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Doctor insights on: Fall Manipulative Activities For Preschool

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My child shows fear of going to school.Age is 5.7years.Is not ready to leave classroom for pt and music lessons.No participation in oral sessions?Why?

My child shows fear of going to school.Age is 5.7years.Is not ready to leave classroom for pt and music lessons.No participation in oral sessions?Why?

Anxiety/A, Phobias/P: Part of normal development. 1.Social p: fear of contact with unfamiliar people, social isolation; desire of involvement w/family, familiar peers. 2.Separation a: unrealistic, persistent worries of possible harm befalling primary caregivers, persistent avoidance of being alone, complain distress. 3.School p. 4. Generalized a disorder: worries about future events. Encourage, talk; get counselling. ...Read more

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My 12 yr. Old son falls asleep doing schoolwork, homework, and chores; but is alert when watching t.V. Or playing video games, is this adhd?

My 12 yr. Old son falls asleep doing schoolwork, homework, and chores; but is alert when watching t.V. Or playing video games, is this adhd?

Maybe: Tv and video games are geared for a 4 second attention span. Most 2 year olds have longer attention spans than that. The 4 second attention span keeps your son alert via a neural reflex. It also lowers his attention span for the real world. Research states of those who watch 1 hour a day 9% will lower their attention span to add levels. 2 hours lowers 18% and 3 hrs 27%. Limit both to 45 min/day. ...Read more

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Any sports teens with physical disabilities cannot participate in?

Any sports teens with physical disabilities cannot participate in?

Special Olympics: Teens with physical disabilities are able to do many sports. By this age they are generally aware of their physical limitations, such as neck instability, hypermobile joints or heart or lung limitations. They can be directed by their primary physicians with the help of special olympics to find a sport they can excel in. ...Read more

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Which disorders cause a 7 years old boy (having good grades) to sit alone in school despite he's social in family?P.S:he visits an orthophonist weekly

Which disorders cause a 7 years old boy (having good grades) to sit alone in school despite he's social in family?P.S:he visits an orthophonist weekly

Shyness: Some children are shyer than others, but some kids can get stressed at school. Talk to him about how he is doing. Is he anxious or stressed? Does he enjoy school? How are his grades? If you are concerned that he is depressed or having school problems, talk with his doctor or a therapist. ...Read more

Dr. Ted Saha Dr. Saha
1 doctor agreed:
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Would ssri benefit 11 years old boy who has sever anxiety, phobia, and ocd. While the most talkative at home, he is not talking in public or school.

Dr. Ted Saha Dr. Saha
1 doctor agreed:
Would ssri benefit 11 years old boy who has sever anxiety, phobia, and ocd. While the most talkative at home, he is not talking in public or school.

Anxiety/ Phobia: Hopefully he has been evaluated by a child psychiatrist. Cognitive-behavioral therapy, psychoeducation of parents and child, school intervention, and medications, such as ssris ( 1st line tr); 2nd line-benzodiazepines for short term; 3rd line-- buspirone. If every thing fails antipsychotics may be useful in high levels of agitation. Cbt are the best supported interventions. Early tr improves prog. ...Read more

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Lose focus when people talk, hard to start/finish tasks and stud, disorganized, low grades, poor social skills, anxiety. Just lazy/antisocial or add?

Lose focus when people talk, hard to start/finish tasks and stud, disorganized, low grades, poor social skills, anxiety. Just lazy/antisocial or add?

Attention deficit: Many of the symptoms you describe are an adhd presentation, but you also report anxiety. I would encourage you to consult your physician and also get a referral for a psychological evaluation for diagnosis and treatment planning. ...Read more

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Bullying happens in school, the work place, home, kids etc.. Is there a mental health diagnosis for why people bully others?

Bullying happens in school, the work place, home, kids etc.. Is there a mental health diagnosis for why people bully others?

Nonspecific: Bullying can be a final common pathway of behavior for a wide variety of reasons. There is no specific psychiatric diagnosis that matches bullying. Certainly things in such a person's history -- like being mistreated or abused at home -- may be a factor. But it's not an excuse, and bullying must be stopped. If the bully has been through trauma, s/he needs help as well as firm limit-setting. ...Read more

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Do violent video games hurt a child's ability to sleep?

Do violent video games hurt a child's ability to sleep?

Definitely could: Playing any sort of video games (or having screen time) before bed is likely to negatively impact sleep- these games make the brain "wake up" and its hard then to calm down to go to sleep. Violent games may cause the child to be have scary thoughts before bed and make it tough to fall asleep. ...Read more

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Are there any programs in u.S. To help young adult aspbergers patients master skills for healthy living? Health, socialization, self care, work, etc?

Are there any programs in u.S. To help young adult aspbergers patients master skills for healthy living?  Health, socialization, self care, work, etc?

Yes: Most all very serious, long standing or non-curable, genetic, even uncommon conditions have support groups and links for help. Are we not blessed and cursed with the age of the internet and technology ? Start with aspergersyndrome.Org. ...Read more

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The past few months, anhedonia and internal thoughts affecting schoolwork performance, but not diagnosed with mental disorder. Let teachers know?

The past few months, anhedonia and internal thoughts affecting schoolwork performance, but not diagnosed with mental disorder. Let teachers know?

If you feel it's OK: Beyond the label of mental disorder, anhedonia and internal thoughts affecting your school performance, depressive disorders are very common and affect mood and performance. Addressing this issue might bring about means to solve the problem. Teachers and counselors can be a very good start, after your parents, friends or your doctor. ...Read more

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Im quiet an active adrenalin junkie person such as out door sports , scuba diving, motocross ect. Will a breast augmentation limit me with activities?

Im quiet an active adrenalin junkie person such as out door sports , scuba diving, motocross ect. Will a breast augmentation limit me with activities?

No limitations: The short answer is that breast implants should not limit your lifestyle. However, it is important that they not be too large and that you are aware of all of the ramifications in terms of implants in athletic women. I would recommend asking your plastic surgeon for specific information on this. ...Read more

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What are good sports or activities for children with adhd?

What are good sports or activities for children with adhd?

No bad ones: Any activity that encourages the child to move, use his/her imagination and laugh is beneficial to his/her health.Exercise has been approved by the aap as adjunct therapy for adhd.Get a proper assessment by a knowledgeable professional, provide proper guidance, discuss meds and other options with your doctor.Avoid fads and unsupported treatments that could possibly delay or worsen outcome. ...Read more

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Is acmas programs really beneficial for kids brain and learning abilities ?

Is acmas programs really beneficial for kids brain and learning abilities ?

I did a search: On yahoo and no relevant programs turned up. In general neuro cognitive training has limited short term benefits but people who are promoting this are trying to sell this to insurance agencies, the government and to general public to ask them to pay for these training programs which have questionable long term benefits. ...Read more

Dr. Paul Grin Dr. Grin
5 doctors agreed:
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How to deal with dental phobia in teens. 17 year old girl who fights and screams at the dental office. Cannot afford sedation?

Dr. Paul Grin Dr. Grin
5 doctors agreed:
How to deal with dental phobia in teens.
17 year old girl who fights and screams at the dental office.
Cannot afford sedation?

Anxiety management: for patients with moderate or severe levels of dental phobia, psychological and pharmacological interventions are required. Without treatment, dental phobia is likely to get worse over time. See a pain psychologist for CBT. ...Read more

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What are some activities for adults that improve social skills?

Therapy: Is a start. You could also check out dale carnegie courses or toastmasters in your area. ...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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What is the best possible way for a college student to juggle school, work, extracurricular act., volunteering, and social/family life all in one?

What is the best possible way for a college student to juggle school, work, extracurricular act., volunteering, and social/family life all in one?

Take it from Clint: One of Clint Eastwood's great lines is from the 1970's movie Magnum Force. At the end of the movie, just after his character Dirty Harry has taken out the last bad guy, he says, "A man's got to know his limitations." This applies to women as well. Also, be sure to plan well ahead, use a calendar all the time, and keep a buffer of time in case something takes longer than expected. ...Read more

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I sometimes fall asleep while studying, even with ample sleep. However, i don't fall asleep while engaged in any other activity. Is this narcolepsy?

I sometimes fall asleep while studying, even with ample sleep. However, i don't fall asleep while engaged in any other activity. Is this narcolepsy?

No: Most likely lack of interest , when u feel like that take break from studying for few miniutes and do some excersize to increase u energy. ...Read more

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Why could cause my arm fall asleep while driving or doing normal activities?

Why could cause my arm fall asleep while driving or doing normal activities?

A number of things: If it is both arms would consider whether it could be a neuropathy or a vascular problem. If this is a "paraplysis" would consider that this could be component of atonia found during certain stages of sleep. Bring up with sleep specialist in that situation so that testing can be performed. ...Read more

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Recently been diagnosed with ms. Is it normal to have frequent chills and to fall asleep during normal activities like driving?

Recently been diagnosed with ms. Is it normal to have frequent chills and to fall asleep during normal activities like driving?

Sleep disorders: Not uncommon to experience a sleep disorder with MS lesions in critical areas. Would suggest you get this addressed in view of obvious risk factors. The chills and coldness could be paresthesias associated with MS, but might represent thyroid problems and need to be assessed. ...Read more

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10 month old fave fall from bed shorter than her. Red mark and 30 sec nose bleed. Normal activity. Should we be concerned??

10 month old fave fall from bed shorter than her. Red mark and 30 sec nose bleed. Normal activity. Should we be concerned??

Baby Head Trauma: Your 10 month old fell from a bed and now has physical findings that the head received trauma. The associated nose bleed indicates that the impact was enough to injure blood vessels in the nose. Therefore, your infant should be checked out by your doctor as soon as possible to ensure that no other hidden injuries have occurred. ...Read more

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18,athlete.heart rate much higher than should/used to be for given activity.feel heart pounding extremely hard.no HR spikes,just high.extreme fatigue after I exercise(fall asleep I'm so tired).blood work normal.tilt test negative.

18,athlete.heart rate much higher than should/used to be for given activity.feel heart pounding extremely hard.no HR spikes,just high.extreme fatigue after I exercise(fall asleep I'm so tired).blood work normal.tilt test negative.

Cardiologist: I feel evaluation of your symptoms should include outpatient heart monitor, treadmill stress test, echocardiogram and, of course, ekg and heart auscultation(stethoscope). If no abnormalities, proceed with general examination by an internist to check thyroid status, look for anemia and iron deficiency. ...Read more

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How important is nutrition for preschoolers in preventing future disease?

How important is nutrition for preschoolers in preventing future disease?

Very: Get them started right with healthy foods in childhood, and build healthy patterns for life. How they see their parents and other influential family members eat, is another important factor. ...Read more

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Is anxiety in preschoolers possible? What are the signs to look for? And how to help?

Is anxiety in preschoolers possible? What are the signs to look for? And how to help?

If you took Trilep-: tal when pregnant, enroll in the North American Antiepileptic Drug Pregnancy Registry, 1-888-233-2334, though there is no known association with Autism, which causes perseverative & other anxious-looking behaviors. Dr. W. listed both typical anxieties & anxiety disorders in pre-schoolers. OCD by age 4, specific phobias & separation anxiety need treatment if they cause harmful dysfunction. ...Read more

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What is the incidence of ear infections in preschoolers?

What is the incidence of ear infections in preschoolers?

30 ? : There are some children who will never have an ear infection. Some will have a whole bunch. The exact incidence is not important. By age 2, you'll know what the story is. Being around smokers, being in daycare, having allergies, will all predispose to ear infections. The more exposure to irritants and viruses, the more likely. Good nutrition, treating allergies, avoiding smoke exposure, helps. ...Read more

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What is the difference between PDD and add as seen in preschoolers?

What is the difference between PDD and add as seen in preschoolers?

PDD is no longer a: Diagnosis in the dsm-v, having been replaced by autistic spectrum disorder. Adhd usually presents as hyperactive/impulsive type in preschoolers, since attention span at that age can typically be as short as 3-4 minutes. Each is a categorical diagnosis based on a defined pattern of (usually disruptive) behavior. 40-70% of children with ASD have adhd ; require multimodal treatment to address both. ...Read more

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What are some current nutritional issues, such as obesity or malnutrition, that might affect preschoolers?

Obesity: Weight issues even in young children are on the rise. Our society has a lot of cheap, easy access, calorie-dense and nutrient-poor foods available and many are marketed to children. Did you know that the largest toy distributor is actually a fast food chain? Give our kids real foods and avoid giving them sugar-sweetened beverages including juice. ...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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What types of food can relief gas in preschoolers quickly. Are dates soaked in water good for this.

What types of food can relief gas in preschoolers quickly. Are dates soaked in water good for this.

Local answers: intestinal gas in young children can be very uncomfortable. Often a gentle massage of the abdomen, going counter clockwise, can help relieve pockets of gas. Continued pain or swelling or vomiting should be seen by a practitioner. Foods vary with locale; cabbage family and beans are very gasogenic. Often crushed flax seed with rice can be helpful. I would consult locally re dates. ...Read more

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Is there any way to know about what age i'll go through menopause? My mother went through menopause fairly early, in her mid-40s. I am 40 and still have young children -- i don't think i could deal with menopausal symptoms on top of two preschoolers! is t

Is there any way to know about what age i'll go through menopause? My mother went through menopause fairly early, in her mid-40s. I am 40 and still have young children -- i don't think i could deal with menopausal symptoms on top of two preschoolers! is t

Yes : Yes (and no) because we do not yet have perfect tests. Here are is a link about to multiple resources about menopause timing (http://bitly.Com/gkpe8x). We think that a hormone called amh (anti-mullerian hormone) may be useful to predict menopause. Here is a link to my blog entry on amh (http://www.Dropsahl.Com/infertility/testing/anti-mullerian-hormone-amh/). Amh is a hormone produced by the growing follicles in the ovaries. The small antral follicles are constantly growing and you use up about 500-100 eggs each month. As you get older and the number of eggs goes down, so does the number of growing follicles (cysts containing an egg). The few growing follicles the lower the amh level. You blood level does not vary much from day to day, so your doctor could get that value (and perhaps an fsh) and give you some idea of how close you are. Let me comment on a couple of issues. First, your mother's age at menopause matters if she went through menopause naturally but not if the menopause was from surgery. Also, the mid-40's is not abnormal though a bit early as the average age is 51 years. Second, as you will learn from reading some of the links i provided, there is considerable variation in timing. Next. Let me say that the symptoms of menopause vary as well. Some women suffer from many effects of losing the estrogen hormone: hot flushes, mood changes etc. You are not necessarily doomed to have the same reaction or even the same symptoms. I hope this information helps. Best wishes and please do not worry too much about menopause which is normal and usually not a horrible experience. ...Read more

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Left side pain comes and goes like a spasm, This is my 3rd bought with this in 5 months. If I ly down is goes away, it comes on with activity. It s l?

Left side pain comes and goes like a spasm, This is my 3rd bought with this in 5 months. If I ly down is goes away, it comes on with activity.  It s l?

Nonspecific: Your symptoms are nondiagnostic and more description such as location, radiation is needed. Fleeting,sharp pains,especially in the rib cage, are often due to pinching of intercostal nerve or muscle which runs between 2 ribs. Muscle cramping elsewhere is another possibility. These are more of a nuisance than anything serious, but a physician should examine you in order to make a diagnosis. ...Read more

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What are the healthiest u.S./local vegetables that I can find in farmers' markets in the late summer and fall? What should I eat to prepare for wntr?

What are the healthiest u.S./local vegetables that I can find in farmers' markets in the late summer and fall? What should I eat to prepare for wntr?

There are many: Local produce is the healthiest because it is freshest. Ayurveda suggests you eat the available seasonal produce to prepare yourself for the next season. We are designed to consume foods in rhythm with the planetary seasonal cycles where we live. Check out the dirty dozen and the clean fifteen on the website of environmental working group (ewg.Org) this will guide you to smart organic choices. ...Read more

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How do we fall ill?

How do we fall ill?

Complex Question: Ibex - this is a complex question without a 400 word answer. There are numerous things that cause us to be "ill." some are infectious, others internal. ...Read more

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How my bf fall in love?

Love sick?: Your question is more for a Lovelorn Advice column - I can briefly suggest being as healthy and happy as you can really be is always an attractive thing to potential close friends who might become more if there's also other sparks between you. Falling is only the first step too. You'll want to be kind to each other to stay happy. ...Read more