Dr.T 在此 (Hello, Dr.T speaking... 續集)

Rubymama

原帖由 ChinPearly 於 08-1-21 14:13 發表
Dr T

你好嗎？有d嘢想同你及大家分享吓.

記得之前係舊thread到同你講過小女的問題, 喺去年10月初經step centre評估有輕微自閉症傾向, 語言能力慢了最少1歲9個月(當時囡囡已經3歲6個月), 社交能力差. 另外, 經語言治 ...

I would like to ask where is your daughter's teacher? I want my son can have the lesson with her and get the improvement ... like your girl!
Thanks a lot! urgent! urgent!

E-mail: [email protected]

BB頭maimimi

Dr T,

我想問如果小朋友聽到一些歌會很抗拒,點樣可以令佢克服同接受?但試過比佢係音樂治療時聽,可以聽3,4次都冇問題,但係學校就要立即掩耳喊住跑開,完全兩個反應。

Dr.T

那未必是如聽覺治療(auditory integration)的假設是對某些音調敏感,而很大可能是在校行為處理上出現問題...

原帖由 BB頭maimimi 於 09-6-2 11:53 發表
Dr T,

我想問如果小朋友聽到一些歌會很抗拒,點樣可以令佢克服同接受?但試過比佢係音樂治療時聽,可以聽3,4次都冇問題,但係學校就要立即掩耳喊住跑開,完全兩個反應。 ...

BB頭maimimi

但係屋企聽,佢都好"位"屈想喊咁,咁應該點樣處理呢?有時囝囝會自己一個係房裡冇問題,但現在想將佢同工人分床瞓,而工人只係床邊地下瞓,佢又十萬個不願意,又係喊到好淒涼;真不知點做才好。

原帖由 Dr.T 於 09-6-2 15:13 發表
那未必是如聽覺治療(auditory integration)的假設是對某些音調敏感,而很大可能是在校行為處理上出現問題...

babyhappy

Dr. T
the child centre of government said
that my girl is a suspected asperger case.  (4 years old)

what shall I do in this stage?
should I ask a private clinic to take a risk assessment?  
where to find a reliable centre?
If, confirmed case, how can help the child?
The child is stupid and EQ is not good.
she speaks English  better than Cantonese, the assessment taken by the child centre of the government was conducted by Cantonese, did it affect the result?
Should I also to let my girl has a IQ test?

[ 本帖最後由 babyhappy 於 09-6-2 21:07 編輯 ]

bakusensei

"sensitive period of order" or repetitive behaviour of austic kids

Dear Dr. T

My boy who is now nearly 2.5yrs started his "sensitive period of order" at around 21 month. At first, he's v. concerned about the door (door should be closed when he left a room. If not, he would say "close the door please"). At around 2, he started worrying about the light (light should be switched off when he left the room. If not, he would say "turn off the light please"). If we did not do as he asked, he would be upset and kept asking, even cried.

In recent months, we found that he started being quite sensitive to "light not being turned on" (e.g. in some public area/his school, if one of the light bulbs was out of order, he would quickly spot that and told us "the light is off!". We have to "acknowledge" his "finding" and told him that the light is "broken/out of order" otherwise, he would keep telling us and refused to leave the place.

He would also become upset when:
-he put his shoes not in an orderly way
-he accidently wet his clothes when he washes his hands

I become more and more confused and worried if those are behaviour of "sensitive period of order" or repetitive behaviour of Austic kids? But it seems that my boy doesn't ve any problem in language/communication (speak in full sentence and correct grammar; tell his own needs; ve eye contact and proper greeting, etc) and he has quite good social skills (e.g. will comfort his fds when they cried (hug the kid and said "don't cry", took the initiative to give his own sticker to the girl who lost her sticker and said "don't cry"). He had two overseas trip before when his routine was completely broken but he had no problem with it and enjoyed the trips v. much.

Is he still in his "sensitive period of order" or he's having some repetitive behaviour?

Should we let him continue to live in his "routine" (i.e. close the door, turn off the light, etc) or should we try to break his "routine"?

Should I bring him to see a consultant?

Grateful for your advice, please. Thanks in advanced.

Dr.T

亞斯伯格症的主要特徵是社交溝通出現問題,如果小朋友在測試中未能以她較佳的語言表達自己,評分自然會打上折扣.但要決定孩子是否是Asperger,抑或是自閉症,不會只是依賴某一個特徵-如社交溝通亦會包括非語言的表現,這與測試時所用語言沒有直接關係.

如能安排以較佳語言再作測試當然會更準確地掌握小朋友的表現.無論是行為評估或智力測驗都只是一個手段而非目的(a mean but not an end).最重要是為安排孩子接受所需的訓練作指引.

原帖由 babyhappy 於 09-6-2 20:58 發表
Dr. T
the child centre of government said
that my girl is a suspected asperger case.  (4 years old)

what shall I do in this stage?
should I ask a private clinic to take a risk assessment?  
where to  ...

Dr.T

我的看法是如果"問題"行為不至影響日常生活運作,又無需過份杞人憂天.對某些規則的適度關注可能是好事.

原帖由 bakusensei 於 09-6-3 10:28 發表
"sensitive period of order" or repetitive behaviour of austic kids

Dear Dr. T

My boy who is now nearly 2.5yrs started his "sensitive period of order" at around 21 month. At first, he's v. concerned  ...

Dr.T

小朋友明顯地利用"哭泣"(由於語言表達能力未及?)來控制周圍的人.如果對希望改變的行為因此不能夠堅持的話只會向他傳遞一個錯誤訊息,認為只要哭得死去活來就可以得逞...

原帖由 BB頭maimimi 於 09-6-2 16:41 發表
但係屋企聽,佢都好"位"屈想喊咁,咁應該點樣處理呢?有時囝囝會自己一個係房裡冇問題,但現在想將佢同工人分床瞓,而工人只係床邊地下瞓,佢又十萬個不願意,又係喊到好淒涼;真不知點做才好。

...

emilylam

DR. T,
您好!有事想請教,我仔仔3.5歲,佢細細個我覺得佢帶點自閉傾向,唔喜歡望人,和很少說話,不喜歡群體生活喜歡自己個玩,之後我"加培"努力教導他,漸漸發現佢有好大進步,而家幫佢參加唔同的活動,佢而家好鐘意同人玩,說話能力無問題,但聆聽能力就好弱(d老師都係咁講)成日好像遊雲咁,對聽指示的能力弱,唔係好識表達自己的感受因而成日發脾氣,往往用左行為方法去表達(打人推人)不懂用說話去同人表達...

最令我頭痛的是佢的問題行為,佢係學校成日多手多腳整同學仔,佢好動和衝動,但又易喊,佢成日都被同學仔投訴,令我好苦惱!無論怎教佢佢都係咁,總是喜歡多手多腳..(佢覺得係同人玩的一種方式嗎?)有時會推撞同學仔tim..
佢上課能安坐自己座位中,都能遵守遊戲規則,有時鐘意用手去打下人手仔,用腳踩下人隻腳!對佢呢類行為真係唔知點解和處理?!

至於學習能力無問題,2歲已懂很多野,學術上既野好快學識,記憶力幾好,但與人相處方面就好弱!

[ 本帖最後由 emilylam 於 09-6-3 11:16 編輯 ]

BB頭maimimi

除咗喊之外,佢都有話"我唔要聽",而首歌只有一些小朋友係度唱歌,我試過一定要佢聽,佢就大喊,話"唔要聽,唔要聽",我無理佢但我攞走咗部機,佢一路喊一路追住我,一定要我熄咗先至得,我都無理佢,因為首歌都巳經唱完。Dr. T,照你咁講,我係咪要迫佢聽先得?因為佢情緒都幾失控,有冇咩訓練可以改善呢？其實佢對由喇叭播出的聲音,都幾抗拒,我怕到佢上小學時會有困難。

babyhappy

原帖由 Dr.T 於 09-6-3 10:35 發表
亞斯伯格症的主要特徵是社交溝通出現問題,如果小朋友在測試中未能以她較佳的語言表達自己,評分自然會打上折扣.但要決定孩子是否是Asperger,抑或是自閉症,不會只是依賴某一個特徵-如社交溝通亦會包括非語言的表現,這 ...

Dr.T

Thanks for your reply.

Do I need to take her for any assessment (Private)?
I don't know what should I do at this stage?
Can you give me some suggestion?
If it is not appropriate to say here, can you pm me?

Dr.T

專注力不足亦有可能做成社交上的問題,主要是因為不能夠細心了解其他人的反應而只顧將自己的意思表達.

或許可以嘗試了解小朋友是否有該方面的問題從而尋求協助方法.

原帖由 emilylam 於 09-6-3 11:08 發表
DR. T,
您好!有事想請教,我仔仔3.5歲,佢細細個我覺得佢帶點自閉傾向,唔喜歡望人,和很少說話,不喜歡群體生活喜歡自己個玩,之後我"加培"努力教導他,漸漸發現佢有好大進步,而家幫佢參加唔同的活動,佢而家好鐘意同人玩, ...

Dr.T

如果情緒已失控,糾纏下去只會令下次出現時更難攪.將孩子移到一個可以隔離的地方冷靜是較佳的方法.一切教訓在冷靜後才開始.

不否認部分人可能對某些音調抗拒,是否有需要強逼聽下去視乎不聽的原因為何.

原帖由 BB頭maimimi 於 09-6-3 14:02 發表
除咗喊之外,佢都有話"我唔要聽",而首歌只有一些小朋友係度唱歌,我試過一定要佢聽,佢就大喊,話"唔要聽,唔要聽",我無理佢但我攞走咗部機,佢一路喊一路追住我,一定要我熄咗先至得,我都無理佢,因為首歌都巳經唱完。Dr. T ...

Dr.T

是否需要再評估視乎上一次評估是否已為應有的訓練作出指引及安排.如果政府評估中心已替小朋友排相關服務那未必需要再見專家.

原帖由 babyhappy 於 09-6-3 17:58 發表


Dr.T

Thanks for your reply.

Do I need to take her for any assessment (Private)?
I don't know what should I do at this stage?
Can you give me some suggestion?
If it is not appropriate to say here,  ...

emilylam

請問,係米越細個去處理越好呢?我可以去邊度作評估?我都覺得佢專注力方面比較弱,有時同佢講野成日問非所答(唔知係米想逃避問題而問非所答?)有時同佢講東佢又同我講西咁...
如果真係專注力不足,可以有咩方法改善?
thx!

原帖由 Dr.T 於 09-6-4 10:20 發表
專注力不足亦有可能做成社交上的問題,主要是因為不能夠細心了解其他人的反應而只顧將自己的意思表達.

或許可以嘗試了解小朋友是否有該方面的問題從而尋求協助方法.

...

BB頭maimimi

請問感覺統合訓練是否有幫助呢?

原帖由 Dr.T 於 09-6-4 10:25 發表
如果情緒已失控,糾纏下去只會令下次出現時更難攪.將孩子移到一個可以隔離的地方冷靜是較佳的方法.一切教訓在冷靜後才開始.

不否認部分人可能對某些音調抗拒,是否有需要強逼聽下去視乎不聽的原因為何.

...

Dr.T

由於小朋友年紀尚小,除非是極度的不專注加上過度活躍,否則即使由心理學家甚至精神科醫生確診,可以做的"治療"也不多...但最少可以縮窄問題的範圍,針對個別行為作訓練.

行為處理包括控制外在環境,減少騷擾及加強口頭提示.之前我有若干篇文章post在這裡(或舊topic),恕不再重覆.

原帖由 emilylam 於 09-6-4 11:18 發表
請問,係米越細個去處理越好呢?我可以去邊度作評估?我都覺得佢專注力方面比較弱,有時同佢講野成日問非所答(唔知係米想逃避問題而問非所答?)有時同佢講東佢又同我講西咁...
如果真係專注力不足,可以有咩方法改善?
thx! ...

Dr.T

恕我諷刺性地(cynical)講,除了傷風咳外,有那些發展問題你提及的方法會說沒有幫助...

很多時候我會覺得是周圍的人處理小朋友問題行為的方法出現問題,而非孩子自身的問題.

原帖由 BB頭maimimi 於 09-6-4 12:32 發表
請問感覺統合訓練是否有幫助呢?

CF

DR. T,

你好! 小兒今年上小一, 上學期見家長, 班主任叫我幫個仔CHECK下係唔係資優, 因兒子平時上堂唔專心, 但又識晒D功課, 鐘意自己玩比較多, 或令願同D年齡比較大既人玩, 對數學特別有興趣, 已經自己學識加減乘除數, 又特別鐘意馬路, 巴士等等, 已經自己識睇中文書(當然有時唔明白), 所以老師介紹左我去沙田一間政府既智能中心到CHECK, 上個月同佢去政府做左評估, 醫生說兒子智力沒問題唔會同佢CHECK智商???? 但REPORT話佢有自閉症特徵和專注力不足問題, 轉介我去排期, 但需要最少一年以上 ..

現在我應該點做好, 應該搵多一個私家CHECK多一次做一個詳細D既驗查, 了解清楚兒子問題再加以改善佢既問題?

或平時我可以點樣幫佢? 謝謝你為我解答!

心急的CF