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Your Child's Journey

wisdom for the big steps little children take

You are here: Home / Archives for developmental delay

Is My Child Normal?

May 2, 2014 By Diane Constantine

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Are you afraid your child isn’t normal? Just about every parent has this fear at one time or another. The media reports huge increases in autism rates. There are more and more children being diagnosed with mental disorders like bipolar disorder. Then there’s the preschool and kindergarten teachers telling parents their boys are hyperactive. So what is a parent to do?

I’m going to give you some common sense considerations to help you decide if there is need for intervention.

1. When looking at the benchmarks for development, is your child young or past the average age for that skill? For example, a baby usually learns to sit unsupported between 4 and 9 months. If your baby is not sitting unsupported at 6 months, this is not a sign of possible developmental delay. If however, he is 10 months and still not sitting well, then you should let your pediatrician know and seek further evaluations. Also, if your baby was premature or has had serious medical conditions in the first months of life, he may lag behind developmentally for as long a year and not be considered delayed.

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Filed Under: All Ages Tagged With: bi-lingual, developmental delay, normal, preschool

Prenatal Test for Autism: Would You Want to Know?

April 11, 2013 By Diane Constantine Leave a Comment

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Right after Casey was diagnosed, I went to an autism convention. They brought up the fact that there were new genes being linked to autism all of the time. I got all excited. That would mean I wouldn’t have had to jump through all of those hoops to get him diagnosed! It would be like it is with Down syndrome; I could have just known in advance and been prepared.

Fast forward several years. I have a baby with Down syndrome. A baby I thought everyone would just think was beautiful, wonderful, etc., because that was the bubble I lived in. I thought anyone would want a baby with Down syndrome. I remember being so jealous of the kids with Down syndrome in Casey’s Early Intervention classes because they didn’t scream and kick every time they were dropped off. I knew somewhere in the back of my mind that some people aborted babies because they had Down syndrome, but I thought that was rare.

That bubble burst when I learned most of babies who are prenatally diagnosed with Down syndrome are aborted.

Please take a moment and read the rest of this article at Mamapedia

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Filed Under: All Ages Tagged With: autism, developmental delay

Autism Awareness and New Facts

April 6, 2013 By Diane Constantine Leave a Comment

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For those of you who have not read much about autism, this is Autism Awareness Month. As such, I want to do my part to help make you aware of the condition and the progress being made to help children on the Autism Spectrum.

Autism spectrum disorder (ASD) is characterized, in varying degrees, by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. It appears to have its roots in very early brain development, however, the most obvious signs and symptoms tend to emerge between 2-3 years of age. ASD is associated with intellectual disability, difficulties in motor coordination and attention, sleep disruption and gastrointestinal disturbances. The incidence of autism in all its forms is approximately 1 in 88 children, affecting boys much more than girls. Currently, research has identified some rare gene changes associated with autism. But it appears to be caused by a combination of autism risk genes and environmental factors influencing early brain development.

This month I took a look at some research and want to give you some up-dated findings about Autism.
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Filed Under: All Ages Tagged With: autism, developmental delay, immunizations

Developmental Delays

January 26, 2013 By Diane Constantine 1 Comment

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No one wants to think their baby is lagging behind in development! We hope our baby will be very clever and ahead of the developmental mile markers. Even if we see our child is lagging behind, it is hard to ask the questions because we are afraid of the answers. Most of the developmental delays can be overcome, especially if they are treated early and correctly. There is no shame in having a child who lags behind, but there is shame if you know it and do nothing about it. Please read about the delays. If you have questions, ask your baby’s doctor. If you are not satisfied, seek further evaluations and follow up on treatments. You are your child’s only advocate in these early years.


Physical Delays

For pictures and descriptions of the steps in  physical development, download this 8 page booklet. Pathways is used by permission.


Delayed Head Control

This may be the first sign of physical development delays. Please read our Tummy Time and Head Control page.


How to Get a Diagnosis

Step 1: Take Notes

Become the foremost researcher on your child, examining your subject in a variety of different environments and documenting all irregularities. If your child has recurring odd actions that alarm you, keep a diary of what, when and how long. If your child has emotional breakdowns or explosions, keep a chart to see if you can identify what sets them off. You want to be able to specifically document your concerns so that doctors have the most accurate idea of what’s going on and can make the most assured steps toward a diagnosis.

Step 2: Talk to Your Pediatrician

Chances are, your health insurer will require you to go through your pediatrician before tests and specialist visits anyway. But it’s just as well, because your child’s regular doctor will likely have useful insights and advice to give you. While you’re the ultimate expert in your child, the pediatrician is probably the medical professional who knows your child best — certainly better than the specialists who will pop in for a short time, look at one aspect of your child’s life, and see you again in a year. A good pediatrician with whom you have a comfortable rapport is a helpful person to have filtering all those reports and test results and guiding you as to what to do about them.

For more see: How to Get a Diagnosis


When a Doctor says, “Wait and see.”

So you’re worried about your child, and you’ve brought your concerns to your pediatrician, and your pediatrician has uttered the three least satisfying words in the English language: “Wait and See.” Welcome to Worry Limbo! For three or six or eight months, you will be neither relieved of your anxiety, nor empowered to do anything about it. If you’re more proactive than passive, give yourself the go-ahead to try these five calls to action. No waiting required!

1. Ask why.

What specifically will the doctor be expecting to happen or not happen over the course of the waiting period? Is there something in particular that you should be looking to “see”? What would be the downside of moving forward now instead of waiting? What is the significance of the amount of time that has been chosen for waiting? Can you check in sooner than that if your concerns increase? Make your doctor work for that co-pay!

To read the rest of the article and other articles on similar topics go to:specialchildren.about.com


 Early Intervention

Sometimes babies are born with a condition or special need that can affect their development. Other times a condition is not apparent at birth so over time, the parents or doctors begin to wonder if the child is developing appropriately.

In either situation, a child’s developmental abilities are evaluated. Once evaluated, the child is eligible to receive the therapy or other types of early intervention he/she needs and the family can get the support and education they need.

Early intervention means finding the specific ways to help a child become as functional as possible. In some situations, the therapy a child receives at an early age enables that child to reach developmental milestones on target or close to target. In other words, early intervention can sometimes help a child catch up to peers.

Early Intervention Helps a Child with Major Developmental Areas

Physical development- a child’s ability to move, see, and hear
Language and speech development- a child’s ability to talk, and communicate
Social and emotional development- a child’s ability to play, interact, and relate to others
Adaptive development- a child’s ability to handle self-care functions, such as feeding and dressing
Cognitive development- a child’s ability to think and learn

For questionnaires to assess your child’s feeding, speech, and motor skills and articles on developmental mile markers see: Day 2 Day Parenting.com


Bad Reasons to Avoid Early Intervention

So maybe your pediatrician has talked to you about getting early intervention services for your child, or you’ve let your doubts about your child’s development lead you into making a few phone calls about it. You’re worried about your child, but you’re also worried that getting help will mean there really is something wrong. These five reasons to skip EI may be nagging at you, tempting you to just go on and hope for the best. Don’t listen. They’re bad reasons. Here’s why.

1. I don’t want to label my child.
The “label” your child gets to qualify for early intervention doesn’t go on his “permanent record” — many kids go from EI right into regular education preschools and kindergartens. The idea is to label now so that there’s no need to label later. Because those labels that come later stick a lot harder.

2. My family thinks it’s a bad idea.
Mothers and fathers and in-laws and siblings are always full of advice, but as a parent, the buck stops with you. You spend more time observing your child than anyone, and if you have concerns, they need to be respected — if not by others, then absolutely by yourself. Follow your gut.

3. My child will catch up on her own.
Maybe, but you’re gambling with your child’s life here. When your child is five and still delayed, you’re not going to be able to dial things back and try early intervention. Early intervention will do no harm, and may do a great deal to help. Why take a chance when you don’t need to?

4. Children need to play and have fun, not do therapy.
Sending your child to early intervention is not like sending him to boot camp. It’s fun. Your child will think he’s playing as he does things to strengthen his motor skills and gain meaningful language. You’ll have fun watching it, too.

5. I’ll just work with my child myself.
Terrific! Work with your child yourself! There are lots of hours in the day. Doing early intervention doesn’t mean doing nothing else. You’ll still want and need to work with your child. But chances are the intervention therapists will be able to give you ways to do that so much more effectively.

For many more articles on related topics see: SpecialChildren.About.com


Resources available in the Klang Valley, Malaysia

Professionals for Diagnosis of Learning Difficulties in the Klang Valley, Malaysia

Resources for Special Needs Kids in the Klang Valley, Malaysia

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Filed Under: Resources Tagged With: developmental delay, early intervention

Autism Anxiety in Pregnancy

July 15, 2011 By Diane Constantine Leave a Comment

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Anne’s daughter was less than an hour old when she asked:  “Do you think she’s autistic?” Her question didn’t surprise me. A lot of parents ask about autism these days as they face one of their biggest fears. This was Anne’s first baby and I told her what I know to be true: “She looks perfect to me. Odds are she’s a healthy, unique little girl.” Odds are, she won’t be autistic either, but you can’t tell right from the start.

Many parents, like Anne, are terrified that something they did or didn’t do could cause their children to be among the 0.4 to one percent of children who develop autism. Last week a new study in the Archives of General Psychiatry linked autism with antidepressants. Another study of twins revealed that most cases of autism are caused by environmental than genetic conditions, though genetics plays a part. We’ve been told autism is not caused by vaccinations, but might be caused by chemical toxins. A study published this year in the journal Pediatrics says babies born less than a year after their sibling are at greater risk for autism. Those born prematurely or with older parents are too. Then again, maybe they’re not. These studies are not conclusive. They just provide hints and for too many parents, something new to be frightened of. Bottom line: We don’t know what causes autism yet.

If only about one percent of children develop some degree of autism, that means 99 percent don’t. Of that one percent, studies say about two-thirds are high functioning. Autism is a spectrum disorder, which means the variety symptoms and behaviors associated with it range from slight to severe. Their symptoms impact how they experience the world, but may not slow them down. That’s what parents are really scared of: having a child with such severe symptoms that they’ll be disabled. They don’t hear enough about the brilliant children who have autism.

To read more: Autism Anxiety in Pregnancy

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Filed Under: Newborn, Resources Tagged With: autism, developmental delay

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