Assessment and Next Steps

 

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Well, monkey had her assessment with the psychologist last week. I was looking forward to her going through it as well as dreading it at the same time. This is it. This will tell us where Monkey falls on the spectrum as well as what she needs to help her meet her individual needs and thrive. There were highs and lows with the testing, and we actually saw a couple of behaviours we haven’t seen before, so that was interesting to see.

Day 1 – The first test was the Bayley III screening test which is designed to measure the cognitive and motor development and test behaviour of toddlers up to 42 months of age. This involved a bunch of short game-like tasks involving puzzles, dolls, identifying photos, and eventually gross and fine motor skills. One thing that Monkey did was pick up a plastic teddy bear, hug it and say “my baby”. She has likely seen this somewhere, but it was the first time I have seen anything like that as she has been disinterested in stuffed animals, dolls, or any other pretend play that involved taking care of a “baby”. I admit I was shocked when it happened, and it warmed my heart a little. We could clearly see where she had difficulties with certain tasks and in particular receptive language. This test was almost two hours long, and she would not sit still (she never sits still) – so we were literally bribing her with Goldfish crackers in order to get her to sit and stay focused on a task.

Day 2 – This involved a LONG parent questionnaire about all of Monkey’s behaviours and histories. Luckily, my mother was watching Monkey so we could do this in peace and without interruptions, because it would have been so much more difficult if we hadn’t. My hubby and I were pretty much on the same page for most things and our psychologist was amazing at explaining the question if we didn’t understand.

Day 3 – This was the day of ADOS. This was only about an hour in length, and less structured than the Bayley test, and it seemed to suit Monkey a little better. Since it was mostly observational, and had some toys and activities that Monkey liked – it was not too stressful (with the exception of group singing, which we already know is one of her sensory triggers).

After the tests had been completed, but not scored, we asked our psychologist her thoughts on where she thought Monkey might be on the spectrum. Obviously, she could not give us an exact area per say, but said she was advanced in some areas, and moderate to severe in other behaviours. However, the main thing was that there was no doubt that she was on the spectrum. We were prepared to hear that information – but now I have more questions and worries than before knowing that it has been diagnosed.

Next steps: we are meeting with a Family support coordinator next week from our local Autism community chapter to figure out where we go from here. The one thing that strikes me about ASD diagnosis is that there is no manual. Nobody tells you what to do – it is up to you to navigate the system, sort through the crazy amounts of information, and try things to see what sticks. This will be a long journey with a winding path, but having someone at least give us some direction will help. Off we go – I better pack extra goldfish crackers.

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