So, it went pretty well. Dr. H agreed that Andrew is still in need of a nap, but we need to:
-wake him up earlier in the morning, by 6:30 a.m. (he had been sleeping in until 7:45/8:00)
-no naps after 2:00 p.m. (keep them between noon - 2:00 p.m.), and wake him up after an hour/hour-and-a-half
-keep putting him back in his bedroom at night if he gets out, telling him, "it's time to go to bed, Andrew" -- being very persistent and not letting him out (HUSBAND was guilty of this). If he asks for water (as he generally does, just to get my attention), we need to tell him he can have water in the morning, or we already had water/hugs/kisses/books.
-if he does wake during the night and come into my bedroom (as he has been doing lately), I need to tell him that he can either go back to his bed, or lie down in "Andrew's spot" -- put a comfortable sleeping bag and pillow on the floor -- a spot that is all his own, but this way he won't be fidgeting in bed next to me.
-our goal bedtime will be 8:00 - 9:00
-if he does not nap during the day, we will do our best to deal with the behavioral issues so that he exhausts himself by about 8:00
I was embarrassed because he was throwing toys all over the exam room and eventually started pitching them all into the garbage. :( He doesn't normally throw toys but does act up in new scenarios.
She did suggest we consider some part-time daycare so he can have some structure and learn how to behave around other kids, but we really can't afford it. I mean, our whole point of having one of us stay home is so that it's one of us with the kids during the day (that would be DH, since I work 37.5 hours per week out of the home), plus it saves us money. We will wait it out a year and hopefully get him into 4 year old kindergarten next year -- he will turn 4 on August 25, 2011. And yes, this means in 9 days, my little guy is turning 3! It's very hard for me to believe.
I have so many hopes and dreams for my young man. I love who he is: he's silly, he's smart, he loves to dance, and he loves to laugh. There's nothing "wrong" with him; we just need to work together as parents -- and work hard at it -- so that we can curb some of these behaviors. Oh, and sleep for all of us would be nice, too.