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Doctor insights on: 18 Month Child Behavior Self Injury

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Pediatrics: when should a parent get their child tested for oppositional defiant disorder (odd)? My 4 year old has been acting provocative and oppositional to adults which is beyond our control. The child frequently tantrums, constantly questions rules an

Pediatrics: when should a parent get their child tested for oppositional defiant disorder (odd)? My 4 year old has been acting provocative and oppositional to adults which is beyond our control. The child frequently tantrums, constantly questions rules an

Your's : Your's child's behavior is obviously disrupting his life as well as yours. It sounds like you have tried some behvior modification techniques and haven't been successful. The first place to start is with your pediatrician to help guide you to resources in your area for child psychologists or developmental/ behavioral pediatric specialists. These specialist can help determine if this is a simple behavioral problem that can be managed with behavioral techniques or if there he has a disorder such as odd, adhd. It sounds like it's time to ask for help. ...Read more

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Self Harm (Definition)

In brief, it is the action or inaction (failure to take action) that intentionally seeks to cause damage to oneself. Can range from mild physical harm, i.e. Scratching, to the extreme of causing death. An example of inaction would be not taking one's Insulin resulting in ...Read more


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Why would a child laugh while being aggressive/attacking parent during a severe temper tantrum? (7 y/o boy with aspergers)

Why would a child laugh while being aggressive/attacking parent during a severe temper tantrum? (7 y/o boy with aspergers)

Part of disorder: Part of the disorder is inappropriate emotional responses to situations.Laughter to a boy with asperger's is not the same laughter as you and i would interpret it. That it what is so hard for all of us to understand with these kids, because we interpret our environment and situations one way, and it's a totally different world and experience for these kids. Often altered sensations to pain as well. ...Read more

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My 14 month old displays self injurious behavior. Hits head on ground, or with his own hands. Otherwise normal& interactive & smart. What to do?

My 14 month old displays self injurious behavior. Hits head on ground, or with his own hands.  Otherwise normal& interactive & smart. What to do?

Agree w' Dr Buzzeo: Also ask pediatrician about Birth to Three program. They will evaluate and help intervene if it is needed. It is a wonderful resource. ...Read more

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11 year old who urinates self, poor grooming, and add like symptoms. Recently began soiling self. Poor social skills. Is it signs of abuse?

11 year old who urinates self, poor grooming, and add like symptoms. Recently began soiling self. Poor social skills. Is it signs of abuse?

One possibility: While abuse is one of the things in the possible reasons for this scenario, it is not the only one. There could be a neurologic problem leading to the soiling and wetting. There could be psychologic problems, with the number one disorder coming to mind being depression and/or anxiety in this age group. The kid's thyroid could be out of whack. This child needs a complete head to toe evaluation! ...Read more

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How do you deal with a severely autistic child's behavior when he becomes violent?

How do you deal with a severely autistic child's behavior when he becomes violent?

Medication: Medication can be helpful to take the edges off of violent outbursts, and some success has been found with vests that give the sensation of a hug to select patients. ...Read more

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Does development delay go away ? Child 69 months lowest area 35 months highest 52 months ,in language, reasoning .locomotor personal social performanc

Does development delay go away ? Child 69 months lowest area 35 months highest 52 months ,in language, reasoning .locomotor personal social performanc

Underlying Cause?: The underlying cause is the most direct way of answering your question. If there are organic brain findings (on CT Scan or MRI) or genetic links, a prognosis is more easily built. If not, then early intervention and continued follow-up may also build a diagnosis and a more directly beneficial plan. ...Read more

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My autistic bipolar 5 year old daughter keeps having behaviors were she tries to kill animals with no feelings of saddness us that a normal behavior?

My autistic bipolar 5 year old daughter keeps having behaviors were she tries to kill animals with no feelings of saddness us that a normal behavior?

It's not good: What you described has been considered by some experts as an indicator for more severe problems later on in life. Cruelty to animals is not that uncommon, and there are professionals out there who know what to do about it. Animals must be kept away from your daughter at all times. Also, a system should be in place ahead of time to deal with such behaviors. I am sorry that your daughter has this. ...Read more

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HELP! My 64' 96lb sister was just hospitalized. She has anorexia, depression, anxiety, OCD, self harms, and suicidal ideation. When will she get out?

HELP! My 64' 96lb sister was just hospitalized. She has anorexia, depression, anxiety, OCD, self harms, and suicidal ideation. When will she get out?

Good Question : Hospitalization is needed when there are safety concerns. Your sister's doctor and treatment team at the hospital will evaluate her on a continuous basis and then decide when she will be safe for discharge. Lengths of stay vary and are on an individual basis. Once she is safe for discharge, she will need close monitoring in the outpatient setting. Your sister needs your love and support. ...Read more

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3yo girl: extreme anxiety, violent temper tantrums, scary smart, obsessive OCD type behaviors, night terrors. Should I have her checked out?

3yo girl: extreme anxiety, violent temper tantrums, scary smart, obsessive OCD type behaviors, night terrors. Should I have her checked out?

Start by giving her: pediatrician a list of specific behaviors, e.g., screaming, hitting, biting, lining up toys, insistence. on routine, + onset, duration, immediate precipitants & consequences for each behavior to guide referral to a developmental/behavioral pediatrician to assess for Autistic Spectrum Disorder or child psychiatrist for mental illness vs. ASD. Also get a (neuro)psychological evaluation & therapy. ...Read more

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My daugther is 25 months. Her gross motor is at 18 months level and speech at 19 months. Is she considered GDD ?

My daugther is 25 months. Her gross motor is at 18 months level and speech at 19 months. Is she considered GDD ?

The more accurate : definition of Global Developmental Delay in a child too young for formal IQ testing or less than 5 yrs. old is: Significant delays in both language & cognition (problem-solving) along with delays in self-help/adaptive skills. Some use it for 2 or more delays in any domains. Ask about referral to a Developmental/Behavioral Pediatrician to evaluate for genetic & other medical causes of her delays. ...Read more

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Two week old has developed inconsistent latching issue. Baby becomes very fussy and frantically tries to latch for 30 min before success. Help!

Two week old has developed inconsistent latching issue. Baby becomes very fussy and  frantically tries to latch for 30 min before success.  Help!

Difficulty laching: May be breast nipples are retracted or not well formed and baby finds difficulty in latching. Mother posture or holdintg the baby improperly could be the reason for baby struggle Some time nasal congestion or any nasal abnormality may bbe the cause.Consult your pediatrician. ...Read more

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6 years old girl insists to do every thing perfect if not achieve d she will lose temper and even self inflicted injury.

6 years old girl insists to do every thing perfect if not achieve d she will lose temper and even self inflicted injury.

Therapy: Even at 6, it is never too early to start some behavior therapy for her. Have her see a Child Psychologist to get the ball rolling on this before her behavior becomes severely unhealthy. Best wishes. ...Read more

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2 adult sisters who are bipolar constantly argue with everyone,have temper tantrums, make threats to leave. Unfortunately, will stay 1 mo. Strategy?

2 adult sisters who are bipolar constantly argue with everyone,have temper tantrums, make threats to leave. Unfortunately, will stay 1 mo. Strategy?

Tell them your : household rules before they come or as soon as they arrive. Ask them how they'll get their meds refilled while with you. Tell them you love them, but if their mood disorders are not stabilized, you need their doctors to refer & send records to a psychiatrist & psychologist in your town. Discuss what you'll do if their BPD disrupts family function. Get written permission to talk to their doctors. ...Read more

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Suffering from my youngest son Mohammed who is becoming aggressive , chaotic, non obedient , noisy ,and refuses to calm down , though we love him so ?

Suffering from my youngest son Mohammed who is becoming aggressive , chaotic, non obedient , noisy ,and refuses to calm down , though we love him so 
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Disruptive: you probably to get your child evaluated by pediatrician or psychiatrist to determine if there is any issues related to attention deficit disorder or hyperactivity to help him ...Read more

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Suffering from my youngest son Mohammed who is becoming aggressive , chaotic, non obedient , noisy ,and refuses to calm down , though we love him so ?

Suffering from my youngest son Mohammed who is becoming aggressive , chaotic, non obedient , noisy ,and refuses to calm down , though we love him so ?

Thorough assessment: …is needed to better understand and address your son's behavioral issues. Make an appointment with your son's pediatrician to start. They will be able do an assessment and then get you referred to an appropriate specialist if needed. ...Read more

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Idevelopmental delay and learning difficulties across the board and language delay , my child is 6 and 22 months behind should school take it serious ?

Idevelopmental delay and learning difficulties across the board and language delay , my child is 6 and 22 months behind should school take it serious ?

The earlier you help: developmental delays the better. Please seek professional help from a specialist. Special tutors and speech therapy can be very effective and your child will feel less frustrated. Peace and good health. ...Read more

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My 18 month old is addicted to watching barney on my ipad. Hours at a time if we let her. Is this unhealthy behavior? Luckily no barney at daycare :)

My 18 month old is addicted to watching barney on my ipad.  Hours at a time if we let her. Is this unhealthy behavior? Luckily no barney at daycare :)

Yes, unhealthy: You have controll over this. Take the ipad away and spend some time with your baby. Infants should not be spending hours watching ipads or tv s. ...Read more

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14 month old doesn't point or show toys. Are these major autism red flags?No speech delay based on eval. Plays in turn taking social games, imitates.

14 month old doesn't point or show toys. Are these major autism red flags?No speech delay based on eval. Plays in turn taking social games, imitates.

Prob Ok, but watch: These do not sound like major red flags, since the language and play seem fine. There are screening tools such as MChat and CARS, that can also screen. Does he interacts well with others, make good eye contact? Eat well? Sleep well? Have normal bowel movements? ...Read more

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Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

Geriatrics md: how can nursing home refuse to share care plan with woman's child citing hipaa even before she moves in? Older nonmedical sib has poa.

HIPAA strictly: Demands that medical personnel do not discuss medical care issues with anyone but the person designated by the patient. It appears it is not you. Don't get mad at the nursing home, your beloved government came up with the rule. If they are ever found in contempt, the home is fined and potentially taken out of business. So there's that! ...Read more

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How to stop defiant behavior in 7 year old?

How to stop defiant behavior in 7 year old?

Discipline : Praise good behavior, kids thrive very well in a lovable environment. For unacceptable behavior take away privileges, sometimes just ignore the bad behavior so it becomes extinct. Provide reasoning for the punishment so child learns to differentiate right from wrong. Talk to him/ her like a friend of his age and listen to his concerns.Sometimes all they need is your attention. ...Read more

Dr. Steven Griggs
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Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more