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Showing posts with label demand avoidance. Show all posts
Showing posts with label demand avoidance. Show all posts

Thursday, 4 January 2018

Amazon echo dot




I have mixed feelings writing this as I have been having serious issues with amazon deliveries of late and am frustrated at their lack of customer care or customer service and the fact their couriers have no culpability or recourse. However, separately from any deliveries, the amazon echo dot has been a wonderful addition to our house over the last year.


(image from argos.co.uk)

The adverts for the echo do not go far enough to show how useful it can be for everyday life in my opinion. If I had seen the adverts and not tried the echo, or researched available skills then I don't believe we would have any here. As it is we have three and are seriously hoping to purchase one more.

There are many different skills available for all ages and they are split into categories in the alexa app and I recommend spending a little time looking through these to find specific skills that you would enjoy. Another useful tick box is the alexa updates by email- usually I don't tick any of these boxes, but the alexa updates are useful. It was through one of these emails we were made aware of the migration of drop in and the calling facility to the UK.

The main reason we got our first alexa echo dot was to reduce the demands in our house that came directly from us. We recognised that having someone or something else that could state the need for action or a task to be completed would be beneficial to us all. We had limited options at the time - there are more available now- and the echo dot was affordable at £45 from either Argos or Amazon at the time (although ironically amazon did not have any in stock when we were ready to make our purchase).

We immediately linked up our google calendars with the echo dot and added daily alarms for screens off, bedtime and reminders for daily tasks such as brushing teeth. The children tried all the fun children orientated skills first- of course- so she can fart, meow and bark, tell knock knock jokes (on par with christmas crackers) and many other perhaps useless things besides. We found skills for daily news updates, weather briefings, daily inspiration, daily facts and more which we used every morning to try and spark conversations about topics other than minecraft and pokemon.
It was no long before we realised the echo dot would be more effective if we had a couple of them- we now have three. We have one in our girls' room, one in our son's room and one in the kitchen. We can call eachother through them- saves calling children for dinner repeatedly, listen to music and radio stations on them, listen to audio books via kindle and audible on them, ask how to spell words, ask random internet search questions (sadly she seems to use wikipedia and bing so this is where I can see a google device being far better) and more.

I always have so many tasks and jobs in my head that I forget half of what I am meant to be doing, so use the echo dot with an app called 'if this then that' which a friend told me about. It means I can leave notes with the echo dot, add items to my tesco shopping basket (be careful to check the basket the day before your delivery to remove any dodgy items), set myself cooking alarms, constantly check the date and time, listen to the news and various radio stations and songs, set reminders for us all for various activities and daily tasks, set alarms and send voice messages to other echo dots here too.

She is very useful for when you can't find a dice anywhere too :)

In the constant effort of engaging the children in any topic other than minecraft, pokemon and now arc survival, we also use the following skill commands:
open stop breathe think - for a bit of time out
open magic door- a lovely story where you make decisions about the direction of the story (great for aiding decisions making skills)
start animal game- think of an animal and she will ask you questions and try to guess the animal (nice addition is that she informs you of any facts you were lacking in too)
launch higher lower game- again useful for decision making and number values
open code word- following the clues can you work out the word alexa is 'thinking' of?
play true or false
open combat and hit the dragon with my sword- another decision making story game
play yes sire- a strategic game which keeps your scores from game to game
open guessing game
open escape the room- I particularly enjoy this game but get frustrated when it repeats chunks of text aking to a call centre worker who has to read out a paragraph in response to a certain phrase
start harry potter quiz
open I'm feeling curious
I'm bored
inspire me
start vocabulary builder
open maths coach
launch mystery castle
play runescape

There have been others we have tried for a while and then left to one side.

I keep a list in the kitchen of the command words for each of the above skills as I cannot remember them all, but the regularly used skills become second nature.

A humerous side to having the echo dot is hearing the children shouting at it when it tells them it is screens off time, or time to have a shower.

From a demand avoidant perspective I cannot recommend them enough. 

**a tip- make sure your 'drop in' is disabled in your alexa settings to prevent other alexa users being able to drop in and speak to you through your alexa remotely- unless you are happy with that**


More marketing type information is available here:
https://www.amazon.co.uk/dp/B01DFKBL68/ref=fs_bis
http://www.argos.co.uk/product/6349693

and there are other personal assistants available which may work better for you, I just urge you to look beyond their limited advertising and consider how useful it can be for a family with PDA, autism or any other needs. (I am still trying to hold my husband from purchasing the smart home technology you can link up to the echo dot!) 

Wednesday, 6 December 2017

Useful reading

I am a member of several relevant social media groups and often see posts asking for recommended reading, or for sources of information. It is not too long ago that the possibility of our children having autism crossed our minds again, particularly with the different profiles within the autism spectrum, and that prompted me to search out further reading, which I thought I might share with you here:

YOUR Autism MAGAZINE
I signed up to The National Autistic Society after my eldest was diagnosed, particularly because we needed something physical he could have with him that was official and let people know some of his difficulties without him having to explain anything. The membership came with an autism card which he can carry with him if he needs to. I digress.....The magazine is quarterly and delivered to your door as a part of your membership (we paid £8 a year I believe). I honestly don't find magazines generally relevant, but this magazine covers a wide range of issues and offers advice within its' covers. There are also advertisements from specialist providers, which is something I have also found extremely useful as generally I find that adding 'autism' to a listing instantly adds £s.
This particular issue is the Winter 2017 issue and features Anne Gegerty from the TV programme The Chase, talking openly about having Asperger's syndrome and how it has affected her, whilst showing a strong, positive outcome as well. There is also an article by a mum on how she managed her feelings after her son's diagnosis- another common thread on social media, which I fully understand and am still working through with my eldest daughter's diagnosis as I await the full report.

Aspergirls by Rudy Simone

I bought this book before taking my eldest daughter to the GP with my concerns, and before I had even considered she may also have autism. So much of the Asperger's syndrome profile seemed to fit her that I wanted to read more about it and see if I could help her in any way. This book has a lot of information about different life stages and experiences, with examples of how they can be handled by the person with Asperger syndrome and parents too. The golden page of the book for me came at the very end, the Appendix. This is a table of all the traits of Asperger syndrome and I was able to read through it, putting specific challenges and incidents for my daughter by each trait listed. It was a real eye opener but didn't leave me hanging with nowhere to turn, because the book itself addressed the vast majority of these too. I would thoroughly recommend this to anyone who has/suspects they may have Asperger syndrome, and to those who have a loved on with Asperger syndrome. The book is Aspergirls because the profile of Asperger syndrome in girls is so different to that in boys that girls often go undiagnosed. Women are generally more social in nature, so develop 'masking' techniques at a younger age, becoming to skilled in this and social mimicry that they can appear neurotypical at an assessment or appointment unless the people there know exactly what to look for. I found it extremely useful to print a copy of this appendix from the website http://aspergirlsociety.org/female-as-traits/ and jot examples by the traits listed, then included this with my forms to CAMHS (child and adolescent mental health services) when raising my concerns and requesting an autism spectrum disorder assessment.
I should also mention that currently, Asperger syndrome does not feature in the diagnostic manuals used in the USA and referred to in the UK, so a diagnosis of high functioning autism is given instead. For any research/seeking support, high functioning autism and Asperger syndrome are synonymous. I would recommend purchasing this book, rather than borrowing it if you anything like me as I needed to jot down notes as I went through it, highlight sections that rung so true they could have been written about my child, and have returned to it since reading it the first time.

Can't Eat, Won't Eat by Brenda Legge

My youngest was always happy to try most things, but once she tried something and decided- for whatever reason- that she did not like it, that was it. Never again.
Early on, as a baby, she was difficult to give a bottle to, a 'sicky baby' and so we weaned her as early as was safe to do so. Even then she would have a little plastic spoon for her, and one for us, with the one for us barely ending up in her mouth, hers invariably on the floor several times over and her using her hands to eat. Not a problem.
Not long after we moved she began to become noticeably fussier, to the point that she ended up only eating cheap tinned spaghetti hoops, cheese and tomato pizza- only a particular brand and size, a certain sugary cereal and pop to drink. She could be persuaded to eat a Mc Donalds happy meal, on days we could get her out of the house, but eating became a real problem for her, and caused me great concerns. I was as sure as I could be that there was nothing physical preventing her from eating, so we had a full sensory profile and allergy test carried out. The sensory profile picked up a whole lot of issues for her, and offered strategies for us too, which we are still implementing and will continue to do as long as she will let us. The allergy test came back with allergies that I had suspected from her symptoms of mouth ulcers, bloating, red itchy skin in patches and tiredness. Whilst waiting for the results of these tests, I bought and read this book, which offers a lot of common sense approaches to helping your child to eat- I say common sense approaches because a lot of them are what would be considered normal approaches for any child, but in the panic of having a child who is not eating for whatever reason, as parents, I think we go into panic mode rather than common sense mode, so this book is useful for returning you to basics and working through possibilities to help your child. I particularly liked the case studies within the book, and found some of these directly relevant to our situation with our other children as well as with our youngest. It is also very reassuring to know that there are many other parents out there with the same daily struggles over food and eating going on, and that there are places to go for further advice. We use some of the strategies from this book alongside the altered allergy free diets we have here and have seen a marked improvement overall. She is still 'fussy' and some days feel like we have taken three steps backwards, but there is hope.
I would also recommend a sensory profile to any parent who has a child who is struggling to eat. We did not realise the implications that her sensory processing difficulties could have on every aspect of her life, including eating and food. In order to have a full profile carried out, you need to find an occupational therapist who has completed a post graduate qualification in sensory integration. I know this differs around the country (and within our own county depending on what your surname is it seems) so you may be able to access this through the NHS or you may need to pay privately. We had to pay privately for two of our children, and will be returning in the new year for a sensory profile of our third child, and they are worth every penny for the insight you get into your child's world and ways in which you can help them.

Pathological Demand Avoidance Syndrome. My Daughter Is Not Naughty by Jane Alison Sherwin

(image from amazon.co.uk)
This was one of many books first recommended to me when I began to realise the PDA profile fitted my son. The title itself was exactly what I had been telling people for years (obviously about my son, not daughter at the time) but reading this book made me realise just how much of my youngest daughter's behaviours were just like my son's had been, but more intense at the same age.
Mollie- the author's daughter and the focus of the book- had so many behaviours and struggles that were the same as my son's had been and continue to be, that it was very hard to read. I was in tears of relief more than once to read that he was not the only one, that there was a reason for it all, and that I had been right all along in trying to tell these professionals for seven years that I did not need another parenting course as they did not work. Until I read the book, all I had read were the clinical guidelines and traits of PDA, which were confusing me as so many crossed over with other conditions, but reading this book, and rereading sections of it, reassured me I was going down the right road. I find it much easier to understand the black and white traits and symptoms when real life examples are put to each of them as I find they can bee ambiguous otherwise.
Do not be put off by this book being about a girl, regardless of whether you have a boy or girl who has/may have PDA, this book is for you and is well worth purchasing so you can return to sections of it later.

Asperger's Syndrome for DUMMIES

I have to be totally honest and say that I have not read all of this book yet. I bought it after finding many of this series of books were very reader friendly and useful in the past, but felt a little disappointed upon first opening this particular title. I think the main reason was because I wanted to better understand my daughter, and found a heavy emphasis on men and boys here, with a chapter on how it is different to women and girls. I would have found it better, and more useful, to have examples and advice imbedded for both sexes throughout the book rather than separating it out in such a way. That said, I will be reading it over time and thought it still worth a mention for those of you who may appreciate a broad introduction to Asperger's Syndrome, with separate chapters for aspects of life with Asperger's Syndrome, simply marked advice and easy to locate sections. Another aspect that I didn't consider when buying this title was the title of it, which my daughter with Asperger's found offensive until it was explained to her that it was not calling her a dummy. It has been endorsed by The National Autistic Society and does contain a lot of information for the reader, with a section for those living with someone with Asperger's syndrome too.


Don't Worry Be Happy

This is one of those twee gift books that you get someone when you aren't sure what to buy them, or find in the charity shops, except I bought this one full price from a store, brand new, specifically for my eldest daughter. She has such low self esteem and lacks confidence in herself, as well as having a lot of worries and anxieties, yet she spotted this little book on the busy shelves of the bookshop and took an instant liking to it. As she is only young, a lot of the quotes are over her head now, but the book will last her years, long into a time when she can fully appreciate every single page inside. It is a perfect size to fit in your bag or coat pocket for when you need a little boost, or a smile, and I have found it excellent for her at raising a smile and helping her see she is not alone, in a simple way. One example of a quote inside is 'Just take the first step'- not too profound, but when you are literal and struggling to cope because of your anxiety and sensory processing difficulties, such a simple sentence is unbelievably powerful. I like to take quotes from this and send them to her on Facebook messenger now and then, particularly when she is having a tough day, or a recharging day. I would not easily recommend it for men or boys, unless they are happy with pink- as I know many are, but my son would rather eat his own arm than have anything pink near him- the colour scheme is heavily pink/purple and yellow. A perfect gift to bolster anyone's confidence and self esteem without the counselling costs.

The Highly Sensitive Person by Elaine N. Aron
How to thrive when the world overwhelms you
(image from amazon.co.uk)
It had become obvious to me, from a very young age, that the world was a scary and unfair place, where promises are broken, people don't say what they mean, and they let you down. I discovered that it was extremely difficult to find someone trustworthy to speak to about these feelings and was diagnosed with a range of disorders as a result of trying. As soon as it became apparent to me that my children were finding the same difficulties in life, I found this book in a free book shop. It is not particularly about any diagnosis, but focuses more on the actual problems that are faced daily when you see the world differently to the majority of society. I read it as a parent, seeking a deeper insight into my children's world and ways I could help them deal with everyday life, but was shocked to realise how much of this applies to me too. It made sense of a lot of my own childhood and adult difficulties, something I think parents of children on the autism spectrum need to be aware of. I am under no illusions about there being a possible genetic link in autism- I strongly believe that I have autism with the Asperger or high functioning profile, the same as my eldest daughter, but have been diagnosed with so many other things along my life where doctors have missed my real struggles that I see little point now in pursuing any formal diagnosis for myself, rather focusing on my own children getting the support they need and can access now, support that I needed growing up but could never access. But I digress again...this book goes through stages of life and addresses possible issues faced by sensitive people at these times in their lives. It ends with advice for employers and teachers, sections which are invaluable when you are fighting for support for your child and not being heard.
Sadly I am not sure if this book is still widely available new, you can purchase it second hand though.

Simplicity Parenting by Kim Joan Payne MEd with Lisa M Ross
Using the extraordinary power of less to raise calmer, happier, and more secure kids

If you want to be able to help your children live as adults, in the world without any distractions from technology or trends then this book is fantastic for you. It reads similarly to an academic paper in places, but bear with it if you aim for this lifestyle.
Some people on the autism spectrum find screen time over stimulating and need nature and calming, relaxing time to recharge and access down time for their bodies and brains. These people will benefit from this book and the ideas within. It guides you towards a decluttered life and home, practicing mindfullness and being content in your life, whilst maintaining boundaries between adults and children.
I read this book from cover to cover, and it was hard going at times, requiring your full attention to fully wade through the different academic opinions, and I tried some of the suggestions from the book with our family, but soon realised that our children fall into the first category. They all respond to screen time in the opposite to the well published and preached research- they find it relaxing and it helps them to unwind, recharge and sleep. Any attempts at yoga/mindfullness/massage are met with over stimulated children who escalate very quickly here. I cannot declutter and remove any items we do not use, because they ask for them a year later and cannot understand where they have gone, why they would have gone, and why I would have changed things like that.
I fully agree with some aspects of this book, even for our family, and would love to be able to live a less cluttered life with my children being happy, but it simply would not work for us.
Also, I take issue with some of the topics and opinions about children being so different to adults, but we almost completely unschool our children, which I am aware flies in the face of most research and literature, so accept that. If your children- and you- love routine and schedules, with scheduled breaks and the minimalist lifestyle then this book is for you.

The Explosive Child by Ross Greene
(image from amazon.co.uk)
This book has completely changed the way I deal with my children's concerns, worries, demand avoidance and meltdowns. It will not be for everyone, but has worked for our house.
There are three styles of parent interactions with children discussed in detail, and examples of what not to do for each. The idea is that you read through, then try the style of parenting and see what effects and results you have in your home. For some it will already be the norm whilst for others it will be a total breath of fresh air, and for others you will find it useful as a coaster- as with any book.
Personally though, I found this book to be extremely enlightening and it addressed far more of our everyday underlying battles than any parenting course or professional ever has. It has been a few months since I really started using the strategies from this book and there has been a definite reduction in the daily challenges here, and more open conversation from the children too- something I thought I would never say. They have always known they can talk to me about anything, but I underestimated the importance of repeating their concerns to them and being able to encourage them to expand on their worries and anxieties without making it a demand. It is easy to follow and the examples are laid out in such a way that you can return to them easily to refresh your memory of the specific wording suggested (which sounds a bit odd at first but soon becomes second nature). It has allowed me into my son's world recently, which has been so important given the bullying and discrimination he has been facing.

I also have a few other books which I am not going to discuss in such detail, for various reasons:
Free to Learn by Peter Gray is one I bought when I assumed the professional sermons about screen time were blanket correct. But now I know better for sure. It does support unschooling principles and discusses reasons why this can be the better way forward in some situations, but I found it too academically written, and not relevant enough to special needs and the challenges we face here on a daily basis. If you are interested in unschooling and believe your children's thoughts and beliefs are as important as your own then it may be worth a look for you, as it does support this, as do we, but it is heavy going in my opinion and there are plenty of other books on unschooling.

60 Social Situations & Discussion Starters by Lisa A Timms 
to help teens on the autism spectrum seal with friendships, feelings, conflict and more

I bought this recently, and have not had the time to fully read it yet, but have looked through the first couple of chapters. It is an interactive book, full of questions, much like a counselling session where you have to look at your own expectations and understanding of situations, but also offers advice and parent homework which I find particularly positive. My children are all slightly too young to begin working through this with them, but I aim to work through it alone first, then with them starting mid next year. I wish someone had taken the time to talk about these topics with me growing up.

No Worries by Dr Sharie Coombes

A book for children to work through alone, or with parents, to put their worries and thoughts don on paper. I bought it to work through with my son but, at age 11, he turned his nose up at it saying it is too babyish, and I can see his point so left it there. I have taken some of the ideas and activities from in this book and done them secretly with both my older children with positive outcomes for both, and would recommend this for those who are a little younger, perhaps 7-9 year olds.

Can I tell you about......


The books I would put top of my list for any parents and junior age children would be the Can I tell you about.... series. We have a few of these for different diagnoses and each of them is as useful as the next. They each give a basic and brief introduction to their diagnosis and explain, in simple terms what it means. They are printed so the left hand page is for children, with an illustration and less words, whilst the right hand page is aimed more at older children/adults with more details and examples. There are lists at the back of them for further support and they are suitable to give to a more reluctant or demand avoidant tween to read in their own time, with the assurance that any questions can be asked openly (I cannot believe I just had to add the word 'avoidant' to the dictionary on here!). These books are also excellent to give to friends/family/teachers who lack understanding and need a quick overview.The titles we have here are:
Can I tell you about Selective Mutism? by Maggie Johnson and Alison Wintgens
Can I tell you about Asperger Syndrome? by Jude Welton
Can I tell you about Pathological Demand Avoidance Syndrome? by Ruth Fidler 
Can I tell you about Sensory Processing Difficulties? by Sue Allen

My only niggle is that they have either a male or female on the cover, and there is no option to change it. This was an instant barrier to my 11 year old son with PDA, but once I explained I shared his annoyance at that he was more willing to read it.

I hope you have found this useful, and please feel free to share any other books you would recommend to others who are just beginning their battles with the authorities and professionals, or who are newly diagnosed, facing questions from family and friends, or who are looking for a relevant book or magazine to read.



Friday, 24 November 2017

Assessment Journey

A story so familiar to so many families fighting the diagnosis fight, trying to prove themselves as good parents to professionals who insist on parenting courses, repeatedly finding yourself listing all the negatives about your child/family, repeating yourself to professional after professional, completing numerous forms and going to appointment after appointment, seeking referrals only to be turned down.

Our story started seven years ago when the first person, other than me, noticed that my son was requiring more input/care/support than a child would be expected to at the same age. That person was the SENCO at his primary school, who supported a referral to the GP and referral to the local paediatricians. One may be forgiven for believing that our story is short and ended there, but, as I am sure you can guess, that sadly was not the case. 
Our appointment with the paediatrcian was running late, so my son was unhappy in the waiting room. I read him the famous parenting riot act which subdued him just in time for the Dr to call us through for the appointment. 
We entered the new room, in a building we had never been to before, met the Dr, who we had never seen before, and whilst he checked our personal details were all accurate, my son sat on the chair as he had been told to. The Dr- a paediatrician remember- then said that he could not possibly have ADHD because if he did then he would not be able to sit in the chair still like that, checked his weight and height, and discharged us. 
We then had a number of life changing personal situations which took precedence for a number of years over any further investigations from unhelpful medical professionals. I completed several different parenting courses- each one prompted by my approaching someone for help for me and my son. These ranged from patronising to useless. Not one of them was helpful in any way, shape or form. One lady, who was delivering the course 1:1 with me after I refused to attend another course, actually gave up after meeting my son and I together, saying that she could see I was doing all the right things and the course would not be helpful! Sadly that was not the last parenting course I have been on though.Image result for eye roll clipart

I am in no doubt that these parenting courses are extremely useful and enlightening for some parents, indeed they were for some parents who were on the courses with me. Those parents did not have children with the same needs as mine. Their children were and are in mainstream school with no additional support. Their children do not have medical needs or care needs beyond those expected for a child the same age.

I have stopped myself from hiding the eye-rolls when people suggest parenting courses, sticker charts, rewards, positive reinforcement, or sleep hygiene. I no longer nod politely and agree with these professionals who clearly have no idea what I, and my family, are dealing with every day and night. I have stopped waiting patiently for people to call me back and begun emailing heads of departments instead. There is no option if you want your children to be seen and taken seriously. Even then you still get fobbed off...but I digress.

It took from the age of four, to the age of eleven for my son to be finally assessed properly. That assessment only came about after we paid for a private assessment. Our reason for paying was not because we think private is better than NHS, or because we can afford it, it was because he had two huge meltdowns in a short space of time, both of which required police involvement, one caused serious physical injury to a member of our family, and social services would not help us. Our GP referred us to CAMHS (child and adolescent mental health services) who seem to do everything possible to not see anyone. They refused the referral three times until I wrote to them and followed that up with a phonecall basically demanding an appointment. The initial appointment was a few weeks later and they agreed that an ASD (autism spectrum disorder) assessment was needed, but the waiting list was around two years. Two years? He had just broken a bone in a family member's body and had a final warning from the police when I had marched him in there. No way could we wait two years. No matter how much I expressed my concerns for his mental health and future, there was no movement or support offered. To the contrary, me seeking support made things so much harder and opened the doors for busy bodies to stick their noses into our business, stir the pot, then leave us in a worse state than we had been before. That is why we went private.

We researched A LOT before deciding where to go for assessment. We didn't want to pay over the odds, wait a long time, see anyone who wasn't properly qualified or registered and inexperienced, and we had a fairly good inkling that he might have autism with PDA (pathological demand avoidance). We read a lot of books, blogs, websites and joined as many social media support groups as we could before deciding who to go and see. Our research led us to a particular psychologist with many years experience assessing and working with people with autism and PDA. Other people had been to see the team and some had come away without a diagnosis, some with, which led us to the conclusion that they were not just handing out diagnoses in return for money (a view many of these professionals seem to have but which can easily be discredited with a little research and diagnostic report). 

Our eldest daughter has been through more than anyone her age should have to, and has far more support and care needs than a child her age would 'normally' have.  Despite this, and the many professionals who have been involved with her, not once has she been assessed, or any real help been offered. Each and every person who has become involved with her over the years has done the bear minimum and then left. My referral to CAMHS was extremely thorough and we were fortunate to be accepted on to their waiting list around the same time as a new directive was published, stating all new CAMHS patients had to be seen within 18 weeks. She has been very lucky to have been referred, assessed and diagnosed all within a year. We now know exactly what she, and us, are dealing with and the best ways to support her. The assessment process was extremely stressful for her and caused her huge anxiety and stress, but her reaction to the diagnosis was amazing and inspiring.

Our youngest child presents spookily similarly to our eldest, but with even more pronounced needs and difficulties. We were as confident as we could be without having the correct degree, that she had autism and PDA. I approached our health visitor with my concerns and was spoken to as if I was three. She was patronising beyond belief, and no help whatsoever. My concerns over my daughter's sound sensitivity and sensory needs were brushed off, her demand avoidance surrounding sleep and eating were passed back to me with the suggestion of reward charts (yawn! eye roll!) and then she had the audacity to meet with our GP, without us knowing, and they discussed it together and decided there was no need to do anything for our daughter beyond (another) hearing test. I took her for the hearing test and told the lady there that we were wasting her time- which she then confirmed to have been the case as her results - again- showed no physical hearing problems. We decided to bypass the useless medical staff here and went straight for a parental referral to CAMHS and private assessment for autism and PDA with the same people we had decided to use for our son.
CAMHS actually saw her before the private appointment, and agreed that an ASD assessment was needed as she showed so many signs, but I told them I had a private assessment booked already and didn;t want to waste their time, or take someone else's spot on the waiting list, so ended it there for now. 
In our area, as in many areas in the UK, PDA is not recognised by CAMHS or social care. This is not because it doesn't exist, merely because the DSM-V (a diagnostic manual issued in america for professionals and insurance companies to know what will be paid for by insurance and what will not) has changed the wording for autism. PDA is not there and the manual no longer separates autism into different diagnoses, preferring to refer to it as an spectrum disorder. This is also why our eldest daughter has a diagnosis of high functioning autism, not Aspergers, as this was also taken out of the DSM-V and bundled into the umbrella of autism (I have heard parents of children with a diagnosis of Asperger's syndrome commenting that this must mean there is now no diagnosis for their  child and they must magically need no extra care or support now then). 
There is more information on this here: http://www.autism.org.uk/DSM-5

Our three children have been diagnosed with autis m, with different profiles, within the last six months.
Two privately, and one by our local CAMHS ASD assessment team.
They have been diagnosed with autism with a pathological demand avoidant profile (two of them) and high functioning autism with other needs too. 
I was going to list the people we have seen this year but will post that as a separate shorter post I think.

(side note- if, like me at first, you find these abbreviations and jargon confusing there is a brilliant site I found here: https://www.ipsea.org.uk/what-you-need-to-know/jargon-buster and another here: https://www.thinklocalactpersonal.org.uk/widgets/jargon-widget/)

Also- I read many blog posts and wonder how on earth these parents manage to find time to write blogs whilst their children are there with them, knowing how demanding this can be. Well, I have already had to save a draft of this twice, go and sort out a minecraft emergency, redirect three children several times to finding dummies, ipads, DVDs, TV remotes and given repeated clear instructions on how to complete everyday tasks that they would be able to do if I were not trying to do this.