Guest guest Posted October 4, 2010 Report Share Posted October 4, 2010 I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed with apraxia. After being bounced around with therapy sessions for the past 1 1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week through our local school system and a private therapist. The past few months have been overwhelming for me as I try to grasp hold of my son's situation. I've been reading as much as I can and trying to understand all the different aspects. Many of the comments that I've read on this list have really opened my eyes. One thing that I haven't seen recently discussed and that I'm interested in exploring is behavioral issues and children with apraxia. I know 4 year old boys can be a little wild and crazy but my son seems to be out of control most of the time. He totally disregards anything we tell him and doesn't even seem to understand that he is hurting me or his sister (20 months old) when he jumps on or pushes us. Time outs and/or taking away toys do nothing with him. He just seems to be totally out of control. We have his 4 year check up in a couple of weeks and I'm hoping to get some guidance from our pediatrician. I was wondering if any other parents out there have had similar issues and if so what sort of solutions did you explore. Thanks! (mom of Lucas - almost 4) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 4, 2010 Report Share Posted October 4, 2010 Hi -  Has an OT done an eval for your son? It sounds almost like there are sensory issues going on. If no one has recommended these yet, there are some good books that can help you get a handle on things - The Late Talker, The Out-of-Sync Child - good starters with many, many more available (some better than others). I would hazard a guess that most of the folks here have kiddoes with a triad of common conditions - apraxia, hypotonia, sensory integration dysfunction (and there are other kiddoes with other conditions as well - mine included) - all to varying degrees. Just some thoughts, but doing the reading will help you, your family, and, most importantly, your son.  Good luck!  Sherry and Josh From: jlw21_1783 <jlw21_1783@...> Subject: [ ] Apraxia and Behavior Date: Monday, October 4, 2010, 7:27 PM  I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed with apraxia. After being bounced around with therapy sessions for the past 1 1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week through our local school system and a private therapist. The past few months have been overwhelming for me as I try to grasp hold of my son's situation. I've been reading as much as I can and trying to understand all the different aspects. Many of the comments that I've read on this list have really opened my eyes. One thing that I haven't seen recently discussed and that I'm interested in exploring is behavioral issues and children with apraxia. I know 4 year old boys can be a little wild and crazy but my son seems to be out of control most of the time. He totally disregards anything we tell him and doesn't even seem to understand that he is hurting me or his sister (20 months old) when he jumps on or pushes us. Time outs and/or taking away toys do nothing with him. He just seems to be totally out of control. We have his 4 year check up in a couple of weeks and I'm hoping to get some guidance from our pediatrician. I was wondering if any other parents out there have had similar issues and if so what sort of solutions did you explore. Thanks! (mom of Lucas - almost 4) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2010 Report Share Posted October 5, 2010 I agree with the OT evaluation - the " out of sync child " is the best book for explanation of that. How is his comprehension of other directions? Is there a receptive language issue? A lot of my son's early years meltdowns/behaviors can be attributed not only to sensory but frustration. It can just be a simmering frustration without full blown tantrum - imagine not being understood at age 4? it's a hard thing for a child. Not to be negative - but your pediatrican likely won't be a good resource for anything other than the referral for a full blown Multi-disciplinary Evaluation (OT, PT, speech, etc.) Maybe you have a good one but I have to say that in my pediatric relationship " I " do all the research, make the calls and then present him with the plan and have him sign the paperwork. Do the leg work first...the moms on this board are a HUGE help. There is hope - my son tells me jokes and about his day these days and was completely non verbal until 5.5 years old. Hang in there - it is overwhelming at first. > > I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed with apraxia. After being bounced around with therapy sessions for the past 1 1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week through our local school system and a private therapist. The past few months have been overwhelming for me as I try to grasp hold of my son's situation. I've been reading as much as I can and trying to understand all the different aspects. Many of the comments that I've read on this list have really opened my eyes. > > One thing that I haven't seen recently discussed and that I'm interested in exploring is behavioral issues and children with apraxia. I know 4 year old boys can be a little wild and crazy but my son seems to be out of control most of the time. He totally disregards anything we tell him and doesn't even seem to understand that he is hurting me or his sister (20 months old) when he jumps on or pushes us. Time outs and/or taking away toys do nothing with him. He just seems to be totally out of control. We have his 4 year check up in a couple of weeks and I'm hoping to get some guidance from our pediatrician. I was wondering if any other parents out there have had similar issues and if so what sort of solutions did you explore. > > Thanks! > > (mom of Lucas - almost 4) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2010 Report Share Posted October 5, 2010 Hi – I am also new to the group and have found it to be a wealth of information. My son is 4 ½ years old and has severe verbal apraxia. He also has behavioral issues. He is a very sweet and dear boy but I believe a because of a combination of reasons tends to be very difficult to parent as a whole. He has sensory issues where he needs to be active and on the go. He is also very physical with other children and especially with children who are younger and smaller than him. I also believe that since he can’t express himself through verbal communication it comes out in physical behavior. He goes to an integrated pre-k school in our school district and last spring they modified his IEP to start in the ABA classroom at the beginning of this year. They only did this after THEY started seeing this behavior even though I had told them about for over a year. This change has been very positive. I also started fish oils this summer and have noticed he has been more calm. In school he needs less prompts to stay seated in circle and during other classroom activities. However, he still has his moments but has gotten much better. He is my youngest of 3 boys. His older brothers unfortunately have the misfortune of dealing with ’s behaviors too. I am also the brunt of his hitting and bad behavior. I have had numerous cuts from him scratching me and he also hits me. Again all have gotten better but these behaviors still come out. It is always worst when he is tried too or when he is trying to get some point across and I don’t know what it is. I am also the one who disciplines the most so he hears no from me more than anyone else. Even though he does get physical with me he also wants me the most and can’t leave my side. He is a mommy’s boy. It is very hard sometimes and I have lost my patience on various occasions which I am not proud of. I unfortunately don’t have any magic answers for you. He typically will not stay in time out and when I take away something of his he only gets more upset, mad and angry. My oldest always says it is not fair because gets 2nd and 3rd chances when they don’t. He is right. I will say that the ABA program has been very positive for us and even though it is hard, continue to discipline him. Disciplining is challenging and sometimes seems to do no good but I do see that he does stay in TO longer and more enough than this spring. I typically don’t post but seeing your post I needed to reply because this aspect of ’s situation has been draining and emotional for me. I have had a couple of times when I just needed to walk away and let my husband and grandparents help. However, like I started off this post is a dear little boy and very sweet. He wakes up every morning not being able to say too much to all of us but still is happy and always has a big smile on his face. I can’t imagine what it is like to be him but he keeps preserving. Hope this helps. From: [mailto: ] On Behalf Of jlw21_1783 Sent: Monday, October 04, 2010 8:28 PM Subject: [ ] Apraxia and Behavior I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed with apraxia. After being bounced around with therapy sessions for the past 1 1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week through our local school system and a private therapist. The past few months have been overwhelming for me as I try to grasp hold of my son's situation. I've been reading as much as I can and trying to understand all the different aspects. Many of the comments that I've read on this list have really opened my eyes. One thing that I haven't seen recently discussed and that I'm interested in exploring is behavioral issues and children with apraxia. I know 4 year old boys can be a little wild and crazy but my son seems to be out of control most of the time. He totally disregards anything we tell him and doesn't even seem to understand that he is hurting me or his sister (20 months old) when he jumps on or pushes us. Time outs and/or taking away toys do nothing with him. He just seems to be totally out of control. We have his 4 year check up in a couple of weeks and I'm hoping to get some guidance from our pediatrician. I was wondering if any other parents out there have had similar issues and if so what sort of solutions did you explore. Thanks! (mom of Lucas - almost 4) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2010 Report Share Posted October 5, 2010 Hi , my son has these kind of behavior issues and has apraxia due to a microdeletion.(he's missing a small but important gene) I agree that much of the behavior issues could be due to sensory dysfunction, but it might also be worth visiting a genetecist. My son has sensory issues, but more than that he has impulse control problems and difficulty handling frustration. Good luck. He is also very affectionate and adoring when he is not frustrated or angry, and despite behavior issues is quite a charmer. Gretchen, mother of 6, Magenis Syndrome (http://www.prisms.org/WhatisSMS/characteristics.htm) > > I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 5, 2010 Report Share Posted October 5, 2010 I also have a son who is almost four. He has speech delays and sensory integration challenges. Much of the delays are because of a bilateral cleft/lip (repaired) and beginning life in an orphanage, one year , then foster care for 7 months. He has always been a determined child and subject to melt-downs including hitting, kicking and throwing and biting. I believe some of this is because of difficulties communicating, expressing his thoughts and desires. I taught him sign language and this has decreased the frustration level. We are just now looking into apraxia because progress in Speech Therapy is so slow and random. It took a while to find a private therapist who has expertise in cleft AND apraxia and she will test him. The school district does not have such experience or qualifications. The pediatrician has been supportive, but of little help. Insurance does not consider " lack of speech " a qualifying medical condition, therefore they do not offer any OT or Speech. It has been tricky finding ways to get our son what he needs. What we do know is that Nate needs our help and guidance at all times. We have to accept his struggles and give him support as he needs this. We are firm in our direction and very consistent. NO wiggle room when he objects. NO hitting, kicking etc.. or he goes to designated chair/room. Sometimes daddy has to restrain him to protect himself and others. Nate does not like that and this is a key to helping him manage. Find something that your son does not like and this will be the ultimate discipline. Our son is determined, creative, funny and a loving affectionate boy. We pour on the accolades and praise, snuggle cuddle and give undivided attention throughout day and night. It may be that children with speech/neurological challenges need extra attention and discipline. I am often frustrated at not being heard by Nate or trying to understand what he needs. I can only imagine his frustration which grows as he does. We have some regular therapies we practice at home, given to us by the OT and ST. Joint compression for calming, breathing exercises, oral motor activities etc. I also teach yoga and try to get Nate to do some poses. Movement across the median, midline of the body can reboot the brain.( see Brain Gym.) And helps regain control of body (gross movements, inappropriate body flinging..) I sounds like you are very aware of how your son behaves and some tricks just might do the trick! Be consistent and because he seems to want to be near the baby, he must earn that contact by showing he can behave and be gentle. Practice Practice Practice....this is my mantra... Melinda +Nate ________________________________ From: Cathleen <creilly@...> Sent: Tue, October 5, 2010 6:47:03 AM Subject: [ ] Re: Apraxia and Behavior I agree with the OT evaluation - the " out of sync child " is the best book for explanation of that. How is his comprehension of other directions? Is there a receptive language issue? A lot of my son's early years meltdowns/behaviors can be attributed not only to sensory but frustration. It can just be a simmering frustration without full blown tantrum - imagine not being understood at age 4? it's a hard thing for a child. Not to be negative - but your pediatrican likely won't be a good resource for anything other than the referral for a full blown Multi-disciplinary Evaluation (OT, PT, speech, etc.) Maybe you have a good one but I have to say that in my pediatric relationship " I " do all the research, make the calls and then present him with the plan and have him sign the paperwork. Do the leg work first...the moms on this board are a HUGE help. There is hope - my son tells me jokes and about his day these days and was completely non verbal until 5.5 years old. Hang in there - it is overwhelming at first. > > I am new to the group and have enjoyed reading all the discussions from more > " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed >with apraxia. After being bounced around with therapy sessions for the past 1 >1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week >through our local school system and a private therapist. The past few months >have been overwhelming for me as I try to grasp hold of my son's situation. I've >been reading as much as I can and trying to understand all the different >aspects. Many of the comments that I've read on this list have really opened my >eyes. > > > One thing that I haven't seen recently discussed and that I'm interested in >exploring is behavioral issues and children with apraxia. I know 4 year old boys >can be a little wild and crazy but my son seems to be out of control most of the >time. He totally disregards anything we tell him and doesn't even seem to >understand that he is hurting me or his sister (20 months old) when he jumps on >or pushes us. Time outs and/or taking away toys do nothing with him. He just >seems to be totally out of control. We have his 4 year check up in a couple of >weeks and I'm hoping to get some guidance from our pediatrician. I was wondering >if any other parents out there have had similar issues and if so what sort of >solutions did you explore. > > > Thanks! > > (mom of Lucas - almost 4) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2010 Report Share Posted October 6, 2010 I agree with about the " out of sync child " book. Once I read that book, it was easier for me to look at my son through a " sensory eye " and see that what he does, he does because his body needs something. mini trampolines and bikes that are REALLY hard to peddle are great for my son. when he wanted to rip things, i gave him our recycling bin. weighted vests or backpacks worked too. I love that book because it has SO many ideas for all the senses. (my sons biggest problem is proprioceptive) Pecs also worked when he was little. he could go for the pecs book and pick out what it is he wants eat, play, do....you get the drift. I've never been a gal to say " boys will be boys " because now that my son is in school, boys have to follow rules just like the girls and I've had too many " boys will be boys " parents at our school when my son was at the receiving end of their childs  rough play (stitches in grade 1, would go on but too many to count!)and these parents refused accept why their kids were being disciplined. Sensory needs CAN be addressed and now even my sons teacher is looking at him with the " sensory eye " and I couldn't be more thrilled! My son is now an absolute joy but he keeps me on my toes for behaviours I know are sensory based and are (now) easily dealt with. I can't recommend that book enough! sandy ________________________________ From: Cathleen <creilly@...> Sent: Tue, October 5, 2010 9:47:03 AM Subject: [ ] Re: Apraxia and Behavior  I agree with the OT evaluation - the " out of sync child " is the best book for explanation of that. How is his comprehension of other directions? Is there a receptive language issue? A lot of my son's early years meltdowns/behaviors can be attributed not only to sensory but frustration. It can just be a simmering frustration without full blown tantrum - imagine not being understood at age 4? it's a hard thing for a child. Not to be negative - but your pediatrican likely won't be a good resource for anything other than the referral for a full blown Multi-disciplinary Evaluation (OT, PT, speech, etc.) Maybe you have a good one but I have to say that in my pediatric relationship " I " do all the research, make the calls and then present him with the plan and have him sign the paperwork. Do the leg work first...the moms on this board are a HUGE help. There is hope - my son tells me jokes and about his day these days and was completely non verbal until 5.5 years old. Hang in there - it is overwhelming at first. > > I am new to the group and have enjoyed reading all the discussions from more > " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed >with apraxia. After being bounced around with therapy sessions for the past 1 >1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week >through our local school system and a private therapist. The past few months >have been overwhelming for me as I try to grasp hold of my son's situation. I've >been reading as much as I can and trying to understand all the different >aspects. Many of the comments that I've read on this list have really opened my >eyes. > > > One thing that I haven't seen recently discussed and that I'm interested in >exploring is behavioral issues and children with apraxia. I know 4 year old boys >can be a little wild and crazy but my son seems to be out of control most of the >time. He totally disregards anything we tell him and doesn't even seem to >understand that he is hurting me or his sister (20 months old) when he jumps on >or pushes us. Time outs and/or taking away toys do nothing with him. He just >seems to be totally out of control. We have his 4 year check up in a couple of >weeks and I'm hoping to get some guidance from our pediatrician. I was wondering >if any other parents out there have had similar issues and if so what sort of >solutions did you explore. > > > Thanks! > > (mom of Lucas - almost 4) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2010 Report Share Posted October 6, 2010 My son is 6yo and has DS and severe apraxia and yes, behavior issues and sensory integration issues. Since being in a large inclusive classroom this fall, his behavior issues escalated w/hitting and kicking other kids--the large classroom is overstimulating for him, especially when on flovent and xopenex. So, I have been very careful about giving him inhaled steroids and will not give them unless I hear a wheeze w/stethescope. Also, I am trying to keep him off dairy and foods that are high oxalate---and we started Nutriiveda about 2 weeks ago and his behavior has improved greatly! The aid in the class told me she watched him in line lift his hand to push the little girl in front of him and then stop, and put his hand behind his back. Today his private speech therapist said he had the best behavior he has had in a month--and he did pulmacort last night. We are having an IEPmeeting tomorrow to discuss behavior among other things. I went online and did some research and found that these behaviors can be " normal " for kids who are not able to communicate. Kids misbehave for many reasons--to get attention or avoid something they don't want to do. 4 reasons for misbehavior--attention, power, revenge, avoidance of failure or inadequacy Kids need to feel capable of completing tasks in classroom, able to connect w/teachers and classmates and need to know they can contribute to the group in a signifigant way--you can also apply this to the home/family. I definitely know the apraxia has affected Nate's behavior. And of course, the older he gets, and the more behind his communication becomes compared to peers and his cognitive level, the more frustrating it is for him. It makes me sad. I am encouraged to read about late talkers who finally talk! Colleen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 6, 2010 Report Share Posted October 6, 2010 Hi, Funny because I was going to post something like this, just didn't get around it. My son sounds very much like yours...he is 4 1/2 and I would say that about 2 or 3 times a day he just gets into this " out of control " mode....sometimes he's just fine playing with his toys but something gets to him that he just loose it. He doesn't hit, bite, but he tends to want to bump on things a lot,trhows himself, runs around the house, but more out of control than just a " boy thing " ...like sometimes I'm trying to wash the dishes and he just runs into me hitting his head on me or when I'm holding him trying to read a book he'll do the same, or he will throw himself on the floor. The part that makes me more frustrated is when he's around other kids, he is VERY TOUCHY and the other kids hate it and I feel so bad for him. He doesn't hit them or bite them or anything like that, but he'll just hug them, or " hold " them like wanting to initiate a " boys fight " but it's not that really, he's just trying to have some sort of contact. I think because he can't talk he just tries to get their attention any way possible(or that's what I thought). He's not like that at preK at all.. I think at preK he's involved and doing other activities. Those behaviors are more frustrating to me when he's playing with other kids at play dates, parties,etc...Like the other at a play date there were two little girls (one of it has been his friend since they were babies)...and she didn't want to play with him, but by him instead. He had some toys and she wanted to just sit there.. but he kept insisting and going over and touching her and grabbing her toys. I kept telling him to leave her alone, but he would not listen to me....sometimes he'll just not understand and will not stop...so she would get up and try to move around, go somewhere else and he would follow her and put his face really close to hers and then hug her...he just kept doing this over and over...she kept coming to me asking me to tell him to stop,...anyway, it's just frustrating and it does gets really confusing. As a parent I wnat to discipline and just make him understand he can't do that, but I also see his side of it and know what he's going through...so after a while I just decided it was just time to go...he would not stop. Sooo...until last week, all I thought of this was that he was just frustrated because he couldn't talk...until we had our OT eval. My son does relatively ok during ST but he does throw himself on the floor and sometimes have a hard time sitting. We do a computer game and I hold him on my lap and he'll hit me with his head and do the things I described above. So our ST suggested an OT eval and OMG...I was amazed to hear all the things that the OT said to us. I had no idea that all of that had to do with sensory issues. I don't know how really to explain like he did, but he said that my son seams to need a lot of " sensory input " meaning that he needs to be " touched " and feel the environment around him because he doesn't have much control of it or doesn't know how to " balance it " . I'm new to this sensory issue thing, so I hope it makes sense. He gave us several exercises to do at home...one of them is to rap him around blankets and throw pillows at him (play like he's a hot dot,etc)...this one kinda of helps him with this " input " he needs(when he’s hitting his head, or being touchy). We've been doing for only a week and I have definitely seen changes. We had our fist ST session yesterday after we started doing the things he suggested, and he sat quietly through the session...even put his hands down (usually he’s trying to grab things). He also suggested creating a quiet spot..a place he can go to quiet down when he's just too agitated and not listening. I gave him a spot and we put some pillows and some toys and books there and he actally really likes it...he was mad at his little sister today when she was sitting at " his spot " ...haha. I haven't read the out of sync child and I'll be getting it...thanks for sharing. Anyway, I just wanted to say that I agree to take him to an OT evaluation...we had no idea and I hope that it will help my son to calm down and I'm hoping that it will help his ST sessions be more productive. Sorry for the long email, I just thought of sharing...hope it helps. I also give him NV and I just pumped his dosage from 2 scoops to 3 and we have seen some great changes...but I'll write those on another message. This one is already to long, lol.... Thanks, London 801-451-5461 From: srsilvern@... Date: Mon, 4 Oct 2010 18:54:35 -0700 Subject: Re: [ ] Apraxia and Behavior Hi - Has an OT done an eval for your son? It sounds almost like there are sensory issues going on. If no one has recommended these yet, there are some good books that can help you get a handle on things - The Late Talker, The Out-of-Sync Child - good starters with many, many more available (some better than others). I would hazard a guess that most of the folks here have kiddoes with a triad of common conditions - apraxia, hypotonia, sensory integration dysfunction (and there are other kiddoes with other conditions as well - mine included) - all to varying degrees. Just some thoughts, but doing the reading will help you, your family, and, most importantly, your son. Good luck! Sherry and Josh From: jlw21_1783 <jlw21_1783@...> Subject: [ ] Apraxia and Behavior Date: Monday, October 4, 2010, 7:27 PM I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed with apraxia. After being bounced around with therapy sessions for the past 1 1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week through our local school system and a private therapist. The past few months have been overwhelming for me as I try to grasp hold of my son's situation. I've been reading as much as I can and trying to understand all the different aspects. Many of the comments that I've read on this list have really opened my eyes. One thing that I haven't seen recently discussed and that I'm interested in exploring is behavioral issues and children with apraxia. I know 4 year old boys can be a little wild and crazy but my son seems to be out of control most of the time. He totally disregards anything we tell him and doesn't even seem to understand that he is hurting me or his sister (20 months old) when he jumps on or pushes us. Time outs and/or taking away toys do nothing with him. He just seems to be totally out of control. We have his 4 year check up in a couple of weeks and I'm hoping to get some guidance from our pediatrician. I was wondering if any other parents out there have had similar issues and if so what sort of solutions did you explore. Thanks! (mom of Lucas - almost 4) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 7, 2010 Report Share Posted October 7, 2010 Hi -  Definitely read the Out of Sync Child - there is also a follow-up to it, The Out of Sync Child at Play (or something like that - don't have it right at hand) - excellent activities to incorporate in a sensory daily diet, or just to have fun. There are also excellent websites to go to for sensory ideas, information, and advice - www.sensory-processing-disorder.com, www.sinetwork.org, and others. My Josh was sometimes a sensory seeker, sometimes a sensory avoider - and then it would change. SID is an interesting condition to deal with, just have a bag of tricks ready!  Sherry and Josh From: jlw21_1783 <jlw21_1783@...> Subject: [ ] Apraxia and Behavior Date: Monday, October 4, 2010, 7:27 PM  I am new to the group and have enjoyed reading all the discussions from more " veteran " parents. I have a (almost) 4 year old son who was recently diagnosed with apraxia. After being bounced around with therapy sessions for the past 1 1/2 years, we are luckily now receiving 2 hours (4 sessions) of therapy a week through our local school system and a private therapist. The past few months have been overwhelming for me as I try to grasp hold of my son's situation. I've been reading as much as I can and trying to understand all the different aspects. Many of the comments that I've read on this list have really opened my eyes. One thing that I haven't seen recently discussed and that I'm interested in exploring is behavioral issues and children with apraxia. I know 4 year old boys can be a little wild and crazy but my son seems to be out of control most of the time. He totally disregards anything we tell him and doesn't even seem to understand that he is hurting me or his sister (20 months old) when he jumps on or pushes us. Time outs and/or taking away toys do nothing with him. He just seems to be totally out of control. We have his 4 year check up in a couple of weeks and I'm hoping to get some guidance from our pediatrician. I was wondering if any other parents out there have had similar issues and if so what sort of solutions did you explore. Thanks! (mom of Lucas - almost 4) Quote Link to comment Share on other sites More sharing options...
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