My son is 5 and has been on an IEP following an eval age 4 for developmental delay, self regulation and social pragmatics. He had been receiving OT and speech therapy and he has progressed so much. I did not want to push a diagnosis at the time as it was unclear as to what was going on with him. I am scared of getting an inaccurate diagnosis, for example high functioning asd was mentioned by our ped. But he had since made huge strides on the social piece. He has always been crazy hyper but incredibly smart. He had sensory challenges too which we are awaiting for results on.
My concern is that he exhibits ADHD behavior at home, doesn’t stay on task, blows up in anger and frustration, distracted al the time - he can’t eat a meal without bringing something to the table and fiddling with it. We tried banning too s at the table when he was younger and it became a huge battle. He does have defiance sometimes although we have made huge progress there in terms of communicating with him and adopting a collaborative approach. Reward systems work wonders with him.
In the classroom at preschool though he presents more reserved. He has had a lot of anxiety, in large I think due to the delay in pragmatic and expressive speech. Now he has caught up with that his anxiety is less. He still becomes overstimulated and jumps on the spot, although he does that less than he used to.
There is so much mixed feedback that it is hard to know when to proceed for the next neuro psych. The initial eval was done by the public school system so they do not diagnose.
I would appreciate any advice or sharing of similar experience on your journey to a diagnosis?