I really need help/direction with this.
DS 4 years & 9 months old and he is on the spectrum - mild/Level 1. He was diagnosed last Feb at just shy of 4 years old - after 2+ years of what we thought was severe separation anxiety. We had awful time separating, especially in group settings like school. He cried hysterically, often threw up. In Sept, dev pedi added ADHD and GAD to the mix.
He started therapy last March and we saw an immense improvement at school. Still wasn't great but much calmer. Our best guess is that a lot of the anxiety was sensory issues and OT helped. Since Sept, he is in an integrated classroom receiving all his therapies (PT, OT, speech and psych) in school. September was difficult - new class, no therapies for a few weeks over the summer, etc. But he progressed well and November was awesome.
We have seen a lot of regression since Thansgiving. December was hard but he was coming back to normal by end of December. But January has been terrible. 12 days of no school and therapies has taken him back to Sept. He doesn't want to go to school. Cries a lot over it. Participation in class is gone down.
He won't tell us what is wrong. Not sure he won't or can't - he is still learning to identify emotions. The teacher has mentioned he covers his ears a lot (started in Dec). So early Jan we added a private session of OT for sensory integration (vestibular work helped in the past). He gets OT in school but they are not equipped with a sensory gym.
But its the anxiety that's bothering me. He is constantly fixated on whether it's a school day or not. First thing he asks in the morning. Asks constantly in teh evening. Wakes up in the middle of the night & asks if it's a school day. I can see his body react to the stress when he finds out it is a school day - his heart rate rises, his breathing becomes shallow. He is terrified.
Any thoughts on what else I can do? If it is sensory, OT should help but it will take time. But we don't know that it is. It could be psychological. Would adding private psych session be a good idea? Something else?
I am open to ideas.