Saturday, February 19, 2011

Something New

S devised a new way to do a difficult pattern. How smart of her to think of the perfect solution to a big problem. She has been reluctant to do the homologous stretch, it's one of the fetal patterns. So as I was showing her sister what to do with S's legs, she climbed up ontop of me. I realized that if I move her arms and move my own legs, that her legs will do what they are supposed to. After the demonstration, she spontaneously said, "Love mommy and daddy." I proceeded to do them with her ontop of me. After we were finished, I turned her over so we could snuggle. She is normally pretty resistant to that, but today she was much more cooperative. Today was a pretty easy day as far as getting the work done. she hated the homolaterals. I absolutely can't stand forcing her through these. It just doesn't feel right to have negativity surrounding this.

Friday, February 18, 2011

Some Videos

I took some videos to show our level of frustration. For those of you stuggling with cooperation, this will make you laugh. Someday, I'll be able to look back and laugh too. In case you can't understand what she said in the bottom video, she says, "Mom, I'm not going to do this!" The first video shows her flying through the homolateral pattern which is the wrong way to do it. I would love her to blow through them at that pace, all by herself, but it wouldn't be worth much. I have to manually start her head turn and make sure she brushes her hand against the floor on the way down.

FRUSTRATED

I probably should wait to calm down before writing but it has been a stressful week. We are having quite a bit of resistance to the program and I have had enough pleading, coercing, punishing and whatever else to get things done. Yesterday my older daughter helped and it was a breeze. Mom just can't get exciting enough to make it fun. S has been using the excuse she is scared to do her 'exercises.' One day, while we were doing the patterns that were assigned pre-reeval, we clapped at the end when she finished because she was so cooperative. Clapping has just recently started bothering her again. We kept promising her we wouldn't clap at the end and could finally convince her to do them. So I have been thinking the scared response is a delay tactic. She has started using, "I'm hungry", and several others. I tell her she needs to get her work done and then I will give her what she wants. So today I was doing the fetals, which she is very resisitant to, and she stopped after several and said she didn't want to do them. I asked why and she said she was scared. I asked why she was scared and said she didn't want to do them. I asked her why she didn't want to do them and she said they made her sad. That was a first! She rarely talks about any emotion, so I was really surprised to hear her say sad. Then she said she was sad because she couldn't do them. When we were doing these, I was moving her arms and she did her legs. When I put her hands near her ears, she pushed my hands tightly against her head and wanted me to squeeze her head. She used to want me to squeeze her head a long time ago because she needed the sensory input. Then I got to thinking that these were fetals. I don't know where they come in the order of pre-birthing, but it made me wonder if they happen right before birth and her wanted me to squeeze was what she felt during childbirth. This might be a stretch, but it is quite the coincidence. Since she was probably a preemie, maybe these patterns happened right before she was born. I'm going to ask when these actually occur in-utero. Still, an interesting observation. We were told we could back off of these or discontinue, but I give them a try each day to see how many I can get in. Since it's all becoming a struggle anyway, might as well do as much as we can.

Our OT is going to try the theraputic listening program with S. I can't wait to start as I think it is the missing piece of the puzzle. We just got some terrible news about the VPK program. They are saying S is ineligible because she will be too old. I thought schools wanted kids to start later now? Everyone, I mean everyone, is questioning why I want to start her late. I am stressed at the fighting I need to do. Now I need to deal with more people who just don't get it and want to blame everything on me. I'm so worn out.

Sunday, February 13, 2011

Notes

Yesterday, we had to go out of town for a wedding, so no NR. This morning, S asked, "Are we going to do exercises?" For someone who protests all the way through, why does she ask? I have always said her body knows she needs it. Her tummy crawl is progressing, but she just can't seem to get her left leg to do the work. She protests about the fetals, which are the easiest. How are we supposed to make it a pleasant experience when we have to force her through them? I make her snuggle when she's finished and she doesn't like it. It reminds me we aren't as far as we need to be for attachment. We have come so far though, we'll get to where we need to be.

I found out the listening program that Bette thought we could use cannot be used at this time. I'm going to try to convince the OT to do a listening program for sensory. The OT acts like she has some knowledge of attachment, but when mentioning the listening program, she spoke of going back to early times. Then she said something like, "Oh never mind, she was an orphan." Gosh, why aren't there people who get it? Why should I have to travel all over the country to get my child help? It looks like I need to do that. People act like they know, but they only want to understand as much as they already know, they aren't open to learning more. I don't know if this is the case with our new OT or not, but that comment really made me nervous. I will talk to her and see what she means. We were discussing something else at the time, so I didn't get into it.

Tuesday, February 8, 2011

OT Report

I'm just going to copy what I wrote to Bette on this one....

I just spoke with Sophia's OT about her findings. They are very disturbing to me, specifically the severity of issues found.

This is what she said: S has severe motor planning issues. Her visual tracking is off. She doesn't attend to the task visually long enough. She is easily distracted both visually and auditorily.

She is both tactily and auditorily defensive. She has a hard time transitioning from a preferred task to a challenging task.

Her systems are not integrated, she is uncomfortable in her own body.

She doesn't bring hands together at midline, doesn't reach behind her back, and needs to turn her whole body to reach for an object or complete a task.

She is orally defensive and can't get her mouth, tongue or lips to do what she wants them to do.

Of course some of this we knew, but the extent of it is quite overwhelming. I am feeling terrible that she hasn't been in OT these past 2 years. The person we had wasn't any good and I just found this new person. She is far away and it is expensive, but we need something. Today she fed her a snack for 30 minutes. Although she got information from watching her, it is extremely frustrating that I drive 40 minutes and pay who knows how much for her to watch her eat for 30 minutes. At this rate, she will be in OT for years and never be ready for school. Sorry to project my frustration, but I wanted to give you this information to see if there is anything you might want to add to S's program. Today, I had to physically move her through the homolaterals. She is doing the tummy crawling for now, but complains that it hurts her knees and elbows. Please give me your thoughts on this and my other questions when you get back.

Now, more of my thoughts...I need someone to help me do the fetal patterns.
The one we are doing is a 2 step pattern, which takes some practice to get right. I'm pretty sure all of the direction, correction, and arguing and NOT how they are meant to be done. Today is a frustrating day to say the least. The OT report is so upsetting. If I had competent people around me, couldn't we have been working on this? The school didn't think we even needed OT, that's why I told them they could keep their help. I called the ped's office yesterday to get a referral for an audiogram for the listening program I am getting involved in. They asked if I thought she had a hearing problem. I explained that her hearing it too acute, that's why she needs this program. She seemed to get it and said she would tell the doctor. She called back today and said they could give her a hearing test. Hello? Do they need an intelligence test? I told them again what I needed and confirmed they couldn't supply it, so I wait another day or more. The place that is doing the program isn't the most cooperative. They act like I'm bothering them with my questions. They are willing to do the program without even talking to me to see if it's right for us. What????? So now I wait until Thursday and see if she can talk to me in a few hour window for which she cannot set up a time. Now I need to see if the school will consult with the OT. I hope tomorrow doesn't lead to more frustration or I'll need a straightjacket. I am grateful that the school wants S to be like the other kids, I do too, but she needs to be handled differently. She can only be helped if you accept her for who she is. Isn't that supposed to be the hardest for the parent and not others?

Monday, February 7, 2011

A Heartbreaking Discovery

Okay, I'm wondering if I should be taking the time out to write this, but I want to be able to remember how this important day. It has been a particularly frustrating day for both of us. Her teacher said it was an okay day. S told me that a teacher pushed her into the time out chair. This was her version, and I think the teacher probably had to physically re-direct her to the chair. She told me she spilled water, which seems to happen often. Whenever she does something like that, she is frustrated. You would think they could recognize that and see it coming since it doesn't seem to be the rare event. Of course I never hear it from the teacher, she says everything is great. I don't know if she thinks she can handle it or maybe she doesn't know what to do about it. I don't know if I should leave her there or not. If I take her out, I think that will leave her feeling like it is all her fault. If I leave her in, she could have even more difficulties because they keep thinking this behavior is all under her control.

So we were doing our crawling, which she hates and has been putting up a fuss over. We moved to a different location and she started ripping the crawling mat where there was already a rip started. She said she was frustrated. She asked me to spank her. I told her that I don't spank her. I asked her if she wanted to be spanked and she said no. Did she feel like she deserved it? We finished up after a few more laps. While I was feeding her chicolate pudding reward, I asked her a question. I said, Does mommy love you when you are frustrated? She shook her head no. I was shocked! I proceeded to tell her that I loved her when she was happy, sad, mad, frustrated, and I would love her forever no matter what. I was devastated and know we need to talk even more. Crawling is bringing up emotions, no wonder she doesn't want to do it. Why can't I just take all of her pain and spare her the hurt?

Sunday, February 6, 2011

Re-eval

I've been wanting to post this for a few days now, we've had our re-eval. Overall, it went well, and we've got a very manageable program. We are very obviously not finished, but the good news is that Bette said we could be close! I so wanted to hear that, but was afraid it would be much longer before I heard anything like that. She said we 'could' be close to finished, so that has a lot of gray area. One can never predict how long something will actually take to heal completely. We got back to tummy crawling and you can really see that there is a lot of healing that needs to take place. Everytime we stop the tummy crawling, there is clear regression. This is the area of most resistance, so we are going the slowest. I will rejoice the day we no longer have to tummy crawl. We started homolaterals, which I thought would be a battle like tonic neck patterns. She does them like a pro! I don't even need a helper at this point. I wish I knew if them coming so naturally means that there is less healing to be done in that area?

I have to mention something disturbing. This will be the second time that Bette mentioned that when she first saw S, she was really worried. I'm so happy she didn't convey that to me when she was thinking it. I was already worried, and Bette was the one who finally gave us the hope we were looking for. I'm glad she has the wisdom to know what to say and when to say it. Other people we know felt the same, but only said some thing when they saw how much she has improved. Of course, they don't know what trauma looks like, neither did I. Trauma was an equal size piece of the puzzle. I tend to be optimistic, even though some see me totally different. So if you have been reading this from the beginning, you may be thinking things weren't all that bad. Well, they were. And there are still areas that cause quite a bit of concern. Bette identified a retained reflex this time. I looked it up and this is what it said.
"At about three months of age, an infant will begin to display the Landau's reflex. When she is placed on her stomach face down, she will raise her head and arch her back. This reflex will persist until around the child's first birthday. Absence of this reflex suggests problems in motor development. The pediatrician may investigate further to rule out such problems as cerebral palsy and mental retardation ."

Cerebral palsy and mental retardation? Those words were hard to read. what do both of those words equate to? Brain injury. What does NR address? Brain injury! We are in the right place doing the right thing. Bette also recommended a listening program for S's auditory sensitivity. Hopefully this will decrease her anxiety.

We are going to get the program ASAP. I'll let you know how it goes.

Sunday, January 30, 2011

Personal Reflections

As I sat with my daughter feeding her pancakes this morning, I was thinking back to where we started. Most moms will never go through what we are, but my daughter has taught me so much through all of this. I wish for her life to have been easier for her, but it's not, so we have made the best out of it all. I recieve criticism from family members and strangers for feeding her instead of her feeding herself. They don't understand that feeding her is a bonding tool and very important for attachment. If she started eating anything solid before she was almost 3 years old, maybe I wouldn't be feeding her at 4 and a half. I am so grateful that she is actually eating a solid food AND from a utensil. One recent development is her desire to be like mommy. Oh my gosh, how exciting is that for me? I remember reading about attachment and development activities that had your child copy what you did. That might work for other children, but my precious girl was just too fearful to try anything new, let alone copy me. I bought us matching shirts and she was so happy. She wants to grow up to be big like mommy. I told her she needs to eat good food to grow up to be big like me, I think it's actually motivating her to eat more. We still struggle with eating a variety of foods. She gets a huge variety through a bottle, but she eventually needs to get away from that. She is capable of using a cup, but she won't use a sippy cup or a straw. She could still get the concoction that is in her bottle from a cup. Is it hurting her still using a bottle? No, it's just getting harder for mom to take the unspoken criticism in public. You'd think I'd be over that by now.

Another thing taken for granted by people who haven't been through attachment difficulties is eye contact. Pre-adoption me thought this point must be so overrated. Boy, did I have a giant learning curve! Now, when my daughter looks me right in the eyes, I am flooded with joy at such a simple gesture. I am so grateful for this journey, I appreciate so many things that get unnoticed by people with average children. I thought I appreciated every detail of my other 3 birth children, and I did, but I had no idea that there was so much more depth to appreciate.

I was reading back to some of my earlier entries and it's really amazing to see where we've come. At 15 months, I had a child who couldn't sit up by herself, refused all solid food, refused consoling, wouldn't be affectionate, and most remarkably, her brain had no idea that her left hand existed. I was not too worried at first, knowing the trauma of adoption could cause regression. All of the stories I read were about how quickly they catch up once they are home. I counted on that to be true for us, but it was soon apparent that was not going to be our story. Did I begin to worry? YES! I was so lost with no information and no local professionals that had any idea what to do other than catagorize her into the closest diagnosis. As time went on, I did my own research and connected with other families who had similar struggles. None quite fit ours, and I admit I was a little resentful that they were all special needs adoptions and ours was not. I feel horrible writing this and admitting that I felt that way, but I think it was mostly because I had no opportunity to prepare ahead. I had to waste valuable time searching for infomation when we could be helping her. It wasn't fair to her that we couldn't find her help. I wish I could remember who posted about Bette on my yahoo group. I think I can look it up in the archives. I had such little time to research NR, and I was such a sceptic. It was a lot of money to pay and a big risk. I felt it was a risk because so many others who were supposed to be in the know didn't really know anything. I was optimistic though when I read the description of NR, it mentioned all of the things we needed to work on and so many more. I decided it was worth the risk and I was so thrilled to find someone who actually understood and offered a solution. There was only one thing Bette had never seen, and that was S's obsession with circles. She still loves circles, but is a little less obsessed.

Well, with so many interruptions while writing this, my thoughts are all over the place. This is just as normal as I can get it, without the promise of someday things being different. There is a lot of peace that comes with accepting life as it is. It doesn't mean you compromise so much that you don't get what you need to accomplished. It just means that it might take you longer to get things done, or it may mean that you need to let some things be less than perfect. Accepting things the way they are and your limitations because of it, allow you to let go of the things you are spinning your wheels on and aren't going to happen. Letting that go leaves more time for the things that are higher priority. I never thought I'd get to this place, but it's another life lesson that I've learned through this incredible journey with my special daughter. She is teaching me about a part of life that I would never be priviledged to know if it hadn't been for her. What a blessing she is to show me that obstacles should never get in the way of happiness. I love her more than words could ever describe.

Friday, January 28, 2011

Disney

We had a great trip to Disney World this past weekend. Rides that S was formerly afraid of-she wasn't afraid anymore. Each of her 3 older sisters wanted a turn to sit with her on a ride because they wanted to see her enjoy it. They are so thrilled and proud big sisters, they share in our joy at seeing their sister overcome her obstacles. I've been trying to think of a list of things to discuss with Bette, and I am thankfully coming up short!!! How exciting is that? We went to a new OT last week and I was pleasantly surprised that she seemed to "get it!" I didn't like how she wasn't sensitive to saying negative things about S in front of her, but I willl have time to tell her that I prefer not to say things in front of her. She is 4 1/2 and knows exactly what is being said. We're re-visiting OT because I wanted a new eval to see where we still needed work. The only thing I want to work on is self-regulation. The only place we are really seeing this is with pre-school where she is with a lot of activity and other children. When she is at the park, she plays beautifully with other children. She used to be right up in their face and invade their personal space. That's not really an issue anymore. We still have sensitivity to sound, but she is really good at covering her ears. We are doing well with potty training, I still don't know if there is a physical reason that it is taking so long. I accepted long ago that she is on her own timetable and that I am just going to enjoy the ride rather than wonder when we're are getting off the ride. Of course I would love someone to tell me the endpoint, but who can complain when their child is pure joy. I have dealt with so many things with my daughter, and our entire family is totally immersed in this because families experience everything together, good and bad. I am so grateful for what I'm not dealing with. We have never had a sleep issues or rages. We don't have manipulation or controlling behavior. When people say God never gives you more than you can handle, isn't that the truth? I never expected this journey, but I am a better person for it. It has taught me more patience, more compassion, more understanding, less judging, and gratitude. I hope I can assist others through our trials. I wrote on the Neuro-network group today about 'lasts' being more important than 'firsts." I am so happy I read about the lasts when my older children were still young. The hardest last has been when then turn mommy into mom. Since I have 3 children older than S, she calls me 'mom'. I told her, "I'm mommy to you little one!" My almost 20 year old will still call me mommy on occasion. I think the lasts for our kids who struggle are very important. The last time that S covers her ears when fireworks go off will be a reason to celebrate. The last time she asks me to carry her up the stairs will be a huge reason to celebrate. My aching knees will be happy! Last week at Chinese class, she said to me, "I'll go get the snack myself!" This was a huge deal since we were in an auditorium type room on a college campus and the snacks were as far away as you can get from where we were. She always surprises me with the things she wants to do. I have been in such a protective mode with her, I know I don't give her all of the opportunities that I should. I think since she's my 4th child, I just have no pressure for her to meet traditional milestones. I love to see her with other children her age now because the gap is closing between them. I wish I could see into the future to know if she will eventually be like her same age children.

While I write this, she has been beside me. She loves to play with cars and she turns them on their side to show that they are sleeping. She said to me, "Look at the Z's coming out." She calls the ZZZZ's 'symbols' to show they are sleeping. I think I wrote about this earlier when she first said it, but I will tell you again just in case I didn't write it before. I asked her what the letter Z was for(meaning the sound) and instead of telling me the sound she said, "Z is for snoring" Ahh, the benefit of reading.

The OT said since she was so attuned to sound, she was probably more of a visual learner. This OT is very observant, I can't wait to see how she can help us. We will go weekly for a while and see if it helps. She said she will work closely with the teacher, which is very exciting. Maybe if the teacher hears it from an OT, she will belive it. Sometimes she wants to treat S like any other kid, I'm not sure if it's because she thinks she can help any child, or she doesn't quite buy the SID reason for behavior.

That's all for now, we go for our re-eval next week. I can't wait.

Saturday, January 8, 2011

2011

2011 is off to a good start. Hopefully 2011 will also see the end of NR. I think we are just doing some fiune tuning now, as I don't have a huge list that I go through at each re-eval. I've been composing our graduation post to the group, since I want it concise but all inclusive. A bit premature you may be thinking, but I think it's important to remember all the progress we've made. It's been hard to convince people that the NR is reponsible since we started so young. S would be advancing and progressing no matter what. I think that attachment had a lot to do with her holding back. The other day she told me something that happened a year ago. She remembered the sequence of events. From what I remember, I wasn't even sure what she could comprehend at that point. She had us all fooled. I had thought that could be a possibility all along, because she would never let on that she knew anything. That was actually a pretty clever method of self protection. Now that she is feeling safer, she is willing to open up and reciprocate with conversation. She always talked a lot, but it was just monologue or asking questions or making comments about something. She would still prefer not to answer direct questions. I still think there could be auditory processing problems going on. Sometimes I have to rephrase things to get an answer. Is it my presistence that gets her to answer, or is it the different presentation that makes her answer. She is going through some speech 'difficulties' right now. Difficulties isn't the right word, but I'm not sure what to call it. She'll repeat a word over and over in a sentence because it seems like she can't speak as fast as her brain is producing words. She'll say, "Can I, can I, can I, and then what she wants. It's not stuttering, because she can form the word, it's just she can't get it all out fast enough. Not long ago, she would just repeat your question when you asked it. Now we get answers. She is very guarded, especially emotionally. She is most sensitive to her 13 year old sister. If M doesn't want her in the room or rejects her in any way, she comes out complaining and saying that her feelings are hurt. She's pretty much the only person who can make her cry. The one remarkable thing that is now effective is punnishment or threat of punnishment. Consequenses never worked before. You could take away all of her possesions or threaten anything and it had no meaning to her. Now, I can ask her if she wants to go in time out and she'll usually do what I want. She is also very concerned if I am happy or not. She wants to make sure I'm happy all of the time. I can also tell her she'll make me sad and she'll comply with the request. I don't use it often because this probably has some detrimental effect on attachment. We go back for another re-eval in a few weeks. Hopefully we'll get an endpoint by that time. I need that to keep going.