Recently a young mom wrote and said, My four and a half year old son has been diagnosed with Pdd-Nos, and more recently, Odd, but his educator and I think Ocd is more fitting. He also shows some Add behaviors. Confusing? Definitely. And with so many opinions out there, knowing how to best help such a four year old can be very hard. Here is what I wrote back.
Thank you for writing and for your confident feedback. Know I am so sorry it has taken me so long to reply, especially as it is for a little boy you write. In fact, my heart goes out to you. As you might fantasize though, I am swamped with folks writing to me.
As for my thoughts, please know, whatever I will say is in no way intended to be heard as professional advice. More, it is naturally the shared experiences of one human being with another.
As for your son, while I can see what might lead you to fancy those diagnoses, from all you have described, my best guess is your son has a classic case of Asperger's. Why? For one thing he makes what he learns more important than people. For another, what he learns is rigidly literal, and cannot be deviated from. A potential he no doubt strives for in all his learning. And for another, when whatever does ask him to deviate from his lawful "right way," he bluntly corrects them with no regard for the ensue this correcting has on others.
Precision, then correction; in this order, are the two most basic qualities of the Asperger's mind. And what happens to these folks when they are forced out of these two patterns is that they rapidly spiral out of control, first into a labyrinth of digressions (actually the correction phase gone terribly wrong), then into blunt outbursts (the only way As folks have to break out of the digressions).
By the way, the digressions I have just mentioned can be mistakenly seen as a sign of having Add. However, the Add mind begins all learning situations already in these digressions, then into bluntness (the I am not curious in learning responses), while the Asperger's mind only ends up there when there is no literal, way to understand something they are trying to learn (As kids love learning, at least about their special interests, e.g. The insect parts And the insect song; a very typical cross sense As trait; all with the same allinclusive title gets included in the same interest.)
Kids with Asperger's and adults with Asperger's also share someone else quality; throwing tantrums when being asked to convert the lawful way things are done, arranged, managed, or learned. And while kids with Ocd share some of this, they do not ordinarily have the "special interest" thing; meaning, your son's desire to learn in such fine detail. This quality; no ifs ands or buts learning about things, differs markedly from the Ocd potential of no ifs ands or buts arranging things. This in fact would be adequate for me to tend toward the As diagnosis over and Add or an Ocd diagnosis.
As for the Pdd-Nos, many adult As clients also have these same odd features; ticks and so on. However, when combined into a allinclusive pattern, the As fractal emerges as the clear diagnosis.
Finally, you might wonder why I focus so much on getting the right diagnosis. I do this as getting help early is one of the main factors in improving the outcome. I, myself, have As and have managed to see past much of what I have described, but only because my "special interest" is human nature, a totally random but useful way out of the usual narrow focus.
As a child, I was very similar to how you divulge your son.
As a man, who else would write thousands of pages on human nature naturally to help folks.
Lincoln, Jefferson, DaVinci and Socrates undoubtedly had As. And while most folks with As will not accomplish whatever like what these geniuses did, you son is way above mean in intelligence. If you can form in him an equal quantum of creativity, then he may well turn out similarly.
Warmly,
Deviated Surgery:Does My Four Year Old Have Asperger's?
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