As I have just started this blog I think it will be useful to share with you a bit more about Evan.
As I said previously she is an amazing little girl but this is something I am sure we would all say about our children, and of course we are all right. There is no getting away from it, and I wouldn't want to, she is different and here are some of the reasons as to why.
Evan is still awaiting a formal diagnosis from a medical perspective. It is a process that we started in October 2012 and in March 2013 we were told that it would take a further 12-18 months due to NHS shortages. To date we've not been told anything further.
However, we took her to see a private Occupational Therapist (OT) in July 2012 and Evan has been seeing her monthly ever since. The OT has ascertained that Evan has Sensory Processing Disorder (SPD).
In very simple terms this means that Evan's central nervous system (CNS) doesn't compute her internal and external stimuli in the same way as the CNS of 'ordinary' people. The interesting thing for me as I work with Evan and the OT is that a lot of my 'problems', particularly growing up, are now too starting to make sense. I haven't been formally assessed but I am sure that I too have SPD.
SPD can come in all sorts of shapes, sizes and levels of severity but unfortunately this can lead to an assumption that she has Autistic Spectrum Disorder (ASD) as this is something that very much affects individuals with autism. I am not afraid of her having a diagnosis of ASD but should it occur I want to make sure it is the right one. From information I am gathering at this stage I do not believe it would be. That remains to be seen and there are people campaigning to have SPD recognised in its own right as a diagnosis (currently it is not) so by the time the NHS find some people to assess her who knows where we will be.
Evan has difficulty processing 4 out of 6 different sensory channels. In particular her CNS has problems understanding the sensory information from her body, in the form of movement, body positions and tactile information from the skin. For Evan practically it means that she has difficulty knowing where her body is in space and also that without movement has difficulty paying attention and concentrating. She also has considerable difficulty regulating the tone in her body over time, which means she can't sit still in an upright position without support for any length of time. She therefore seeks out movement that will disrupt with any situation that requires her to be still for long periods such as during assembly or classes in school.
In addition information she hears is harder to process and therefore she relies on her visual system to 'learn'. She also can't filter out sounds in the way that most people do so she will notice the sound of traffic outside her class window, the hum of the computer, kids moving along the corridor, etc. If she encounters too many different sensory channels in one go she gets frustrated and confused and this affects her emotional responses and behaviour.
She is also sensory seeking causing her to have an unusual need to touch things and people in order to 'understand' them. Unfortunately, though she will often find it overwhelming if somebody touches her when she is not expecting it and will react negatively. To her CNS in fact she has just been delivered a massive shock. This can be seen as double standards, although for her CNS two very different things are occurring.
We also had her assessed by an Educational Psychologist, on request by the school, to help them structure her learning (it would appear that the only way to get anything done is to keep paying yourself) and her findings were not much different to what the OT had reported. We did also learn that she may have dyslexia but she's a bit young to diagnose that so it is watch this space on that one for a while. The Educational Psychologist did however repeatedly point out throughout her report, that not only is Evan one of the youngest in her year that she is also very tall and due to her high level of intelligence (the Psychologist's words not mine ;-)) that too higher expectations can be laid on her. I will repeat that she said this many, many times. I think that is telling.
So to summarise:
- Evan needs to keep moving in a culture that expects children to be still.
- She hears things that most are not even aware of and people can't understand when she says that her environment is too noisy.
- She has to touch in order to understand which of course can be irritating to others but she gets told off for overreacting when others touch her and is accused of double standards.
- She gets more tired in 15 minutes of just sitting at a table than an average child does in an hour.
- Whilst she needs movement to learn too much activity creates chaos for her.
- When there is a lot of stimuli, for example, the simple act of 15 children going to wash their hand before lunch, after she's just had to sit still in a classroom for 20 minutes, she feels like her world has gone mad.
I hope this gives you a flavour of what life is like for Evan and helps you to understand that there can be so much going on within a child that we just don't see and that outwardly can be misconstrued as 'bad behaviour'.
I'm not saying she's never naughty because she is a normal 6 year old child. My aim however with this blog is to encourage people to stop and think and wonder, what else might be going on?
