So we finally have an official diagnoses. Pervasive developmental disorder - not otherwise specified.
Am I surprised? - no
Am I relieved? - a little
Am I sad? - you betcha
He is on the spectrum but based on the outcome of the ADOS and clinical observation. He didn't test clearly in one area though, thus the PDD-NOS diagnoses. The women who performed the test and our doctor who reviewed the session all said he was atypical in his scores. There was a lot to take in during our appointment today so it will be good to get the written report and read it over with no distractions.
The developmental pediatrician kept talking about how we need to focus on his behavior as the result of a deficit in his knowledge/understanding and not because he is choosing to be "bad." She gave us recommendations on some books and websites to look at to get more information on helping him with his social skills.
I think I've known intellectually that his behavior is the result of a "deficit" for a while, but remembering it in the moment is much harder.
I'm not sure yet if this is going to change anything that we are already doing, at least as far as the services he is getting. He's doing very well in his emotional support class so clearly what the teacher is doing with him is working.
At home Rich and I are going to have to keep remembering that much of his behavior isn't purposeful and that he has to be taught the correct way to read a situation/person and how to respond appropriately. It definitely means I need to keep working on ways to improve my patience and parenting skills.
I definitely have some mixed feelings right now...