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Treatment of Child and Adolescent Problems
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best experience I had with him,he is kids doctor since his birth,under his guidance and treatment , today my child is having a healthy life.
My daughter aged 6 years suffering from epilepsy for four years since then after medical check up and test she is on valparine syrup without fail and she never had seizures after that as well. We were advised that the medicine will run for years. Should we continue with the same.
My daughter is 13 years old, she often suffer from sneezing, specially during early morning or at night. She continues to sneeze. Please advice some home remedy. As she takes citzin or avil medicine.
My baby is 8 month old and I slowly started introducing solid food to him, I was exclusively breastfeeding him for first 6 months and now once a day I am breastfeeding him .how many times can I feed breastfeed in a day. Baby is also not more interested in feeding.
I am suffering from stomach infection since 1 week I am also having pain tell me what I can do any medicine.
My baby boy is 9 month his inguinal hernia nd undescended testicle operation was last week, I want to know in future no problem his fertility.
Hello doctor, my baby in 3 months old. He is not passing stool by himself. Our doctor prescribed glycerine suppository in every 2/3 days. Baby is fully breast fed and active with frequent urine. Please suggest if regular usage of suppositories can be avoided by any other means?
A baby girl of 1 month 5 days. Has a harnia by sonography report. Sometimes deschsrging blood and yellow liquid from her nob. She takes so much pressure while motion. Feeding is proper. Sleeping is not so good as like normal baby. Please advice.
My baby is 3 month. 15 or 20 days after birth he started vomiting. After every feeding he very much vomiting .he formula feeding baby. Bt after breast feeding he also vomiting .his urine is clear but his stool is not clear. His activities is ok. But he is not growth properly.
My child's age is 11 years he has fever, vomiting, stomach and body pain from 4 days and we have showed on 15/07/2015 to Dr., she has prescribed ibugesic plus and given injection, but nothing has cured, next morning we have visited to colombia asia hospital, after every tests, doctor has confirmed about dengue fever and his plate cells are 141000 and doctors has injected one small bottle injection and one big bottle on 16/07/2015 at 11: 30 am in casualty ward, we have requested regarding admission because we don't want to take any risk regarding our child's life, they explain us (in seven days dengue fever plate cells will increasing and digress, if lower level has touches counts of the plate cells then only we suggest for admission nothing to worry, just make daily blood test twice for counts of plate cells and take daily medicines which we have prescribed) doctor has sent with injected needle in wrist and from same day 07: 00 pm to 09: 45 pm had loose motion 7 times, again I have contact to hospital and explain to duty doctor, he suggested nothing to worry, it's a part of the curing we have given the injections that is coming out and if any infection in the stomach it will cure properly my request to all doctors please suggest, we have to do running treatment is enough or we have to proceed for other treatment.
My 3 month baby have nose blocking with frequent cough. I give Maxtra and Mucolite drops for 3 times. Is it OK? Is it serious for my baby frequent cough? Tell me as soon as possible.
My son in law one year old is suffering with motions since last four days. We consulted two doctors but Not find any result. What can we have to do.
Hello Doctors, My son born on 10-APR-2016, now he is with 2 months 4 days with weight of around 4 kg 50 gms. My question here is that, he used cry lot in night even after feeding and also we used to follow the feeding as every 2 to 3 hrs gab even if he is sleeping then we used to make him get up and try to feed. Is that correct way or we need to wait his wake up by his own or based on crying? And please suggest the process of feeding throughout the day like need to continue like 2 to 3 hrs gap or not? And we used to feed him mostly with SIMILAC advance 1 formula milk since my wife is not having enough breast milk? Suggest this also.
Parents dread having to deal with meltdowns. However, parents of children with ADHD may face more meltdowns than other parents.
Children with ADHD are more prone to meltdowns for a number of reasons. Often their brain circuitry for emotional regulation is dysfunctional in which it takes less to trigger an anger episode that lasts for a longer periods of time than other children. This is the result of faulty wiring. Working with them on relaxation techniques like taking deep breaths or counting to ten at the first sign of being upset can help. It is important for them to practice these when they are calm.
These kids often aren’t fully tuned in to what is going on around them and miss important information that causes them to misinterpret a situation and then react to what they think is going on rather than what really happened. If you are having a discussion with your child, pause frequently to make sure they are getting your point. Ask questions to make sure they understand and encourage them to ask you questions as well.
Some ADHD kids lack the ability to be flexible causing them to go into meltdown mode when there is a change in routine or an expected event does not happen. For instance a boy may be having a great time “rough housing” with his dad but does not want to stop when dad feels it has gone on long enough. This can become ugly and lead to fewer such play situations. Agreeing to use a timer and stop when the timer says to stop rather than dad might help avoid this.
Here are some tips for coping with a meltdown:
1. Don’t Loose Your Cool
Take a few deep breaths. This triggers the relaxation response and will lower your own anxiety/anger level and make it possible for you to think clearly and model appropriate behavior for your child. Remember the preflight instruction, “When the mask comes down, please cover your own nose and mouth first before you assist your child.”
2. Don’t React – Respond
If you and your child have already agreed on how meltdowns will be handled with a behavior plan, make sure the plan is being followed. As an example, you might have agreed on an incentive program where your child can earn rewards for following the behavior plan. Incentives might be earning points every time he/she is able to calm down before having a meltdown. Points earned can be cashed in at the end of the day for a desired activity such as television time or a special treat.
If you do not have a plan in place then you can respond by saying “WE have a problem here. Let’s see how we can solve the problem TOGETHER.” Find out what the child’s concern is. See if there is a way to address it. It is not giving in if you modify a situation in a way that is more accepting to the child while still meeting your needs as well. Good leaders listen to the people they are leading and incorporate the feedback they receive.
3. Don’t Dictate – Discuss
Ask, “What is making you upset?” Listen carefully and respond empathetically such as “I see you (want or don’t want), what’s up?” Find out what the child is concerned about. For instance if the problem is not wanting to go to bed, you might say, “I understand you do not want to go to bed right now even though 9:00 is your usual bedtime. What is bothering you about this?” Perhaps the child says, “I need to finish my video game so I can get to the next level.” You then can say, “So here is the problem we have. I want you to go to bed because it is your bedtime and you need your sleep to feel good and do well at school and baseball tomorrow and you want to stay up later to finish your game. I am not saying you don’t have to go to be now but do you have any ideas on how we can solve this?”
For discussion let’s say it is only for a few minutes and you decide for tonight to let him finish the game to avoid an hour or more of meltdown versus a few more minutes. You might say, “Ok for tonight you can finish the game. Tomorrow we can talk about this and come up with a solution so that from now on you will be able to finish what you are doing and go to bed on time.”
It is ok for us to listen to our children’s perspective on difficult situations. If this is an isolated incidence then, problem solving could avoid a major meltdown. However, we need to follow up the next day with a detailed discussion on how this can be avoided in the future.
If this is an ongoing problem, then simply stick to the program/plan you have already set in place. If you have been working on anger management techniques such a taking deep breaths, then remind the child to practice it.
4. Don’t Demand – Encourage
If you have a prearranged plan to follow or you have come to an agreement for this crisis situation then you can say, “I know you are upset right now but I also know you can do a good job of calming down now,” or “You know what our agreement is and I bet you will do your part now just like the great job you did yesterday. I love how you are getting better at this each time.”
5. Don’t Give Up – Stay Committed
- Raising a child with any type of special need, be it developmental, psychological or medical, requires a tremendous amount of patience and strength to endure and continue to handle tough situations when they come up. Make sure you have a good support system. Be sure to have a break from time to time to do something fun and relaxing. Also, try to view the whole situation from the 30,000 foot level to see the progress you have made so far and that meltdowns now and then can just be little bumps in the road to helping your child learn to cope with the day to day events they encounter.
- If you have truly committed to following a behavioral approach under the guidance of a mental health provider and are not seeing progress, please don’t hesitate to discuss this with your child’s physician. A referral to a psychologist for a comprehensive evaluation may uncover other conditions that may need to be addressed. Sometimes ADHD may be misdiagnosed or a child can have more than one disorder which needs to be addressed.
- When talking to a professional, you should be able to tell them when and where these episodes happen and what took place just before the meltdown; these are valuable clues that a well trained clinician can use to modify your approach or discover an underlying skill deficit that can be improved or addressed.
- Sometimes, when behavioral approaches have been in place for some time and have been tweaked all they can, medication may need to be considered. Parents should be cautious about having their child placed on medication prematurely, but when symptoms are severe and interfering with a child’s ability to function in several environments then medication should be considered and can be extremely helpful.