Planning a follow up consultation appointment with dr kondekar, please read below: [if you are planning consultation first time click here http://bit.ly/connect2communicate ]
1. it can be booked across whatsapp or at www.autismdoctor.in
list following changes in approximate daily frequency before any update:
1 Harming self or others or objects2.Unuseful activities - to and fro, on the go, walking , wandering, climbing, jumping
3.Stool/ potty difficulty or incomplete clearance4.Unusual sounds by mouth shouting screaming or chuckling or hand like tapping, clapping or objects like switches, doors or loudness5.Night sleep between 12 to 6 am
2. Date and covenient time shall be discussed across whatsapp text to 91-91-9869405747. usually a follow up is planned after 3 weeks of last consultation; as medicines or therapy strategy may need a change as per development. Any treatment / activity / therapy plan continued in autism adhd kids beyond 1 to 2 months without appropriate modifications will not let you progress in goals.
3. Weekly text based updates to dr, helps you consolidate easily about the progress report which we shall call as Gains & Goals. There is nothing like positive / negative effects. its always what we have gained and what we need to gain.
4. We look for Connection with the kid in terms of awareness, perception and eye to eye connection with humans around him. This makes the child receptive and helps child sustain the interaction with humans. our Goal is to have at least 20 % to 50 % betterment every month, more than the last month. when the child is connected sustained, he/she is responsive for gestures and commands. in sustained manner.
5. We focus on steadyness of body and mind. This is called alignment in sitting to look and listen. sustained alignment is needed for sustained learning. Steadyness is disturbed by activities of hand and feet. the more we keep the child busy in objects and action, the more distracted the child will be. Constipation/ indigestion/ urine issues / colic/ pain / discomfort / confusion/ anxiety are medical reasons for unsteadyness. [Restlessness of thought and action: UUMA,UUPA]
6. We insist on input (verbal/ gestural/ eye to eye ) to the child rather than working on output. Unless a good, quality and quantity verbal input is planned for a long time, one shouldnot expect output. intellectual Output in autism kids should be noted in sequence of understanding humans, understanding verbal /gestural communication and later object based understanding and communication and finally hand & speech based output. working on hand based output or speech based output without working on verbal or gestural or language based cognitive input is waste of time.
7. We need to work on internally integrating the Sensory Centers. As the senses give us information about world. Sensory center in brain in autism kids is not able to organise and integrate it for a meaning, due to paucity or breakdown in sensory circuits. WE NEED TO DEVELOP CONNECTIONS IN BRAIN, IN THE AREAS OF SENSORY CONTROL. Addition of verbal common sense by making the child look listen understand, helps the child develop sensory circuits by neuroplasticity. This will put all the sensory chaos in order. As long as the control is not strong, each and every sensory organ will behave as per its local input and that is how sensory issues in autism emerge. Please come out of the concept of sensory need.. it is just senses out of control. Goal directed cognitive approach aims at Adding life to senses.. so that we can add sense to life. Sensorychaos reflects in Unwanted Unuseful Physical Activities. [UUPA]. introducing new learning or development of new perception and awareness adds to anxiety in early phases, which is seen with fear, Unuseful Unwanted Mental activity [UUMA]. All these amount to restless ness.
8. Input decides the pattern of out put. if the kids maximum time is spent in xyz, the same xyz activity becomes permanent and the child may get obsessed or addicted or compulsive; developing rigidity of thoughts and behaviour. This will need specific medicines. Focus on verbal contextual cognitive sequential input to develop the same out put. Time spent on any else will not help in verbal skills.
9. Learning occurs by novelty, dynamicity, difficulty and differntial information. Advanced learning need hierachial sequential steps, concepts , logic and calculations. if we keep teachhing same repititive, it adds to rigidity. limited understanding adds to ego. When not matured, ego will reflect in stubbornness. shit your focus from ADL as activities of daily living to Activities of Daily Listening based- Learning, Listening- stories, Logical thinking. this is priority before learning other activity.
10. Verbal cognition in composition, thoughts concepts, logic and intellectual verbal conversation is highest form of social cognition. Developing story listening skills is a must for mainstream school readyness.
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