A Letter to a Hesitant Parent

About Adam:
Adam has some significant difficulties in each of these three systems. His visual system does not function efficiently, so he has to work extra hard to get correct visual information. His auditory system does not take in correct information, and he has to work extra hard to process. Listening is just HARD work for him.
His vestibular system is so unregulated thus he has to move, look all over the place, squirm, flap his hands and lick his lips and wipe his face just to stay in his body to be present and gather information to feel like he has some sense of control and safety. He at times can’t even participate unless he is fidgeting with something. When he just can’t do it anymore, he shuts down, melts down, refuses to do something, strikes out in frustration or has to take a nap.
We find that if you were to watch a student (like Adam) they might look like a student whose primary difficulty was attention. These symptoms of inattentiveness are just that - symptoms. Parents often ask what you are asking: If we medicated the child would the underlying cause of the difficulties in behavior/learning mature and the symptoms subside? When the answer to the question is NO - then medication is not the answer. Adam's handwriting and pencil grip would not be better because it is related the delayed primitive reflexes and the visual and auditory systems not working together. His ability to process auditory information would not be better because of the medication. The ability to regulate his system and learn to manage his own attention and emotions would not improve.
Remember that with Adam, these are delayed developmental systems. Some say that medication might allow the system to be able to potentially begin to mature. Medication does not do anything to specifically target each system and give the system what it needs to CATCH up and close the gap that is present. That is why we see kids on medication for many, many years. The minute the medication is stopped, the symptoms reappear.
Why Keeping Pace Learning Center?
1. Our procedures and programs sequentially integrate the three systems simultaneously - not just one isolated system at a time. This is why we can see dramatic changes in just a few short months.
When we are working on one system the procedures are designed to pull the other systems in also. As an example, when we are working on visual (smooth pursuit) by tossing the weighted bean bag he would be on a balance board thus placing demands of the vestibular system at same time. Since he has to follow verbal information while doing the practice, it involves the auditory system also.
2. Precise parent involvement and training combined with home practice. The more a parent truly understands, the greater the parent participation and the faster the response to intervention. We know that Adam has had a lot of interventions but typically a parent has not been trained by the SLP or OT and involved in daily practice - thus no dramatic response.
3. Academic and IEP/ school-based support. We know how to interpret school-based assessments such as Ed-Psych reports and know when the school should be assessing for further understanding of what the child needs. We can help determine if the services at the school are quality services or a waste of time and energy for the child.
I hope this answers some of your questions and gives you the background you need. Feel free to call anytime.
Sincerely,
Keeping Pace Learning Center




