My son is 6, and we are awaiting ASD assessment. He also has a speech disorder and emotional/social developmental delay, diagnosed at 2. We have been extremely lucky to have had exceptional support from first his nursery setting, who helped me fight to get an EHCP in place for him in time to start primary school, and we now have a SENCO there who is doing her utmost to support us.
But I’ve always known there was more to it - as you know all too well, I’m sure, the outside professionals who actually do the diagnosing/make the decisions seem to want to categorise your child. So when I would describe one of my son’s very much on-spectrum traits, they would assume that meant he did other things a certain way too. I spent 4 years trying to explain that just because he exhibits trait a, doesn’t mean traits b,c and d apply to him too, but without knowing why.
Then, back in February (during the last lockdown), my son’s aggressive meltdowns reached a new level. During one which lasted over 4 hours, he repeatedly hit and kicked me so hard and for so long in the face that he broke my nose. And I didn’t know why he was so angry, or why seeing me bruised, bleeding and in tears didn’t even make him stop (I now understand meltdowns much better).
We were again very lucky though, in that we were able to quickly access help from a local organisation who deal with crisis management for families for children with severe additional needs. Our caseworker came for a home visit a few weeks later, and within 30 minutes of listening to me she asked “has your son been assessed for PDA?”.
I’d never heard of
Pathological Demand Avoidance before - none of the professionals I’d met over the last 4 years had ever mentioned it. Yet, as soon as I learnt what it was, it was like a lightbulb had lit up - the description was so accurate, it could have been written about my son.
“Finally” I thought, “now I understand what I was seeing within his autism that nobody else did”. But with it being so obvious to me straight away, I was confused as to why it hadn’t been mentioned before.
It turns out PDA as an autistic profile is not recognised everywhere, including in Cornwall (where we are). So although I finally have the missing pieces to help my son as he needs, the professionals making the decisions about his future won’t acknowledge it.
As I said before, the SENCO at his current school is doing the best she can. But my son has been struggling in mainstream school since last September, to the point that he has already been temporarily excluded twice, and has only been in for a couple of hours a day since they went back in March. He has regressed against all his EHCP outcomes, and is spending what short time he is in school separated from the other children (too many aggressive meltdowns when with the class) - just him and 1 or 2 teachers in a room, doing their best to keep him happy and calm while he plays. Any attempt to bring in some sort of learning, even well-disguised, triggers his anxiety. So he’s getting no benefit, educational or social, from being there.
I started the battle of applying for a place at specialist school in May, and the school SENCO supports me on this. Although I have tried my best to prepare myself for this to potentially take years of fighting, it’s still been disappointing to have had our first “no” from the county caseworker (denial of taking the request to panel). And even the SENCO has openly said to me that it doesn’t sound like the woman has actually read the reports at all, from the reasons she has given as to why.
So, when you say the system is broken, I know exactly what you mean. I’ve even directly asked the question of county “tell me what part of my son’s current situation you think is acceptable, or even remotely sustainable” (no answer of course).
But I have to keep fighting, so I will.
Thank you for taking the time to read my son’s story. I hope to use it one day to tell people just how broken the system is. But I haven’t got the spare emotional energy to do that yet.
I wish that I had heard about PDA 12/13years ago...the heartbreak would have been less, the motherly guilt etc All the traits of PDA show in my twins, less in the older, more in the younger. Now I keep trying to get others to acknowledge it. And that is an ongoing battle! Thx for STGirls❤️
ReplyDeleteI have been trying hard to get the PDA message out there! But I know there are still so many who haven't even heard about it, never mind understood it... so I will keep shouting for as long as I can!
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