We met with Dr. Greenspan starting at just after 9 this morning for close to 2 hours. I'd already filled out a bunch of paperwork with Zach's history, and spoke with his nurse for an hour about the issues I was seeing. When he came into the room, Zach was enthralled with him and ran up to hug him. I shortly learned that Dr. G is recovering from a broken hip, and that he couldn't even really handle that, so I had to run interference when Zach tried to run up to him (which he did a couple of times).
He then observed Jason and I interacting separately with Zach and gave us ideas based on Floortime on how to better engage with him for extended periods of time. We then had a long conversation about what he could do for us, what his diagnosis of Zach is, and his therapy plan.
Bottom line is that he believes that Zach has SPD/motor planning deficiencies, but that he is not on the spectrum. He said that Zach is way too warm and engaged with/interested in people -- including Dr. G -- to have a ASD diagnosis. He did recommend an extensive course of therapy to address his sensory/motor planning issues and to help with having consistent, extended interactions. The only thing he suggested that I'm hesitant about implementing is a GF/CF diet.
After a break, we went over to DIRS, which is a Floortime-based therapy center. We met with one of the director, who did another observation of Zach, talked with us about our concerns, gave us a primer on Floortime, and showed us how to start to implement Dr. G's therapy plan. (Zach really liked him -- he got hugs during the session). He agreed with Dr. G's belief that Zach is not on the spectrum, commenting that his interest in people and warmth was a strength that we should play off of. We're probably going to start seeing an OT there, since Zach responds better to center-based therapy than home therapy. He had a great time playing with all their toys and equipment. The trampoline was a big hit -- I'm thinking I need to get a small one for may basement. We met the therapist, and Zach engaged more with her than he has in weeks of meeting with our county OT at home.
It's nice to finally have some answers and a comprehensive plan going forward.