Discussions By Condition: I cannot get a diagnosis.

Shaky hands and aggressive issues with 4yr old

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: moomoo30
  • October 24, 2007
  • 00:43 AM

I need help,

my son is 4 and he has tremors in his hands, he has issues with fine motor skills, he can do them, but you can noticibly see him shaking when he does it. It doesn't seem to bother him. He also has aggression issues, so much so that the children in his daycare are becomming afraid of him and we are being asked again to leave another center. He will go up to a child and hit him for no reason, throw buckets at them, he ran around the room with scissors the other day and then threw them at the teacher, he tried to choke her with her hood strings then bit her, he tries punching, kicking, bitting etc. He only does this at daycare, he is rough at home but no where near this, he tries none of this with me, only at school, and he is very remorseful afterwards. I am loosing hope, we tried charts, reward systems, not spanking, spanking, timeouts, no toys, no cartoons, we have taken all of his joys away only for him to do it again the following day, with constant reminders. We talk to him about hoe he can't do this and he understands, then does it again. I have an appointment with a neurologist, but can't get in till december, and we have been involved in harbor behavioral, it deals with childrens behavioral problems. But he got better for a while, now were back to this, and now were back to harbor as well, this time a therapist. Anyone got any ideas?

Thank you very much.
TARA

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6 Replies:

  • Hi Tara, my two year old is experiencing tremors also but only in his left ;eg. My post is one the page before yours. It sounds like you have two seperare issues to treat one the tremor the other the behaviour though the behaviour could be a result of the frustration of having tremors. I can;t offer any suggestion except to say that it is good you are seeing a nuerologist - my baby is having an EEG and Catscan soon so that a paed nuerologist can see him too. Good luck, trust your instincts and keep us posted.
    Concernedmum 4 Replies
    • October 24, 2007
    • 02:58 AM
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  • Hello,I am a special education teacher and believe me, you want to get on top of this right away. My suggestion was the neurologist and you will just have to be patient. It does sound like he may have a tic disorder, or perhaps the diagnosis may be Tourette's Syndrome. You do not need to wait, however, for a psychological evaluation, speech and OT (he needs OT right now). Run, don't walk, to your local public school and request a "Child Find" evaluation that includes the tests that I said he needs. They must, within 60 days of you signing permission, have their evaluations and considerations and be ready to provide the services that he needs so badly. They need to bring in a behavioral specialist to set up a plan for his public pre-school and then a plan for you to follow at home. They need to offer you pre-school special education and if they don't have it, they need to send him to a district that does have it. He needs occupational therapy to help him with the fine motor skills training. We don't know if he needs speech or other services. He would be considered, most likely, a child with an "Other Health Impairment", which will be documented by the neurologist. You will take the neurologist's diagnosis to the team meeting, or give it to the evaluator's before they do their tests. He also needs an IQ test that the school district will give. This is all a part of the Federal laws for early identification of special needs children. In the meantime, I would really watch every episode of Supernanny and extremely monitor the food supply, no candy, pop, sugar, wheat and maybe dairy...get him food allergy tested....Eat only natural foods high in nutrition. No MSG or food dyes.
    Monsterlove 2921 Replies
    • October 24, 2007
    • 08:15 AM
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  • PLEASE DO TAKE ALL THE ADVICE from Monsterlove's post. I too teach young children who experience barriers to learning and I couldn't give better advice than what has been posted here. One small bit of advice I can give with regards to the biting issue - I have never tolerated biting and my only remedy for this is to 'bite back' (as hurful as it sounds). Obviously the best person to do this is the child's own mother. Believe me, it works and although I say 'never say never' - this is the only time I can confidently say they will never bite again.Take care
    Anonymous 42789 Replies
    • October 24, 2007
    • 09:17 AM
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  • Thank you for responding, We go to the therapist tomorrow, Thurs- the 25 at 2 p.m. So the local school district will help us figure this out? I will check into this,I should tell everyone that this started when he turned three, at a center that did not believe in consequences, they let him do whatever it was he wanted to do, when he was three he was knocking kids off of playground equipment, hitting and just being overly aggressive, so we got let go at that center, that and his teacher did not like him and would set him off on purpose just so he could go home, I watched this happen. So we went to another center, we were there a month, then finally ended up at the present center. They were aware of his issues and were egar to step up to the challenges, while we were at harbor behavioral he did improve even though we were only seeing a therapist twice a month, there was a month in which he did not hit at all and was good. Then our therapist got a new job and he was doing better so they let him go with the understanding that we may need to come back, a few weeks later he started hitting again, it was gradual and by the time the teacher was ready to call in harbor, three weeks later here we are and they can't deal with him anymore. I have to tell you that none of this happens at home, he's a good boy, he's not evil, he doesn't kill things or purposefully go out of his way to be like some of these kids that are just bad. He is a good boy, gentle and kind and very smart with a good vocab. He treats his sister good, for being an older brother, very protective of her- just normal things that siblings argue about. He only does this at school and it has followed us to every daycare. His bitting, I can count on my one hand the amount of bitting that he has ever done to me, and as for other people he goes to bite them then if he does it it is very lightly, nothing that has ever left a mark or hurt, so I will have to ask to see cause I did not see a mark on her at all. So I just don't understand if things are being blown out of proportion and they don't want to deal with him for the $9 an hour their being paid, or what. I'm stuck, if he goes to a special daycare for behavioral kids he might just pick up worse habits, but at the same time I know they are there to work with him one on one so that the problem will go away. Can I get some blood work done on him that can rule out things? Time is something that I am running out of, this has been going on now for a year and a half. Thank you so much. I will take the school advice and call tomorrow for it, as we were going to go that route a few months ago, but that was before harbor behavioral.
    moomoo30 1 Replies
    • October 25, 2007
    • 02:38 AM
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  • Teachers should be able to handle overly aggressive child behavior at school. For a young child, reasoning through a situation when they are upset can be very challenging, if not altogether impossible. And for many kids, hitting, pushing and yelling are the best problem solving skills they have at their fingertips.
    Fishman 1 Replies
    • September 9, 2009
    • 02:04 PM
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  • Teachers may or may not be able to handle him, but this is a preschool and probably young underpaid girls with the kids. The local district has 45 days, not 60 like I stated in my first post, from the time you initiate a request to evaluate. You should have had a complete psychological evaluation at this point, with a vision/hearing screening, along with an OT eval. He should have started the school year at your local public school and if not, you only have yourself to blame for not following through with the school. If they are stalling, you call the state department--special ed preschool division. You can always change his category from one to the other, like Emotional/learning disability to Health Impairment after the appointment in Dec. He may also be ADHD, which your regular physician could diagnose, which would place him into the Health Impairment category. The point is to give him services and the family support at home, even though you say he is good at home, you need to be consistent and on the same page as his teachers. You can also begin a book therapy program with him by reading books like "Teeth are not for Biting" "Hands are not for Hitting"...your local doctor could also do allergy testing on him and you can monitor his diet.
    Monsterlove 2921 Replies
    • September 10, 2009
    • 00:59 AM
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