Itâ€™s good you are observing the kid. It seems the kid needs attention and support from the family.
Have you in touch with any medical practitioner till now. In case yes then please share their opinion. In case no then immediately be in touch with at least two different â€œDevelopmental Behavioural Paediatricianâ€. The doctor will be able to diagnose and guide you better on this aspect.
Please answer correctly that earlier (means before your knowledge of kidâ€™s condition) how much time the kid has spent with TV, Mobile, Music System etc. This also includes the time when the TV is on and parents are there watching TV but no interaction is going with the child. Any specific sounds, pictures on which the kid reacts. Anything which he tries to show you by pointing his finger? Anytime it has happened?
Another point of observation is that how long will he makes the proper eye contact? It can be measured in second or â€œmeaningfulâ€ eye contact. Please share about it.
You also told about the natural actions of kids of his age like doing action with maid, watering action etc. what else he is generally doing at home. How he communicates with family members and other people at home. Is there a pattern which emerges out if it?
Is the kid has any food allergy. Does he vomits generally? Any complication of constipation? What is the sugar rich food intake and have you ever noticed any specific behaviour after intake of specific food?
You also have mentioned that his behaviour changes when he sees moving objects specially moving vehicles. Please check how he plays with toys. Is he more interested in the wheels movement of toys and vehicles?
Now coming upon the immediate things which you can surely do as a parent. To start with please immediately spending more â€œinteractive and meaningfulâ€ time with him. Stop or spend less time with TV, Music System, Mobile etc. When kid is with you or family members then all the attention should be given to him. There should not be any stimuli or disturbance when we are talking or playing with our kids. Always revert to him. Complete the communication. If he shows you a car then immediately show interest in it. Say O-Wow, Super, Wonderful, Very Good etc. Then describe the Car. Colure, Speed etc. You must reply when he wants attention or not. Indulge him in communication.
Also take him out along with yourself. Avoid own vehicles like sitting in a car for a long drive with no communication. Try public vehicle but according to your needs. This allows him to interact and learn more by himself. From your mail I can make out that he wants to communicate but lesser words are there. Answer is to expand his horizon. Choosing a place to visit is also important. A park, zoo, boating, or just a visit to neighbourhood market is good. Anything with a leering chance. The more near to nature more better. Generally avoid shopping Malls and mechanical toys, rides.
You can also take him for walk in morning and evening. Let him play with other kids but in supervision. Let him encourage to talk for any requirement or other kids. Like food, water etc.
Next important thing is to prompt him always to speak. Always be ready to communicate. Give him reward if he says or ask something. If the kid himself asks that I want to go to market then immediate start a communication and stretch it to a level to ensure he will speak. Once you make the kid realise that he will be rewarded if he speaks correctly than half of the behavioural problems are gone because communication is there.
Start with this and will later share more. The list is long and need to be understand in accordance to the child. I am hopeful as you have written about your kid he will show improvement in 2 months.
Now what we have done, A Ha â€¦ itâ€™s a long story but in cut short, once coming to senses we started to understand what is required. Didnâ€™t believed on only one doctor and always have second opinion. Didnâ€™t hid anything about our kid and started scouting for the best means to help. Learnt more about it. Got our self in the correct mode. Never left the kid alone. Spent as much as time we can with him. Never gave him any Morden medicine. ASD/Autism is mostly related to behavioural aspect of kids so we acted on that. There are only questioner based test to put a child in that bracket. (In case you require the same can be searched from internet or you may ask). Saved ourselves from doctors who within one meeting declare any child with ASD/PDD/NOS/Autism etc. We have indulged our kid with ABA Therapy, Speech Therapy and later put him to pre-school.
I am hopeful itâ€™s enough for you to start with our experience. I would also like to share what I have been told (he made me understood perfectly) by a Professor who worked on Autism/ASD for about 30-40 years. He saidâ€ Please donâ€™t expect these kids to BEHAVE like mini ADULTSâ€. Every kid has its own persona and varying time to develop it. Give them correct guidance, love and encouragement and they will grow.
Hopeful that what we have learnt should be helpful to any other parents in any ways.
You already know that your kid has a delay in speech then how come he is PPD?
Is delay in speech is due to PDD or PDD is diagnosed due to lack of speech. Is the Psychologist is accurate? Has not your Psychologist not shared the GYAN that itâ€™s MILD? How surely the psychologist judged the kid for PPD not for Speech Delay.
Doesnâ€™t it make sense that the lack of Attention, Hyperactivity is due to Speech Delay. He has all other parameters correct. If the kid didnâ€™t have the words to communicate then how will he express himself and start a meaningful communication. Here we the parents have to come into picture to help him to start a dialog.
It has been seen in multiple cases that when the kidâ€™s donâ€™t have a clear expressive verbal communication they try to be more hyper active. The kids tries to accommodate their lack of speech with their activities. Because of this they drive them self into their own world as there channel of communication (actions) and ours (verbal) is different. This creates more problems.
He is hyperactive because he is not speaking currently and itâ€™s developing into a specific behaviour. Correct/Check this behaviour and all will come back on track.
Here we have to generalise all which is written in various articles in the net :). Please develop strategies to communicate with your kid. I have written earlier what I have used.
Now to your answers...:)
1. a) No GFCF diet for my kid. Only reduced dairy contant (only milk practically) after checking food allergies. b). Can't comment. c). Surely the child was misdiagnosed. d). The kid is regularly going to pre-school. I feel his Speech is delayed by 6-8 months.
2. a) Its purely your call to go bio medical. b) My reasons for not going biomedical was that I researched about the diagnosis/prognosis, Always had a Second opinion, Checked with all system of medicines and met there experts as well, relied that behaviour can be developed/altered and worked upon that.
Hope was able to provide you some info.
Generally the delay in speech is concerned to be connected with ASD/PPD NOS/Autism etc because it is observed by parents by the age of 2-3 years when itâ€™s the time as per the milestones to develop the speech. It has to be understood that speech delay always should not be linked/termed as ASD. It requires understanding and proper diagnosis at the end of care giver, therapist, treating doctor and parents. ASD itself is very big term which includes S as SPECTRUM. When there is no answer then the kids are put into Spectrum. A child at a particular point of development cycle will be in spectrum but after some time he is out. I personally believe that rather going much into details we must work on corrective strategies. Speech and language are two important parameters which brings any kid within the bracket of ASD many times wrongly.
Its good that you giving time to kid but make sure he is always connected in any productive activity. Apart from these OT/ST I feel that you must go for ABA therapy sessions from professional therapist. This will provide the kid the discipline for sitting and focusing. This all will be over in 6 months. Also the kid will be exposed to various therapist and a lot of interaction will happen with other people. This will also act as stimuli with the kid. Basically you will understand how to prepare the atmosphere (sitting environment, concept of reinforcer) for kid to be prompted for focusing. Then you can start of your own.
Now to your queries J â€¦
I completely understand your reason for asking the question. We after knowing that there is some help required to our kid we got him diagnosed at all levels. The diagnoses started from one level and start coming down towards normalization with in a span of 30 days. I notice this trend and met with a concerned subject professor who laughed and asked me to just focus on corrective steps only. He indicated that ASD/Autism all is a big business and a commercial activity. You may also check with some experienced Homeopathic doctor. But best help or intervention is the time spent with the kid in a meaningful activity. Donâ€™t leave him alone in any case. Give them time and attention and see the result. Hope it is inline what you asked for..,.
Please share your contact or mail id please...
Sorry for being late€ was busy with my efforts to ensure continuous monthly interventions for the family :)
Wow, its good news that the kids starts improving. But in any case don€™t leave the intervention given ABA, Speech Therapy, Occupational Therapy, etc. And yes the best medicine is your time and interaction.
Now coming to question based upon our experiences. I have sent my kid to two pre nursery schools.
One was before the diagnosis. A BIG name. There he has cried a lot in his starting days. Later he accepted the fact. He also cried a lot at the time of wearing school dress. But he visited that school only for 2 months. This was past. We eliminated the memory of that school.
Now the current pre-school is chosen carefully. Not a very big name. Ensured that the owners/principal understood why we are here. Asked them what else the school provides besides education. Told them that please engage him in as many activities as they can.
My only request to them was to make sure that he is never forced for any studies but should be always included in any other activity (ensured it), like fancy dress, dance show, fashion show, group singing, any group activity etc. And we prepared and invested in all these activities very seriously. Believe me, it required a good amount of choosing right kind dress or equipment :) . It paid€. The kid gained confidence in school. Teachers appreciated the efforts. And as anticipated the group of kids at school helped to him to encourage him to speak. The best part was he got the speech therapy from the kids at the school because we ensured he is befriend with the most two talkative kids there. To gain there confidence (kids at school) we gave parties to them, Birthday Parties, (monthly birthday parties). This was done with best of the cake (kids liked that and different every month) and gifts for all kids and teachers. Sounds little erratic but it really helped. Try it.
Asked teachers for special attention for speech and attention. Requested the teachers to make sure that he is assisted every time, to start communication with the other kids. In the start we asked him to wear whatever he wants but prompted him to choose. He obliged us and going to school become fun. We waited for him to return from school (9 to 11.30 AM) and asked every time what has happened in the school. We showed our eagerness to know what has happened in the school. We prompted him to speak him that. We show our very interest in whatever kid and friends has done and how. Prompted him to speak in every possible situation. Now he is himself going to school and wants to participate in the events.
Request you to DESIGN SCHOOL GOING EVENT as a fun activity for the kid. Before our kid started to go school, we visited there and explained the principal about his behaviour and speech related issues and requested them to help. For some days we were there. Played with him there till he gained confidence in at least one teacher. Its the group effect of the school which positively affected upon him. Even now when there will be summer holidays, we will ensure he will attend the summer camps besides his therapies.
Before answering your emails I always read your earlier mails. Its my belief and feel (based on your description of the kid in question) that it will hardly take only a year to correct the behaviour. But in any case don€™t leave the therapies early.
Hope it will help you in some way to plan your kids school going programme.
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