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School Psychologist

I think sensory processing issues are real, but that they should be seen as a SYMPTOM of another disorder, rather than a separate diagnostic condition in and of itself. All of the children that I have worked with who have sensory issues could easily meet the diagnostic criteria for one or more of the existing diagnoses established in the DSM-IV.

Michele Mitchell responds...

Interesting perspective... I value your clinical judgement on this one. You bring up a good point about the dual diagnosis. Thank you so much for your opinion AND your belief in the symptoms of this disorder. Your clients are blessed.

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School Psychologist

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Aug 02, 2008
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I respectfully disagree
by: Claudia

I understand where you're coming from and I realize many (maybe even most) children have other diagnoses which produce SPD issues as a kind of secondary issue to a larger problem. I have been a teacher and will graduate with my Master's Degree in Special Education in May. I recognize that you are more qualified than I am, but as a mother of a toddler with ONLY an SPD diagnosis, I strongly feel that SPD should be recognized as a stand-alone disorder when warranted. My son will be 3 in a few months and he will "age out" of Early Intervention. This leaves us with very few options for him to receive services. He should be given the same opportunities as other children with SPD, even though he doesn't have a larger, more recognized disorder.

Feb 13, 2008
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ADHD combined type/Sensory Intergration Disorder
by: Joy Mom of Trevor

Hello Michele,

Thank you for allowing me to tell Trevor's story on your site.

I should first of all tell you that Trevor is my Biological Grandson. I adopted His half Sister now 7 at age 3 months and years later I adopted him at 2 months and so now I call him my son.

I just had Trevor tested for Autism Spectrum disorder at the Marcus Institute {per the request of his teacher} in Atlanta. He came back clear of Autism but he tested positive for :

ADHD combined Type
Developmental Coordination Disorder & Sensory Integration Disorder

As if all of these weren't bad enough they want now to do one more test; this one is for Fetal Alcohol Syndrome.

I have no idea what his birth parents were doing at the time he was carried in the womb. I do however know that Trevor's sensory issues have been there all along. I first noticed them when he was a baby. He had one blanket that he would let me cover him with; any other blanket and he would cry. Then there was the toys... I would place him on the floor and put toys around him, he would not touch many of them but once during play. He would always choose the soft touch stuffed bunny to play with. Then there were sounds... every time I would flip on the ceiling fan he would scream until I turned it off.

I don't know if you are born with ADHD or not so I don't really know if the cause of Trevor's Sensory deficits are caused due to his other diagnosis or not, but I can say that the sensory issues were the first thing I noticed about him. And I will add that the older Trevor gets the worse they get. I am excited about his soon beginning O.T. and P.T. I pray that it relieves some of this for him.

Feb 04, 2008
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SPD or ASD
by: Anonymous

Very interesting, my sons were put on the autism spectrum because of numerous symptoms that coincide with SPD. After medical testing with bloodwork, MRI of the brain, everything came back normal. They have no food allergies, chromosome abnormalities came back negative... I am now left wondering what's wrong with my boys. I must say that they both have serious sensory issues and they both are improving dramatically with the therapy they are receiving.

One sad dad

Nov 04, 2007
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Dual Diagnosis
by: Anne-Marie

I am curious about SPD being a symptom of another disorder. My 4-year old son was recently diagnosed after being evaluated by a speech therapist, psychologist, and occupational therapist. He has had an audiological examination as well. He is above average in all areas and has met all developmental milestones on time or early. However, he cannot function in a classroom or in a noisy store, or a social function without constant guidance. He becomes extremely anxious at times when he is overwhelmed/overstimulated. Could anxiety be part of a dual diagnosis? Thank you.

Michele Mitchell responds...

I hope our psychologist responds as well, or any others. Meanwhile, my experience has been that the symptoms of SPD CAUSE the anxiety. In other words, if someone is overwhelmed by sensory stimuli, they will experience anxiety before or during overwhelming stimuli. And, yes, there often is a dual diagnosis of SPD and anxiety disorder. My daughter can vouch for that, and the SPD causes her anxiety, big time!

Anyone else have an opinion? A thought? Let's talk about it.

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