Wondering what we are testing for? That would be autism. Twinks developmental doctor whom I
love with all my heart feels the need to test this child - again. Oh wait, some of you may not know that we have already done this test and Twink passed it. I was told at her last appointment that Twink passed but her test results were border line.
Her thinking for repeating the test is Twinks lack of speech, social interaction with peers and lack of pretend play. Twink also does what the doctor calls echolalia. Echolalia is repeating a mimicked phrase over and over. Or singing Twinkle Twinkle over and over which has a calming affect on her but drives us a little crazy at times! ;)
We all know the reason for the lack of speech. If any one of us had a stroke today and it damaged the entire left side of our brain we would have to work our tails off to talk again. Twink is no different. Believe me when I say she is working very hard on her speech. She has come a long way in two years. She has a long road ahead of her but she'll get there. OK, so she had the stroke, has some brain cysts, seizures and apraxia. This is the very doctor who told me about
apraxia! LOL I see a ton of reasons stated for Twink not to be talking.
As far as the social interaction she is great with adults but with other children she seems to be a bit more shy. It totally depends on the situation though. I've been told recently by her teacher that she is doing great interacting with the other kids at school. She is sharing and maybe some of you remember Twinks
award at the beginning of the school year. She comforts others when they are sad, gives hugs and kisses, engages you in "conversations" and demands attention! LOL
The whole pretend play has made me stop and think. No Twink does not play with baby dolls or barbies. She does not play with the doll house like she "should" be. I started to wonder what Twink DID do for pretend play. Twink LOVES to play with toys cars (trucks) and will make car noises. She pretends she is a puppy. She likes to use her kitchen set with Spitfire. She LOVES to dress up. To be perfectly honest though, we've been so busy trying to help her use both hands and work on sensory issues we didn't think about pretend play. We do arts and crafts, build blocks (her new love), play with balls, fun sensory stuff, etc. Had I known that pretend play would be so important maybe I would have focused more on that.

I'm really to the point where if a label gives her more services for speech then by all means do the test. I almost laughed when the doctor said she wanted to repeat the test. She's telling me that Twink makes great eye contact, great engagement, and is playful. She knows that Twink had the stroke and that could be the reason for the speech delay. She was just not sure about the pretend play and the echolalia. She'd like to give it three months and see how she is doing and then schedule the test *if* things have not improved. She was "not ready to say she was autistic yet".
At what point will she take the test for what it's worth? If Twink does end up taking the test and passes, are we going to be asked to repeat the test again next year? Maybe she wanted to dx. her with autism but saw that same look she saw when she mentioned CP the very first time. I just never thought we'd be repeating this test again. Maybe I'm in denial, parents are experts when it comes to that. All I know is that we'll do whatever it takes to help our beautiful little girl become everything God has planned for her!