James has been working with a BHRS (Behavior specialist) and Mobile Therapist for about three months now. I really like them, they don't totally get it, but nonetheless they have given me some things to think about and implement at home. We've focused our house rules on three things: Be Kind, Be Respectful, Be Safe. Ive tried to stop talking as much and just focus on these three rules. So instead of a long rambling lecture I just say, "That's not safe". I think it has been helpful, not so much with James actual issues, but helpful when trying to wrangle all three boys and in a general household control and structure way.
Im still waiting on James' medication to go through the insurance. That has been a complete debacle of back and forth, however I think something should come through this week.
We had a three month check in with the counseling agency in order for insurance to continue funding the BHRS and Mobile Therapist. Once again I had to go through James' life story. Why cant these people just read the freaking file. After talking for awhile I mention that at one point Matthew was diagnosed as RAD. A big sigh of relief came over her and she said "OH so you wouldn't be SUPRISED if I tell you I think James has some attachment issues?!" LOL surprised?? NO. She proceeded to tell me in front of both Matthew and James that I had taken on a "burden" and they were "brain-damaged". I was livid at that point, I really cant stand some of these therapists! She then proceeded to tell me how I should parent him with a one page summary sheet, cause you know, she went to a training once......
Whatever, over and done with and insurance approved therapy for the next three months.
James has been doing better than expected in preschool. There have been a few incidents like choking a peer and hitting the teacher at the beginning. It seems as though he really wants friends. The other kids in the class will not play with him when he is "rough" and will flat out tell him. He seems to get that the other kids don't like it, but still struggles with what behaviors he can replace it with to get them to play with him. Despite this the kids seem to quickly forgive and invite him to play. He has trouble focusing and listening during group time. He is more apt to try and push his chair into the person next to him or look around the room. Im hoping the medicine will help with this. He is "behind" academically, but does show interest in learning things that seem fun to him. Right now he likes writing. The teacher thinks it is more so the fact that they get to work one on one with her, which I'm sure is true, but works for me.
We've got a meeting Wednesday with James' BHRS and Mobile Therapist to update the plan of action for the next three months.