Diagnosing Maura
As many of you know, we've been trying to find a diagnosis for Maura that explains the low muscle tone, delays, crossed eyes, blah blah, yadda yadda, and everything else. Today, someone asked why I don't get her an autism diagnosis. This isn't the first time this has been asked, and I thought "Hmm..I wonder just how many people wonder this?" So, why don't I get Maura an autism diagnosis? Well, first and foremost, she doesn't fit the criteria. Not even PDD-NOS (pervasive developmental disorder - none other specified.) To quote Wikipedia's entry on PDD - Some clinicians use PDD-NOS as a "temporary" diagnosis for children under the age of 5, when for whatever reason there is a reluctance to diagnose autism. There are several justifications for this: very young children have limited social interaction and communication skills to begin with, therefore it can be tricky to diagnose milder cases of autism in toddlerhood. The unspoken assumption is that by the age of 5, unusual behaviors will either resolve or develop into diagnosable autism. However, some parents view the PDD label as no more than a euphemism for autism spectrum disorders, problematic because this label makes it more difficult to receive aid for Early Childhood Intervention. For those of you unfamiliar with symptoms of PDD (I had to look it up, don't feel bad), they are - and again, quoting from the Wiki entry - - Difficulty using and understanding language
- Difficulty relating to people, objects, and events
- Unusual play with toys and other objects
- Difficulty with changes in routine or familiar surroundings
- Repetitive body movements or behavior patterns
Now, Maura does have difficulty using and understanding language. However, the other four criteria doesn't really fit her. She plays with toys pretty normally, she is social, flexible, and the only repetitive body movement is thumb sucking, which I don't think really counts. She actually was evaluated for autism and came back with a "not autistic" diagnosis. None of her doctors, teachers, or therapists have ever mentioned autism to me. I've even had her tested for Rett Syndrome, which for the moment is considered on the autism spectrum. Despite all that, I could actually go to some doctor and probably get some autism spectrum diagnosis. There's one near us who is notorious for giving them to everyone. So why don't I? Wouldn't it open more doors? Couldn't I receive more therapies? Yes and no. Right now, Maura does qualify for occupational, physical and speech therapies just the way she is. Many autism therapies are behavioral and social therapies. Maura doesn't have behavioral or social issues. She is a happy social girl who will look you in the eye, say "Hi!", and try to join in with what the other kids are doing. If you showed up at her dance class and tried to pick her out, you wouldn't be able to, because she is sitting nicely with the others, following along well, not causing a commotion. And it might open more doors, an autism diagnosis, but it may also close a lot as well. I worry that if we slap an autism label on her, it may cause a future doctor to not look as closely at her to find out what is really truly going on with her, and write it all off as autism. Which brings me to the final reason. And that is basically, I don't want a diagnosis that isn't true. I don't want to lie my way into therapies or extra aide. We manage just fine. What if by taking that spot on false pretenses, we take it away from a family that really needs it? Not to mention that we teach our kids that lying is wrong. How can we teach them this and then get a doctor to basically lie for us? Now, if Maura is actually truly diagnosed with autism someday, I wouldn't have a problem with it. But right now, to get one under false pretenses just to have some sort of label - well, I just can't do that. Team Maura
Tuesday, December 02, 2008 5:49:36 PM (Eastern Standard Time, UTC-05:00)
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