These children range from personality traits of mild autism to non verbal severe autism; terrible toddler tantrums, to attention deficit or hyperactivity issues. Soft Neurological problems affecting gait, grips, concentration and defective sensory processing of stimuli/ events are commonly associated. These issues ,may be noted in a child in varying proportions, alone or mixed. Often these issues cause or are associated with learning disability and or social disturbances of adjustments.
Some of these kids do have documentable brain damage , power deficit , tone issues , deformities or seizures. Many need not have these issues. Some do have genetic basis, many wont.
With appropriate diagnosis and zeroing down the key areas of improvement in a given child,in a time scaled fashion can help the therapist and neuropediatrician plan together a collective approach for tackling the various issues mentioned above.
A variety of specialists apart from above may be frequently consulted for advice, therapy, counselling and training with continued occupational therapy and pediatrician assessment. Speech therapists, physiotherapists,educators, remedial educationists, counsellers, psychologists, neuropsychiatrist do have a role when indicated.
With regular directed therapies like, NDT Neurodevelopmental therapy,SI Sensory integration, ABA i.e. applied behavioral analysis and adjustments with time discipline, conditioning of events ,show results when individualised.
Some medications do help in a good number of children. An IQ test , BERA and EEG, MRI brain and genetic studies may be needed in some cases.
In our experience we see major changes in speech behavior power tone and social adjustments in 100 days of goal directed therapy.
Please do not hesitate to consult for detailed advise, understanding, treatment and therapy.
Dr Deepali is a certified Occupational Therapist in south Mumbai. she is also trained in Sensory Integration, Brain Gym and Handwriting without tears.
Dr Deepali kondwilkar, receiving her certificate of training in Sensory Integration from Dr Arna from University of South California; in an AIOTA associated event. June-July 2018