Special Needs

  1. Special Needs My dc was born April 2011 and on the immature side. With dc's birthday, would it be difficult to sue for pendency to delay K for a year? 1 hr 11 min ago (0 replies)
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  2. Special Needs Need recommendations of sensory gyms with skilled OTs in NYC, UWS preferred but will travel. Thanks 2 hr 20 min ago (2 replies)
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    • SAGE? 1 hr 53 min ago
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    • It's been years but we used to go to Watch Me Grow and really liked both the OT's we had. 21 min ago
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  3. Special Needs I slay 2 hr 52 min ago (0 replies)
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  4. Special Needs I am so proud of 8yo dd!!! We spent all day at the Gerwshin Theater with her Girl Scout troop - educational workshop in the morning, long walk to and from lunch, then the play,...(more) 2 hr 54 min ago (0 replies)
    and even though she got a little fidgety, she totally rallied and kept up. She has focus issues and a weak core that makes it really hard to sit still. We've been able to get her swimming a lot, and I think it's really helped. If this was last year, she would have just flopped over her seat onto me and buried her face in my stomach and whined until we left. It's just nice to see her stronger!
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  5. Special Needs Does anyone know what kind of isee scores you'd need for middle school at Masters" school? I'm assuming 5's? 4 hr 19 min ago (0 replies)
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  6. Special Needs Got a letter from Parkside stating after reviewing your dc's application materials they do not have an appropriate placement this school year but would be wait listed. However,...(more) 7 hr 28 min ago (3 replies)
    dc was observed at school and invited for playdate. Is that their standard letter they send out to all even after observations/playdate? Anyone reading would translate as if they looked at the application and didn't go any further.
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    • I don't think that trying to parse this out is helpful. He was observed and wait 5 hr 43 min ago
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      • ^^waitlisted. Are you the mom who had an acceptance elsewhere but waiting for parkside? Accept the other place and best of luck 5 hr 43 min ago
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    • no standard, they did not think dc was appropriate for school, have you applied anywhere else? 2 hr 18 min ago
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  7. Special Needs - no subject -...(more) 7 hr 33 min ago (0 replies)
    placement and would be put on their wait list. Is
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  8. Special Needs Anyone find CBT did not work for their ASD DC? Was another type of therapy effective for anxiety? 8 hr 27 min ago (3 replies)
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    • What type of anxiety? Cbt requires a lot of talking which asd dcs are not the best at so things like systematic exposure, and other things often work better. Video taping,...(more) 8 hr 17 min ago
      social skill stories, power cards and visual schedules all can address anxiety.
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      • I completely agree. But who implements this stuff? He needs more than just counseling in school and it seems like psychologists all do more talk based therapy. 8 hr 3 min ago
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        • Bcba's do this especially ones who work with Aspies. 5 hr 45 min ago
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  9. Special Needs Don't have time for this sinus infection. Argh! 10 hr 30 min ago (2 replies)
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    • I am miserable w/ a sinus thing right now. Pounding headache and pressure and sudafed and motrin are not touching it. I may go to the gym to sit in the steam room 10 hr 29 min ago
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    • My cocktail is sudafed, Advil, mic ibex during the day and Benedryl at night + Flonase and if that does not cut it prednisone. 8 hr 15 min ago
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  10. Special Needs Anyones dc experience school refusal? School isn't addressing sn and can't switch dc until the fall. 11 hr 42 min ago (5 replies)
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    • You DC refusing to go to school? We had that experience with DS. 11 hr 41 min ago
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      • Yes, but complicated w/ exh. 11 hr 32 min ago
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        • That must make it harder. I'm sorry. We had that with DS at his SN private--the school was extremely helpful about it. At one point the head of school was actually on the phone...(more) 11 hr 29 min ago
          with him in the car talking him into getting out & going on campus. But ultimately we chose a therapeutic boarding school--that is not why but it definitely was added into the challenges. And other parents at his boarding school talked about the same issue.
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          • - no subject -...(more) 11 hr 19 min ago
            Exh is going to come after me for educational neglect. NP dx dc w/ dyslexia, anxiety & depression. Trying pediatrician mon am.
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            • Good luck to you. My DS also has severe anxiety, dyslexia + ADD, possible ASD and several other challenges. 11 hr 17 min ago
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  11. Special Needs Dd in 6th struggling. has adhd and IEP, school being supportive but looking into strategies that we can put in place at home for eve, school work review and HW. she is finally...(more) 12 hr 28 min ago (4 replies)
    social and stays after school for HW center, she does her HW and is social there but takes late bus and does not come home until almost 5 and is exhausted and meds worn off. any tips on things you did that help dc be successful. i am not worried that much about grades more that she feel confident.thanks
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    • if her homework is done, then what is the issue. 12 hr 26 min ago
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      • she struggles in math and we feel she needs to review daily work for when there is a test etc.. 12 hr 24 min ago
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        • have you tried using software like khan academy. 12 hr 23 min ago
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          • we do, its hard sometimes when her meds have worn off but she often does this just sitting alone. Thanks 12 hr 17 min ago
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  12. Special Needs Anyone have experience with the Windward summer program? Thanks. 12 hr 55 min ago (0 replies)
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  13. Special Needs DD has very mild ADHD. In a large class (32 kids) and I'm thinking she'd do better in a smaller class. Anyone BTDT? 14 hr 42 min ago (6 replies)
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    • 32 kids is atrocious adhd or not. Where is this allowed? 14 hr 41 min ago
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      • NYC, baby. Max class size in elementary is 32. 14 hr 37 min ago
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      • It's "allowed" in nyc. Unfortunately 14 hr 35 min ago
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    • I think it depends on the kind of ADHD. Dd has ADHD inattentive and her neuropsych said she is hard wired to be inattentive, it's how her brain works whether there are 30 kids in...(more) 14 hr 38 min ago
      the room or 15. He said what works best are small group lessons within the classroom and short lessons, both of which they do in dd's big ict class
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      • how many kids? 14 hr 37 min ago
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        • 28, second grade. The NP said she will likely need meds when the lessons get longer and more lecture-y but dd will be fine in ict, a SN setting wouldn't really do much for her. I...(more) 14 hr 34 min ago
          was pretty surprised, dd isn't an academic superstar and I was sure he'd say she needs a smaller setting
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  14. Special Needs What is the best lower Westchester town for 7th grade DS who has ADD / processing issues? He is really floundering in the current NYC public and is overwhelmed with school/class...(more) 2-5-2016 10:14pm (12 replies)
    size. Know most Westchester Schools have rigorous academics...he is very smart but needs a school that will also give him the support he needs. Also, are the rents very high in these areas? Don't know westchester too well at all, thanks
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    • There are no rentals in westchester 2-5-2016 10:16pm
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      • but i have seen some advertised 2-5-2016 10:19pm
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        • you are right there are always some. 21 hr 15 min ago
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      • Np. That is simply not true. 2-5-2016 10:21pm
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        • ok, guess i am really screwed then. DOE will not offer my DS any other help than SETTS, and he is way far behind...I don't know what else do...cannot afford a Private school as Im...(more) 2-5-2016 10:24pm
          a single working mom.
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          • I heard that some Westchester schools may be smaller size classes and more support, but i cannot buy there right now 2-5-2016 10:25pm
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            • There are some 2-5-2016 10:28pm
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              • Progressive nyc publics 2-5-2016 10:29pm
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    • Look at Pelham -middle school has lots of options. Don't know about high school. Stay away from the really competitive schools like Scarsdale. 21 hr 13 min ago
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      • Pelham is good as is Irvington, Hastings and Dobbs Ferry. You might have better luck renting in the Rivertowns. Also, try Mamaroneck, Rye Neck (schools) and Ardsley. 7 hr 25 min ago
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        • ^these are all small districts and Irvington, Pelham and Arsdsley have good SpEd as does Mamaroneck. 7 hr 23 min ago
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        • thanks! 5 hr 12 min ago
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  15. Special Needs We are considering SN private in NYC. Our NP says that if dd were to attend a ms school with supports than he definitely recommends medication to address her ADD inattention....(more) 2-5-2016 10:10pm (23 replies)
    However, he thinks that at an SN private we can delay medicating. This made me wonder if people ever turn to meds to address inattention even in SN school. Or do you find in some cases that the school is able to remediate?
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    • For most kids the SN setting is not enough. Meds are still quite common 2-5-2016 10:12pm
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      • I wouldn't generalize quite so much 11 hr 3 min ago
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        • Np: I would. By third grade the majority of students in our SN private are on medication 8 hr 32 min ago
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    • Meds common in SN school. Would not send an ADD child there unless the ADD child had tried meds in mainstream and could not keep up. Lots of adhd kids do well in mainstream...(more) 21 hr 12 min ago
      depending on academic ability.
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    • I would not consider special needs school to be an antidote (pardon the pun) to medication. That NP saying one or the other is completely oversimplifying what will surely anyway...(more) 14 hr 40 min ago
      ten into a changing situation.
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    • Depends on age of child. We went SN instead of ICT and are very happy. DS is above grade level in all subjects (at least the ones that are taught in a way that can be compared...(more) 12 hr 37 min ago
      with public) and, more importantly, he is so happy and loves school. The same issues crop up but this school understands and gently corrects rather than punishes and he feels empowered to solve his own issues. We will eventually transition to public, but when he has the tools and insight to self-remediate.
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      • Which school? In NYC? 11 hr 7 min ago
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        • One of these - Churchill, Gaynor, Gateway 8 hr 52 min ago
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      • He's above grade level in SN school because their work is not truly grade level. The work is significantly modified 8 hr 32 min ago
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        • Np--reading levels are standardized 8 hr 28 min ago
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          • ^^ and in the early grades, there is not much difference between what is taught. 8 hr 26 min ago
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        • NP: I have a dc in one of the above schools and one at MS private -- and I don't think that's true. Many kids are above grade level in some things and below in others --- hence...(more) 8 hr 26 min ago
          the SN school. I feel the school is accurate in its assessments.
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          • I have kids in both and IME it is absolutely true especially by third grade and above 8 hr 1 min ago
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          • At Gaynor, there are several reading and math groups for each grade. Some kids at above grade level. some are at grade level and some are behind. It is individualized grouping....(more) 7 hr 54 min ago
            Often the small class settting with delivery of instruction through SN good practice will allow child to function without meds and some will need it.
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            • We can agree to disagree. IME they are not doing the same level of work as MS schools period 5 hr ago
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              • This is why some kids mainstream after 3-4 years. Signed -mom whose DS mainstreamed after 4 years 3 hr 27 min ago
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                • My DS at one of those schools middle school. Expectations far below my child in mainstream. 1 hr 33 min ago
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            • Np: all the schools claim this 4 hr 59 min ago
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            • Np-would a school like Gaynor request that a child take meds for inattention (not behavior)? 3 hr 20 min ago
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              • They would support it but not demand it 2 hr 8 min ago
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    • we did medication in public for ADHD inattentive from 3rd on, we were guided by NP to try meds before SN school, 2 years later ds is above grade level, thriving with meds 2 hr 13 min ago
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      • this happened to me . I started meds in middle school, ended up at Ivy. High IQ but trouble focusing due to adhd. Depends on severity of adhd but if mostly inattention and focus...(more) 1 hr 31 min ago
        would try meds before SN especially is student is bright.
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    • How are hr academics? If she has no LDS I would not send to SN school. Most adhd students are in mainstream if they have no other issues. 1 hr 39 min ago
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  16. Special Needs Dc just started Focalin 10mg, he was home today and he was so pleasant and calm. I'm not hearing so much feedback from school, Monday teacher said amazing but nothing since. 2-5-2016 9:00pm (8 replies)
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    • This is after 6 months of daily emails and calls 2-5-2016 9:00pm
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    • that is a GOOD THING 2-5-2016 9:03pm
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      • Just feel like of there's positive going on they should indulge me. Been a rough year so far. 2-5-2016 9:06pm
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        • Np: remember, n o b o d y except the parents cares. Teachers dont usually praise or even note when a student is performing as expected. Unless they are extraordinary, and...(more) 2-5-2016 9:11pm
          particularly interested in you child. Otherwise, no news is good news.
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          • It's just so hard. I've had meetings, phone calls, texts, interrupted work and if he has a few good days why not tell me?!?!?!? 2-5-2016 9:12pm
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            • I dont know. It doesnt take a huge amount of time to. Unless they feel that as a family, youre all a big PITA and they want to avoid contact. Not an accusation! I just sometimes...(more) 2-5-2016 9:14pm
              wonder if they dread my emails or notes, "not her again".
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              • I think that, but they usually initiate contact. They make it sound like we are a team. Sometimes I believe that. 2-5-2016 9:16pm
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                • Lol. I know the feeling. I believe!......I...think. 2-5-2016 9:21pm
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  17. Special Needs Does any child take non-stimulant medication for combination ADHD? Do they work well? What are the side effects? Thanks! 2-5-2016 4:37pm (1 reply)
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    • My dc takes intuniv. It takes a week to adjust to and manages the hyperactivity. In some, like my dc, it can also help with focus. 2-5-2016 5:00pm
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  18. Special Needs Does anyone have a child with dyspraxia, ADHD (inattentive), and slow processing? What meds, diet, supplements, therapies, etc have helped? I was hoping that the older he gets...(more) 2-5-2016 4:32pm (7 replies)
    the better he'd get, but I think we need to do something now. He is 7.5 and he is really struggling in school - sometimes he is so distracted, other times he is in his own world, and he needs constant prompts to speed things up. We have an IEP..school is supporting us to the best of their ability with ICT, setts, etc) but i wonder if we should consider meds/lifestyle changes. I have been reading about diet and fish oil? I know everyone responds differently but at this point I think we need to start considering other options. If you are medicating your child for in attention, what have been the pros/cons?
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    • No side effects, and we dont see a meltdown in the afternoon, but she didnt start meds until 15. Adderall made her manic, so dr tried Focalin and for dd it works well. Nothing...(more) 2-5-2016 4:34pm
      organizational helped until she got a lot older and matured.
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      • Op here- how did you support her in her younger years before meds? 2-5-2016 4:36pm
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        • She was t dxd until failing 9th grade but we knew something was wrong in middle. Never heard of ADD until a counselor in 9th grade told us to speak to her pediatrician 2-5-2016 4:45pm
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    • Yes, yes and yes. CBT, concerta, speech therapy, occupational therapy, play therapy, anti-anxiety meds...(more) 2-5-2016 4:35pm
      Don't bother with fish oil or those special modified music cds - neither worked at all. Time and therapy are what work the best and when and if you're comfortable, the right dose of the right medication helps a lot at school. GL
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      • ^^^started concerta around age 12, 27 mg and at 14 still a good dosage. Made a huge difference in classroom attentiveness and focus and therefore moods and ability to socialize...(more) 2-5-2016 4:37pm
        etc.
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      • Can I ask how old your child is now and when did he start meds? What is CBT? 2-5-2016 4:38pm
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        • Was he struggling in his early years with in attention or did you notice it got worse and that is why you medicated? 2-5-2016 4:40pm
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  19. Special Needs Advice needed re. farting...(more) 2-5-2016 4:17pm (6 replies)
    So embarrassing. 9yo DS had a farting episode in school today and he was marked down for it on his behavior chart. He was shocked because he thinks he can't control it and "it's just nature." To be honest, we've never taught him how to control his farts, but it appears this now needs to happen. Any tips on having these conversations, either with SN or NT dcs? TIA.
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    • We tell our 8 yo to do it outside or excuse himself to the bathroom. What sucks is that the teacher will mark them down on the behavior chart for using the bathroom during class...(more) 2-5-2016 4:18pm
      so he's come home with some stuff in his pants. But just ripping one in class is a nono.
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    • First he is right you cannot always control it. I find it weird the school put it on his hagiography chart. Teach him to go out of the room if he feels it coming but seriously...(more) 2-5-2016 4:22pm
      it's not like you can hold it I . Also if he has a lot of gas I swear that taking culture old probiotics really stopped that for my son.
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      • Sorry for any typos. iPhone autofill 2-5-2016 4:22pm
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    • tell him that it should be done in private like peeing 2-5-2016 4:23pm
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    • That sounds ridiculous to me although boys find farting pretty funny so the teacher may have thought he didn't choose to hold it. 2-5-2016 6:26pm
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    • My asd ds has an issue with this and actually farted throughout his DOE testing. The DOE tester put it on his report, but was endaring about it, describing him as sociallyi naive....(more) 2-5-2016 8:22pm
      He's 12yo.
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  20. Special Needs Omg lol dd wants this as her new backpack. I kind of love it....(more) 2-5-2016 4:04pm (6 replies)
    • Love it! 2-5-2016 4:05pm
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    • I have a headache now 2-5-2016 4:05pm
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    • my dd has a the donut jansport one 2-5-2016 4:05pm
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    • I love that. I wonder what that print is. I'd love to have that on a smaller bag 2-5-2016 4:06pm
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    • a few kids have that in our school. 2-5-2016 4:06pm
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    • That's how I know I'm old. Youth culture holds zero appeal. I bet your daughter is cool, though. 2-5-2016 4:08pm
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  21. Special Needs Today I had PT conference at SN private. I left feeling like my kid was the only one with attention issues and slow processing....(more) 2-5-2016 3:54pm (9 replies)
    That doesn't seem right to me..
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    • Were they actively comparing your DC to the other kids in the class and saying the rest don't have your child's level of challenge? 2-5-2016 4:01pm
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      • How could you possibly know this op? SN schools are populatedc with slow processors and inattention. 2-5-2016 4:11pm
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        • NP: Depends on the school. They accept different profiles. 21 hr 11 min ago
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    • i had these feelings all last year at SN private. the only kid who had problems with the dress code, the only kid who didn't tuck in his shirt, the only kid who didn't get the...(more) 2-5-2016 4:34pm
      math, the only kid who wasn't responding to the school's particular way of teaching. Not all SN schools are the kind gentle places we want them to be. sorry it happened to you.
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      • Is it better this year? 2-5-2016 4:37pm
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        • NP--I felt like this year 1 but at year 3, I see my sweetie is one of many with slow processing-- 2-5-2016 4:48pm
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        • 100% and surprisingly it's because he is at a new mainstream school. 2-5-2016 9:17pm
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          • Mind sharing where he was before? 2-5-2016 10:03pm
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          • public or private? mine wants out of SN but need gentle school. 21 hr 11 min ago
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  22. Special Needs Advice, please! I have 5yo and 8yo "oral sensory seekers" and they both still put things in their mouths. It's driving me crazy! I try to have gum on me at all times, but with 8yo...(more) 2-5-2016 3:53pm (3 replies)
    it's almost compulsive - see small round thing, put it in her mouth. With 5yo it's legos or lego wheels (which I've put up). I've talked to them about it, we have gum, we have 'chewies' - I'm at my wit's end. If you were talk to your kids about this in an age-appropriate way, what would you say?
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    • my 8yo chews on his shirt, pencils, waterbottle. I have tried talking about it to no avail, it is a compulsion. I am hoping it fades as he gets older 2-5-2016 3:57pm
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      • op - I just worry about choking! 2-5-2016 3:58pm
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        • ahh, I don't have to worry about that, he doesn't put toys in his mouth. I would tell him he will choke , just what you said 2-5-2016 3:59pm
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  23. Special Needs ADD Inattentive 8yo, we have been trying a gluten free diet with him all week to see if it helps, he's had a few great days and then he was just a mess getting out of the house...(more) 2-5-2016 1:58pm (10 replies)
    this morning. Its too soon to really know anything but its hard when i lock onto something that gives me hope and then realize that, most likely, its not going to be any sort of 'magical cure.'
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    • yeah. we tried everything for ds (hyperactive/impulsive, not inattentive). Then we had to turn to meds. 2-5-2016 2:02pm
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      • op: ds is already on meds for school. He doesn't eat much when on them and he has no behavioral issues so he only uses them for school. But, he is still struggling to keep up...(more) 2-5-2016 2:06pm
        academically. Its tough all around.
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    • there are many studies in the scientific literature indicating elimination diets can work. the medical community reads those studies and makes recommendations. basically the...(more) 2-5-2016 2:11pm
      medical community sits on the fence. the data is there that it can help but it requires experimenting (starting with a very limited diet and adding one new food at a time). it requires a degree of focus with implementation that is very difficult for a mom to perform (especially since we need to cook for the rest of the family and often have a day job too). For this reason medical societies tend to say it could work but more studies are needed to hedge their bets. Hence there is no one ti guide you to show you how to perform this experiment even if you have the will. You can access the original studies on pub med. tax payer dollars funded these studies and for that reason the public has access to them. the only sane way i found to approach this was to go to pub med (database for medical research studies) and type in "adhd diet". i printed out the studies and followed the protocol. what foods to start out with and which ones to slowly add in. i did this for 6 months and saw sig
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      • saw significant improvements in figitiness, focus, mood and behavior. i fell off the wagon due to a combo of peer pressure (mom friends constantly communicated they thought i was...(more) 2-5-2016 2:21pm
        wasting my time, it made them uncomfortable that i was trying something different) and dc wanted to eat what his friends were eating and fit in. if you tell people you are allergic to peanuts they understand your diet sensitivities but since the public doesn't realize there is research supporting these diets for adhd so they don't offer the same kind of support.
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        • Np: there are limited studies at best. There are not significant studies showing clear benefit. 2-5-2016 4:20pm
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          • did you go into pub med and read the studies? 2-5-2016 6:28pm
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            • I have read some myself and I also trust my Harvard educated doctor. I find it strange that you think the medical community is somehow denying all these alleged conclusive...(more) 2-5-2016 6:55pm
              studies.
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    • Is there any reason to remove gluten for ADD unless a child has an intolerance/allergy? 2-5-2016 3:47pm
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      • Nope especially if no behavior or digestive issues 2-5-2016 4:23pm
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    • Oh come on, a gluten free diet for ADD? 2-5-2016 8:23pm
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  24. Special Needs How soon after playdate does Parkside call or inform if dc is accepted? 2-5-2016 1:48pm (3 replies)
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    • so crazy to do a playdate interview on 3 year olds 2-5-2016 1:48pm
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      • np: What? What kid applying for kindergarten is 3? 2-5-2016 2:00pm
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      • This is for kindergarten. 2-5-2016 2:09pm
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  25. Special Needs Talk me down...I'm getting once again really annoyed with ex-DH. He is himself a man-child and totally self-absorbed then occasionally decides he wants to exert his father role...(more) 2-5-2016 1:41pm (13 replies)
    so the latest is he wants to find DS a new therapist that's on the insurance plan. Current is psychiatrist that does both therapy and meds and is out of network and expensive. I'm willing to pay out of pocket - even if ex won't split the difference but he's still adamant we should look at some of the guys ont he plan. In theory this is not a bad idea but in practice I'm unhappy. DS has been with same guy 5 years, they're tight and even so, DS wants to reduce session frequency because it cuts into his fun afternoons...so imagine trying to get him to see someone new. With high school and challenges around the corner, I'd like to maintain consistency for DS and not have to send him to someone new who has to relearn him and all his issues. If I'm willing to cover this, why does this have to be a fight?
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    • does your agreement say anything about what happens if you disagree on something like that? 2-5-2016 1:43pm
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      • no 2-5-2016 1:43pm
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        • ^^^we're supposed to split all costs of healthcare, education...for me this doctor is important to DS. Kind of like you wouldn't send your DC to anything but the best school you...(more) 2-5-2016 1:44pm
          could
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    • It's all about control. He wants to be in the driver seat. I feel your ag, I have same type of ex-dh. only mine would be far too lazy and self absorbed to look on the insurance...(more) 2-5-2016 1:44pm
      list for a therapist, he would insist I do it.
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      • OP: He didn't look on the list. I did a search and got in touch with friends for recommendations (very few pscyhicatrists take insurance and I don't have any idea yet about...(more) 2-5-2016 1:46pm
        therapists).
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        • Make him do the work, find someone, speak to them and if he finds someone you can speak to that person. I guarantee if he has to do the work to find someone new, it will never...(more) 2-5-2016 1:48pm
          happen.
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          • Thanks. I already suggested he do this since he's between jobs and starts new one March 1 adn I'm super busy at work (and this isn't even my idea)...What I worry about is he...(more) 2-5-2016 1:50pm
            finds some random guy and says "this is our new doc". After all the effort we have gone into finding someone DS is good with, that he trusts and knows him I just get stomach cramps thinking about how ex-DH is willing to nickel and dime his only child.
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          • NP - This... make him do the legwork and then tell him you will be happy to let him bring DS to intake with the new Dr...... it will never materialize 16 hr 1 min ago
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    • Your dh needs to call his insurance company -- or you should. I discovered that even though our staff of doctors for ds are not in network, I meet the $1,000 deductible pretty...(more) 2-5-2016 1:45pm
      quickly and then get EVERYTHING but the equivalent of a $20 co-payment back. Before I called, I was really questioning how we could afford out-of-network doctors, but I felt so much better after I spoke with our insurance co.
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      • THe insurance plans are the problem. If I go on my family plan my deductible is 8k and it will require me to pay double in premiums. DS's new insurance plan pays zero out of...(more) 2-5-2016 1:47pm
        network hence his fascination with the tom, dick and harries of psychiatry
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        • ^^^ultimately the fees I'd pay out of pocket for current doctor through remainder of the year are aobut the same as the deductible... 2-5-2016 1:48pm
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    • Who has medical final say in your agreement? 2-5-2016 3:37pm
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