Hello, Dr.T speaking...

ES

Dr.T,

Thanks! pls.check pm!

viannawong

Dear D.T

my son also same as their case but differ is , I trained my son languge form new born is used english tone speak to him and maid also ( good english well ) but now I want to change him more cantonese more difficult, due to the text from public clinic, the nurse said he speak delay and don;t understand cantonese ( I trained him cantonese around four month -may be ) , so what techique can help me to impove .

thanks
vianna

Dr.T

首先如有得罪,請勿見怪,只是實話實說...

如果你的英語對話水平和你的書寫是同一個程度,我會為小朋友的基礎語言學習感到十分擔心...

年幼的小朋友學習語言,甚至多於一種,都會比年長的人好-但最重要的是他們模仿的對象該語言的說話表達能力是要達到十分流利的程度,最好當然是外語是母語,否則即使你盡量營造家中變成外語環境,也只是杯水車薪,一來大部分的語言學習都是單向;二來因為父母的語言能力不足以將所有概念解釋清楚,孩子的說話能力自然不會高.

你可能會問,某人的英語水平不比我好,但她的小朋友又沒有問題,為什麼?答案是每個人的潛質(底子)都不同,有人可以過到骨,無出現問題,但不代表這是好方法.

我會建議暫時放棄英文(菲傭當然控制不了),全方位讓孩子返回一個正常的語言環境,到他有一個紥實的第一語言才再考慮學外語.

基本溝通能力不足,影響可以很深遠...

viannawong 寫道:
my son also same as their case but differ is , I trained my son languge form new born is used english tone speak to him and maid also ( good english well ) but now I want to change him more cantonese more difficult, due to the text from public clinic, the nurse said he speak delay and don;t understand cantonese ( I trained him cantonese around four month -may be ) , so what techique can help me to impove .

thanks
vianna

yan801022

Dr.T ：我之前講過我有個大仔讀小一，佢情緒起伏好大，唔係佢想的事情，點講佢都唔會聽，又多手經常打同學．我打過去小童群益會兒童身心發展家長專線姑娘叫我同個小朋友到屯門佢地中心度評估吓，但係小童群益會非政府資助服務，咁收費咪好貴？？我已經同學校社工傾過，佢話會跟進．．但又未有咩幫助，暑假後升小二新班主任，又未必係呢個社工，到底幾時先有幫助？？智能測驗中心個接待又唔可以直接搵到醫生聽我講小朋友在校的情況．咁點算好呢？？

Dr.T

1.點解當時唔問埋b仔記屯門中心收幾多錢?     

2.可以問學校社工能否現在開始見小朋友,因為距離暑假都還有成個月...

3.評估中心醫生/其他人士未經安排當然不會回答你的問題,否則也不需要排期預約...其實你已經開始排期未?

yan801022 寫道:
1...我打過去小童群益會兒童身心發展家長專線姑娘叫我同個小朋友到屯門佢地中心度評估吓，但係小童群益會非政府資助服務，咁收費咪好貴？？
2...我已經同學校社工傾過，佢話會跟進．．但又未有咩幫助，暑假後升小二新班主任，又未必係呢個社工，到底幾時先有幫助？？
3...智能測驗中心個接待又唔可以直接搵到醫生聽我講小朋友在校的情況．咁點算好呢？？

lilychoy

不好意思，我想要Dr. Ko及Dr. Tim Trodd的聯絡方法，想帶小B看Dan Doctor.請send給我,e-mail address：
[email protected]

Thank you so much！

Dr.T

點解問我

雖與高醫生相識多年,她是一個值得人尊敬的前輩...但我始終對排毒療法有保留 資源(i.e.銀兩)充足一試無妨

另一位醫生見其他網友提得多,但無緣見面...

Anyway,有關兩位的聯絡方法請check email

lilychoy 寫道:
不好意思，我想要Dr. Ko及Dr. Tim Trodd的聯絡方法，想帶小B看Dan Doctor.請send給我,e-mail address：
[email protected]

yan801022

Dr.T:
我個小朋友係智能測驗中心有資料，之前都見過醫生和言語治療師，但就未跟進過行為和情緒，請問是否要重新轉介＆排期呢？？我聽我個仔講社工姑娘好像搵左佢傾計１次∼∼ 唔好意思∼∼咁多問題∼唔該

Dr.T

1.打去話而家有情緒行為問題,不需再轉介但要排隊.

2.那為什麼不問清楚那位姑娘是否如此及她認為小朋友有甚麼問題?

yan801022 寫道:
1...我個小朋友係智能測驗中心有資料，之前都見過醫生和言語治療師，但就未跟進過行為和情緒，請問是否要重新轉介＆排期呢？？
2...我聽我個仔講社工姑娘好像搵左佢傾計１次...

Dr.T

小弟網頁卒之換新look (攪咗年幾...) ,新知舊雨識路就上黎睇吓

JigJig

Dr T,

My son (22 months) has also been assessed by a child psychologist and diagnosed as exhibiting autistic features - impairment in social and communication skills.  He has just begun therapy and training to improve those areas.

I cannot agree more with you that the use of the term "autistic" threw me off my chair completely when I heard it.  I just get really confused by the use of the term "autistic features", is it because he lacks eye contact, does not always respond to his name when called, and likes spinning objects and therefore he is labelled as exhibiting autistic features?  Perhaps you can enlighten me on that.  Sometimes I just think that my son only has developmental delays and is not/will not be autistic.  He will go to strangers (only some and not all) and want them to pick him up he will happily sit on their lap.  Just yesterday I also saw him walking towards a 18 month old baby and held the baby's hand (he has also done the same thing to another baby before).  

I have enrolled my son in a conventional pre-nursery for this september, I intend to let him try pre-nursery and at the same time continue with therapy and individual training, as I think socialising/ mixing with other kids of his age may help.  I am also hoping that, like you said, some of the problems will go away once he is in school.

I have heard about controlling autistic children's diet (GFCF diet) may help to improve their condition (e.g. eye contact and verbal skills).  What are your views on this?     

many thanks for your help.  

Dr.T 寫道:
自閉傾向是一個說了等於沒說但又嚇死家長的名稱.照你的形容小朋友在接受言語治療已有進步,亦有主動和其他孩子玩,那問題可能並非自閉症,當然我未見過小朋友,只是在猜估可能性...

因為學習溝通是他上學的主要原因,所以你是要選擇校內有時間讓小朋友相互交往的學校.很難用傳統/活動二分學校的種類,人手比例更重要.

總之讀書寫字不是他這一刻要學的重點..我直覺覺得他所謂"喜歡"數字及英文字"是因為過往只是接受這一類訓練...(閃咭???),造成對其他事情不感興趣亦不懂如何去玩.

[quote]
wingbma 寫道:
...言語治療後，明顯進步了...小朋友適合傳統教學模式或是活動教學呢...坐不定？？擔心傳統教學有困難，但有怕活動教學太自由，他不知道發生什麼事？但他比較喜歡數字及英文字！

[/quote]

siubakto

Dr. T,

我想問若小朋友2歲半經常情緒波動，睡覺半夜每晚都會大叫大喊+手舞足蹈數次，對於身體異常敏感，例如: 鼻少少不適就會大發脾氣，好大力狂捽，又如:衫有少許濕必要即換，否則亦發脾氣，請問有什麼心理治療，感統或評估可以做呢 ??

Dr.T

打了一大段,又錯手刪了,真是沮喪

1. 個人認為這是一個荒謬的名詞,在英國自閉症學校是從未見過這名稱.只將一些可能因為其他因素而造成的行為表徵列為自閉傾向與誤診分別不大.

例子:一般人發燒可能只是因為傷風感冒-但如果一個半桶水醫生同你講血癌也會發燒,所以在你張病假紙上寫"血癌傾向",不知你會點反應?

剛在收音機就聽到一個類似的白痴政府宣傳-
"波士,你都咳咗好耐囉噃,係咪有肺結核呀"
...如果我係佢波士即係就炒佢...

2. 對於另類治療我的看法是只要無危險性,費用可以接受,不妨一試.但正如我之前講,要賒要借買個希望就不必了.當然家長是擔心萬一那一種療法正正就是小朋友所需要的,那會終生後悔-但問題是不試不知,但試咗未必得,跟住又要還錢,影響其他正常治療...

JigJig 寫道:
...I just get really confused by the use of the term "autistic features", is it because he lacks eye contact, does not always respond to his name when called, and likes spinning objects and therefore he is labelled as exhibiting autistic features?  Perhaps you can enlighten me on that.
2...I have heard about controlling autistic children's diet (GFCF diet) may help to improve their condition (e.g. eye contact and verbal skills).  What are your views on this?

Dr.T

我會先看看小朋友的情況可不可以有生理上的解釋...有沒有看過醫生,佢點睇?

siubakto 寫道:
我想問若小朋友2歲半經常情緒波動，睡覺半夜每晚都會大叫大喊+手舞足蹈數次，對於身體異常敏感，例如: 鼻少少不適就會大發脾氣，好大力狂捽，又如:衫有少許濕必要即換，否則亦發脾氣，請問有什麼心理治療，感統或評估可以做呢 ??

siubakto

Dr. T,

我並不覺得有什麼生理問題，只是我覺得他的情緒比較古怪及波動，並沒有看過醫生，不知道普通科醫生是否知道什麼原因。

mattjon

Dr. T,
我個仔在下葵涌兒童體能智力中心評估為專注控制較弱/頗活躍/自制力較弱, 他K2時老師說他對數字掌握很好,有羅輯力,情緒比較波動,他現時K3但老師不太喜歡他,因他舉手太多問題太多,我朋友叫我帶做測試,需要嗎?如需可否send知料給我,我想知價錢,Thank you.
Mattjon mama.

Dr.T

我[你]並不覺得有什麼生理問題...

生理上的敏感症都有機會造成你所形容小朋友的情況,原因是由於他的語言表達未足以描述他的感受,於是外人便會覺得他容易鬧情緒.兒科專科醫生會有機會了解多一些.

任何問題都應該由簡單的原因入手,如有不明白及擔心最好還是帶小朋友去見專家,不要自己估.

siubakto 寫道:
...我並不覺得有什麼生理問題，只是我覺得他的情緒比較古怪及波動，並沒有看過醫生，不知道普通科醫生是否知道什麼原因。

Dr.T

首先想知道你是否清楚當時評估中心是做了甚麼?

測試的目的是要了解小朋友的智能表現,是否因為能力過高/低而造成現時的問題,然後再看看是否有需要再做專注力測試.

私人機構一般收費$2-3000元左右.

mattjon 寫道:
我個仔在下葵涌兒童體能智力中心評估為專注控制較弱/頗活躍/自制力較弱, 他K2時老師說他對數字掌握很好,有羅輯力,情緒比較波動,他現時K3但老師不太喜歡他,因他舉手太多問題太多,我朋友叫我帶做測試,需要嗎?

mattjon

Dr.T,
當時醫生拿了一盒九粒紅黃藍各三的木積木,要他照圖排好,再講故事問他問題,拿一些圖片要他分先再解說成故事,用一頁紙打滿英文字母要他圈出她要求的字毋,他沒心機去完成左搞右搞又鬧又哄才完成,醫生說專注有問題,他就上小一,老師可能會投訴或label他,聽完後我很擔心,不知應否幫他轉其他小學,如需做測試可否介紹?坊間太多假的,可PM給我,謝謝!

Dr.T

明白.請check pm

mattjon 寫道:
當時醫生拿了一盒九粒紅黃藍各三的木積木,要他照圖排好,再講故事問他問題,拿一些圖片要他分先再解說成故事,用一頁紙打滿英文字母要他圈出她要求的字毋,他沒心機去完成左搞右搞又鬧又哄才完成,醫生說專注有問題,他就上小一,老師可能會投訴或label他,聽完後我很擔心,不知應否幫他轉其他小學,如需做測試可否介紹?坊間太多假的,可PM給我,謝謝!