Hello, Dr.T speaking...

jennyho

1.是的.他不是拒絕去做,只係一定要人旁住佢,同比指令佢,他才會做,說話也是一樣,好少主動說話,但問佢,佢就會答同講.(例如:早晨同拜拜)

2.自理行為（換鞋、食飯、穿褲），學校既功課(畫線),佢就好拒絕做,但其他既所有訓練(總知唔係用筆)就做得比較好.

3.平時家中訓練及照顧都係由我一手負責,係未入i 位之前都有去恊康會上單對單既訓練,但當時小朋友還未夠兩歲,表現不是太好,但物件配對就好好(即係找相同物件).

4.基本上i位老師派回家既功課,同之前係恊康會做既訓練都差唔多,但現在既表現就好好多了.

另外,如何令小朋友既主動能力高d呢?

Dr.T 寫道:
1. 那似乎是未完全適應學校環境,而非拒絕去做.

2. 他不願意做的是那部分?紙筆功課?體能訓練?抑或是根本很難要他進行任何訓練?

還有家中的訓練及日常照顧通常是由誰負責?在上i位前有沒有類似的訓練進行過

[quote]
jennyho 寫道:
我都同 i 位老師傾過,佢話我個仔係要一個佢熟悉既人陪佢,佢就會做得好d,食飯也是一樣,都要有人旁住佢,要提佢(係屋企都係一樣)

至於 i 位3歲4 個月既功課:

一般學校功課係畫線,找出不同圖案,大細楷配對,數量配對等
i 位老師給他既功課,有時係跳躍呀,有時係聽指令既訓練,有時也有小肌既訓練!

[/quote]

媽咪保保

HI Dr. T.

我仔仔現在2歲2個月但每晚零晨4-5點都要起身食奶, 唔知是否正常呢?但睡覺之前已經飲了約5安奶, 如果你唔比佢佢又      或者唔願訓, 但我又唔想習慣佢驚會影響佢睡眠,而且現在這個年齡應該是睡覺, 唔應該要食夜奶其實我都好擔心影響身體機能, 現在他不能一覺訓到天光, 他是最近呢個月開始, DR.T我應該點做呀      

Dr.T

似乎小朋友現時是需要外人的提醒才會在校做一些在家似乎理所當然的事...可能是仍未完全明白一些非語言的指示.其實這和你所說的"主動"有關係.行為處理的角度是針對他偶有做到的時候多加獎賞.

如果是牽涉到用手就不太願做,可能需要請教職業治療師,小朋友如果倏某些事是要花上無比的力量才可完成的話,自然不願做...

jennyho 寫道:
1.是的.他不是拒絕去做,只係一定要人旁住佢,同比指令佢,他才會做,說話也是一樣,好少主動說話,但問佢,佢就會答同講.(例如:早晨同拜拜)
2.自理行為（換鞋、食飯、穿褲），學校既功課(畫線),佢就好拒絕做,但其他既所有訓練(總知唔係用筆)就做得比較好.
3.平時家中訓練及照顧都係由我一手負責,係未入i 位之前都有去恊康會上單對單既訓練,但當時小朋友還未夠兩歲,表現不是太好,但物件配對就好好(即係找相同物件).
4.基本上i位老師派回家既功課,同之前係恊康會做既訓練都差唔多,但現在既表現就好好多了.
另外,如何令小朋友既主動能力高d呢?

Dr.T

有沒有請教你的家庭醫生?

直覺上是睡前邵5安奶已不能夠令他"捱足全晚,或許有需要調較一下整個餐單...2歲幾亦未必需要一日瞓到黑,如果肚餓令他情緒不穩那牽連更廣.

媽咪保保 寫道:
我仔仔現在2歲2個月但每晚零晨4-5點都要起身食奶, 唔知是否正常呢?但睡覺之前已經飲了約5安奶, 如果你唔比佢佢又      或者唔願訓, 但我又唔想習慣佢驚會影響佢睡眠,而且現在這個年齡應該是睡覺, 唔應該要食夜奶其實我都好擔心影響身體機能, 現在他不能一覺訓到天光, 他是最近呢個月開始, DR.T我應該點做呀      

Dr.T

他與大人是如何"玩"?

玩得投入時好像"借聾耳陳隻耳",只收到啱聽嘅("出街街囉")不出奇.

除排玩具外他有沒有其他玩法?

言語表達未完全成熟時常發脾氣是正常的...terrible twos嘛.

如果有主動撩大人玩...那自閉症機會不大:但當然你提供的資料不全面-最少我還有以上問題有待解答.

littlepigpigbaby 寫道:
my son is 2 yrs old now
he has no contact with other kids, not even a little bit.( but he play with adults)
he always has no responds to people who are talking to him when he is playing (but if for example, ask him whether he like to play, he will reply yes,let's go)
he always line up things including cars, carts,...all his toys.
he must lose his temper when he feel unsatisfactory.
but he can speak a little very simple sentences
he can sing many songs
does he look like to have 自閉?

Wunstar

Dr.T,

1) My 26-months-old daughter always lie on the floor in the street when stimulating her emotion.
Then crowd of stranger will ask her to get up and not to be so naughty, however, my daughter has not look at the stranger and no respond at all. Sometimes even climbs on the street.

2) or went away and she didn't afraid to loss parent (she didn't look at me when ran away).

3) She cannot speak well compare with same age child.

4) She is very very stubborn.

5) But she memorise English words very well, such as b for bear, bird, boat, bus etc.


自閉症child has these symptoms 1) to 5)??

Any suggestion to prevent situation 1) and 2) to happen again??

Many Thx!

Dr.T

言語發展遲緩也可能有相似的表現,因為自己所想不為人所明白,最直接令他人就範的方法當然是發脾氣.

記得多個英文字不代表溝通能力好,最重要是能在適當時候運用字彙.

建議最少找言語治療師看一看,是否語言發展問題.現階段不應該視之為自閉症.

你提及的行為可能出現已有一段時間,所以她知道你/其他人一定"買佢怕"...日子有功,要改就要所有人的起心肝

Wunstar 寫道:
1) My 26-months-old daughter always lie on the floor in the street when stimulating her emotion.
Then crowd of stranger will ask her to get up and not to be so naughty, however, my daughter has not look at the stranger and no respond at all. Sometimes even climbs on the street.
2) or went away and she didn't afraid to loss parent (she didn't look at me when ran away).
3) She cannot speak well compare with same age child.
4) She is very very stubborn.
5) But she memorise English words very well, such as b for bear, bird, boat, bus etc.
自閉症child has these symptoms 1) to 5)??
Any suggestion to prevent situation 1) and 2) to happen again??

Wunstar

Thans for yr reply!

Would u mind telling me any suggestion for "所有人的起心肝"??

Dr.T

指統一口徑以同一的尺度去處理小朋友的行為.

如果家庭成員組成比較複雜,更有需要大家一致方法去獎罸.

Wunstar 寫道:
...any suggestion for "所有人的起心肝"??

Chocoball

Hi Dr.T

I cannot made up my mind on choosing traditional or activity-based primary school for my kid.  Can some kind of IQ test (of WISC III standard?) will help me with that?

Many thanks for your advice.

Dr.T

我認為可以的,因為能令你對小朋友的情況多一分客觀了解,從而再作決定...話雖如此,象牙塔內的人有其他意見>>>教統局"資優"教育組

英文版,無論是WISC-IV(6歲+),抑或是WPPSI-III(2'6"-7'3"),都只適合以英文為母語/或最少能以英語"流利"溝通的兒童,絕不能夠只是將內容自行譯做中文就用來給本地小朋友用.

如果是廣東話比較好,5歲以上還是用香港韋氏較好.

Chocoball 寫道:
I cannot made up my mind on choosing traditional or activity-based primary school for my kid.  Can some kind of IQ test (of WISC III standard?) will help me with that?

Chocoball

Dear Dr. T

Thank you for your advice.  May I know where can I take my kid to have an assessemnt based on
香港韋氏?

Thanks a million.

Dr.T

請 check pm.

Chocoball 寫道:
Thank you for your advice.  May I know where can I take my kid to have an assessemnt based on
香港韋氏?

Dr.T

大人會就住小朋友去"玩",同齡孩子未必會.亦有可能是缺乏社交經驗所致.

如果小朋友玩玩具的方法是有幻想性的,那排隊也不一定是問題.

懂唱歌及講整句句子不一定"不是"自閉症,要看能否利用語言溝通.

多口一句,如果你指他唱的講的是xx尼的內容,那根本不算是有用的語言溝通學習-盡量看少些,多參與群體活動罷,雖然他最初會抗拒面對他人.

littlepigpigbaby 寫道:
他與大人是如何"玩"?
he smiles to the adults, says hello or goodbye, or claps hands.

除排玩具外他有沒有其他玩法?
yes,he reads out the cards before line them up
he puts the animals on the train and then says they are taking a train

he really has no interaction with other children even under our guildiance.

how do u think?

furthermore, if children with 自閉
1) can they sing songs (the whole song )
2) speak sentences

Dr.T

如果行為情緒問題是嚴重地影響日常生活,那最好盡快找專業人士評估...

但是否過度活躍屬言之過早,因為其他有關小朋友的行為疾患也會有你描述的情況.

seeeline 寫道:
我外甥今年4.5歲，危機感低，如玩的時候常常不小心弄傷自己或弄傷別人，不懂看人家的眉頭眼額，即使把媽媽激怒受罰也不以為然， 不怕打罵，非要做到或拿到自己要的為止才罷休，非常活躍及愛說話，問題永無休止，在學校也常被老師投訴坐不定，但說話非常叻。他是否有過度活躍？請指師教。謝！

siubakto

Dr. T,

係我呀，唔知你記唔記得 ??

我有一對孖仔29個月，細孖發展遲緩，他的言語表達及理解評估為1歲8個月。我近幾個月發現他好像社交能力好弱，新年時，他不懂同其他表姐玩耍，每每自己躲在一邊自己玩，但在家時，他是懂得同孖生哥哥玩的，請問他是否因為言語差以影響他的社交能力呢 ?? 請問有什麼改善方法呢 ??

seeeline

thank so much for your reply. Sorry I pressed the wrong button. I still do not know how to write to you. What button should I use?

建仔

DR T, 您好!
我最近在屋企放幼兒園的兒歌給建仔聽, 開始的時候總係好開心的跳啊唱啊, 但每次一去到有兩首聖誕歌, 佢一定大喊, 開始的時侯我并不明白, 次數多我問咩事, 因為總係大喊, 只能聽到佢話: 趺倒啦, 趺倒啦……握握手, 握握手,…..   
我每次停歌佢停喊, 一會兒好開心的跳啊唱啊, 我試過, 快到聖誕歌時先將佢抱
著, 但佢仍眼中有泪, 我現在應點做好呢?