Autism, Cahms, anywhere else?

Autism, Cahms, anywhere else?

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sparkyhx

4,189 posts

210 months

Friday 28th April 2023
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orbit123 said:
7 weeks ago she went to an 3 night school camp and really struggled on night 1 then had to come home she was so upset the next day. It feels like it's been a trigger for lots of stored up emotions to come out (from a girl that very rarely cried) and she's been struggling since then. The more I read on masking I feel like it's possible she’s been doing that for months or longer and struggling with extra school and friendship responsibilities and complexities that come with being a pre-teen. I can imagine if true this has been mentally exhausting and the gates just opened. The transition to secondary school is incredibly worrying for her too and she can't stop thinking about how she'll cope, I think the camp has given a taster of what a much busier school environment will be like as well as having to get to class etc. A lot of the worries she will be totally fine with and it's the fear of the unknown vs the reality of her capability. We're seeing start of school refusal and major separation anxiety and I'm worried about how best to support. The pace with which it's come to the surface has really caught us off guard.
I think you've hit the nail on the head there. Its pretty much a given that the transition from Primary to secondary brings out the issues that were always there. From 'childish' to more adult nuanced behaviours, need for more complex masking, puberty, bigger and noisier, less predictable, fear of the unknown etc.

You are doing the right thing in getting help, the only other route would be a private diagnosis, which can typically cost £1500-£2000. This might be marginally quicker than thru insurance. TBH I've not heard insurance cover autism diagnosis, so you are lucky.

J.R.B.

323 posts

198 months

Friday 28th April 2023
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This is an interesting and well timed thread for me. I would really love to know what your daughters were like when they were younger? My 7 year old has very similar traits to what is being described, and has done since she was younger. I would also be interested to know if your daughters had/have any issues with food? It’s a real battle getting our daughter to eat properly (she doesn’t eat out of choice, rather than being fussy) and when she doesn’t eat she is really hard work. We think it’s a control thing but are struggling to find a solution.

orbit123

251 posts

198 months

Friday 28th April 2023
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J.R.B. said:
This is an interesting and well timed thread for me. I would really love to know what your daughters were like when they were younger? My 7 year old has very similar traits to what is being described, and has done since she was younger. I would also be interested to know if your daughters had/have any issues with food? It’s a real battle getting our daughter to eat properly (she doesn’t eat out of choice, rather than being fussy) and when she doesn’t eat she is really hard work. We think it’s a control thing but are struggling to find a solution.
Our daughter has always eaten well, often eating adult portions if she had been super active that day and we were out for dinner - shes 11 now and tall. If she hasn't eaten she can be difficult and irritable - nothing too unusual but noticeable.

Since the anxiety has really increased by a leap she's having a nervous stomach quite often. Feels like what I'm sure we've all had in brief spells in life before a big event - but more frequently. I think in our case it's the constant dread of change coming with puberty and school etc. + actual changes with hormones etc.


GilletteFan

672 posts

37 months

Friday 28th April 2023
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orbit123 said:
Came to health forum today to post up and see if anyone could help me help my daughter and found this thread!
My 11 year old daughter has always had what I believe are "spectrum" type attributes as do I. She's mostly loved primary school though and until 7 weeks ago the last 2 years of primary school have been her most enjoyable if anything with active roles in many areas of school life. She’s always struggled with anxiety but I wouldn't say it ever really impacted life to a problematic level.

I guess probably mild form of ASD the more I learn - can cope with but doesn't like noise, busy places, change, cheats, clubs, play dates. Does love animals, nature, art, rules, home, quiet etc. In many areas attributes we probably need more of in the world.

7 weeks ago she went to an 3 night school camp and really struggled on night 1 then had to come home she was so upset the next day. It feels like it's been a trigger for lots of stored up emotions to come out (from a girl that very rarely cried) and she's been struggling since then. The more I read on masking I feel like it's possible she’s been doing that for months or longer and struggling with extra school and friendship responsibilities and complexities that come with being a pre-teen. I can imagine if true this has been mentally exhausting and the gates just opened. The transition to secondary school is incredibly worrying for her too and she can't stop thinking about how she'll cope, I think the camp has given a taster of what a much busier school environment will be like as well as having to get to class etc. A lot of the worries she will be totally fine with and it's the fear of the unknown vs the reality of her capability. We're seeing start of school refusal and major separation anxiety and I'm worried about how best to support. The pace with which it's come to the surface has really caught us off guard.

Our primary school has been great and started CAMHS route long ago for more basic support - but it sounds like CAMHS is completely reactive to the worst cases and even then as others have said it’s perhaps not brilliant.
We have private health care and I started that route too when it all kicked off - after 3 weeks they said they are overloaded with child cases and would be delays etc. It didn't feel great and pretty disappointing. I’ve found a local (private) child psychologist and my wife and I met her this week with plan for our daughter to meet with her next week and see where we go from there.

At present we're managing to get her into school building (just), though she is spending more and more time out of class and with support assistants. The difficulty getting her into school building feels harder each day and I can see a vicious circle forming - the less contact with friends, her subjects and that routine the less she wants to go to class. The less she goes into class the less she wants to even go into the building. In many ways the solutions are making it worse. Personally I don't want her to change very much or feel like she needs to - but I remember secondary school and know we need to help her navigate it.

Good luck to everyone and sorry I don’t have much in way of solutions. I’ve found a lot of the above posts incredibly helpful though and will share anything useful I find.
I'm interested in your view on what attributes we need more of in this world. In my experience, most young adults are very inward focused and fit your description well. They always loved blocking people out at the office by plugging in their earphones and headphones. And they always leave for home real quick as they appeared anxious with taking transport during peak times. I wanted to ask if you and your wife are home people and enjoy quiet? I have a friend who is autistic and married a woman with strong issues related to autism. Both are undiagnosed, but they are extreme home people with fairly extreme protective approaches to parenting. I'm wondering if a normal child will mould into the same type of behaviour, or is it genetics - i.e. having autism - that drives this?

GiantCardboardPlato

5,272 posts

27 months

Saturday 29th April 2023
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GilletteFan said:
I'm interested in your view on what attributes we need more of in this world. In my experience, most young adults are very inward focused and fit your description well. They always loved blocking people out at the office by plugging in their earphones and headphones. And they always leave for home real quick as they appeared anxious with taking transport during peak times. I wanted to ask if you and your wife are home people and enjoy quiet? I have a friend who is autistic and married a woman with strong issues related to autism. Both are undiagnosed, but they are extreme home people with fairly extreme protective approaches to parenting. I'm wondering if a normal child will mould into the same type of behaviour, or is it genetics - i.e. having autism - that drives this?
It’s extremely likely that a child of two autistic people would be autistic. It’s considered likely that there is a strong genetic component to autism. Autism is not caused by parenting style or by emotional deprivation.

To me your posts read a little like they’re written by someone who likes people and social interaction and thinks that everybody else would/should too. That could be way off, and i hope it’s not offensive.

I’d suggest you could read the book ‘Quiet’ by Susan Cain to get an idea of an introverts perspective.

Edited by GiantCardboardPlato on Saturday 29th April 06:45

GiantCardboardPlato

5,272 posts

27 months

Saturday 29th April 2023
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My goodness everyone, what difficult things your daughters are dealing with.

This thread makes me angry - angry that so many young people are facing so much distress and tiredness and anxiety from having to work so hard to fit in, to meet other people’s expectations, to behave in the way that ‘you’re supposed to’, to accept and be part of systems that actively make things harder for them. I know from experience how tiring those things are.

It’s also amazing that they all have you on their side.

It’s so distressing because you just have to imagine what people - autistic ones, yes, but in reality all of us - would be capable of if they could put all our energy into the activity itself, and not have to use so much of it for masking, for fitting in, to hold it together during the day. So much is frittered away in distress and despair because of the expectations of other people.

Society needs to change and its needs to change to accept that different people are different, do the same things in different ways, and do different things. It’s ok, it’s fine, we’re all different. We learn in different ways, speak in different ways, see or think about things differently, stop resisting it. Accept it. It’s schools/society that are causing the issues here, not autistic people.

You are all doing a great job.

Hugo Stiglitz

38,038 posts

217 months

Saturday 29th April 2023
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I have autism (undiagnosed) and adhd diagnosed.

I would describe myself as a ball of energy and a nightmare.

My 13yr old (undiagnosed) is controlled by a combination of boxing (proper old school Irish club), judo and cycling.

And having to put up with me.

Try exercise. At first it might be resisted. Use bribes. You might find one that helps?

GilletteFan

672 posts

37 months

Saturday 29th April 2023
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GiantCardboardPlato said:
It’s extremely likely that a child of two autistic people would be autistic. It’s considered likely that there is a strong genetic component to autism. Autism is not caused by parenting style or by emotional deprivation.

To me your posts read a little like they’re written by someone who likes people and social interaction and thinks that everybody else would/should too. That could be way off, and i hope it’s not offensive.

I’d suggest you could read the book ‘Quiet’ by Susan Cain to get an idea of an introverts perspective.

Edited by GiantCardboardPlato on Saturday 29th April 06:45
You are not wrong. I'm can flirt between social + outgoing and stay at home and focus. Relationships have always been good for me. I'm just concerned for my friend as he's basically a male provider (door mat) and his wife has several mental issues (red flags IMO). She is his first relationship and he married her and had kids. Basically he is a whipping boy. Could he have done better? Probably not. Is staying single for his whole life better? Probably not. Is not getting married and having kids with his wife better? You bet your arse! This is my angle. So now he has kids and a mentally ill wife, what can he do to minimise the damage done to his kids? I guess you will ask if it is damage. It seems that based on most of the posts, people are either trying to manage autism (self or others) or accepting autism. I'm on the managing side since my friend is in for the long haul as a door mate with no life.

orbit123

251 posts

198 months

Monday 1st May 2023
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GiantCardboardPlato said:
My goodness everyone, what difficult things your daughters are dealing with.

This thread makes me angry - angry that so many young people are facing so much distress and tiredness and anxiety from having to work so hard to fit in, to meet other people’s expectations, to behave in the way that ‘you’re supposed to’, to accept and be part of systems that actively make things harder for them. I know from experience how tiring those things are.
This is a good summary of part of my frustration. Children and people are all different and unless an attribute is actually harmful to the individual or society I dislike that so much pressure is placed on suppressing to fit in. Social media seems to have made is all worse for kids than my own generation with every possible social error photographed and catalogued forever.

A quiet, thoughtful person should be an asset to a school/team/business/org. I do think change is afoot though in some large businesses and in general it seems more ok to be a bit "weird" than 30 years ago.

Taking an extreme example in public life, some of the leaders I admire most are introverts (probably on spectrum somewhere). They're often not perfectly mass media friendly and I get impression they've had to work harder to be heard or progress. Facts are now optional etc. It's not a career path I'd choose or steer my kids into as the skills that allow progress seem so far removed from what I think is actually needed to do a good job. With plenty other options, it's easier to pick another path.
Perhaps we'll miss many great leaders in the future.

Bullybutt

Original Poster:

227 posts

46 months

Tuesday 2nd May 2023
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We’ve just had five days of school with a bug. It seems to have coincided with some little turd being horrid to my daughter. She’s really got under her skin and she’s being pushed around. Sitting at a table of four kids and eating lunch, only to be forced to move to a table on her own so another girl could sit down in her place. Nobody from the group went with her and she told me she was sitting there just listening to them laugh and joke and then walk off , leaving her behind without even a glance. My lass spends most of the days outside classes or in the bathroom texting me, crying or holding in the tears. My heart breaks. I spent all last night awake trying to figure out how to help her, what i can do. There will always be girls that behave like this and gain enjoyment from excluding and pushing around. She wants to stand up to her but is scared, the retaliation will be rumours spread about her and boys. They know she finds the idea repulsive and so she will do whatever to avoid this.
I’ve rung school, only for noone to ring back. Standard. Although I’m not sure what they can do to help really. I’m just trying to not go wring the little witch’s neck.


Orbit123, I feel for your daughter and yourself. The fact you recognise it and can help is fab. The next school will need a good handover but it’s a good time to start afresh with new ideas from the senco.

J.R.B, food. Yep. Beige, bland, tomato sauce with everything, texture. Usually it’s a case of sensory processing disorder and the differences in food stuffs is too much for them. Hence why a bland diet of stuff that is always the same is what they go for, like chicken nuggets, pizza etc. If you get a diagnosis then you can go for food clinic help, although it might make them hyper aware of whatever they touch. Does she eat ok if she goes to a friend’s house or a grandparent? Is there a meal she will always eat without fail?


orbit123

251 posts

198 months

Friday 12th May 2023
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Bullybutt said:
I’ve rung school, only for noone to ring back. Standard.
Thanks for note and hope everyone doing ok.
We had a transition meeting with secondary school this week for my daughter. It was arranged to be at the primary school (who have been incredible with support) with representatives from secondary school and also council health support. The secondary school representatives didn't turn up, no-one clear why yet but just seems to have fallen through cracks. This is on back of a few other smaller muddles. I get impression a lot of the support just falling to pieces under the strain.
I know tough to solve but I think my daughter (at present) needs quite limited support and we can hopefully keep things ok with our time and help from private psychologist. We need some help though (I won't be at the secondary school) and without that she'll need lots more help later which will put them under more pressure.

sparkyhx

4,189 posts

210 months

Sunday 14th May 2023
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orbit123 said:
Bullybutt said:
I’ve rung school, only for noone to ring back. Standard.
Thanks for note and hope everyone doing ok.
We had a transition meeting with secondary school this week for my daughter. It was arranged to be at the primary school (who have been incredible with support) with representatives from secondary school and also council health support. The secondary school representatives didn't turn up, no-one clear why yet but just seems to have fallen through cracks. This is on back of a few other smaller muddles. I get impression a lot of the support just falling to pieces under the strain.
I know tough to solve but I think my daughter (at present) needs quite limited support and we can hopefully keep things ok with our time and help from private psychologist. We need some help though (I won't be at the secondary school) and without that she'll need lots more help later which will put them under more pressure.
Dont want to put a downer on this but a lot of schools pay lip service and don't actually have a clue. "oh yes I've done the 1hr video training on autism". the number of times there were face palm moments with my daughters school.......it was like - this is basic stuff, what do you not understand. Then again my daughters second school for her A levels were great, totally got it.

Half the problem is secondary education is a sausage factory and they don't really have the time and inclination to deal with anything that doesnt fit the norm, yes there are pockets of excellence, but generally its not great. They are measured on lats of things e.g. If getting them to school in the first place is a problem it reflects on the schools attendance stats. The school couldnt have been happier when we took our daughter out for 2 years, presumably cos it was one less thing to worry about and they could concentrate on turning out the sausages.


orbit123

251 posts

198 months

Monday 29th April
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Almost a year on, I was wondering how others are getting on?
Been a 12 month intense learning course for me into school avoidance, neurodiversity and a seriously broken education and health system.

My daughter is still waiting on CAMHS. We've managed to get some private support (retired CAMHS doctor). Where I am the CAMHS waiting list has sort of been moved to paediatric now. So CAMHS list is now short (positive headline) but paediatric one is 2 years.

Found a lot of help from other parents. Common thread is, do what you can yourself, don't fight the system as they don't help and it saps energy.

School say a lot of good things and I genuinely believe want to be more proactive but then fail to deliver on any plan as someone is off or quits. It's hard to complain as the lead teacher at the school is the only consistent person she's had.
She is in most days for a period of time and I suppose its building her resilience in understanding DIY Britain! Really proud of her but at same time incredibly sad to see how little support has been available for children. I feel like we're lucky as we've had the time and money to support in other ways.

When I first started reading there were lots of stories and surveys about 1 in 5 kids avoiding secondary school. It's now up to 1 in 3.

Even putting aside emotions, I can't understand why there isn't more concern about how the nation will deal with productivity impact and long term mental health impact.

Hope all doing ok.

fridaypassion

9,310 posts

234 months

Tuesday 11th June
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I just searched up this thread I've been a little but surprised recently as my eldest daughter (14) has been "diagnosed" with Autism. We have had an ongoing battle with her since starting high school just struggling to integrate we put it down to being a "Covid kid" she's had a coupe of bouts of low mood that was enough to trigger a Cahms referral and she sees a private councillor too on and off. Today was her first in person proper Cahms meeting and the lady she saw has immediately said that she has mild Autism.

What do we do now?! I'm not really sure we need to do anything too major but it's just a bit of a shock. She's very quiet at school apparently but at home we get eye contact/shes not obsessive about certain things doesn't have meltdowns or anything never did as a younger kid she doesn't really to me have any of the "Classic" signs. I think the Cahms lady isolated a few things such as a tendency to get overwhelmed/lack of ability to form close friendships to come to her conclusion. She I think does get frustrated with herself as well to the point of hurting herself (we are watching this VERY closely.

We're not really too bothered in getting an official diagnosis we're not really chasing a label for her but just wondered how others have handled similar situations? She's in a small private school so I think we have done everything we can on that side. The school interestingly have not raised this I think she is so quiet at school they dont get all too much out of her! I guess we need to seek to the school to make them aware.

They do say girls hide Autism well but I must admit I'm pretty surprised in a way although we always knew she was a bit different to her siblings we just thought she was a bit shy but it looks like we need to do a bit more work with her to help her integrate and manage it. She's doing the D of E at the moment and in a lot of ways does a lot more than I did at her age!

Derek Withers

879 posts

192 months

Tuesday 11th June
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fridaypassion said:
I just searched up this thread I've been a little but surprised recently as my eldest daughter (14) has been "diagnosed" with Autism. We have had an ongoing battle with her since starting high school just struggling to integrate we put it down to being a "Covid kid" she's had a coupe of bouts of low mood that was enough to trigger a Cahms referral and she sees a private councillor too on and off. Today was her first in person proper Cahms meeting and the lady she saw has immediately said that she has mild Autism.

What do we do now?! I'm not really sure we need to do anything too major but it's just a bit of a shock. She's very quiet at school apparently but at home we get eye contact/shes not obsessive about certain things doesn't have meltdowns or anything never did as a younger kid she doesn't really to me have any of the "Classic" signs. I think the Cahms lady isolated a few things such as a tendency to get overwhelmed/lack of ability to form close friendships to come to her conclusion. She I think does get frustrated with herself as well to the point of hurting herself (we are watching this VERY closely.

We're not really too bothered in getting an official diagnosis we're not really chasing a label for her but just wondered how others have handled similar situations? She's in a small private school so I think we have done everything we can on that side. The school interestingly have not raised this I think she is so quiet at school they dont get all too much out of her! I guess we need to seek to the school to make them aware.

They do say girls hide Autism well but I must admit I'm pretty surprised in a way although we always knew she was a bit different to her siblings we just thought she was a bit shy but it looks like we need to do a bit more work with her to help her integrate and manage it. She's doing the D of E at the moment and in a lot of ways does a lot more than I did at her age!
I probably don't display too many of the classic traits and I can do things that other autistic people might find hard or impossible but its still very obvious to me that I am autistic. Once I realised that I was autistic it was easy to identify the 2 other autistic people at work and we are all quite different yet similar in some ways.

I only realised quite late in life when I was 50 but just knowing that I am autistic is enough for me as it has allowed me to understand myself and my behaviour.


solo2

902 posts

153 months

Tuesday 18th June
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Somewhat late to this thread but my two kids are both ASD and despite no diagnosis I now realise I am too.

Eldest child now mid 20's masked it at school. Achieved academically but everything else was falling apart. Self harm, suicidal ideation, CAMHS were absolutely useless and just seemed to try to do as little as possible. Social services involvement due to self harm and called me an emotionally abusive parent despite my daughter saying it was my ex husband who was the cause of the self harm. She was never diagnosed until 2 years ago thanks to her Uni. Now she is an adult things are much better but they will never be great.

My son was diagnosed purely by accident during family therapy at CAMHS for my daughter, the one and only session he attended. We were told he is Asperger's and shown the door, no help. Again Social Services involvement due to my daughter but totally failed by all professionals. High School would not get an EHCP and refused for the 4 years I asked, he was falling apart socially and being bullied badly. It was only when he threatened to kill himself and put on the protection register that the school were made to apply for an EHCP. By this time he was just a few months from GCSE's and had been a school avoider for two years. The guy who comes around if your kids does not attend school totally ignored my pleas for help to get him into school before it was too late. Some how he came out with 3 GCSE's at moderate level - no idea how he managed that but I guess he is a smart academic kid.

Then followed a year of no college or apprenticeship and not enough GCSE's to get in. Thankfully he did get a college place for the last year even though the minimum he needed was more than he had, they let him in anyway. He thrived at college because it was in a subject he is passionate about and his college tutor was awesome to him but he aced the course and was made student of the year - something that would never have happened in High School.

He was desperate since leaving school to get paid employment and just a few months ago landed a job in the same industry that his college course was in and so far doing ok but still to get past probation.

There were many times I expected to bury my kids having been let down so many times. I fought hard for them and was labelled a bad parent, only one social worker stood up for me otherwise my kids would have been removed from me due to lies and cr@p management by so called professionals. I always used to read stories in the papers of parents who said my kids were taken from me and I'd think well there must have been good reason. I now judge such stores very differently. My Ex husband did nothing to help his kids and still does not - he is dead to them as far as they are concerned which is a real shame as it did not have to be this way, he chose to leave and that was fine. Any emotional abuse came from him but as residential parent I was blamed, and nearly hounded out of employment by one social worker who kept triggering my daughter meaning an A&E trip and I would get called from work. The story she told me a couple of years back of what he did was terrible and he did trigger her. I'm not saying all professionals are bad but I came across my fair share of useless ones.

My daughters eldest is ASD, something we now recognise and so far because we know this we are much better at recognising an imminent meltdown and moving away from it. He is doing well in school but has unfortunately had one child attach himself and start to bully.

The gist of what I am saying is there is very little help out that that is worth it, certainly in the area I live in and I have no miracle answers for you but I wish you all the best of luck because this is an mentally and physically exhausting illness parents have to go through and it's not fun for the kids either.

I think I waffled off tangent a bit as I tend to do - I blame the Autism!

Bullybutt

Original Poster:

227 posts

46 months

Wednesday 19th June
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We aren’t doing any better. We are in the EBSA pathway, three sessions in school of two hours each. If she attends one of them I’ve done well. She’s having some therapy that works alongside the ebsa that’s done big all so far to help. She hardly leaves the house, is putting on weight, barely talks to anyone besides me or her cat, personal hygiene is always a huge task and she hates being told to go shower or that I’ve run a bath. I love her dearly, but I’m tired beyond what I ever thought was possible. Two hours sleep per night is about all I manage if she finally clocks off for a while. She won’t do work sent home, she won’t do work if she ever goes in to school. The future seems so very bleak.

solo2

902 posts

153 months

Wednesday 19th June
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Bullybutt said:
She hardly leaves the house, is putting on weight, personal hygiene is always a huge task and she hates being told to go shower or that I’ve run a bath.
Not that this will help with her issues per se but my son qualified for DLA payments which enabled me to help fund his computer and his love of flight simulator. As a single parent there was no way my salary would cover anything like a home pc and the small cost of buying flight sim/bolts ons but the DLA payment meant he could have an escape from everything else.

Money does not fix much but it can help. If you need any help on how to fill out the forms in a honest way but that means you get the points, then please let me know.

GliderRider

2,520 posts

87 months

Wednesday 19th June
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In Chris Packham's programme on autism a few months ago, he featured the Limpsfield Grange School for autistic girls. The parents interviewed certainly thought they did a good job ('Mandy Rice-Davies applies' of course smile ).

Bullybutt

Original Poster:

227 posts

46 months

Thursday 20th June
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Solo2 we do get some DLA but it just about covers her therapy at the moment. I still try everyday to make her shower, dress and leave the house but it’s a fight that takes hours and hours.