Hello, Dr.T speaking...

Sandrine

Hi Dr. T,

I think I understand now. Thank you.  Where can I find such classes for her?  I know Charles Yu offers EQ training.  Is it more or less the social skills learning that she needs?  Do you have any recommendation for classes in English please as my child is more comfortable in an English-speaking environment?  Thanks again.

如果小朋友本身的能力不足夠(指技巧上)只是讓他們面對一大班小朋友是不足夠的,因為孩子根本不懂得如何與人相交,強行要求她"投入"是無補於事-我認為她有需要參加一些小組方式的社交訓練.

Dr.T

不同的機構對"社交技巧訓練"有不同的包裝,EQ班是頗普遍的說法.選擇的重點是導師的資歷/經驗及師生比例...但全英文的就真的比較難找了 :cry:

Sandrine 寫道:
...offers EQ training.  Is it more or less the social skills learning that she needs?  Do you have any recommendation for classes in English...

Sandrine

You're a great help already. Thanks.  I'll look around.  

但全英文的就真的比較難找了 :cry:  

gracekpa

Dr. T,

你好, 我係新會員, 因我懷疑我的女兒 (十歲) 有學習障礙, 而其他會員話我知可請教你, 希望你能提供意見:-

首先佢唔係一個懶惰的小朋友
每次英文默書最高只有六十幾分;
害怕中英文閱讀理解;
數學應用題經常錯
計數常錯個位數 或 3523 寫成 3623;
溫習時所有題目都識答, 但考試就會錯好多大意
常識/聖經等閒科會好高分
運動好叻

由於主科唔合格, 所以要留班

望賜意見

Dr.T

雖然孩子是似乎有讀障學生的特徵,但單憑表徵去尋找協助方法是治標不治本的-目前最重要的為小朋友安排詳細的評估,當然另一方面不要因為她的學習問題而取消她的運動訓練,因為自信也是一個重要的環節.

gracekpa 寫道:
...因我懷疑我的女兒 (十歲) 有學習障礙...

gracekpa

DR. T

多謝你的回應, 我已經排了港大課程和排期政府做評估, 而我都會利用她的運動專長鼓勵佢, TKS

Choby

Dr T,

I have been very worried about my son recently.   I talked to a paediatrics doctor and he said my son was weak in body language and referred him to a further evaluation( suspected autism).  Now I am waiting for the evaluation.  Since then, I can't stop worrying.   My son is 18 months but can utter  only a few words.  He calls me 'mom' and his dad "dadi" only when he wants us to help him.  But this doesn't happen very often.  As for eye-contact, he looks at me if I play with him.  Sometimes he stares at strangers because he wants to play with them.    But when he has something to play or when we are not at home, he seldom looks at me.   My hubby thinks this probably because he is just too curious about the envirnoment.  But the doctor said my son shouldn't care about the environment more than people and so....

If I ask my son to shake hands to say bye-bye or whatever, he can do it.   My husband and I think that my son can understand our instructions at a certain level ( about 50-60 %).  


I talked to some of my friends and none of them agree on what the doctor  is suspecting because my son likes to play with them.  

I am suffering.  My son seems very normal as he likes to be with me. Here I would like to give more examples.

1. When we are at home, I am at the kitchen and he is playing in the sitting room and if I called his name and asked what he was doing, he would answer me.     

2. If he tried to go into the kitchen alone, he would turn around and lookat me or my hubby first.  If we scolded him, he would turn back and dare not to go into the kitchen.

3. Whenever I call his name, he will get back to me very soon.

4.  He likes to stare at strangers and play with them.

5. He likes to chase after children who are a bit older than him and play with them.


But what I worry about him is that:

1.  He sometimes, like outside home, he seldom looks at me and worse still not concern about whether I was with him or not.

2. Many times, I tried to look very closely at his eyes with two hands holding his face.  He avoid eye-contact with me.

3.  He is a bit hyperactive and likes walking around.

4. Whenever he plays toys, he likes to turn to the back of the toys and study what it is underneath first and then turn back to play it.  After a few seconds or after he knows how to play the toy, he will throw it away.   

5.  He is a bit speech delay.  He can only utters 5-6 words meaningfully.  He seldom talks.

6.  He like to walk with his toes when he is small.  Now it's getting better.  But he sometimes still walks with his toes.  

7. He still doesn't know how to point at things.



Dr T, possibly that's too much for you to read.  But I sincerely hope you can give me a hand as I am just too worried about him.  I know it is very difficult for you to make any judgement right now.   Therefore, can I bring him to your clinic to do evaluation?  I just can't wait 5-6 months for the evaluation offered the govt.


Thanks a lot!

Honeybee-0211

Dr. T,

我近日發現小兒(將快四歲)當我在人前講述他的 軼事時 (是正面的), 他會很不自在. 他會用雙手掩耳不想聽或會明確的對我說他不想我講. 但我明顯知道他是喜歡我和爸爸欣賞他, 而他也會在看見我和爸爸了"好事"時鼓勵我們 (例如我們在公車上讓坐時). 真不知是什麼緣故. 請問是何故呢?

Dr.T

從你的描述我不太覺得小朋友的社交發展有太大的問題(語言表達能力除外)-

1.所描述的我會覺得是專注/過度活躍的問題多於自閉症

2.小朋友的生活環境有沒有機會接受語言刺激?

3.單是指/不指不一定是自閉症的最佳及唯一指標,只可作參考.

當然可以作兩手準備,邊等政府服務邊找尋第二意見(second opinion).符合資格的醫生及心理學家除評估外還可以在有需要時立即協助轉介(i.e.排隊).

個人聯絡資料另pm上.

Choby 寫道:
1...sometimes, like outside home, he seldom looks at me and worse still not concern about whether I was with him or not...tried to look very closely at his eyes with two hands holding his face.  He avoid eye-contact with me...bit hyperactive and likes walking around...After a few seconds or after he knows how to play the toy, he will throw it away.   

2...bit speech delay.  He can only utters 5-6 words meaningfully.  He seldom talks.

3...He still doesn't know how to point at things.

Dr.T

表面看似乎是自信心的問題,對他人給自己的讚美表現得不自在,不敢面對自己的"優點".如果是如是的話那可能要在平日找機會更了解及接納自己的獨特之處.

Honeybee-0211 寫道:
...小兒(將快四歲)當我在人前講述他的 軼事時 (是正面的), 他會很不自在...

bkmummy

Dr.T 你好,

我女兒現時4歲9個月, 她對認中文字有非常的困難,
e.g.我教她<我>字教了10分鐘, 隔了2秒她再問她, 她也可以忘記, 請問有冇一d特別既方法可分享我應如何教她?

每次做功課的時侯也顯得特別累, 開始不到3分鐘, 便不停打呵欠, 枝铅筆就明明握住, 但都唔知點解成日都會跌落地;而她其他學習方面寫英文字也有相反的情況, 數學方面她懂1+2=3  但1+?=3 她便不曉得, 我想問她是否有學習困難or讀寫障礙呢? 2種是否不相同?

Dr. T希望你能解答我的問題, 謝謝!

Dr.T

4/5歲的小朋友有反轉寫字的情況不太出奇,對加法的轉移不認識亦不成問題(其實這是小學的課題,因為牽涉邏輯推斷).但持筆不穩及認字有困難(尤其是"我"這個都比較常見的字)我就比較擔心.現階段很難確認是否及何種問題,但如有擔心可找醫生轉介評估中心作手眼協調及視覺空間能力評估(職業治療師).

認字方面嘗試在傳統的紙筆抄寫之外加多一些變化,例如將字沿周邊剪出來讓孩子去摸;在神奇畫板/沙上寫;字的不同筆劃用不同顏色的筆寫等等...之所謂多重感官法.

嚴格來說讀寫障礙是學習困難的一個分支,後者泛指智力與學習表現有明顯差距.

bkmummy 寫道:
...我女兒現時4歲9個月, 她對認中文字有非常的困難,
e.g.我教她<我>字教了10分鐘, 隔了2秒她再問她, 她也可以忘記, 請問有冇一d特別既方法可分享我應如何教她?

...枝铅筆就明明握住, 但都唔知點解成日都會跌落地;而她其他學習方面寫英文字也有相反的情況, 數學方面她懂1+2=3  但1+?=3 她便不曉得,

...想問她是否有學習困難or讀寫障礙呢? 2種是否不相同?

Little_Dog

Dear Dr. T,

It’s my first time to write for you. Thanks very much in advance for your advice.

I would like to let my son, who is a 9 yrs old boy, to do an IQ test; would you please advise me which organizations provide such services. I’ve read the other topics in BK, and someone recommended the 全人發展中心 “韋氏” test, is it good?

Looking forward to hear from your reply asap, thanks a lot!

Dr.T

智能測驗嘛...當然沒有人比我做得更好

恕難評論其他的人的水準

香港韋氏兒童智力量表是目前少數有本地標準的測試,因此亦是無選擇中的選擇,除非小朋友的英文十分流利及在國際學校甚至外國生活,否則我不會建議用外國的評估(如WISC-IV及WPPSI-III)...

Little_Dog 寫道:
...I would like to let my son, who is a 9 yrs old boy, to do an IQ test; would you please advise me which organizations provide such services. ...

bkmummy

Hello! Dr.T,

我想問用flash card可幫倒小朋友認字, 但flash card是否對小朋友有什麼不良的反應嗎?

Dr.T 寫道:
4/5歲的小朋友有反轉寫字的情況不太出奇,對加法的轉移不認識亦不成問題(其實這是小學的課題,因為牽涉邏輯推斷).但持筆不穩及認字有困難(尤其是"我"這個都比較常見的字)我就比較擔心.現階段很難確認是否及何種問題,但如有擔心可找醫生轉介評估中心作手眼協調及視覺空間能力評估(職業治療師).

認字方面嘗試在傳統的紙筆抄寫之外加多一些變化,例如將字沿周邊剪出來讓孩子去摸;在神奇畫板/沙上寫;字的不同筆劃用不同顏色的筆寫等等...之所謂多重感官法.

嚴格來說讀寫障礙是學習困難的一個分支,後者泛指智力與學習表現有明顯差距.

[quote]
bkmummy 寫道:
...我女兒現時4歲9個月, 她對認中文字有非常的困難,
e.g.我教她<我>字教了10分鐘, 隔了2秒她再問她, 她也可以忘記, 請問有冇一d特別既方法可分享我應如何教她?

...枝铅筆就明明握住, 但都唔知點解成日都會跌落地;而她其他學習方面寫英文字也有相反的情況, 數學方面她懂1+2=3  但1+?=3 她便不曉得,

...想問她是否有學習困難or讀寫障礙呢? 2種是否不相同?

[/quote]

Little_Dog

Dear Dr. T,
Thanks. My son is a local HK child and his nativeis Catonese.
May I know how can I contact you for the testing? And how much for that?
If it's not convenient for telling me in this opening area, please advise me what I can do, thanks a lot. :

Dr.T

請check pm

Little_Dog 寫道:
...If it's not convenient for telling me in this opening area, please advise me what I can do...

Dr.T

個人不反對閃咭訓練,但過份沈迷(主要是家長,不是小朋友 )於學懂多少個字而忽略了其他方面的發展(如社交)就是反效果.凡事要適可而止.

bkmummy 寫道:
我想問用flash card可幫倒小朋友認字, 但flash card是否對小朋友有什麼不良的反應嗎?

朱MayMay

DR.T :

剛發現有這個Topic, 實在很好呢      
有幾個問題想請教你, 真不好意思 :

(一) 我朋友的仔仔差不多一歲,有大、小肌肉發展遲緩問題,個頭size 大了小小,因有小小積水,及左眼皮經常垂下, 政府醫院check 了好多都話唔知咩原因,一直有做訓練(大、小肌肉發展方面), 但就無其他藥食及大改善.  於是朋友介紹去睇一個另類治療的醫生(自然療法), 驗出有重金屬超標, 治療上基本給佢食酵素,維他命,浸一d浴盬, 另教佢bb食d咩, 如唔好食魚, 食有機蛋,唔好睇電視 ......
請問你對另類療法點睇?對有自閉及發展遲緩work 唔work?
(二) 因身邊朋友d 仔女好多都有自閉或發展遲緩的問題, 我都好擔心, 食物及環境因素太差, 想問吓你有無d防重金屬或自然療法等的資訊可以介紹, 等我地知多d (e.g. 書或網頁)
(三) 我同事個女8 個月, 常無咩反應,眼定定, 好似聽唔到人講嘢,只係佢自已鍾意時才ee、呀呀、笑,  但健康院又話無嘢,咁會唔會係自閉的病徵? 駛唔駛check ?
(四)還有一個小小問題, 我仔仔就來四歲, 近排又開始成日咬手指, 叫極都唔定, 仲咬埋d指甲,腳甲tim, 同佢剪完,都仲話有皮, 要咬, 這情況上年k1開學持續了半年, 下學期無了, 但8 月又開始, 我猜是否和開學有關? 但佢平時好鍾意返學的, 好開心, 7、8月亦有回校返暑期班, 真的不知為何 ?在家好大個仔, 但學畫時又好bb, 將d 畫畫花晒, 好似發洩咁, 但問佢學得開唔開心, 佢又話開心,有d驚,點搞好 ?
太多問題了,真不好意思  
      

goodfuture

DR T, 您好!
我女兒今年十六歲, 自少專注力弱, 被衛生署評為抽象思考方面較差, 閱讀能力則尚可, 但多年來年年考包尾, 數學無論怎樣教也不得其所, 但係佢好仲意彈琴, 而家係教會做緊司琴, 樂理就考唔到...個性方面自我中心強, 講來講去都係同自己有關的事, 由朝到黑都向我地要求野, 當中更有多數是不合羅輯, 想點就點, 我地教佢教到身心疲乏, 佢卻關埋對耳冇樣聽, 佢要既野你唔比, 佢就發晒癲, 對佢哭笑怒駡出齊佢都無動於衷, 呢一刻仲激到我喊, 佢仲可以睇卡通片睇到大笑, 好似一個鐵石心腸既人甘, 同人相處又不能長久, 同妹妹更加惡劣, 無緣無故都可以整喊佢, 呢種痛苦真係不足為外人道....
最近我先生聽說有一種名為亞氏保加症, 一看之下同佢既日常行為十樣中了九樣, 但佢既年紀政府都唔多理會, 我們找了一些非牟利團體家庭治療師做了評估, 結果是輕度至中度,似乎多年既疑問有了答案, 但而家佢甘大, 去邊度搵呢方面既配合幫佢呢, 佢咁大又會唔會幫唔到呢?
知道呢個症之後, 我地都好盡量改變自己, 用無比耐性去包容佢, 但係佢真係好飄忽, 改左少少, 但一有機會又發作, 我同妹妹都忍得好辛苦, 妹妹今朝先問我, 點解佢成日要鬧佢, 令佢唔開心, 我唯有叫妹妹包容佢多些, 一方面又唔想比老公知太多 (老公係過去既日子已經比佢激到癲癲地), 而我...真係就黎爆啦
好女都唔知要暪幾多暪, 先可以攪好一家人既關係
好多謝你睇我篇勞蘇同解答我既問題