I'm in need of some advice on this one... it
((hugs)) I'm glad you're coming back to the US if you cant get help in NZ. You might want to contact the early intervention people where you are moving to, also, since sometimes there can be a wait for evaluations.
My DD (autism) has similar playskills to your son. She does great if me or one of her therapists is playing with her, but on her own all she does is take things apart and pile them on the floor. She has an OT and behavioral therapist that work on these things with her. An OT would also be able to help with feeding skills, so you are probably going to need one.
I have no idea what kind of diagnosis to expect. A lot of the issues you are talking about could be a motor planning problem, but there are some sensory issues esp with feeding. Unfortunately, sometimes the docs cant diagnose anything. My BF's DD is 5, and her only dx is global dev delay (your DS sounds a lot like she was at that age - she has made steady progress, but is behind her peers in most areas). I think a diagnosis at this point might be secondary to starting therapy. It sounds like your son needs speech, OT, and PT. Not that a diagnosis isnt important - it is - but sometimes it takes a long time to get one. Plus, sometimes the therapists that work with your child regularly have insights that a doc cant get in a 30 minute visit.
Good luck! I cant imagine planning an international move while trying to deal with these issues.
Hi and welcome. I'm glad you're moving back to the US. I too would contact EI in your new area and ask about an appt for an eval for when you get back. Often they are booked months in advance. Worth checking.
I know the feeling of wanting answers, a prognosis, a glimpse into the future. I will give you my opinion - your son's difficulties could be because of many things. I think the best thing to do is get him into therapy, and give him some time. If he has hypotonia and dyspraxia, it could be frustrating or even impossible for him to roll a train on a track, therefore he bangs and throws instead. My daughter used to be the same way - it was so difficult for her to play appropriately with things. Now she rolls trains and trucks with the best of them. Of course, most 7 yr old girls are far beyond that now. But the point is, she developed those skills eventually, and I would guess your son will too.
He should probably be getting physical, occupational, and speech therapy. Hopefully with that extra help, he will catch up. You could also take him to a developmental pediatrician and/or a pediatric neurologist for an evaluation. But often they really can't tell you "why".
We still don't have a reason, a dx, for my daughter's delays. She makes progress at her own speed. Doctor's still won't give us a prognosis.
And not to scare you, but as far as autism, you might want to have an eval done by a specialist - rather than a ped. We were told early on that Megan didn't have it because of her eye contact and she was "social", but a ped dev psych did a thorough eval and she is on the spectrum - has a pdd-nos dx. But that's actually helped us to help her, and understand her. I think again, early therapy can help. But delayed motor skills, vision and hearing problems, etc,
I also recommend this book for helping to encourage good play skills. I just got it at the library: