Hello, Dr.T speaking...

KEOROR

ths[quote]
Dr.T 寫道:
首先"...好鐘意問野、主觀、執

KarenKoo

Dr. T,

I don't understand the difference between the terms global development delay and 自閉傾向.  My son is 3.5 years old now.  When he was 2 yrs & 8 months years old, child assessment centre suspect that he may 自閉傾向.  We cannot accept the result but we take their advise to find the private ST to him.  We haven't told to the ST for this result until processed several lessons.  We ask her "do you think my son has 自閉傾向 after few lessons?"  She think he may global development delay instead of 自閉傾向.  So, would you explain the difference and which trainings apply for?

In recently, my son go to the child assessment centre to review.  The doctor said he MAY not 自閉傾向 but he is still delay so she will not closed his file and will make appointment to him before he go to the primary school.  Do you think my son is really confirm has not  自閉傾向 or not?  I am very worry.  

For his delay, I haven't worked started from Jun and want to find the suitable training to him.  I read some books which recommend the delay children should do more phyiscal exercise to develop their brain.  Do you think is it work?

Sorry for the poor english and hope you can understand my questions.

Thank you very much.

Dr.T

1.個人觀察Global Developmental Delay是當評估人員認為小朋友是跟不上同齡兒童時,但又未知差多少及差在那裡時(嬰幼兒的評估是有一定局限)的"診斷".

至於"自閉傾向",我會覺得現時是濫用了"自閉"這名詞,有些評估人員(可能是出於好意,因為希望小朋友得到最多幫助)見到社交表現差少少已會用這"診斷",但又未必會同家長講清楚...我成日諗,我咁識飲識食,夠有"發達傾向"啦

2.不敢講會否有實際效用,但要留意所花的時間是否平均,不要只是不斷地只是做一些間接但又未必有直接幫助的活動.其實和小朋友多說話及講故事,雖然好像在自說自話,但就可以為他增加言語的經驗,總比看單向的光碟好.

KarenKoo 寫道:
1...the difference between the terms global development delay and 自閉傾向
2...I haven't worked started from Jun and want to find the suitable training to him.  I read some books which recommend the delay children should do more phyiscal exercise to develop their brain.  Do you think is it work?

KarenKoo

Thank you Dr. T.  I wish you really have 發達傾向.  You have a good sense of humor.  Ha! Ha!

We always read the book with my son and he love it.  However, he always request us to read the same books.  He can say/repeat the words/sentence when we read with him.  He would not refuse to read the other books but he would not request to read it again.

I arranged the swim lesson to him - twice a week.  I hope he can learn more cooperation with hand and feet.  Besides that,  I also teach him flash card and hope it can help him to read and improve the speech delay.  Is it too much to him?  

Dr.T

1. 小朋友傾向讀同幾本書可能是信心不足的表現,如果他願意看新的書其實已經是好的現象,現時市面有不少包裝精美的兒童書籍,有些甚至會發聲講句子的,這可能會吸引到孩子嘗試"開口"

2. 閃咭認讀訓練比較呆板,對言語發展較慢的小朋友未必有直接的得益,因為要幫助的並非認讀,而是在實際環境下的言語應用,要認要讀日後時間機會多的是.

多讓他接觸同齡小朋友會比單調的重覆練習更理想.

KarenKoo 寫道:
1...he always request us to read the same books.  He can say/repeat the words/sentence when we read with him.  He would not refuse to read the other books but he would not request to read it again.
2...I also teach him flash card and hope it can help him to read and improve the speech delay.  Is it too much to him?  

KarenKoo

Thank you Dr. T.  

I am totally agreed with you for the group study method.  Actually, I am looking for some courses that focused on the communication improvement.  Any advise?  

siubakto

Dr. T,

我小朋友現在23個月，在政府評估認知得20個月，言語理解及表達得14個月，請問現在我除左等政府早期訓練及幼兒i位，我都報了青蔥計劃，但聽聞都要排好幾個月，請問我現在還有什麼可以幫他呢 ??

HoWangMami

dr.t
好耐冇入呢個topic啦,不知你是否還記得小兒ho wang呢?
最近開始幫他找小學啦,心中總是1516,但最終我也決定給他報讀一間傳統小學,學你話齋等佢學下規矩,如果唔得先幫佢再轉!
最近仔仔既情況和你上次見他時分別不大,現在更有時會大發睥氣,不理會是否自己做錯,我好言相勸試過,大聲責罵也試過,但全部都沒有用,除非他自己停,否則你做咩都冇用!就好像最近開學,他是完全不受控,老師問我有冇幫他做評估,我只好又由頭到尾跟她說一次仔的情況,心中同時也想到,是否係時候給他做一個評估呢,但我還是不知應向那一方面開始好,例如,是否搵精神科做,還是坊間的心理評估中心(像越X堂),是否做完就可以確診知道他是資優,還是A仔,還是ADHD或是其他?

Dr.T

盡量安排多一些言語刺激的經驗,例如遊戲小組甚至幼兒班.

siubakto 寫道:
...小朋友現在23個月，在政府評估認知得20個月，言語理解及表達得14個月...請問我現在還有什麼可以幫他呢 ??

Dr.T

如果政府肯安排的話而你又唔怕等,當然是由他們做好.

無論是公家抑或是私家,一個詳細的診斷是要時間的,我自己就不敢見一次就"確診"小朋友是甚麼問題,有些情況必須要一段時間跟進才可下判斷(如自閉症及專注力困難/過度活躍),只見孩子個多兩個小時就下判斷個人覺得比較"牙煙."

HoWangMami 寫道:
...老師問我有冇幫他做評估,我只好又由頭到尾跟她說一次仔的情況,心中同時也想到,是否係時候給他做一個評估呢,但我還是不知應向那一方面開始好...是否做完就可以確診知道他是資優,還是A仔,還是ADHD或是其他?

siubakto

Dr.T 寫道:
盡量安排多一些言語刺激的經驗,例如遊戲小組甚至幼兒班.

[quote]
siubakto 寫道:
...小朋友現在23個月，在政府評估認知得20個月，言語理解及表達得14個月...請問我現在還有什麼可以幫他呢 ??

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Dr T,

他11月便開始讀幼兒班，由9個月大開始已每星期返playgroup一次，我需唔需找一些言語治療師幫他一把呢 ??

Dr.T

由於小朋友的言語發展相對較慢,如果考慮私人服務的話言語治療師是比較正路的選擇.

siubakto 寫道:
...我需唔需找一些言語治療師幫他一把呢 ??

siubakto

Dr. T,

我小朋友23個月，大約識得40多個單字音，尚未能發雙音，點解這樣都會被評為言語表達及理解得14個月呢 ?? 會否那個標準過高 ??

Dr.T 寫道:
由於小朋友的言語發展相對較慢,如果考慮私人服務的話言語治療師是比較正路的選擇.

[quote]
siubakto 寫道:
...我需唔需找一些言語治療師幫他一把呢 ??

[/quote]

rinapang

Dr. T,

我囡囡21個月，但只識講幾個單字音，以往講過的單子，一段日子後又不再講，像是沒有"累積"言語，為何這樣?
但我覺得她理解能力好，可以與其他小孩一起玩遊戲，亦明白我的指示，我會用說話指示，如"放杯在枱上"，她會明白再跟著做，但總不肯開口說話及用言語表達，為何會這樣?

Dr.T

相信不是 :-| 而且剛好相反.

個人理解是言語治療師普遍覺得目前的標準其實是高估(i.e.比應有水平低)了小朋友.

siubakto 寫道:
...會否那個標準過高 ??

Dr.T

發展障礙一般是很難找出原因,如果能夠在基本檢查中認清問題所在當然最好,但目前就唯有針對小朋友的弱點(言語表達?)加以培訓.

她接受了評估沒有?

rinapang 寫道:
我囡囡21個月，但只識講幾個單字音，以往講過的單子，一段日子後又不再講，像是沒有"累積"言語，為何這樣?

但我覺得她理解能力好，可以與其他小孩一起玩遊戲，亦明白我的指示，我會用說話指示，如"放杯在枱上"，她會明白再跟著做，但總不肯開口說話及用言語表達，為何會這樣?

DMJ103

Hi Dr. T,

Is there book/website which teach parents how to help/train/teach children whom have speech delay?

Dr.T

恕小弟孤陋寡聞,未有得知此類網頁存在,書本則可能有...稚姑娘,你在那裡???

如果要我推介,都是協康會出的那一套兒童訓練指南,我諗各大家長資源中心應該有得借.

DMJ103 寫道:
Is there book/website which teach parents how to help/train/teach children whom have speech delay?

rinapang

Dr. T,
多謝你的回覆，囡囡未有任何評估，只是健康院約了2歲時回去跟進，對於做評估心大心細，不知去那處做好!

Dr.T 寫道:
發展障礙一般是很難找出原因,如果能夠在基本檢查中認清問題所在當然最好,但目前就唯有針對小朋友的弱點(言語表達?)加以培訓.

她接受了評估沒有?

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gigi2

Dear Dr. T,

Remember me?  I have a question for my girl.

She is now studying K3.  So far she can catch up the teaching at school.  From teacher said, normally she could sit properly at the time of topics or other academic teaching but she behaved very exciting while doing groupings in class and would draw teacher or classmates attention by standing on a chair or lying on the table.  This normally happens during the tea time or activities groupings in class.  Such behaviour kept for a week....

The teacher found that my girl actually understood it was not right to behave like this but she kept on repeating these tricks in class especially when the classmates were screaming to her.  She was very excited to do so.

I have explained to her many times that is not correct to behave like this in class.  Every time she will show me her understanding and promise me not to do it again but next day she will not keep her promise finally.

How should we do?  Any good idea?

Many thanks!