Saturday, March 16, 2024

autism reversal principles and some basic advice PARENTS ARE KEY

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if you feel you have learnt all tricks of OT etc , and you can teach OT to any kid with autism or take care of your 
autism kid for years, *you are wrong*; it just means that you dont know the next step. Sometimes it's good to 
accept we are wrong, then only we can *see the ray of hope.*
When we work with medicines and therapy *we develop connections and cross connections to processing 
centers;* which shows extended level of communications in the form of development in various *domains of 
understanding* including knowledge, nonverbal communication, behavior, emotions, socialization, interactive 
games and talking and writing skills apart from physical things.
** *Leaving things half way will develop connections half way and loose connections always die.* ** Often with a 
spark.
*Development is decided by connections, speed is decided by myelination.* 
At least keep a *minimum goal of readiness for primary school* admission over 2 year phase. Then divide them 
into steps. 
*Later the age of intervention or medicines harder will be recovery or development of milestones.*
Work towards reducing severity of level, A child who can take main stream schooling for primary usually is 
*independent* and can be educated and trained to take care of family responsibly , when he or she grows up.
*Remember every one has limits.. even God too does.. we all are attempting to look beyond the perceived limit 
and find a higher achievable limit, in the best interest of the child, when we walk towards horizon attempting to 
touch the limit, the limit too moves ahead.*giving us hopes to improve further every month 
Dr Kondekar #MakingSense
I want all parents to understand when we are looking for improvements, what all changes we may look for. A keen 
parent would like to note down minor details about every change on weekly basis rather than saying sir no 
improvement. 
Other parents may have similar ideas but if u don't note down In details, it's not easy to compare the improvement 
across time line. See the monitoring chart. Given at website neuropediatrician.com for getting a serious idea to see 
objective change.
The improvements can be minor when we expect changes every week , it's always better to note down.
*Try to list changes as per gains since last visit and goals till next visit*
Also you have headings
activities - living, household,, skills and gross /fine motor
Communication
Interaction
Academics
Langauge concepts
Pre match concepts
Story concept
Math concept
Abstract concepts etc
Medicines :
As I told u most of them are raw material used for building block for forming bridges in brain. These combinations 
will reduce or change every month after every weekly titration across whatsapp. After first positive response we 
follow gradual reduction in nutrients...systematically.
Half hearted efforts will give incomplete response, more so in a situation where world say nothing can be done 
except exercises.
Exercises only effect the input but has no major role in processing connections in brain

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key principles in autism reversal:
1.Dont be Special, turn into social
2.To make social, switch from object world based teaching to people and action based teaching
3.To develop communication; switch from screen based learning to body language based learning
4.To develop language, switch from seeing-doing activities to listening talking activities
5.Sitting tolerance increases by sitting activities with sensory breaks as per childs requirement.Making a child 
continuously jump and run will make him expert in jumping and running
6.Constant hugging kissing and carrying skin to skin, make the child get physically pampered and stubborn. keeping 
your child 2 feet away face to face helps develop eye contact and social communication
7. If you dont make rules for child behaviour, child will start ruling you and throw tantrums to change your 
behaviour.
8.Children copy what they see, hear and feel. Dont let them see ,hear and feel what u dont want them to learn, for 
example saying no or physically handling the child or shouting to grab attention.
9.Dont teach letters and alphabets,or what is this type of teaching; they are for picture recognitions. Teach in 
sentences, it means language. Dont ask questions, just go on narrating.
10.Music/rhymes is good only for momentary solo pleasure. Switch to lyrics and language if you wish the time to 
be utilized for learning and communication. 
Dr Kondekars ten commandments on Autism reversal
*Understanding-Goal Directed Approach :*
Dear Parents
Make a list of all things u feel will be impossible in your kid and work towards it.
if you believe nothing is impossible, list things or issues your kid has difficulty in and list what all you did for your 
kid for same issue for last 3 months. list what all you made possible.
if you can list all changes you brought in last 3 months, discuss with expert about next step and how rapidly it can 
be achieved.
if you are stuck at a step for more than 3 months, we are losing time and raise an alarm.
*Accept autism, don't accept disability, work towards enabling same*.
Understand and re understand the issue differently and work towards it.
Its true that you know best for your kid, but *its equally true that u don't know what is best for others kids* 
;Parenting an autism kid since ages, doesn't make you an expert for others kids unless you get through details of 
thousands of cases.
So unless you are expert *don't start teaching other parents,* you may be giving some information halfway which 
is true only for your kid. It's not a routine parenting issue in autism.
*Dont give up your desire to learn and do something new every day.*
its true that home therapy is needed, but *don't make your house a therapy center with various toys and 
activities.*
Home therapy in true sense will mean practicing tricks with home based day to day objects and acts



Monday, March 4, 2024

milestones of speech development in children

Speech often confused as just a verbal expression, actually needs to understand as any mode of communication between two living beings in the form of  listening speech, understanding speech and expressing speech through action or gestures or words.

Saturday, December 9, 2023

stories: The way of Teaching language and concepts

*Teaching: An undeniable approach for parents*

_Teaching and educating a child during initial years of his/her life is essential but challenging too._
Parents often stand in a dilemma to choose *the best teaching method* for their child. 
But what is the best method? 🤔
*Hear it out in doctor’s words* -

Many parents show their children illustrations from the book📕 and ask them to identify the images represented in it. 
For beginners, showing illustrations is a right approach but asking them to identify them on their own is not.❌ It is like you are taking your child’s exam before teaching him/her anything. 
*Real teaching is when a child asks the question and parents answer.*
*_Let child’s inquisitiveness rise._*🤓
Take examples from home, suppose an apple 🍎is kept on the table, tell your child this is an apple🍎 enriched with vitamins and we should eat it. This way, he will be able to identify the apple and become aware of its benefits.

*Next comes the role of books📚 in the mental development of a child.*✨ _Parents should give those books to their child that have pictures in them and their story progresses as the child turn its pages._ 📈It will make child understand the narrative of story on his/her own.

Parents are advised to always prioritize *face to face🗣️ communication* with child by using conversational stories. 

For a *2 years old,* best conversational stories can be derived from Hindu mythology🔱 because here you are not required to think before quoting. They are solely based on conversations and we want children to copy pragmatics through conversational stories. 💫It can be best told by *action and sequence* of the sentences and should be continued for *3 months*.

*Right way of storytelling*
Parents should focus on only one story a day with a duration of *not more than 20 minutes*.💬 It can be repeated the same day but should not be extended till the next day. This same story can be repeated🔁 the entire day but every time in a more innovative manner 🌀for stronger understanding of same story. This practice is called *real time dynamic learning of the conversational story telling*. A child best learns the conversation by copying the conversation. *_100 stories for 100 days_* should be the target of parents.

For a *3 years old* child, moral stories for *3 months* should be taught. Stories that include discussion among people🧍🏻🧍🏻‍♀️ and framing the conclusion with some moral values🚯 like *Panchtantra,* *ESOP Fables*,*Shaymchi aai in Marathi.* Stories with moral lessons will be more impactful than simply telling them moral values or advising them not to opt any bad practice because *restriction always provokes children.*🫥

*For a 4 year old,* stories involving tricks, logics, and mindfulness will be the best. For example, *Akbar-Birbal stories*🧞‍♂️ and *Tenali-Rama stories*🥷🏻 will compel a child to awaken his thought process.

By the age of *5 years*, a child will develop some maturity and enough understanding to comprehend the *basic concepts of science* like how the plants grow,🌱how the earth rotates,🌍 why the rain falls, etc.🌧️ This should be explained to a child in a simple story format.

And finally, when a child understands science, by *6 years* 👱🏼‍♂️of age, his mind is open to learning mathematics concepts. 

*Note*- From *4-6 years,* child should gradually be made aware of pre-mathematics concepts like shapes,🔵🔺🔶size, counting numbers, 1️⃣2️⃣3️⃣etc. 
Even addition-subtraction should be taught to them in a story format. For instance, Ram has two toffees🍬 and Laxman gave him 2 more. So, 2+2= 4 which means Ram has total 4 toffes. 🍬🍬🍬🍬
*_This sequential way of teaching will expand child’s mind in plethora of ways._*

*Visit our website www.autismdoctor.in* to resolve your dilemma. *Also, you can directly Whatsapp from the website.*

#Makingsense #LookListenFeel #Aakaar #ShapingFuture #AutismDrMumbai

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Saturday, November 18, 2023

train eyes and ears to sense humans.. not training the skin for objects..

When eyes and ears
Add 90% SENSE to life,
Have your 90% sensory activities 
With eyes and ears..
And not 90% sensory with
Skin touch texture pressure.
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Sensory issues is about not having sense of the world..
Add sense .. add life.

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