Showing posts with label assessment. Show all posts
Showing posts with label assessment. Show all posts

Friday, 9 December 2011

Dyspraxia Assessment - and Confessions of a Dyspraxic

    Well, it's official - I have dyspraxia.

    For those of you that read this blog regularly, you'll probably be thinking "huh?", since I've already written about how I first learnt about dyspraxia at the age of 15 when a teacher at school told me (assuming I already knew) that he thought I had the condition.

    As a result, I've spent the last 15 years hearing that word, but not really understanding how that word / description / label actually affected me. Since I've opened up to learning about the subject - and meeting fellow dyspraxics - I have learnt so much about the condition and what it means to me.

    My assessment day was a couple of weeks ago and I came away buzzing from the experience. (You can find my blog about the day here - http://vikingbay.blogspot.com/2011/11/dyspraxia-assessment-day.html). It was an intense - but incredibly worthwhile - day, especially because the final draft of the report landed in my postbox the other day. It was a strange mixture of emotions to hold the report in my hand, knowing that - for the first time in my life - someone had formally recognised my condition.

    I won't bore you with the entire report (it's over 20 pages long and a lot of it is personal to me in any case), but the paragraph that is the important bit is as follows: "Matthew has Development Coordination Disorder (Dypsraxia), which affects his balance, tactile discrimination, fine and gross motor skills and social interaction, as well as his sensory systems." Such an innocuous sentence, but one which boils down (extremely succinctly) the areas of my life that dyspraxia affects - and formalises my condition.

    I started this blog in August 2010 (although it doesn't seem that long ago), and wrote my first article about dyspraxia on October of the same year - it had taken me two months to work up the courage to "come out" as dyspraxic to the blogosphere, and that can be an anonymous enough place if a writer chooses (although my cover of Smithy has been pretty much blown out of the water with the publication of my first book, Fall From Grace!).

    Looking at it objectively, I'm not bothered about keeping my dyspraxia secret any more; it's a part of me and something to be accepted - unlike when I was a teenager and in my early twenties and embarrassed about the condition ... with a chip on both shoulders about it. Having an employer (in my late teens) who grossly over-reacted when I confided in them certainly didn't help my confidence - but my perspective has, thankfully, changed and relaxed in the last couple of years. I've learnt to accept that my dyspraxia is just part of me - and it's help make me the man I am today, which has helped to make me finally feel  comfortable in my own skin.

    Since I've accepted that this is who I am, and started acknowledging and facing the anxieties and physical issues I've got as part of the condition, my life has expanded and changed beyond measure - in a good way. 2011 has been an incredible year: I've changed jobs, turned 30 (okay, nothing I can do about that, to be fair - except "do a Joan Collins" and lie) and travelled more than I could have ever imagined a year ago. I've also had the good fortune to meet and make friends with fellow dyspraxics for the first time - and so many conversations where one or both of us say; "Wow, you do that as well? I thought it was just me!" Having dyspraxic friends really helps me feel I'm not alone in experiencing the effects of dyspraxia!

    All this - my blog, my friends (dyspraxic and non-dyspraxic alike) and family, my new experiences over the past year - have helped me to accept my condition and, whilst understanding that it's a part of me, that it doesn't control me. I control it.

    The report also has a number of appendices, talking about possible ways to tackle areas of your life that are affected by dyspraxia, and I'm carefully studying those. Why? Because getting that dyspraxia assessment isn't the end of my journey, not by a long shot. When I started this blog, it was partly to help me chronicle my acceptance of dyspraxia and to get an assessment, which I thought would bring my exploration to a close - well, you won't hear me say this often, but I was wrong. As I've developed and grown as a person, I've learnt that the assessment is just the beginning - I've got a lot of things to learn and develop, and the report will help me codify what to do first.

    Personally, I can't wait!

Friday, 11 November 2011

Dyspraxia: Assessment Day

    Assessing people for dyspraxia and other DCD and autistic-spectrum disorders is a very specialised art - OT's and psychologists need specialised training in order to do the assessment effectively. Occupational Therapists (OT's) need effective training - and I was more than pleased to take part in this training, especially as it meant I could get an assessment out of it as well.

    I've taken part in a research study at Oxford Brookes University (http://vikingbay.blogspot.com/2011/06/test-subject.html) back in May 2011. I was glad to take part in it, but I had to be clear when I did that I had no formal diagnosis - merely an observed set of issues that my teachers thought added up to dyspraxia.

    However, this was a perfect opportunity to change that - Frances Beaumont, co-founder of the Kent Dyspraxia Association and a qualified and experienced OT herself had arranged a training day for OT's to be able to diagnose the condition, but of course needed volunteers for the OT's to assess.

    I wasn't likely to turn that opportunity down!

    I genuinely didn't know what to expect from the assessment; I know people who have been assessed - indeed, a very good friend of mine is dyspraxia and had a full assessment some time ago - but I deliberately avoided asking too many questions, because I didn't want to influence my own thoughts and responses when I was assessed.

    The assessment day was in Faversham, only a 40 minute train journey from where I live - and I was picked up from (and returned to) the station ... which I am grateful for. Not knowing Faversham AT ALL, it would have been a dead cert that I would have got lost. As it was, I felt a certain amount of anxiety about going to an unfamiliar place and with no advanced plan of action - it's an unsettling sensation for someone who likes to be in control of his day, but also good ... as it helped to explain to the OT what it felt like.

    There were six OT's to six volunteers, and I was "paired" with a Welsh-born, Birmingham resident called Laura, who had been an OT for some years and was looking to expand her knowledge. You always worry about getting on, but thankfully, that wasn't the case here - Laura and I got on famously.

    Frances led some interesting discussions in the morning, geared towards to OT's, but was fascinating to listen to, and then we began individual assessments in our pairs. I mentioned previously that I had to complete and two questionnaires; one being a Sensory Profile, about my reaction to different situations and circumstances, and the second being a more open questionnaire about my past, my life in general, etc. We spent a good couple of hours in discussion around these questionnaires, and it was fascinating to work through the forms and see how my Sensory Profile really does fit into a model of dyspraxia.

    The session was broken by lunch, and it was fascinating to mingle with the OT's ... and the other dspraxics. We had some brilliantly fascinating - and funny - conversations over lunch, and it was great to know that I wasn't the only one worried about missing my mouth whilst eating.

    After lunch - and more discussion - I did some manual tasks; walking on the balls and heels of my feet, finger dexterity and perception tests, and the old favourite ... balance tests. Oh how I love them! It was interesting to get feedback from Laura; clearly, I have terrible balance, but she noted how my body tried to compensate - by putting a hand into a pocket, for example. It seems my subconscious is already trying to help out a bit ... reassuring!

    It was a long day of discussion and testing - I got home about 5.30, but it felt later, and I felt exhausted. It was incredibly worth it, though; it gave me a deeper understanding of dyspraxia, intellectually, physically and emotionally. Having to concentrate on physical actions to a great depth than neurotypical people can be exhausting, and it certainly was that during the testing, because it was very focused - but don't think I'm complaining, because it was worthwhile for the end result.

    The OT's had a second day of training today, then are going off to write the report, so I should get the first draft within the next couple of weeks - and then we shall know the outcome. I'm very much treating it as a new chapter in my life, because I can choose what I want to do with the report - and if there are any changes I want to take on as a result.

    Whatever else, this year has been an incredibly interesting one - and this report will cap it very nicely!

Sunday, 16 October 2011

Dyspraxia Assessment ... The Next Step

    I have been determined this year to explore my dyspraxia more - I've written about it in some depth - and also to seek a formal assessment of my condition, which is something I've never had.

    The first step in this diagnosis was back in June when I attended Oxford Brookes University to help in some research (see my post http://vikingbay.blogspot.com/2011/06/test-subject.html) and I received a report from them certainly confirming what I already knew - that my motor coordination and attention-holding was below the expected levels for someone of my age. Whilst not a formal diagnosis by any means, it was great to have the opportunity to contribute to ongoing dyspraxia research at a respected university - and seen empirical evidence of my condition for the first time.

    The next step for me was to seek a formal diagnosis. For adults, this can be very difficult; it's not free for one thing. If you're a child or teenager, there are opportunities to get diagnosed through an Occupational Therapist or Clinical Psychologist at school - as an adult, you quickly discover that there's a cost attached to these, often around £500!

    Eeek!

    I've started working closely with the Kent Dyspraxia Association (KeDA) and am honoured to be a part of their group; it's a truly passionate society dedicated to raising awareness and offering support. I'm attending my first proper meeting in a couple of weeks, and it'll be an interesting - and positive - experience, as I've still only met one other dyspraxic in person, the legend that is Barbara Neill and is now a very good friend of mine. I'm looking forward to meeting other dyspraxics in person - although that's no disparagement to the online dyspraxic friends I've made over the last few months. Having a support group in any form is vital, and I don't know if they appreciate how valuable I find them. So, to Jo, Tom, Spencer and all the others - you rock!

    I seem to have digressed slightly! I mentioned KeDA because when I met a few of the committee in Faversham for a drink, I fell into conversation with a qualified OT called Francis Beaumont. She's a lovely lady and we had a fascinating chat- especially when she mentioned that she was planning to train some OT's in formally diagnosing dyspraxia in adults ... and needed some test subjects. I volunteered so quick, it was almost a reflex action! I was glad when Frances accepted my offer - and it meant I would be able to get a formal diagnosis as well.

    The session is in Faversham in November, and in preparation I recently received two questionnaires to fill in. They were incredibly in depth questionnaires and I spent a long time making sure the answers I was giving were completely honest. It was interesting to codify a lot of my experiences in these surveys, even more so than I've written in my blogs so far. One was a Sensory Profile on everything from auditory and movement processing through to activity levels and a lot more besides; the second one was a wider survey on my life up to this point, and it gave me the opportunity to talk about the issues I've experienced in my life. I won't bore you with details here, but it helped bring the subject into sharp focus!

    My task for the coming week is to return the surveys to the OT who I'll be meeting on the day and then prepare myself for the actual meeting. To be formally assessed for a condition I've heard about all my life in relation to myself creates a strange mixture of emotions that I'm finding it difficult to analyse, but I'm taking it as a positive experience; I still don't know what I'll do with the diagnosis - maybe nothing except know that I've got it - but I know it's the right thing for me to do right now.

    I'll keep you updated!