Claire,
Wow, I can't believe I only saw your thoughtful reply today. Not sure where I've been looking but I guess it wasn't here. The various threads still confuse me.
Easter & associated eating of junk food wasn't an issue with my daughter because we don't celebrate that holiday. Your suggestion to eliminate artificial ingredients is one that my family has discussed and we are going to give it a try beginning on May 3rd (after Passover). I am fairly careful about what I purchase anyway, shying away from such additives, but not 100% - yet.
Yes, our trial of no screens included no screens at school. Shira's teachers were wonderfully understanding. Just not a trigger for her, I guess.
I've been exploring an approach by an organization called HANDLE based on the west coast. Is anyone familiar? Website is www.handle.org. A NJ occupational therapist may evaluate my daughter to see if their approach might help her.
After these two things we will consider making an appointment with a doctor Dara saw in Denville, NJ. He is an MD with a specialty in environmental medicine and will order many (most?) of the tests you've referred to in other posts. We continue with weekly cranio-sacral and massage therapy for relief and to maintain alignment and hopefully ward off other musculo-skeletal problems related to the chin thrusting.
Thank you again, Claire, for synthesizing the voluminous amount of information contained in this forum. It's amazing.
Karen