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Speech Delay

In our last IEP goals recap from last quarter, the J-Man had a great nine weeks overall and showed great gains. This past quarter just ended last Thursday, and our little superstar continues to make great strides toward what we thought were some pretty ambitious goals for this year.

As a refresher for those curious about how we do things around here, the quarterly evaluations are done based on how well the kids are progressing toward meeting their IEP goals for the entire year, and then they’re assigned an evaluation code based on the following scale:

1 – Insufficient progress to meet IEP goal by end of year; below expected mastery of goal at this point in the year
2- Skills are emerging; mastery of goal is still inconsistent; student needs support to meet goals
3 – Consistent progress toward goals; on track to meet annual goal
3* – Consistent progress toward goals + some evidence of application and independence (Not sure why they need another 3 score here, but whatever. “Application and independence” are definitely two words we like.)
4 – Annual goal has been mastered; able to generalize the skill independently in multiple settings.

As I mentioned last time, don’t ask me why they felt the need to add a 3* in between 3 and 4 rather than just fix the scale to begin with. But anyway…

We rounded the halfway mark of this year early in March, so in light of that, his progress toward goals he has a few more months to meet is awesome.

Here are those categories and all the great stuff he’s been up to lately.

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This is Part 2 of our series “What’s Your Autistic Toddler Like Now?”, a journey through what’s happening these days in the life of our autistic 3 1/2-year-old son and sequel to our very popular original article, “What’s Your Autistic Toddler Like?”.

Note: Wherever you see “DSM-IV” below, this means that attribute is part of the diagnostic criteria for autism spectrum disorders in the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition or DSM-IV. In medical terms, a specific combination of those DSM-IV criteria is what brings about a diagnosis of autism.

Same obvious disclaimer as before: We are not advising you on how to evaluate your child. Go get them evaluated by professionals with extensive experience with autism. Don’t just rely on some random people on the Internet – namely, people like us.

If you haven’t already, go back and read Part 1. If you have, let’s continue on!

Characteristics That Are Significantly Present (continued)

Difficulty with social awareness (a bit better but a lot to work on) – I don’t know whether this has an official meaning, but I think of social awareness in a very broad sense as being aware that there are people around you and that they can be engaged with at some interpersonal level. For some time, we referred to other kids in the room as ‘part of the furniture’ as our son didn’t interact with them much differently than any other object in the room.

School has helped him in this regard in that he has regular time every school day with the same children and is involved in activities with them on an ongoing basis. You still get the sense that he’d usually be content without them, but often the emotions of an autistic toddler are inscrutable.

He does enjoy watching other kids do funny things, but watching rather than playing with children is one of those possible signs of autism, and this is a fairly accurate description of where he is right now.

That said, it is nice to see that he’s aware that other people have names, and he can use a name to refer to a person, though usually now that’s only with some prompting.

Continue on with Part 3! [click to continue…]

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Many times over, our “What’s Your Autistic Toddler Like?” post is the most read article on this site. It’s also the post people most often cite as the reason why they write us and become regular readers of our blog. We are gratified by your response to our story about our son and hope all this has been helpful to you and your family.

In celebration of the 1st Anniversary of our blog, I decided to write a multi-part series, revisit that popular post, and update it for what the J-Man is doing now almost 9 months later. The original “What’s Your Autistic Toddler Like?” gave you a snapshot of what an autistic toddler might be like – or at least what ours was like – about three months before his 3rd birthday.

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As a preamble to the upcoming sequel to “What’s Your Autistic Toddler Like?” (coming very soon!), I thought we should first go straight to the source in which the diagnoses are defined – the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition or DSM-IV. (Technically, it’s DSM-IV-TR, where TR stands for ‘text revision’, but whatever.) The people who evaluate your child don’t sit there with just this list and check off boxes, though. The diagnostic tests they do are far more nuanced, but they are in their own ways based on these criteria.

This is one place where those five-digit codes – known as ICD-9 codes – you might see on medical forms and reports (e.g., 123.45) come from. For the record, ‘Autistic Disorder’ is 299.00 and Asperger’s is 299.80, in case you were wondering.

[Standard Disclaimer - This is not some diagnose-it-yourself kit for you to use on your child. A formal diagnosis must be made by a qualified, experienced professional. This is just to give you some idea of what you are looking for. If you suspect your child may have autism, read our "Five Things You Can Do If You Think Your Child Has Autism" post, and especially note the M-CHAT questionnaire. Don't just say, "My kid only gets 5 out of 6 so there's nothing to be concerned about." It's important that you go over any questions and concerns with qualified people; don't just go 'by the book'.]

This is what that text says (below, or “Click to Continue” if you’re reading this as an excerpt). I will say one thing before plowing ahead – our children and their challenges are far more complex than what can be covered in a diagnostic manual. Think of this like a starting place where the road that follows is full of difficulties, surprises, challenges, unknowns, adventures, and joys.

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Musings from the Weekend

by Tim on February 2, 2009

With everybody in the house feeling not so great with a combination of being sick, tired, and/or pregnant, I can’t muster up enough brainpower to write something more thought-out and coherent, so here are my random musings from this weekend – at least still on topic.

I think I’ve discovered a new symbol for autism, at least for the toddler/early elementary crowd.

Thomas the Tank Engine must have been engineering specifically for little kids with autism. The J-Man couldn’t care less about Thomas, though we’re not much for following the crowd around here. But based on the data I’ve collected from being around other kids, I’d bet about 1/3 of them are Thomas fanatics. Thomas-based echolalia is a hoot.

I’m going to declare that this non-verbal child we know really did say “mmmm” on Friday when his mom walked into the room – a sound I’m pretty sure he doesn’t make normally (or ever perhaps) with any intentionality. The “mmmm” and the eye contact – another rarity – at least made me want to believe he was trying to say ‘mom’. Just the thought of that possibility made us all tear up, and if we were sure he’d done it, we’d still be crying. I want this to happen so badly for them.

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We love Rachel too!

by Mary on January 18, 2009

Saturday afternoon (frigid weather!) we’re watching Signing Time. Rachel comes on to sing the introduction song. J-man touches the TV screen: “Ahh elll uhvvv yu uuu, Err Aa K-Kul!” (To the uninitiated, that’s “I love you, Rachel!”)

No prompting, no saying every syllable behind him, just straight out.

Also, when Rachel sings a song, J-man will now pull on my arm, and say “yu uuu!” until I sing AND SIGN along. My signing is getting better because I’m doing it more. I sign the word, he says the word, and everything is right with the world.

Now that we have new ones to watch, I’ll have more signs to learn… and the J-man has more words to learn. Both of us are growing.

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The 439 Stages of Grief

January 6, 2009

[Note from me: This is another draft installment of that collection of essays and reflections that I hope to someday compile into a book. The first one I posted was "What if he never talks?", though I plan for other posts here to someday appear in that collection too. As always, comments are welcome.]
The 439 [...]

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Many Ways to Say ‘I Love You’

January 3, 2009

As I described yesterday in the “One Syllable At a Time” post, we’re getting some great mileage out of breaking everything down into these syllable-by-syllable exchanges, going as far as dividing one syllable sounds into even smaller parts as needed.
So, much to our eternal and unending delight, the J-Man has two wonderful sentences he likes [...]

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