My possible AS 13 yo has angry meltdowns. His 10 yo NT brother has a tendency to needle him, as little brothers sometimes do. S1 doesn't react well to this, and attacks him. I spend a lot of time separating them when this happens and giving consequences to S1. I feel like the consequences are not enough.
Today there was a particularly strong attack. I was able to break it up, but S2 later said that he's beginning to feel unsafe.
Anyway I know I need to do something, but I'm lost as to what, and the other question is when. S1 has been evaluated and tested for AS, and it's looking highly likely that is the case. But of course we won't know until we get the official diagnosis, so there is a chance it could be something else. The signs (not just the meltdowns) to me say AS, but I'm not the professional.
We have a meeting July 1 with the psychologist to go over the results of the testing and evaluation. At that time, I will be asking her what interventions do we need to do. My question for you, can I wait until then, which is in two weeks, or do I need to do something immediately?
We did put S1 on medication (Abilify, because I was scared of Risperdal) until we could get an official diagnosis and game plan. I'm not sure this is a long-term solution, but we needed some breathing room for now - this d@mn diagnosis process takes freaking forever. I'm calling the doctor today to discuss dosage and effectiveness. His meltdowns have gotten better - he used to regress to being non-verbal and beating his head against the floor or wall, and they would last for an hour. They are now much shorter, and he remains verbal. But they still happen.
I'm beginning to think that intensive therapy for S1 will not be enough, and that he may need to go in-patient, at least for a little while. But of course, I'm scared of the possible long-term negative impacts of that. Certainly we need family counseling on how to deal with this, and we need to do what we need to do to protect S2.
Again, I'm just so lost. And heartbroken. Particularly today. So when you respond, please be gentle. I already feel like a horrible, ineffective parent.