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Hyperactivity in toddlers/preschoolers?

  1. JoyfulKiwi

    nectarine / 2667 posts

    @Truth Bombs: I agree that an evaluation won't hurt and it's better to identify an issue before Kindergarten starts.

    @honeybear: I don't think 2 months is that much of a delay. It's possible they waited until they had observed him long enough to notice a pattern and be sure that it was an issue that was systemic & not random one-off behaviors. I never want to worry a parent about something unless I'm sure of what I'm seeing & have examples and ideas for solutions.

  2. looch

    wonderful pear / 26210 posts

    We should do a reading group/discussion of Raising Cain. Anyone interested?

  3. honeybear

    nectarine / 2085 posts

    @JoyfulKiwi: Right. Two months and this teacher is calling him 'hyperactive' and recommending an eval? Were you or anyone you know completely perfect at every task in your/their job two months after you/they started? Or did it take some time to figure things out completely perhaps? The problem here is that we don't even hold adults to that standard. And yet a 3 year-old who is probably still figuring out how to go to the toilet every time nature calls is supposed to have no trouble navigating all the (frankly silly--at least from his perspective) demands of an adult he has just met and do so with grace and composure. The response to "this child is not cooperating" should not be a reflexive "get an evaluation." It should be "let me continue to work with him for 6 months to a year and see if I can figure out what approaches might work best."

    Also, he has been at the school since Oct, and no one else seems to have had these concerns. In any event, this teacher has already labeled this child as hyperactive and that's a big problem.

    ETA: additions above.

  4. honeybear

    nectarine / 2085 posts

    @looch: Sure.

  5. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @ShootingStar: He has only been at the school since October, and only in this class for 4 full days since March. I definitely think that has something to do with it.

  6. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @MrsRcCar: This is a total possibility for us too. When he was a little younger we were more intentional about implementing heavy work every morning and it helped him a lot. I have gone back to including some of that in our mornings the last few days and I think he seems like he is doing better.

  7. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @honeybear: The more I think about this, the more I am starting to think that the issue is that LO is extremely loud and vocal when he doesn't like something. He screams REALLY loudly when he has a tantrum, and if they aren't used to it it might seem like it is a bigger deal than it is. He screams, I tell him "it sounds like you are really mad about that. Do you need a hug?" and he gets over it and moves on. He also needs a lot of verbal cues and warnings ahead of time to be able to transition, and I do this without second thought at home but I am wondering if they don't at school.

    I had a conversation with his teacher yesterday when I picked him up and he said that he had a much better day. He also said that he is "trying something new" with him and is giving him warnings before transitions and clearly communicating expectations ahead of time instead of waiting until after a behavior is a problem. This is a huge red flag to me...why is it that these strategies were not already implemented? This is basic classroom management. Maybe they have just not had a challenging child before...I don't know. They seem receptive and like they want to help and are willing to try some new stuff, but if these strategies are new to them it is making me a little hesitant to keep him there. But truthfully, this school as a whole is by far the best one I have ever seen. I really don't want to move him if there is any other option.

    Honestly, I am looking forward to the evaluation because I think it will give me good information about how the teachers are handling his more challenging behaviors as well, and hopefully the suggestions that they give will be able to be implemented. I feel awkward as a person who has studied child development and has pretty extensive training in behavior modification to go in and be like "you need to xyz". But if it comes from the developmental evaluators it might carry more weight.

    It does worry me, however, that they might already have it in their head that he is a "problem".

  8. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @JoyfulKiwi: It all seems pretty vague to me too. I observed him yesterday during snack time from the window and watched him sit at the table, wait for his snack to be given to him, and then proceed to eat his snack with the rest of the class, throw away his plate and push in his chair. There was no wiggling, no banging the table, no flinging food. His behavior was completely appropriate. I feel like a child with a severe problem would not be able to do that. But, I also didn't see the transition before that, so maybe the difficult part is getting him to stop what he is doing and move onto the next thing, which could be totally different.

    There are definitely things that concern me too, and this has always been in the back of my mind. I am actually really looking forward to the eval process because I do want to know if this is a classroom management problem or if there is something going on with my kiddo that we need to support. Either way, I think the teacher and I share the goal that we want him to be successful at school, which is the most important to me. I think the teacher might just not have much experience with kids who are more challenging to deal with. It is definitely a difficult dynamic for me, because I don't want to come across as a know it all or undermine their efforts, especially because I might see something completely different than they do. But I also know a lot about what best practice is with young kids, and it worries me that they might not have that same training.

  9. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @looch: I would really love this!

  10. MrsKoala

    cantaloupe / 6869 posts

    I think a lot of PP have given really great comments, advice, commiseration, etc.

    As a mom of a 2 year old boy, I see so much of my son in what you described and I would never consider him hyperactive. In fact, most of the boys that I know that are in the 2-3 year old range behave similarly. I'm a bit shocked that a teacher would describe that as misbehaving. They are not willfully disobeying but rather they are excited and get distracted easily. It doesn't mean that they aren't capable of focus when something calls for it. This worries me.

  11. hellobeeboston

    honeydew / 7235 posts

    @looch: I just ordered this book!! The author is also doing a speaking event in my town in few weeks and I can't wait to go!

    @Mrs. Lion: I'm late to this conversation, but we have been in a similar boat. My now 3.5 year old has been more "difficult" in his class and in speaking with the director about 6 months ago, she said she was going to do an independent evaluation for the classroom, but was also recommending it for our son. This came as a surprise to us at first, but also realized that my son was acting out at the time for two big reasons. 1 - brand new baby at home. Big bro had a tough struggle in the beginning adjusting. and 2 - his favorite teacher in his classroom had to leave for surgery, and this happened the week after the new baby came home I can see this all relating now, 6+ months later with better perspective, but we were also struggling with behavior at home so we went with it... In fact, we were fine with it - better to get an understanding of what was happening and work with our son to make improvements.

    Fast forward through the evaluations, did one at home, and 3 at his daycare.... Basically - they came up with nothing. He *might have some light sensory stuff and we're going to follow up with an OT to get a full evaluation and see if that will be beneficial.... But in looking into the sensory issues and speaking with the women who did the evals, MOST kids have some struggles with sensory at this age - it's just a part of their development, some kids handle it better than others. And of course there are some more substantial SPD issues that truly benefit from OT.

    I've noticed in 6 months time a VAST improvement in our son and both we, and his teacher (the new one that replaced the old beloved one) think he's just 'maturing' later than some of his classmates.... His speech is lightyears ahead of where it was 6 months ago, he's playing better with kids, he's listening better, etc etc.

    One of the issues we came upon was that our son didn't know how to "play" with the other kids. His idea of playing was being destructive and knocking things over (which seems like pretty normal 3 year old boy behavior to me) - and that was disrupting the other kids, clearly, but part of the evaluation was to help THE TEACHERS learn how to react and deal with this kind of stuff - so they're working on it too.

    Sorry - i feel like i'm rambling. All in all - I think a more open conversation with the teachers, finding out what was going on at school, and trying to work on it at home has really helped. We realized that the lines of communication were not as open as they should be. Also, our son maturing a bit more seems to have helped a ton....

  12. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @hellobeeboston: Yes, we are struggling a lot with this. We have had a really really rough two years. Miscarriage, rough pregnancy with my daughter, unexpected death of my mom, complete with bedrest and having to send him to an in home childcare unexpectedly because I couldn't care for him on bedrest, new baby, then potty training, then 6 months of constant ear infections, starting part time preschool, ear tubes, then me starting a new job and him starting full time at daycare in a new class. And if it has been hard enough for me to deal with all of that that I needed to be in therapy for a little while, it is kind of absurd that I would expect him to just roll with the punches, especially since he is more impulsive and active than the average kid anyway.

    Poor kid. No wonder he can't cope. I want to cry just reading all of that written down.

  13. hellobeeboston

    honeydew / 7235 posts

    @Mrs. Lion: Oh my goodness! You poor thing. Well, yes, it sounds like he's actually handling everything REALLY WELL... so many changes and things going on - of course they know something is up and react.... I think just giving everything time will work wonders... You're doing a FANTASTIC job mama. keep it up....

  14. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @hellobeeboston: Thanks

  15. lovehoneybee

    GOLD / wonderful pea / 17697 posts

    No advice, because we're having similar problems with our 3.5 year old. He knows the rules (he's been in this center for 2 years) and knows what a "bad choice" is, but when one of his friends makes a bad choice and gets attention for it E immediately mimics it so that he gets attention, too. Sometimes it's things like yelling, sometimes it's throwing toys, sometimes it's hitting or kicking. I've come to dread pick-up because I rarely get a positive report.

    We have a 4 month old at home, and we're pretty certain it's all related to her. It doesn't help that my husband works later hours most days. I give him all the attention I can spare at home while keeping things running (often feeling a little resentful because I almost never get any quality awake time with the baby), and he's mostly better behaved at home, but they can't give him that sort of attention there. And I think taking him out of school would be very detrimental.

    Luckily he has a wonderful teacher who is really invested in helping figure out how to manage his using negative behavior to get attention, and confers with me regularly on what methods are successful for us at home that she can try to mimic at school (I call is syncing). We have a conference with her and possibly the director tomorrow. I hate hate hate feeling like my kid is the bad kid, and I'm terrified that if we can't sort out his behavior at school that we'll be asked to pull him out. I'm nervous about a formal conference, but they've been very proactive and communicative about trying to help him make good choices, so I'm hoping that together we can figure out something that can be done consistently at school and home.

    So no advice, just lots of empathy.

  16. JoyfulKiwi

    nectarine / 2667 posts

    @Mrs. Lion: oh man, you get a million hugs! it sounds like your little man has been through the wringer lately. Hearing more of your updates, my gut is leaning towards him just needing some time to find a consistent rhythm. It is wierd to me that the teacher suggested a eval *before* using simple interventions like structuring transitions. You're right that a third-party may help in the realm of giving the teacher tools, rather than your son needing extra support. I feel you on not wanting to barge in with "Have you done XYZ, because that's best practice..." I always have to bite my tongue with my son's teacher & think carefully for days before expressing my thoughts because I don't want to be seen a pushy or telling her how to do her job. It's hard being a teacher mom! (I can't wait until my kids are 10 and out of my field of expertise). Go with your gut here; you know what's best for your kid!

  17. daniellemybelle

    cantaloupe / 6669 posts

    I'm so sorry. It hurt my heart reading this because my 2.5 year old is very active and "misbehaves" a lot too and I know how helpless you can feel in these situations.

    I really don't think an evaluation would "hurt," but I also think that the language the school uses is a little concerning. Ideally, they would be more supportive and understanding that impulsivity in small kids isn't just about "misbehavior." The rules thing sounds like they think he is somehow defiant. And I would hope they would want to help him have a better experience at school and be the "best him" - not just reduce it to a discipline issue.

    Have you done any research on executive function in preschoolers? Maybe you share some of the research with his school and maybe you can find some activities to do with him at home while you are exploring this.

  18. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @lovehoneybee:

    @JoyfulKiwi: it is so so hard! Im trying to remember that I have 15 more years in my childs education and i am not always going to completely love his teachers. If he is safe and happy and learning that has to be enough sometimes...but I am thankful that they at least seem like they want to work with us. It could be much worse!

    @daniellemybelle: I have pretty extensive training in child development and behavior and I am trying to hold back a bit on what I share so that I keep the teacher parent boundary intact. For now I am hoping that sharing "what works for us at home" will give them some ideas. I also hope the evaluations from outside will provide them with some good strategies so that I sont have to be the source of that information.

    Teachers aren't perfect, and a big part of why I understand what I do is learning on the fly when faced with more challenging behaviors. Hopefully his teachers will continue to learn and work with us.

    Just a little update....we decided to cut out all screen time and to squeeze in some outside time before school. The teachers are trying a couple things at school too. They said today at pickup that he had an amazing day. So, tomorrow should be interesting! We will be meeting with the behavior specialist and im super interested to see what she will say.

    Thanks everyone

  19. Mrs. Lion

    blogger / grapefruit / 4836 posts

    So we had our evaluation and he was the absolute most extreme version of difficult that i have ever seen him. So they saw it all.
    I have never seen him so out of control. She is recommending an evaluation with occupational therapy for sensory processing issues

  20. edelweiss

    grapefruit / 4923 posts

    @Mrs. Lion: i hope whatever results from these evaluations is helpful to your son and your family. how are you feeling?

  21. Maysprout

    grapefruit / 4800 posts

    @Mrs. Lion: I'm sorry, did he say at all what was upsetting him? Hope you get everything figured out but sounds like your life has been anything but simple lately. Sorry ya'll are dealing with so much.

  22. JoyfulKiwi

    nectarine / 2667 posts

    @Mrs. Lion: oh no, I'm so sorry his behavior was so extreme! That must have been so difficult to go through; I'd be crushed. I know she made a referral but perhaps they can just have a do-over in a week or so? Hugs

  23. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @edelweiss: Thanks im doing better now than I was a couple hours ago.. I should not have put him in the position of having to be in a small room listening to adults talk for an hour and a half when he was hungry right before lunch and nap. Rookie mistake. I should have known better.

    @Maysprout: she suspects some sort of sensory issue but all the paperwork is really confusing. Most of it doesnt really describe him. There are a lot of things that concern me but they dont seem to fit.

    @JoyfulKiwi: our OT eval is next friday. Ill make sure he is fed and has lots of outside time first haha. He had a really rough morning and im wondering if it might be because i was playing music. Im starting to think this may be an overstimulation issue.

  24. Mrs. Lion

    blogger / grapefruit / 4836 posts

    So after 3 really good days at school today was "very emotional" (teacher's words) and not so good. He came home today so wound up that he basically just ran around in circles for hours until bedtime and nothing I tried could stop him. Needless to say we are pursuing all possible means of figuring out what is going on.....

    But the teacher's lack of empathy/interest in finding a solution is really bugging me. He didn't elaborate at all about what happened, and when I asked if he was just feeling sad today, he said he wasn't really crying, just had outbursts every time he was redirected. He seemed bothered that I was asking, but maybe was just busy. I do recognize that he has a classroom full of kids to deal with, but it was pretty calm when I was asking...

    I am really afraid that his teachers just look at him as an annoyance and it is really bothering me I don't want to overreact and just pull him out, and I really really really love the school and know I won't find one I like more (I have looked). Our only other option would be a nanny or in home daycare.

    Any advice? Am I being too sensitive here?

  25. Ms maths

    apricot / 343 posts

    Just wanted to offer sympathy/support. It sounds really frustrating that his teacher doesn't seem to be fully in his corner (for whatever reasons). I would be worried in your shoes, too. (I am a worrier, though, so don't put too much stock in my opinion )

    Does the school have another classroom for the same age range? I know our school has sometimes switched kids to a different room at the parents' request. Or is it possible to send him part-time and have a nanny the rest of the time? (I think you may have already said this wasn't financially possible, but I can't find the post...)

  26. Maysprout

    grapefruit / 4800 posts

    @Mrs. Lion: could you try to discuss it with him over email? That's our preschools preferred way to communicate about more in depth questions rather than at pickup. I'd just email and say you want to work with little lion at home and have specifics to share when he's evaluated and so wanted to have more info on his classroom behavior.

    If he's still unwilling to answer more than briefly I'd consider switching schools. Does this school go all summer?

  27. JoyfulKiwi

    nectarine / 2667 posts

    It's possible you're being over sensitive. I say that because Ive been in a similar situation with my son. I teach a preschool class and my son is in my "sister class" (the preschool class that I share a door with.) I know the teachers pretty well and I have "insider info" on their day to day interactions because I can literally hear through the wall/see through the window. I know in my head they care about and love my son. But, every time we have to talk about his tantrums I flip out and become very emotional (at home of course). I question their methods and if they really care about him and if I should move him because they just think he's a "problem kid". My mommy heart just can't handle it. We've had to have several honest, and frankly uncomfortable, conversations about me feeling unsettled by comments his teacher made without realizing they'd upset me. In the end, it's all okay and I've never had that gut feeling of "this is wrong", just my heartstrings being heavily tugged.

    I'd suggest talking to the director about your concerns for your son and asking for another conference with the teacher to come up with a better communication plan. As a teacher, Ive had parents tell me how they were upset by the way I came across & it was just a misunderstanding. It's hard to hear, but I think a good teacher will take in what you're saying and be able to fix it. If not, you'll know this teacher is not the right fit. Its okay to verbalize an expectation of, say, a 3 minute run-down at each pick-up time. A teacher who wants what's best for your kid won't think this is a hassle & and should welcome your involvement!

  28. Kemma

    grapefruit / 4291 posts

    @Mrs. Lion: do you think he's picking up a "vibe" from the teacher and responding to it? Like he knows that the teacher thinks he's a "bad" kid? I feel like kids are really perceptive and that they sometimes internalise the negative feedback and act accordingly.

    I'm sorry you're going through this and hope you get some answers soon!

  29. mrs.click

    apple seed / 1 posts

    My heart goes out to you @Mrs. Lion! I've read through all the posts and it sounds like you're in such a tough position. I'm an Early Childhood Special Education Teacher and I've spent a good portion of my career being one of the evaluators in a public school setting. I know you have an education and behavior background and it is amazing how much being a parent changes your perspective on education, behavior, etc... Without actually observing the behaviors and analyzing the environment and many other factors it's hard to make recommendations. As I'm sure you know all too well with an education background, that far too often teachers can make it or break it for many kiddos. From an evaluator's perspective it sounds like the frequency and intensity of the behaviors mentioned for your son might be of concern. It would definitely raise some flags for me. It's not that those types of behaviors are outside of the norm, they're not, but rather the frequency and intensity of them might be. Also, you mentioned that "you should have known better" in regards to a meeting prior to lunch time, playing music which may have caused over-stimulation, and giving him lots of outside time prior to the next evaluation. It is obvious that you know your son extremely well which is wonderful but because you know him so well, you also know how to best regulate him and do that very naturally. At the same time, because it comes naturally to you, you may not even be aware of how much support your son may be requiring to maintain regulation because it has become such a natural part of your day and life. It is clear that your son's current school situation does not know what he needs and could benefit from strategies to help him maintain regulation and come back to baseline when he becomes disregulated. His behavior should not be considered "misbehaving" but rather behavior of a child who needs support. I would continue to push the school in a respectful manner and if they are not willing to continue to try and pursue new strategies then consider other options.

  30. T.H.O.U.

    wonderful clementine / 24134 posts

    Just another thought because you brought up food, have you looked at diet issues?

  31. FannyMae

    persimmon / 1461 posts

    Reading through this thread has made my heart ache so bad Currently having a hard time at 3 year old kinder with my DD (turning 4 in a few weeks). She has been having a hard time with "controlling her emotions", having scream/crying moments through the session when transitioning from one activity to the next, such as finishing up playing outside to come in for snack time. She becomes inconsolable, and "you cannot reason with her at all", and I think she is overwhelmed by the number of activities that she can do so jumps from one to the other constantly. sometimes tantrums and stomping feet/crossing arms when she doesnt want to do something.

    I can tell she has had a rough day when I go to pick her up and she starts crying and says "I had a sad day", and have discussed it with the teacher - she said she wanted to give her a term to get used to it, but is she hasn't been able to settle after several months. This week she told me she had a meltdown because she couldn't get a particular toy to work, which resulted in a prolonged emotional upset, wouldnt sit to eat her food, crying because the other children were looking at her (because she was crying). ughhhhhhh just so sad that she is having a hard time teacher has said she is trying to preempt a meltdown by removing her from the situation when she sees her start to get upset, deep breathing and counting (which we also do at home in situations like these).

    teacher specifically said that she does not think she is doing it on purpose, and she definitely isn't being "naughty" which I agreed to, and I told her I don't say that word/label her behaviour as that because I can see its genuine that she is overwhelmed and overstimulated. She said she is excellent when spending one on one time with her, her vocabulary and conversation are very good, its the overexcitement leading to emotional outbursts. I may make an appointment to see the paediatrician to discuss it, and I'm thinking I need to switch up and improve my parenting skills to help her (which makes me feel ohhhhh so crap).

  32. Mamaof2

    squash / 13208 posts

    @Mrs. Lion: I see you have an OT evaluation coming up soon and I think that is great!

    In the meantime I think you should meet with the director and teacher in person and go over al of this as a TEAM.

    Also, highly suggested reading Raising Resilient Children
    http://www.goodreads.com/book/show/650122.Raising_Resilient_Children

    Its a fantastic read and was suggested to me by my DS's LCSW

  33. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @Ms maths: There is another class, but I would feel so terrible asking to move him and I am not sure it would be much better I don't know how much it is the teachers vs. him just not being ready.

    @Maysprout: We have an online portal system where we can write notes back and forth, and I always respond when he sends out a message, but they are never replied to. I could probably try to initiate a conversation this way though. Thanks for the suggestion.

    @JoyfulKiwi: I think it is definitely my momma heart. I am sure his teacher is fine, but it is just so sad to me.

    @Kemma: He says that he likes his teacher. Today on the way to school he told me that "Mr. Peter helps me feel better when I get hurt", which I thought was sweet. But that doesn't mean he isn't getting the vibe anyway...

    @mrs.click: You are totally right. I am starting to realize just how much support I have been giving him (and at least now I know why being his mom is SO HARD sometimes! I thought it was just me!) I think the school wants to be supportive, but the "misbehaving" and "not listening" comments continue each day and they just make me sad. He comes home every day from school and when we talk about his day he always tells me "I didn't listen today". It hurts my heart that that is what he is remembering about his day Thank you for your input!

    @T.H.O.U.: His eating has always been frustrating for me. We are really conscious about processed foods and sugar, but he is a pretty picky eater most of the time.

    @FannyMae: It sounds like you are doing an amazing job and have a great teacher working with you! I am sorry you guys are struggling too. Watching our kids have a rough time is just the worst

    @Mamaof2: Thank you for the book suggestion! Putting it on my list!

    I think I (we) have decided to pull him out of the school. I am going to cut back my work hours so that I can be available for OT and other appointments (between my two kids it seems like we have at least 2 per week!) and balancing everything is too hard anyway. I am going to find an in-home provider or nanny 2 days per week and then sign him up for a shorter day preschool program in the fall (instead of a daycare that is arranged for full days). I think the long days are just too much for him, and it is way too expensive to only send him for a couple hours when I have to pay for more. I am feeling really sad about leaving my daughter's teachers because they love her soooo much and we love them, but I think at this point I need him to be in a smaller and less intense setting.

  34. Ms maths

    apricot / 343 posts

    "I didn't listen today" made me cry Whatever the reasons for the difficulties he is having, it seems very upsetting that he may be getting the message that he's somehow doing something wrong

    Since you are considering withdrawing him (and in some sense you have nothing to loose), maybe it would be good to meet with the director and teachers to discuss the situation first? You might be able to lay out your concerns more fully and get their input on what they think is best. They might support withdrawing him--which might help you feel good about your decision--or they might have a different perspective that would help you think differently about the situation. (I would have a hard time navigating such a conversation productively, so I completely understand if you aren't interested in the idea.)

  35. Mrs. Lion

    blogger / grapefruit / 4836 posts

    So just an update since so many of you were so supportive we had our OT eval today and she expressed concerns about his sensory modulation, which is OT talk for only having two speeds....super fast and super slow. We are going to work with OT to work on helping him learn to refulate this better on his own as he develops. Hopefully we will be able to apply some of the strategies in his classroom.

    Im still not very warm and fuzzy about his teachers, but the OT told me that it is pretty common for teachers to have this reaction at first with challenging kids and she thinks its likely that once they learn what to do they will be much more successful at helping him. So we are waiting it out. Hopefully it will get better as we work through some strategies.

  36. Mamaof2

    squash / 13208 posts

    @Mrs. Lion: Best of luck to you guys! Would the OT be willing to talk to his teachers and give them some guidance on how to handle him?

  37. bushelandapeck

    pomelo / 5720 posts

    @Mrs. Lion: Thanks for the update It sounds like you have a plan and hopefully some good strategies from the PT eval. We have DS eval at the public school this Weds, so I'm interested (and a bit terrified) to see how that goes.

  38. Mrs. Lion

    blogger / grapefruit / 4836 posts

    @bushelandapeck: Good luck! I cried when I left because I was so relieved to hear something that made sense I hope everything goes well for you guys!

    @Mamaof2: Thank you! I think the OT could definitely do that. She wants to go through a few visits first to get a really good understanding of what we have going on before she overloads us with strategies. She seems very thoughtful in the way she progresses, which is good because I tend to be very "let's do all the things" which isn't always the best strategy.

  39. hellobeeboston

    honeydew / 7235 posts

    @Mrs. Lion: good update - good luck!! We are going to do an OT eval soon as well... I'm hoping it will help him learn to cope with some of his sensory stuff, really curious to see how it will turn out!

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