J.M.
T.-
My son was diagnosed with severe AD/HD at 3! And, this was through a psychologist who went into the evaluation telling me that he didn't "diagnose" AD/HD that young. Well, a hour and half of my son's "typical" behaviors and we got our diagnosis! I knew I wasn't crazy....
That being said. I haven't noticed any tics yet. I do know that Tourette's and AD/HD can be somewhat related. Could it be medication related? I know that some stimulants have a higher rate of "tic incidents". My son is currently 5.5 and on Dexedrine Spansules. He does sometimes get "stuck" in a particular thought process, but no physical reactions have been seen so far. My son was also diagnosed with a variety of other conditions at some point or another. SPD (sensory processing disorder), ELD (Expressive Language Delay) and Emotional Dysregulation (whatever the heck that means!).
What state do you live in? I live in PA and here, my son qualifies for Medical Assistance just b/c of these disabilities. I also carry him under the insurance plan I have through work, but we get some things that we couldn't get through my plan with the Medical Assistance. One of them being wrap-around services. My son gets Behavioral Support Consultant and a Mobile Therapist. That has worked out great over the last couple of years. They work with us in the home, out and about in the community and at school. Oh, and his AD/HD meds and stuff are free through this plan.
If your state doesn't offer this, I would strongly suggest asking your son's school about having a discussion with the school psychologist. Most have them now and if the indiv. schools don't, the district almost surely does. They can probably recommend a service to you with at least a sliding scale for payment for counseling, etc. Or, do you or your spouse/significant other work for a company that offers EAP (Employee Assistance Services)? They offer 5 or 6 free counseling sessions for anyone covered under that person's medical plan and then can suggest someone who you could afford to see.
Sorry to go on and on. Your request just hit very close to home. Please feel free to reply if you ever need a friend or support or anything. I would gladly be there to lend and ear, shoulder, whatever.
GOOD LUCK!!!
Jen