It is very obvious to me that this is asperger’s syndrome. Suggest the O.A.S.I.S. Guide to asperger’s syndrome by Barb Kirby. It is part of the autistic spectrum. Many of those with asperger’s tend to have a higher IQ. Social skills are delayed and its something that you will continue to work on with him. Those with asperger’s follow rules well. A great book by Dr. Jed Baker is the social skills communication picture book that depicts the wrong way and then the right way. Suggest setting some rules like stop look and listen, inside voice. Yes those with asperger’s are very aloof.
That is very funny to me about him not wanting the questions about his day. My son, who is 8 and PDD.NOS (autistic features that include typical features, autistic and asperger features) says all the time, mom no more talking!
The not talking to anybody can be anxiety based too though his typical demeanor is shy. Getting frustrated easily and crying can be anxiety. Anxiety is a component that usually accompanies those on the autistic spectrum but it also stands by itself a lot too.
He thinks differently, and probably has some amazing art work.
The distraction and difficulty following directions:
Attention disorders do go hand and hand with those on the autistic spectrum as well.
Language disorders, especially pragmantic do roll with this diagnosis frequently too.
Auditory processing disorders also accompany the symptoms.
My son who is 8 has been diagnosed with all of these. Does he really have all of them, doubtful, but there is significant overlap.
He is diagnosed
PDD.NOS (atypical autism)
ADD.NOS (features of an attention deficit disorder)
CAPD (central auditory processing disorder)
Pragmatic disorder, mixed expressive and receptive language disorder
So does he really not understand spoken language (receptive) or is it the auditory processing?
Is he really ADD or is it bipolar, or SPD (which he has as well) sensory processing disorder or the CAPD
here is a good PDD assessment (PDD is the umbrella term that encompasses all of the autistic spectrum disorders)
the sand pit and water play, excellent, that is code for sensory processing, both are sensory based and he is giving his body what it needs, precisely what an OT would do for him
A pediatric neurologist is the way to go, developmental pediatricians don’t give as much feedback, child psychologists/psychiatrists-some are good, most are not and would try to convince you he needs medication and there is nothing here at all that suggests that to me.
Conversations are learned and it takes time. My 8 yr old loves to answer the phone, but continues to abruptly hang up on anyone that is boring him. He easily gets annoyed with chit-chat and I don’t get it myself being autistic as well. He asked me why is it that everybody everywhere always asks How was your day or How’s it goin but they don’t want the real answer. They want you to say fine, good, ok but if you tell them how you really feel they act as if you turned into a martian. Funny to me how someone with delayed social skills, who is poor at reading nonverbal behavior including facial expressions can get it and be so perceptive. And I have no answer for this, and feel its fake, yet its rude of us to ignore these q and not give the expected response.
For his day, ask specific questions and you will get a response and he won’t be agitated by it. Ask what was the letter of the day? What game did you play in gymclass? Who did you play with during free time/recess? My son’s favorite q is who got in trouble today? He loves to dish on who threw up, got hurt, said a bad word, broke a pencil etc.
The autism asperger’s publication co.