Hello, Dr.T speaking...

siubakto

Dr. T,

若我想帶我小朋友給你看看，你可否pm我呀!!

Dr.T

如果是生理因素(各類敏感症),我未必是理想人選...但請check pm

siubakto 寫道:
若我想帶我小朋友給你看看，你可否pm我呀!!

Dr.T

首先即使是被確診為亞斯伯格症,也要考慮其他因素才可能決定他/她適合那一類學校;另一方面學校是很難以傳統/國際二分的,這只是一個十分籠統的分類,現實並不存在...

抱歉解答不到你的問題

littlepigpigbaby 寫道:
if my son shows sydromes of Asperger,
he would be suitable for traditional or international school?
(is ESF suit him because i like this school before)

lukbobo

Hi Dr T,
I'm a new comer, are you a doctor?  It's so great. you can reply all kinds of questions or problems.
Keep it up!
lukbobo

mom_of_HY

My child is now 18 and a half. He is autistic and mentally retarded. He is verbal but cannot communicate his thoughts. About ten years ago, he started to spit - ie he refused to swallow his spit. He would spit in his hand and rubbed it on his clothing or things within reach. It came to a stage that it was so serious that he had to change his school uniform in school and at home everyday to make him less smelly. His palms hardened as they came into constant contact with his spit. We tried everything from soft to hard and the ignoring tactics. But nothing worked. The school also tried their best but failed as well. He even spat when he was asleep. I observed that he could swallow his spit normally when he was asleep. You can imagine the stiink in my house because of his spits everywhere. He also had problem with drinking water - he would make a scene when he was told to take drinking water, but not so if that was other drinks he liked. He was dehydrated for years because we wouldn't give him soft drinks as substitute. On the other hand, he has no problem in eating and swallowing (except when he refused to swallow solid food some eight years ago for over a year!!) It was not that he liked the feeling of spit in his palms because we sucessfully (finally!) made him spit in handkerchieves, tissue. For his other serious autism-related issues, we finally agreed to put him on medication (Risperdal) July last. He had never taken any psy. medication before that. Among other things, it has reduced his spitting frequency greatly but he is still spitting tooooo much. He still spits in his sleep, he still spits in the middle of meals although he likes to drink water now. He still keeps asking for tissue to hold his spits all the time. It seems to me this is more likely a sensory issue than a physical one. Do you have any suggestion Dr T. (He is not seeing any psychologist.) Thanks in advance for your reply. (Sorry for being long-winded)

chez

Dr. T,

My son is 1 yr old now.  We have attended a few classes of playgroup and noticed that his behaviour is different from others and his development is much slower than others.  For example,

- 脾氣差, 就算有玩具or特等遊戲玩都不會follow, refuse to sit down most of the time and 只顧自已周圍爬.  sometimes we need to leave before the end of the class as he is so x 計 and he's disturbing others.  Teachers don't like him.

- at home, 簡單如換衫, 每次都發脾氣 (i don't know why), and has no intention to 伸吓チ脚去配合吓, 自理能力都比others 差好多

- i find it difficult to communicate with him, 想同佢一齊玩, but他不會理人, 叫佢又冇任何feedback/response, 不會親吓人, 眼神交流都絕少 (甚至是近距離去望佢, 同佢講嘢, it seems that he has problem in responding to sounds).  However, when he's playing on its own, he will sometimes take a look at me and smile.  it seems that he want to share his joy with me.  But when I try to have some response, he just ignore me and go on to play on his own.  At street, when some stangers speak to him, he will sometimes look shy and smile.  

- when he looks into a mirror, very often he has no response.  sometimes he smiles when he looks at the mirror, but it seems that he has no idea it is himself in the mirror.  

- he doesn't like people touch/hold his hands.  we can only show him how to hold a spoon, etc.  but when we try to hold his hands to do something, he will at once resist.  

- i don't if this is a problem or not, but he has a particular song or toy that he like most.  he is also relunctant to try new food.  he eats not much and he is quite selective in food (based on my understanding from other mothers who can eat different kinds of fruits, sponge cake, etc.  But my son refuses to eat all these.)

- although we have taught him many times, he has no intention to use his fingers to point to something, wave arms to say hello/goodbye.  我見其他children of same or nearly age 已懂得應人, can listen to simply instructions e.g. 交換玩具, but he can't.

I have consulted Dr. L. Ko for an assessment.  She asked us questions, and also observed my son's behaviours at the spot.  In the end, she siad except the motor development, the development of all the other aspects e.g. social and cognitive development, of my son are below standard and just attain about 9-10 month old child.  when I ask if my son is 智力有問題 or has 過度活x, she siad there're warning signs. But she cannot draw a conclusion now.  We need to see Dr. a month later.  In the meantime, she gives us some supplements to take, do some urine and hair assessments to see if he has toxic or 營養不足.But she siad that although i and my husband have to work and had little time to spend with him, circumstancial factors will not dictate a child's development.  i.e. a child can still do some things naturally when he attains a certain/similar age.  But for my son, she emphasised he's below standard in all aspects, except motor development.

My husband and I are very worried.  Dr. Ko has suggested us to have face-to-face activities more, less TV, try to speak and teach more often.  In fact, my husband and I have tried to do these things in the past (although we not very hardworking).  

Dr. T, do you have any suggestions ?

- i'm still wondering if he has 智力,  behavioural, focus and/or other problems.  I'm not challenging Dr. Ko's dianosis.  But I want to have balanced and fully informed views about my son.  What do you think ? Could i take my son to see you ? or do you have any recommendations/referrals of other doctors or specialists in other fields ?

- i have a feeling that he is very boring at home with a domestic helper during weekdays .  because when we leave home almost each time, he is very excited.  i wonder if it would be better if he attends playgroup during weekdays ?

- is there special training available if he has 智力,  behavioural and/or other problems that could help him ?  

I wonder if i should quit my job to take care of him.  But he is the only son and if there is not much i can do to improve him, I wonder if I should continue  work to save as much $ for his entire life.  I do worry about him when I and husband die in one day.   

Both my husband and I are not the kind of person who likes children very much.  But we try to do our best.  But, sometimes I feel no strength to take care of him at all.  

look forward to your early reply.  thanks very much.

Izen

Dr T.

我仔仔現年8yrs多些, 想為他做份智能評估, 是否有介紹? 煩請pm我, 謝謝

Justin2002

Dear chez,

I read your message to Dr. T and just want to share something with you.

I am a mother of a boy (who is nearly 5) who was diagnosized to have autistic features when he turned to 3.  In fact, you are very smart in spotting your boy the problems you mentioned at such an early age!  I cannot say that your boy is autistic or having ADHD, etc. cos I am not a specialist; but I can tell you that parents are always the most sensitive ones to discover problems should their children seem abnormal to their peers.

May I ask you if your boy sticks to food like milk, bread, etc?

Justin2002

chez

Izen,

Pls check PM.  Information sent to you.

Justin 2002,

My son could eat milk (about 10-14 oz per day), congee, 糊米 (sometimes add 木瓜 or banana), orange/appeal/pear juices, and sometimes "done" 蛋  and biscuits.  

For congee, i add pork/chicken/fish meat, vegetables / 栗米.  yesterday, my helper added a little tomato.  and he can eat.

I have tried banana/apple 茸 , bread , ABC 粉, and sponge cake.  But he refuses each time.  He will spit it out.  and for a few times, he just vomit all the food that he has eaten before, including congee.  so when i try new food, i will try before he take meals.

I've prepared for the worst.  But still want to know what I can do at the moment.

JigJig

chez,

your son's condition is very similar to mine.  Please check PM.

wingchingchu

女兒快兩歲, 從小被動怕羞, 很多時候, 就算是去玩都顯得很害怕, 她在1歲半的時候在健康院的發展評估中, 因為她不肯堆積木而要重做, 今天重做又是一樣, 她就是甚麼都不肯做, 就算平時會的東西, 如果人家考她, 她就怎麼也不肯, 所以姑娘說兩歲半要再見一次...

她的那種膽怯真的讓我有點擔心:

1) 她會無緣無故怕得要命, 在家里, 我是一步也走不開,其實我家只有300多呎, 我去到哪她都可以看見我, 但她還是說"驚驚" ，在家只要聽到一點點的聲音就馬上嚇得要我抱著, 有時就算我在她旁邊, 我一點聲音都沒聽見, 她玩得好好的, 也會突然像被嚇到一樣說"驚驚!" 然後爬到我身上來... (她絕對不像是在詐嬌, 而是遮的很怕)我問他怕甚麼, 她又不講...)我甚至跟我老公說懷疑家裡有?污遭０野?．．．因為她的表現實在太令人不解.我真的不知道怎麼辦?

2) 她對很多事都不敢試: (所有新的事物她都不敢去試)
例1, 有次帶她到公園去, 看到很多魚, 她很喜歡, 我門買了魚糧, 我們先示範把魚糧丟到水去,然後叫她試, 看得出她很想, 但她最多只把魚糧拿到我的手中要我餵, 重重覆覆都是一樣
例2:到冒險樂園去, 她興奮極了, 她很喜歡看我們入錢幣, 但是要她試,她可是怎麼也不肯, 只是拉著我的手要我來

這我們也明白, 我們知道很多小朋友都是這樣, 所以, 我們也不勉強她, 盡量鼓勵她, 多帶她去不同的地方, 見不同的人, 擴大她的視野, 也會盡量在她的身邊先示範, 在鼓勵她去試, 或是和她一起做, 但是很多時候, 她就算是很想做, 也要拉著我 的手要我去幫她做, 而且這情況也持續了很久...

3) 有一些她很熟悉的東西, 但是一到比較陌生的環境, 或是遇到陌生的人, 她就會甚麼也不做, 逗也好, 和她一起做也好, 她都不肯, 就像是在健康院, 或是幼兒園面試, 或者在教會,她只是不停的叫"媽咪呀, 媽咪呀"

我知道我女兒的智商是絕對沒有問題的, 但是我很擔心我是不是沒有掌握到一些問題的徵結, 而沒有幫到她? 和她上playgroup, 看到她永遠都是躲在最後, 無論是拿玩具, 或是做遊戲, 很擔心將來她在學校會因為太被動而被忽略, 從而變得更沒自信, 逤以我想請教一下我還可以怎麼做, 我是否要找兒童心理專家去評估一下我的女兒?在哪有這種服務呢?謝!
  

Dr.T

剛落機...各方友好問題將盡快作答

Dr.T

是教育心理學家...Dr是指博士,不是醫生...以前當人嗌自己T醫生時都會即刻更正,而家都費事多口,都係一句啫:D

原文章由 lukbobo 於 07-6-17 17:48 發表
Hi Dr T,
I'm a new comer, are you a doctor?  It's so great. you can reply all kinds of questions or problems.
Keep it up!
lukbobo   

Dr.T

你說得對-有研究估計這些近符強逼性的吐口水行為可能是輕微抽筋的表現.自己在倫敦自閉症學校教書時也有不少學生有此行為,學校的政策是不制止(所以每個老師-包括我-入職的第一件事是打肝炎針 )...如果行為是經年累月,我也無甚良策,但或許可以從以上提及"輕微抽筋"的角度看,會不會有藥物可以幫忙.

原文章由 mom_of_HY 於 07-6-22 14:32 發表
My child is now 18 and a half. He is autistic and mentally retarded. He is verbal but cannot communicate his thoughts. About ten years ago, he started to spit - ie he refused to swallow his spit. ...

Dr.T

抱歉到現在才覆你.

1. 高醫生醫科畢業時我還只是BB ,所以我對她的經驗毫無置疑,現階段再找另一個專家作評估亦只是表面功夫,隔一會再安排罷

2. 如果是剛一歲的孩子,其他發展差一兩個月暫時不是太大的問題,但因此而令父母提高驚覺可能是好事,因為你們會更著緊他的發展,而非只是大安旨意...

3. 某些機構(例如基督教社會服務處)會有一些給嬰幼兒的親子班,或許你可以考慮一下.

4. 個人意見是放棄工作,全時間照顧小朋友未必一定擔保有進步.反之如果無甚進展時你會怪自己教不好...

5. 生活環境中的刺激能夠豐富一些,多互動的親子活動,一定會有幫助.

我覺得在塵世界千千萬萬人中能成為父母子女都算是一種緣份,有人耗盡家財也換不到自己的骨肉...所以姑勿論你和先生最初對小朋友的看法如何,事到如今只要盡了力亦無謂再想從前.

PS BK的新版面在回答時看不到較長的原文,很不方便:(

原文章由 chez 於 07-6-23 16:14 發表
Dr. T,

My son is 1 yr old now.  We have attended a few classes of playgroup and noticed that his behaviour is different from others and his development is much slower than others.  For example ...

[ 本文章最後由 Dr.T 於 07-7-3 17:26 編輯 ]

Dr.T

請check pm.

原文章由 Izen 於 07-6-28 00:15 發表
Dr T.

我仔仔現年8yrs多些, 想為他做份智能評估, 是否有介紹? 煩請pm我, 謝謝

Dr.T

主要問題:平日是由誰照顧她?

原文章由 wingchingchu 於 07-6-29 00:06 發表

女兒快兩歲, 從小被動怕羞, 很多時候, 就算是去玩都顯得很害怕, 她在1歲半的時候在健康院的發展評估中, 因為她不肯堆積木而要重做, 今天重做又是一樣, 她就是甚麼都不肯做, 就算平時會的東西, 如果人家考她,  ...

Dr.T

如果根據你的描述,我會對小朋友的智能發展合符年齡這一個判斷有很大的懷疑.

一個一般發展的3歲孩子是不會無緣無故地襲擊他人的,當然因為言語遲緩而不能將心中所想表達再而發脾氣會是一個可能的原因,但現在似乎不是這樣...

現時的學校安排是怎樣?有甚麼的訓練在進行?

原文章由 yymm2007 於 07-7-4 03:03 發表
我女兒現時3歲 ! 於1年前已被評估為語言慢了6個月至1歲 ! 於本年6月份在政府評估中心被評為"autistic features" ! 而現時她的認知, 智力, 語言 及 體能都跟年齡 ...

joyce410

Hi! Dr. T

May you give me some advice on my son's condition?

He's 14 months old...

He's eating very well... willing to try new stuff (in terms of food) and so far he's healthy...

He knows how to do some basic things, e.g. pick up biscuits to put into his mouth, playing with toys, reading books (not exactly read but turning from 1 page to the other)

He's receptive to our simple command, e.g. "NO" - he knows that he has to stop.

He loves music and he will "dance" (wave his hand) when he's listening to music.

However, some of his conditions / behaviours are bothering us (making us worried)

- He cannot stand on his own nor walk on his own still (he's walking okay when holding something but "tips-toes, perhaps it's the complicaiton of using baby walker. He's very careful and reluctant to release his hand. Once he finds there is nothing to get hold with, he will sit down and crawl)

- Though we have taught him so many many times, he doesn't know how to wave, bye, clap (He knows DIM CHUNG CHUNG but just pointing his fingers out.... :_:)

- He's always eee...eee....orrr....orrr....but I believe the words he said are not meaningful (e.g. he said babababa... doesn't mean his daddy but when he said jeijeijeijei, we believed that he's looking for our maid)

- He sometime cried badly in playgroup, insisted his daddy to hold him. (But sometimes he's okay, e.g. some dinner gathering with other babes) - I will try not to bring his daddy to the playgroup this week to see if the condition improves (I'm less spoiling him)

I have called IPS Hong Kong to arrange an initial assessment by a Child Psychologist (my husband's company offer free services to them at IPS) and also have arranged another assessment at Mother-Child Clinic.

I'm really worried.

Do you think he has any problem?

Please advise.

Many thanks!

Joyce (I'm in medical field but this time, donno how to help and where to start with)

[ 本文章最後由 joyce410 於 07-7-5 03:53 編輯 ]