I have suspected 'something' was wrong since my adopted son was 3. Contact social services when he was 4 because endless behavioural problems at school and immediately put on IEP (i didn't know what it was at first). Social services invited me to CPD course on FAS and I expected none of it to apply but was actually horrified how much it actually did apply. Got referral from GP with help from social worker but paediatrician ruled it out due to no facial features. I have not revisited this yet but it is nagging at me. I have heard so many stories of difficulties getting diagnosis and was wondering what it will actually achieve if I do go at it hard and get a formal diagnosis. I know that it will be a very stressful and long road. My son is 7 now and we're having a relatively smooth patch at the moment which gives me hope. I never know how long it will last and dont want to be the reason that he misses important opportunities. He is a lovely kind and generous boy with a brilliant sense of humour and my visit to the paediatrician meant that I had to discuss lots of negative aspects of his behaviour and I'd rather not put him through this. Self esteem issues are already evident.