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Doctor insights on: Compare And Contrast Only Child And Child With Siblings

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Can a child therapist work only with little kids or with the whole family?

Can a child therapist work only with little kids or with the whole family?

Most Kid +: Most of the therapists i work with include family/parent interviews as a way to understand family dynamics. These interviews may be conducted with or separate from the kid. As treatment evolves, the focus is on the kid but may be modified to include others as treatment progresses. No "one size fits all" approach will work with the diverse issues involved. ...Read more

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I work with preschoolers and have observed parents feeding their kids coffee. Is this ok?

I work with preschoolers and have observed parents feeding their kids coffee.  Is this ok?

Not recommended: Children don't really need caffeinated beverages of any type. It's best to avoid coffee, caffeinated tea, sodas, etc. It can cause jitteriness, trouble sleeping, irritability, dehydration, and increased heart rate and blood pressure. ...Read more

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If both parents have b+ blood type, can their child have a different blood group?and if the parents have 2 children, can only one child differ?

If both parents have b+ blood type, can their child have a different blood group?and if the parents have 2 children, can only one child differ?

Yes to both: If both parents are B+, any of their children can be either B+ or O+. Blood type is determined by the presence of either an A or B antigen, regardless of amount., with inheritance from both parents. B+ parents can be either BB or OB,. If both parents are OB, the child can be B+ (inherit a B from either parent) or be O (inherit an O from either) ...Read more

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What are the differences between a really hyperactive child and a child with adhd?

What are the differences between a really hyperactive child and a child with adhd?

Several...: Children with adhd who are hyperactive, also are easily distracted, impulsive and have trouble organizing tasks, all characteristics of adhd. If a child only exhibits active behavior, without these other symptoms, they do not have adhd. ...Read more

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Why many older children with autism are fascinated with baby and game shows?

Why many older children with autism are fascinated with baby and game shows?

I think it's from: Both the delays in social development + perseverative interest in anything that's preferred. The simplistic language of pre-school shows is delivered in high-pitched, emphatic, repetitive " snippets", great for delayed echolalia. Age-appropriate shows have confusing complex language ; social interactions. Game shows have sound effects, short verbal interchange, rolling credits ; catchy music. ...Read more

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Are those afflicted with ADHD classified as a 'vulnerable adult'? This is in regard to the 22 year-old grandson of a close family friend who has adhd.Two years ago, two adult men in their late 40's had asked him to move in with them. They immediately bega

Are those afflicted with ADHD classified as a 'vulnerable adult'? This is in regard to the 22 year-old grandson of a close family friend who has adhd.Two years ago, two adult men in their late 40's had asked him to move in with them. They immediately bega

Unfamiliar term: Not sure of the context of "vulnerable adult" as a specific label. Certainly, adhd that lasts into adulthood is associaated with a wide range of increased risk for bad outcomes, and certain individuals with adhd retain a social immaturity that might make it easier for others to prey upon them. However, that is far from universal and more related to immaturity than adhd per se. ...Read more

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3 year old child, signs of autism, parents told to cut out bottle. 4 days pasted and child has not taken any liquids the child only eats raw whole apple slices and puffs. She will not touch any other food. The pediatrician has said to hold on for another

3 year old child, signs of autism, parents told to cut out bottle.  4 days pasted and child has not taken any liquids the child only eats raw whole apple slices and puffs. She will not touch any other food. The pediatrician has said to hold on for another

Go to urgent care: now since dehydration Is a concern. Certainly the liquids a should not continue to be refused by your child for hours on end as dehydration is more important to avoid especially in the Summer. An assessment there is needed for dehydration and possible treatment . With an autistic child transitioning as always done slowly. Hope this helps! ...Read more

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Postpardom or possibly another reason why this woman leaves all her kids dad after the children are born? Ok i know a woman who has 5 kids all with diffrent dads. Everything with her and the men are great up until the baby is born. Her longest relationsh

Postpardom or possibly another reason why this woman leaves all her kids dad after the children are born? Ok i know a woman who has 5 kids all with diffrent dads. Everything with her and the men are great up until the baby is born. Her longest relationsh

It : It wouldn't be fair for me to try to diagnose this woman via an email. However, clearly there is a problem. When traumatized early in life, it can have far reaching effects into the future. A person who has issues with sustaining relationships might well benefit from therapy. ...Read more

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Any parents out there with asd kids at risk for a second child with it?

Any parents out there with asd kids at risk for a second child with it?

Projected risk ~ 4% : The projected risk for any congenital heart defect ( all of them together) is ~4% after one. If either parent has or had a chd the projected risk increased to ~8% fpr subsequent pregnancies. Review of this issue as well as other family experiences with a genetic counselor can better define your individual risks with pregnancy. An estimated 4% of pregnancies have some unexpected issue (inclusive). ...Read more

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Might a child have both mental retardation and autism at the same time?

Might a child have both mental retardation and autism at the same time?

Yes, current studies: show that 40-68% of children with autistic spectrum disorder also have intellectual disability, a Full Scale IQ < 70. Behavioral & educational therapies are tailored to the child's cognitive level. The Early Start Denver Model for 12-48 month-olds has shown gains in cognition & language as well as reduction of autistic symptoms after 2 years of 20 hours/week therapy. See www.autismspeaks.org. ...Read more

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When you put a child with speech delay age 3 in a class of autistic children can they pick up their behaviors?

When you put a child with speech delay age 3 in a class of autistic children can they pick up their behaviors?

Possibly, however,: Speech = articulation, the motor aspect of language. A child with receptive & expressive language delay" has impaired ability in comprehending language & in verbalizing ideas. Language is best learned from birth-5. Autism pre-k has 6 hrs. Of intensive instruction. Developmental delay pre-k has 2 1/2 hrs. Of instruction for children with various needs. Try the higher level of service first. ...Read more

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My 3 yr old autistic son has the vocab of a 5 yr old however his language doesn't flow. Will speech therapy along with preschool be able to help him?

My 3 yr old autistic son has the vocab of a 5 yr old however his language doesn't flow. Will speech therapy along with preschool be able to help him?

Prosody is the term: For pitch, tempo, intonation & rhythm of speech. Difficulty with both prosody & pragmatics, the conversational, turn-taking aspects of language, is seen in autistic spectrum disorder (formerly asperger syndrome). Your school district's child find team can assess your son for eligibility for early childhood special education. An inclusion" a pre-k class with neurotypical peers + slt will help. ...Read more

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How can I demonstrate that my disabled child can keep up with the other children in school to teachers?

How can I demonstrate that my disabled child can keep up with the other children in school to teachers?

His doctor can help: His pediatrician is uniquely qualified to help your disabled child get the best educational bang-for-the-buck intellectually, emotionally, physically and psychologically. His pediatrician can coordinate the myriad diagnoses and reports from specialist doctors and ancillary consultants and help the school see how to get to the "proof in the pudding": your child keeping up with the others. Good luck. ...Read more

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What can the family and parents do for a child born with an std?

What can the family and parents do for a child born with an std?

Assure Rx & followup: There are a variety if illnesses that can be passed from mother to baby during pregnancy. The effects can be minimal & easily treated in some or devastating & fatal in others. Becoming informed about the illness & making sure available treatments are employed is the first step. Depending on the std & treatment, longer term followup may be necessary. ...Read more

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Can a child have mental retardation and also autism at the same time?

Can a child have mental retardation and also autism at the same time?

Absolutely: Although many more children with normal or superior intelligence now are being diagnosed than used to be the case, a large number of children have both autism and mental retardation, and each increases the complications of the other. ...Read more

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My 2 years old daugther showing some signs of having autism. She spins in curcles; sometimes pluginnig her ears; do unusual gestures with her arms; has delay at speach;prettending that she is counting and putting in order her markers or spoons and forks;d

My 2 years old daugther showing some signs of having autism. She spins in curcles; sometimes pluginnig her ears; do unusual gestures with her arms; has delay at speach;prettending that she is counting and putting in order her markers or spoons and forks;d

The American Academy: Of pediatrics recommends developmental surveillance with standardized screening tests at every well-child check + autism-specific screening at 18 & 24 mos. If not done, fill out the screening tests on firstsigns.Org; take her & the results to her doctor. Call your state's early intervention program for assessment & therapy for language delay or autism to promote optimal development. Good luck! ...Read more

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My son is two years old and he is very wild and bites and claws he is a special needs child what can I do to make him better with other people?

My son is two years old and he is very wild and bites and claws  he is a special  needs child what can I do to make him better with other people?

Special Needs mgt: I would suggest that he visit a special needs multidisciplinary clinic for children. Checking his temperature and ensuring he is not hungry or ill is part of his management. Behavioral pediatrics and Developmental services will participate in his care. Your pediatrician will provide his immunizations and flu vaccine. ...Read more

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My 2yr old is in a small family daycare we love,. His language &social skills are advanced. Does he need preschool or can we wait until pre-k?

My 2yr old is in a small family daycare we love,. His language &social skills are advanced. Does he need preschool or can we wait until pre-k?

Need? No...: It sounds like your son is in a loving environment. Children his age (and older) learn through play and connection. He doesn't "need" preschool. Read to him, talk to him, explain things to him, and most of all have fun! I bet he is already getting those things at the family daycare. My vote - if you are happy where he is there is no need to change. ...Read more

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Can an HIV positive child aged 3 years infect other children when he plays with them?

Can an HIV positive child aged 3 years infect other children when he plays with them?

Not easily: Transmission of HIV is primarily via sexual intercourse and by blood transfusions. It is highly unlikely that a 3 year old with HIV can transmit the virus to other kids. However it is always good to practice universal precautions if the child with HIV has a major bleeding incident. ...Read more

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4year old who is hyperactive..Struggles with his speech and his motor skills are not at par but can count to 30 and does a 60piece puzzle?

4year old who is hyperactive..Struggles with his speech and his motor skills are not at par but can count to 30 and does a 60piece puzzle?

Peds neurologist: He should be seen by a pediatric neurologist. You describe several areas of problems. Some areas are perhaps doing quite well, whilst others are not. This bears investigation. ...Read more