H.R. asks from Stratford, CT on April 01, 2008
Speech Processing
My 5 1/2 year old grand son who I am raising has ADD. he is on stratera but it only helps him maybe 30-40%. We have tried stimulant meds that are ritalin based but they have had bad side effects for him. He has a problem that I am hoping someone out there maybe able to identify with and direct me for help. He often answers a question in the opposite of what he thinks he is saying. He will listen to his own response and then adjust his answer. He has had his hearing tested and it is perfect. I have been told by my pedeatrician that this is normal for his age but I have never seen or heard of this and he also has a problem with not being able to make up his mind. He gets very upset over simple questions like - "Are you done eating?" - he says yes but then clearly is not happy with his answer and yells no - but then eaqually as upset yells yes and then gets more and more upset. I seem to think that he has a problem processing his words - he also often in speaking says hot when he means cold - etc. Sometimes he catches himself and corrects it. As he has gotten older I guess I have adjusted because I don't accept his first answer and just give him time to compensate - but this is clearly not going away. I have taken him to a pediatric neurologist and he says he only sees sensory issues - which we have addressed thru Occupational therapy and his ADD. Does anyone have any experience with this? Thanks in advance for your responses.
So What Happened?™
Thank you for all the 33!responses - many of you were so very helpful and it was really encouraging to get so many concerned responses. I have gotten a new referral from my ped. for a second opinion from a ped. neurologist. hopefully this one can follow up with tests to address my concerns. I'll let you all know what happens.
Thank you again to all of you. H.
More Answers
T.B. answers from New York on April 02, 2008
You need to see an audiologist. They will do a test to see if he processes information correctly. Sometimes kids will hear one word but not understand it. They do a test to see if the brain is processing information correctly. I took my son - we thought he had ADD or ADHD but it turns out that he is a little behind on the maturity level. Anyway - they did an Audio Processing Test - it was called a CAP test I think. That should determine if there is a problem and at least maybe help you deal with it. Good Luck to you.......
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A.M. answers from New York on April 02, 2008
Hi!!
my daughter was orig dx'd as adhd + communication issuess etc at 4.5 .. then at 9.5 she is dx'd as aspergers with adhd.
We knew something else was going on because , though she could speak clearly, she often had a hard time organizing her thoughts and getting them out...often mixing up pronouns and even answers to the simplest of questions at times.
NOw i am not saying thats what you are dealing with, but if you feel there is something else going on... follow your gut!!
If you have a medical center in your area, such as hackensack has the institute for child development , where they wil do extensive testing based on your observations & concerns , I would start there so you can get the big picture .
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C.Z. answers from New York on April 02, 2008
Has he had an evaluation for learning problems and a Speech Therapy evaluation? Your school district will provide these if you ask. (Although you may have to ask more than once.) I assume that he has; but if the Speech evaluation was more than a year ago, they may be willing to repeat it.
You may also want to consult a Developmental Pediatrician.
Also, if the Strattera is helping somewhat and not bothering him, you might want to ask your prescriber about increasing the dose. It is usually OK to go higher on the dose than was initially recommended by the manufacturer.
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K.H. answers from Utica on April 02, 2008
Hi Hilde
You have gotten some wonderful responses. Don't assume ADD is a disease. Sometimes it is a symptom, with a cause. If processing is a cause, then perhaps you will have a solution. In the meantime, why ask questions? Simply say when you are finished put your plate in the sink. Would that bring about less frustration? His frustration level sounds elevated, try to eleviate that while you work on appointments.
Don't discount allergy as a cause!!! Exercise using up the excess was helpful with ours.
God bless you and all you are doing
God bless this family and give them peace
SAHM of 4, 58 years, not a grandma yet.
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C.S. answers from New York on April 02, 2008
Hello H.,
I have a 5 1/2 year old high functioning autistic son. He did not speak a word until I found just the right pediatric neurologist who changed his meds. Though the diagnosis of his functions were correct, his meds and dosage were all wrong. We now give him Prozac. I did extensive research on this drug. There are absolutely no documented cases that would indicate any long term problems or addictions when it is used properly in the pediatric field. It does not solve all of our problems, but it DOES have the beautiful gift of verbiage. My son began speaking about 4 weeks after starting the new meds. Every day he not only comes out with new words, but words that dumbfound US!!! The context and appropriations are all correct. He even has a sense of humor. Who would ever have known!! Now obviously Prozac is not right for everyone or every case, but it does work for us. Just when we thought there would be no light at the end of our tunnel. Keep searching. Don't settle for one neurologists answers. I went through 12 doctors before I found one that understood I was not the one who needed his help...it was my son. He speaks directly to him as if he had no problems at all. My son responds to him like no other. There is hope. Just don't give up!!
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L.L. answers from Syracuse on April 02, 2008
UNfortunatly I don't have much time to write but after reading teh other responces I wanted to add my two cents. My son is also 5 1/2 and does simular things. After handing him a streaming cup of cocoa-"mommy please heat it up in themicroswave?" , after telling him to put his shoes on, brings them down teh stairs in his hands saying "all set mom". The example you gave is also common at our house. He has been hooked up with a speach therapist through the school system. At this time my son doesn't meet all teh criteria for the "autio proccessing or central processing lables", but at least we have support and ideas on how to help. Talk to the teacher and his ped and get a referral because those speach therapist are great resources!!
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M.W. answers from New York on April 01, 2008
Hi H.,
I am a speech pathologist, but unfortunately work with the geriatric population, not children. But, it does not seem as if your grandson's difficulty and responses are normal. I saw the other response you received referring to the signs and symptoms of auditory processing disorder that you may want to look into, because it seems as if that could well define your grandson, and maybe ADD isn't the issue, or maybe not the full issue at least. I encourage you to have him seen by a speech language pathologist, either through the school system, or maybe privately through the hospital (or agency locally). I urge you to make sure the therapist has knowledge of the type of behavior your grandson is expressing because although we all have the same title, we don't all do the same things!
Good luck!
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D.A. answers from Utica on April 02, 2008
Ditto Ditto Ditto.. which means I am so there!!! My son has sensory issues as well and has a hard time with processing as well.. We just put him on Risperdal. This has helped him thus far. It is a Psychiatiric drug used for children with Autism. My son has not yet been diagnosed but is showing high signs of ADHD. In my experience with sensory is that, these children need more that ot in the school can give them ... they need serious pressure therapy ..I am not sure where you are with that or the extent of his sensory needs.
So with that information, I hope it helps but if you would like to talk more on this i am definately available. Feel free anytime to contact me.
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