Tuesday, March 29, 2011
On Autism and Mood Disorder (Bipolar)
His pain hits him when sitting, in his car and at his desk. His weekend guitar playing marathons might be the culprit. Sitting on our low profile bed, strums away for hour in a position that certainly looks uncomfortable. Anyway, neither sickness nor sciatica seem to deter his guitar playing or singing, so I'm glad that he is taking off a day and enjoying it. E will consult a real doctor Friday if he is not feeling better.
I'm still mid-YouTube Project, uploading and organizing videos. I was so jazzed over all the organizing, I had trouble falling asleep. Perhaps drinking 1,000 cups of tea contributed.
Life hasn't been all videos and journal transfers, though. I spent time researching autism yesterday morning. I half remembered literature about about depressed mothers and autism and checked it out. Curiously, there is something called the "broad autism phenotype," which pretty accurately sums up where our family is at on the spectrum. Am I diagnosable? Who knows, but I sure fit in on the phenotype.
Looking at heritability and autism, I found some interesting studies. The "gifted" type of autism, ie, autism where one can speak and has intellectual gifts (HFA/Aspereger's with high IQ) often presents alongside family histories of bipolar or major depression. Interesting. Dad's profoundly gifted, E and I are exceptionally gifted and we have depression and bipolar in both of our families. My dad's father was bipolar--in and out of institutions. Both Dad's mother and Egor's mother have major depression. My mom? Hmmmmm. Anxious, compulsive and coming soon on an episode of Hoarder's.
Neurodiversity. I'm lovin' it.
Would I like to change anything about my life? Be less awkward, have more friends? Not if it cost me my thoughts. I'll even keep my depression right where it is--manageable but omnipresent. I am glad for the reduction of anxiety and obsessive thoughts that Lexapro has brought. I can sleep regular hours and my life is not a 24 hour "Strange Addictions" episode, where viewers can watch me google hypochondriacally, ruminate endlessly over my own mortality and imagine vivid scenarios of the deaths of loved ones.
Below is the article I read with regards to autism and bipolar disorder. I have edited the article for readibility, you can find the article in its entirity here.
Friday, March 25, 2011
Clingy!
We started our outing to the mall with the usual complaints and requests to stay home, but with the aid of gummy letters we made it into the car and out of the driveway. At almost every outing, we push over this hump. Once I get past the prelude of protests, obsessive questions, and general mischief, our outings become fun and pleasant. Tyoma's anxiety threshold varies, so each outing I am prepared to brave a certain amount of bellyaching to reach the payoff. Today, he complained more than usual and reward of fun seemed rather far off.
I had trouble adjusting to Tyoma's inattentiveness and persistent disapproval. I think I felt frazzled by the inquisition in the car over digital and analogue clocks. At the mall, I was taking some deep breaths and working hard to ignore the looks from the mothers of calm kids. During one of those breaths, I noticed Tyoma was more relaxed at the mall than last week, when he seemed a bit wild eyed. He glided over to his favorite mosaic of tiles, happily pointing out north, south, east and west (the mosaic looks like and octogram), smiling and seeking me out for approval.
The walk to Chick Fila was stimulating. Tyoma pointed out sale numbers in store windows and eventually became so distracted by them that I needed to scoot him along. He came along obligingly and even waited patiently as I ordered for us. Seated overlooking the big mall clock we inhaled our respective meals. I was pleased to that he gobbled up all of his chicken and fruit with out my needing to nag.
We negotiated a trip to the bathroom for me (he hates the motorized hand-driers). In the bathroom stall he loudly asked me if he could flush away my pee. I chuckled and said "Sure, flush away." I might have been embarrassed, but some part of my brain collapsed ten minutes earlier and I okay with it. Next ,we dropped by GAP Kids to pick up spring/summer t-shirts. There be trouble.
GAP Kids is a great store since their shirts are soft, tagless and have large neck holes. Oh! And their dressing rooms have two-foot tall numbers on them. A trip in the store is a treat for T. Unless, of course, the music is set to "stupefy." Once inside, he started running around and touching everything. His plan was to mortify me into taking him out of the too-loud store. I knew this routine all too well.
At my request, the sales lady turned off the music and Tyoma recovered enough to look at selected shirts. It took two gummies rewards for patience, but he assented to the purchase of four shirts. He also asked for a frilly yellow skirt. I replied that he can choose frilly things in high school, but for now he wears boy clothes. My exasperated delivery elicited a smile form our cashier. As an additional treat, he picked out two pairs of skull socks for mastering the art of putting on his socks. I briefly considered looking for pants but discounted the idea, whizzing out of the store for escalator and elevator rides.
After enough elevator rides to confuse me as to which floor we were on, we left the mall. Tyoma pleaded for a Toys R Us visit, but I feared over-stimulation. We dropped into the nearby Barnes and Noble and had a snack in the quiet Starbucks cafe area. I could see other patrons wince as we selected our seats. I remained brave, reminded T to use his "Number 2 Voice" and saw everyone relax. Our snack was lovely and refreshing. T was calm and introspective. We talked quietly and ate briskly.
Since Tyoma still wanted to look at toys, we dropped by the Toy Spot, which is closing in a week. I should have gone straight home, but foolishly I went. All had gone so well, that I forgot our initial high complaint level. The store had been re-organized and was populated by manic kindergartners and their bargain hunting mothers. Still, I stayed. D'oh.
There was an inevitable meltdown over a "100" poster, which I would have gotten if not for the demanding way he asked for it. He was just too overloaded. We took a break, bought a "make your own board game" and went home.
T was cheery in the car and we set up a pretend race between us and papa (who was coming home early today) to see who got home first. Our evening was unremarkable except for a bedtime meltdown. Tyoma is rarely tearful at night, so I felt guilty for overstimulating. Sometimes I have trouble knowing just when to push and when to pull back. On another day, our outing would have been fun and energizing, just not today. I began to beat myself up, agonizing over my decisions and fretting that I made the evening difficult for the whole household. Seriously, I can't be perfect all the time, but I will try to be more mindful of T's stress level.
Is it odd that I expect perfection? A perfect day without meltdown or conflicts? Look at my home. It's about as perfect as I can make it--almost white glove clean. It is as organized as a home can be without being The Official House of OCD. I long to be flexible and forgiving to myself , but at the same time as I berate, I analyze and build an understanding coping with a behavior. I don't have a feel like other professionals--Ashley, Heather or Jerri. Is something not quite right with me? Why can't I tell what's going on as it unfolds? Why do I rely on the data I keep, filed away and categorized for specific situations and not intuition? Maybe I am not too far reminder from spectrum myself.
Friday, January 14, 2011
Second Playdate
Friday, September 10, 2010
Some Results
T's speech therapist wrote me a note telling me how well he was progressing, especially with regards to conversations, eye contact and pronouns. I remember this time last year when I/you were still pretty mixed up. I think it was only in the spring, around the time of mom's last visit that the I/you substantially diminished.
Wednesday, September 8, 2010
Sleep Problems
On the bright side, it is wonderful to have someone here to cook!
Sleepless Night
On the bright side, it is wonderful to have someone here to cook!
Tuesday, September 7, 2010
First Day of School
Monday, June 1, 2009
Red-haired Boy
Tuesday, May 19, 2009
Yellowest Teeth in the Park
He has been picking up on social cues from others in about two outings out of three. He keeps out of the way of older, rowdy kids. He waits his turn and is cautious of smaller children. He still does not initiate play, but he observes others playing with toys and imitates what others do. Wow. What great data gathering on my part. Should have gone clinical...
As I smiled and made pointless small talk with the other mothers, I noticed how perfect everyones teeth were. Highlights, cute jeans, snazzy shoes, fancy phones and dazzling white straight teeth. I never gave too much thought to investing in such a smile and I can't decide if I'm off-put, or jealous.
I'm definitely feeling depressed and sad. It's like I can't move and the smallest effort takes every bit of resolve I have. I just haven't been the same since mom left. That last quarrel with her squashed something vital in me. It's not her fault, but I have so much to do now that I just don't have so much extra for her. Is it unrealistic for me to expect so much from my mother?
She raised me and always had the answers. But now I am doing things on my own and I need some time to take care of my husband and do something for us as a couple without the distraction of drama or hurt feelings. It's funny. Ask too much of Tanya and she's there for you, ask too much from mom and she'll freak out. And reverse, ask too little of Tanya and she'll freak where my mom is pretty happy reading books and doing little. I realize that it's over-simplistic, but I need to strike a better balance with the other women in my life.
Papa with T as I take a coping break.
Friday, May 15, 2009
At the Park and the Evaluation
After last weekend's fun at the park we decided to go for another visit and this time Tennisfiend brought the video camera.
On an unrelated note, the evaluation team that was going to meet with us on Monday called. I found out, much to my surprise, that we were to take Tyoma to Manchester for an evaluation and that the whole process could top three hours. I very surprised since I expected a shorter meeting at our home. One of the specialists was supposed to pay me a home visit last November (but never did), so I must have gotten confused. Anyway, out appointment was late enough in the afternoon that I reschedulled for June 12 at 8:30 a.m.
E was in the room with me when I called to reschedule and did some hand-waving to calm me down when I called. I was pissed that nobody took five minutes to let me know what to expect. Anyway, the specialist said she would call me Monday/Tuesday and plan to meet Tyoma and me in person. I suspect that she won't call or meet with us unless I'm a bit pesky. I feel a bit embarassed for getting caught by surprise, but all of Tyoma's other evaluations have been at home so I just assumed. Sigh.
Tuesday, March 31, 2009
Haircut
Alas! I remembered why we went to JCP.
Reminiscent of Tim Burton's Charlie and the Chocolate Factory, Snip-its décor featured ultra-vivid colors and swirly, fanciful furniture. The kid-friendly videos they blasted out of their army of tiny suspended television sets even sounded like a hundred singing Ooompa-Loompas. No candy though. I reckon the place is perfect for the status-conscious six year old. Not so much for squirmy 2 1/2 year olds.
I wish you could have seen the look of horror on the stylist's face when I requested the televisions off and a private salon chair so Tyoma could sit on my lap as she cut his hair. Her expression was not quite as dramatically terrified as a person hurtling down the highest peak of a notorious rollercoaster, but it was certainly more appalled than a someone watching Hostel for the first time. Was I really that demanding and bossy? Or maybe other toddlers screamed to wake the dead, and she knew by my wild eyes that this was some serious business?
Anyway, I explained that Tyoma is gifted, but sensitive and that he will quickly get over the haircut process if he is distracted. Poor girl almost dropped her scissors when he stated to squirm, but I reassured her that I would tip generously. I reckon this was all she really needed to hear, because things went swimmingly after that. Spelling colors and numbers, Tyoma even relaxed enough to laugh and smile at her. She gave him a fabulous cut and I hope she will work with us in the future. Yay!
Tuesday, March 10, 2009
Meeting With Cheri
She gave me a ton of useful advice and tips, since he does have some autistic traits. Two weeks later he was talking. Hmmmm? Because of her? I suspect he followed his own internal schedule, but her attitude and encouragement helped me feel more relaxed and confident. Those two weeks felt like the blink of an eye.
Anyway, we had a long and fruitful meeting. She spent two hours with us in the morning, filling out the Hawaii Early Learning Profile used by her center. Tyoma was not only on his best behavior, but he brought out his reserve of extra cuteness to boot. We noshed on cinnamon rolls and sipped tea while the questions rolled on. At 11:30 she took off for another appointment and came back at 1:15 to finish up and generate a treatment plan. What dedication!
At the end of our marathon meeting she told me that Tyoma has very scattered skills and abilities that don't fit any particular profile in the autism spectrum. Much of his behavior is age-appropriate. Certain cognitive abilities are exceptionally advanced. And, of course he has little islands of strangeness. She said that nothing screams autism, but he is different enough to benefit from services—in particular she said that early help with socialization might help him avoid being the sort of nerdy kid that others will single out. He’s on the fence and whether or not he receives services is largely up to me.
So I say, sure! And we worked out a plan where she visits once every 4-6 weeks. Cool! I feel supported, less stressed and confident that our family is following the right path. Yay!!!
Thursday, March 5, 2009
Fallout
We agreed that an optional place for him would be where he would play with one or two other children. At our favorite Russian food store, ads have been posted for babysitting. I am going to check it out. After using up our balance at KinderCare I will take him out of the program. I put up with the non-stop sickness of daycare solely because our speech therapist said it was necessary for him to talk. Well, he’s yakking away, so fig to you KC!
Wednesday, March 4, 2009
Parent Teacher Conference
Although it was reported that he been interacting more, and showed improved listening, speaking, vocabulary and skills, the report did not match up with the verbal or written reports I was given when I picked him up from school. *deep breath* For example, Ms. Rhoda had reported that he was “nowhere near” forming friendships, when she had actually reported a friendship forming in our November meeting (the child turned three and was moved to another classroom).
Additionally, I have seen him playing alongside the same little girl more than once. I suspect that the winter holidays, in combination with illnesses (the teachers and Tyoma’s) have resulted in a lack of quality teacher/student interaction and thus the discrepancy between reports. Also they could be underpaid and overworked, or perhaps even dimwitted and inattentive. I am open to all possibilities.
Nevertheless, we were in complete agreement on a few important points. Both teachers agreed that Tyoma performs his best when only 2 or 3 students share the same space with him. Having taken Tyoma to many parks and play areas, I completely agree. So I am seriously considering taking him out of KinderCare. Why have him stuffed in a classroom with 12 students and two teachers when he does better with one teacher and two peers?
We can find something better for him. And you know, I’m pissed. How many times did I pick him up and hear accolades on his progress? How many half-assed communications did they send me telling me everything was wonderful? I agreed with their developmental assessment from three months ago. This one doesn’t ring true. WFT.
Thursday, January 29, 2009
One Plus One....
His spelling is about the same, 1-10, about a third of his colors plus his usual stuff (20-30 words). This is pretty cool, but not as cool as him playing with a little girl at preschool today! When I came to pick him up, they were playing with felt letters together. He was actually paying attention to her and waiting his turn! Yay Tyoma!!!
Monday, December 1, 2008
Somebody Help Me!
Activity | Behavior | Cause? | Solution |
Hair washing | Red faced screaming, shaking, hysteria | Doesn’t like water poured on head | Nothing has ever helped. |
Trips to the beach | Series of meltdowns when movements restricted | Overwhelming, too many new things. He loves the ocean/beach. | Hard to work with. |
Putting on hats. | Cries, pulls off hat. Wails/fights if forced to wear hat. | Always hated anything restrictive on head. | If it’s very cold he’ll wear the hood on his jacket. |
Cleaning ears. | Fights/screams | Sensory | Work quickly & distract. |
Haircuts. | Fusses, twists about. | Hates water sprayed near face/ hair touched by stranger | The right stylist makes the difference. |
Speech Therapy/ Dr. Appointments | He runs off, becomes “hyper.” | Overstimulation? | Still working on it! |
Serious Conversations | Hyper, gets into stuff. | Sensitive to tone of voice. (not volume) | Give attention, talk elsewhere. |
Wal-Mart. | He fusses and tries to get out of the cart | Sensitive to noise from TV/loudspeakers | Redirect attention, rock cart. |
Bookstores | Fusses, tries to get out of stroller. | Distracted by print? Does not have trouble at toy stores. | Be quick, rock stroller. |
10:50 and 4:10 Madness | Hyper, gets into stuff. | Hungry, needs to burn off energy. | Intense play, snack |
Let me add a bit more about Tyoma’s behavior. His baseline is sweet, affectionate, and compliant with just a touch of mischievousness. His remoteness and hyperactivity are not predominate or persistent. They occur in specific situations and usually have specific triggers.
Saturday, November 29, 2008
Timeline 2008
Saturday, November 22, 2008
"EXIT"
Mom sent links for hyperlexia. I see so much in T, but then there is a disconnect. He does so well at home, with people he trusts and random people at the store but he can have an unaccountable aversion to some folks.
Friday, November 21, 2008
A Drummer at Last!!!
At long last! I am so relieved that Tyoma is banging on pots and pans instead of arranging them into abstract patterns (well, only arranging them!) Also, his speech has picked up a good deal. He's starting to make simple three word sentences, not always every day, but often enough to be encouraging. Yay!
I wonder if the new diet is making a difference?
Thursday, November 20, 2008
Lil' Organizer
Such a mischievous look! Tyoma organizes a mosaic of blocks. "Who me, PDD-NOS?! Nah!!! Got anything else I can line up?"