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I know you are just searching but is he frequently manic and than crashes.  You said he was real bad then slept.  He could be having seizure activity, not grand mal, but severe enough that he has no energy afterward and needs to rest.  When he wakes up the seizures have passed because his body has had a chance to relax.
Have they given him an EEG? They did this for Mason as well as an MRI to test for seizures and such.....It seemed to me to be kind of standard test done for kids like him?

I know that some of you talk about your children having co-morbid DX's and that you sometimes post on other boards.  Can someone point me in the direction of a board that would offer help in the area of ODD or severe ADHD, maybe even bi-polar or schizophrenia (?spelling)?  I have a student that we are totally lost with that shows signs of all those, but I don't think it's ASD.  He has been in my classroom since I drug him out of his mom's car this morning.  He is now asleep in my floor on his sleep mat, something he does lots in the regular classroom.  I am just helping out the regular ed teaher right now because there is no DX.  We are working with Mom, but in this situation she is going to his peditrician who of course had us fill out ADHD scales, when he is clearly not ADHD.  So far this morning, he has quit school, kicked stuff, just sat and screamed, and the one that makes me so worrisome:  the voice in his head..........

You guys are so good at brainstorming, I thought you might could help me out with another place to post to for this situation.

Thanks in advance.

Wray, my son has acted like this in School when he was in second grade, before medication. My son is Asperger's, ADHD, ODD, Language Disibilities, Fine Motor skill Disibilities. It could be an advoidence thing, or to much Stress, he would shut down and fall asleep when things were to much for him. If I may ask, what makes you think it's not ASD? Are there any sensory issues? I do think this child needs a Behavior Plan and it must be a POSITIVE PLAN. Are you able to talk to mom and find out about behavior at home? Try lots of communication from home and School and see if you can help this child, it really does sound like the way my son acted before he was DX. 

Oh, I am in constant contact with this mom.  She is just as concerned as I am.  Like I said, he has no label at school, and as the sp ed teacher, I don't even have to take the time to do anything right now.  But I do see there is a problem and I try to intervene as much as possible so that he doesn't fall into the principal's hand, and get punishment that doesn't need to happen.  The too much stress thing makes sense.  I have never heard of that before.  We have written a behavior plan for him, but it's of no legal value because he isn't in special ed YET!  His Kg teacher is the same teacher as last year, so she was prepared for this.  Things were near this bad last year. 

I have had experience teaching in ASD classroom in several settings.  I know I am not qualified to diagnose, and I'm not trying to.  Even the other sp ed staff members are stumped.  There are no social deficiets other than when he has a meltdown.  There are no language issues AT ALL. And no sensory issue.  Everything is not always Autism and I try to keep that open.  I am really not qualified to make any calls about what is going on.  But based on my training, I think is is more ODD, schitzophrena type stuff going on. 

Michele, thanks for the link to find out more info.  I really appreciate it.  I am going out to talk to mom when she gets her in about 15 mins.  After he woke up he has been PERFECT, he even ate lunch in the lunchroom which he NEVER does.  Last week there was nothing, nothing whatsoever out of the norm.  The week before, total heck, looks like this week will be too.  I have done tons or reading and research for this parent.  Right now we are using alot of ASD strategies, but some of those I think are good for any kid, NT included. 

The thing is, this school is not set up for behaviors that we are seeing.  There are no self contained sp ed classes in my school.  All those kids who need a self contained class go to a multi needs school.  That setting is able to handle issues like not getting out of the car and having a meltdown for 30 mins.  At the moment, I just have a resource room trying to deal with LD kids coming in and him in the corner having a melt down.  Just not a good situation.  I need to know what kind of doc to send her to for this, that's all.

It's possible that he could be and I thought that at the end of last year when we started seeing this.  I got mom hooked up with the mental health center locally, but for some reason, they didn't accept her insurance.  So she went back to his ped.  and that is the one that started with the ADHD scales.  I do not think we are dealing with ADHD and he is on no meds.  I don't know what she means when she says he didn't sleep good, and I don't think something is going on at home to prevent him from sleeping.  I don't know that he hears voices all the time.  But when he melts down at school, we are usually able to talk about it afterwards and he can tell me exactly what happened.  And during the course of it, it always includes something his brain told him to do.

He finally woke up around 10:30 and he was fine.  He came in my room a few mins ago to get his sleep mat and he was the sweet little boy we usually see more than half the time.

I feel like Mom is being let down somewhere.  She is trying to work with his.  He has no DX's or label's here at school.  But something is going on emotionally and from hearing all the posts about general peds, I don't want her wasting any time. 

One time he told us he hopes the school gets cancer, another time he wished it'd get hurt real bad. When I laid his mat out, it was on the red side and he said I only sleep on the blue side.  So I turned it over, and he laid down.  Then he looked up at me and said, "but everybody can see my feet."  He didn't have his shoes off, so I know he was talking about his feet as in the area of his body.  I am just at a lost. Normally, I would say what I am seeing in ASD.  But I really just don't think so.

http://groups.yahoo.com/group/xyy/?yguid=86917692

This is my other board.  It's a board for families with an XYY son.  We have quite a few that have bi-polar, ODD, and other dx/symptoms.

Michelle

So am I to understand that he is not medicated for ADHD at this time? What about other meds? Have you and indication from his mother how he sleeps at night?

The reason I ask, and I know NOTHING about psychiatric DX's, but Mason doesn't sleep well at night. Especially when he can get out of his room. When I was able to lock his door at night, he would put himself back to sleep when he would wake, now he knows he can roam......he does. THis leads to a very, VERY sleepy boy. Maybe if this child has voices, (bless his heart) it is effecting his sleep patterns?

ALSO, Ritalin made Mason sleepy. Even prior to gaining acess to the rest of the house in the middle of the night, about 2 hours after I administered the meds, he would want to nap.

My first thought is that this m other should contact a develpmental disabilties resourse in your area to attempt to get a more full work up psychologically....it would be a huge disservice to him to only get half of the DX's he needs in order to be understood. But if he is claiming to have "voices" I would be surprised that could have been overlooked? Do you think it is possible that he is high on the spectrum but just not expressing what he means (by calling it voices in his head) appropriately?
ba dump bumpbump

www.conductdisorders.com

click under forums for their boards.  It is similar to this forum & covers ODD, bi polar, OCD, autism, etc.....


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