Took Katie back to the Katie Lady yesterday to be re-evaluated to be covered for some more OT. Her first round of OT was summer of 2010 and discharged when she started Kindergarten. She has did really well for about a year, but now in the last couple months we've been having a lot more of the old-style meltdowns again, so I wanted to see if more OT could help at all. The problem is that since SPD isn't quite considered a medical condition, OT has to be submitted/billed as fine or gross motor delay, rather than the sensory problems. Yesterday Katie performed a lot better on the gross motor tests than Katie Lady had expected (guess she's made a lot of progress in the meantime!), so she is not sure if her evaluation will be considered enough to qualify for the services. Now we wait and hope.I think it's also time for me to look for a psychologist for her to see as well. Anyone have any recommendations of someone familiar with SPD? It's so hard to know just which symptoms/behaviors are specifically caused by sensory issues and which are issues of the control that she feels she needs because of the instability of her experience of the world because of the sensory issues. Katie Lady suggested that maybe some of the behaviors are now learned responses that began when she had no better tools of expression, and continue now, even though they are out of proportion, because she hasn't learned alternative ways to express herself. So some sort of behavioral therapy might be the thing to give her skills to regulate her emotions.
