Neuropsychology Central

[kellula]

Hello

I have been on extended maternity leave (5 years) and have returned to work as a child psychologist feeling very much out of touch.

I am wondering what fellow Neuropsychologists think about Sensory Processing/Integration Disorder. I understand it is being considered for inclusion in DSMV.

In my professional life, this term has always been dismissed by psychology colleagues. However, in my private life I am finding the concept very useful for my five year-old son who presents with sensory issues and mild Autistic features.

In terms of neuropsychological assessment, are psychologists recommending Occupational Therapy (OT) intervention where sensory issues are present? If included in DSMV, will neuropsychology adopt the diagnostic catgory as another field of farmland or will it continue to be the domain of OT?

Thanks in advance for any input. I'm not so much looking for answers as inviting discussion.

[drejb]

You seem to be aware that Sensory-Integration Disorder, is not a DSM-IV diagnosis. Sensory integration problems can be symptoms which manifest if a variety of developmentla and aquired disorders. Its akin to "fever" disorder. The real question is what is the cause of the disorder. While OT can be quite appropriate and helpful in remediating sensory-integration problems, if it is thought of as a disorder in and of itself, there may be failure to assess and treat a more encompassing problem. Children with brain tumors, epilepsy, brain injury, toxic states, dyslexia, ADHD, and autism spectrum disorders may all have sensory-integration problems, but obviously the more encompassing diagnosis would be needed for appropriate treatment and planning.

Just my ten cents worth
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[neiladvani89]

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