Thanks for your question to JA.
You raise a number of interesting questions about your son. I understand your desire to have a more clear diagnosis, but I think it is important to let you know about the limitations of on-line expert advice. We can provide you with "next steps" to consider from an expert's opinion, but it would be unethical and inappropriate to diagnose over the internet.
That being said, you raise a number of questions which I believe can best be answered through conducting a multifactored or multidisciplinary evaluation. Here in the US, there are two main options to pursue these: (1) is through the local school district, which will examine all areas of a child's functioning - particularly with regard to how this functioning impacts the child's ability to do in school. (2) is through the local children's hospital/medical center. This assessment is typically more diagnostic in focus and will also include the medical opinion of a developmental pediatrician.
In your child's case, I believe option 2 would be a better choice.
Within the multidisciplinary evaluation, a number of questions may need to be addressed. Since you will be a member of the diagnostic team (after all, the experts are expert in diagnostics... but only YOU are an expert on your son), you might want to ask a number of questions:
- What role does Tourettes/tic disorder play in his current functioning?
- What evidence is there of Obsessive Compulsive Disorder or related anxiety disorders?
- What role does language functioning play (Speech/Language Pathologist)?
- How does he function in terms of his sensory/motor development (OT/PT)?
A number of diagnostic questions emerge from you questions including ADHD. However, it is important to note that a youngster (particularly as young as 6) may display a number of different symptoms which can manifest in a variety of ways in different environments. What might look like ADHD one day might look like Tourette's another, OCD another, Asperger's another, Sensory/Motor Integration Disorder another, etc. etc. etc.
In short, in my experience, and just looking at the information provided, we would look at the descriptions you have provided and say, "the child is neurodevelopmentally complex." This is another way of saying that he needs a thorough, multidiciplinary evaluation that will look at all aspects of his growth and development. Having all of these professional opinions will only help in understanding him better.
Thanks. I hope this was helpful.
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