etc. I told her he's been hand flapping since 8-9 months old so I doubt it's a phase. She just didn't answer. I know he's young but isn't the whole point that the earlier the diagnosis the better? 

I honestly feel like screaming or crying. My husband and I have both been so upset, angry and disheartened since the appointment. I feel like we'll be lucky to get him diagnosed before school now. My daughter and I are also being assessed and I feel like if they've missed signs in him, who has really obvious traits, then what hope do we have. 

We are really struggling with him but because he didn't act like a performing monkey during a 50 minute appointment and do things on demand then we can't get anywhere. The only help we can get before a diagnosis is links to websites and leaflets! He has a speech delay, rocks violently, hand flaps, hits his head off walls, slaps himself, wakes up for between 4-5 hours every night after not going to sleep until 10-11pm. He's started hitting us and throwing things. I feel so upset and don't know what to do. 

Is there anything we can do? Can we ask for a second opinion by a different paediatrician? Surely this isn't a fair assessment to judge how a child acts during one appointment for less than an hour? The nurse told me on the phone it does come down to how they act during the appointment unfortunately and the next appointment could go the same way. This can't be fair, I'm considering saving to go private but don't know if the NHS would accept it. 

  • i just dont like your paediatrician's response. Its not good,, they could be under severe pressure and are having to prioritise things more. I am guessing.  

    act as if he has a autism diagnosis and seek out your local parent groups and join them. Talk to the other mums and seek out where your son could end up i mean school etc. The other mums will be able to pass on all sorts of tips and techniques/knowledge u are going to need.

    ok i suggest  u  learn makaton sign language and teach your son makaton  sign language -  just 4-6 basic  signs  that he might need in a special school where they may use it.  again I am guessing

     

  • Thank you. I do understand why they're reluctant to diagnose children as it's a life long diagnosis and could do more harm than good if they got it wrong. But I also feel like it's quite contradictory as it's also proven that earlier diagnosis and intervention can be really helpful for children. 

    I'm also being assessed myself, so is my nearly 5 year old daughter. I will keep fighting, especially for my children because I don't want them growing up with the struggles I had. One of the first things we were told by someone was to develop a thick skin as we will need to fight for a diagnosis and any help that they need. 

  • I know, he is really young. I think it annoyed us more when she said him hand flapping could just be a phase when he's been doing it for over a year and a half. I think we're worried about him slipping through the net and having more struggles when he's older if he doesn't get help while he's young. 

    I won't give up, I know I need to fight but it felt like such a step backwards when she told us she would see him every 3 months and now she's said to wait a year. 

    We have videos of him hand flapping, rocking, not responding to his name etc. We told the paediatrician but she just shook her head and didn't want to see them. 

  • Sounds to me like you're already doing all of the right things. You obviously love your child and primarily that's what he needs. I got my own diagnosis because I was attempting to get my now 7yo diagnosed. She still isn't,  and what occurred to me is that they are very reluctant to diagnose children and it can often take up to 2 years after they turn 5 (my nephew also got a diagnosis after being turned away several times). Keep at it, keep loving, don't give up. If it is ASD you'll be fighting for him his whole life anyway, so this is what's going to make you resilient for future tests! 

  • the first thing that occurred to me when i read your opening text is your child is still so young and perhaps the assessors cant quite decide yet --- I mean the diagnosis isn't clear enough yet.. So dont give up hope yet as your input is crucial.

    If you can record in video various autistic traits you see as they can be re-played to the assessor as evidence of what you describe.