Sunday, 5 August 2012

MB 12 Injections - A treatment option for Autism Spectrum Disorders

   I have been driven by the "many children with whom I spend half of my day" to take out time to write whatever little I know about MB 12 Injections. 
   Current upcoming biomedical research now explains Autism Spectrum Disorders (ASD) as a plausible ecological and gastrointestinal disorder in genetically vulnerable children. MB 12 or Methyl- B12 or Methylcobalamin, is essentially a family of vital vitamins that detox our bodies from excess Sulphur.
Children with ASD have a defect in an enzyme that is needed to complete this process of detoxification.
Hence supplements of this vitamin help in improving these chemical processes in the body and surprisingly (indirectly) result in -

  • improved speech
  • language expression
  • socialization ( improved eye contact)
  • emotional control
  • personal awareness
  • mental processing
  • overall health
These injections should be continued along with the regular interventions of Speech/Language Therapy, OT and Special Education.

The success stories are many! There are plenty of studies reported in the West  that prove the benefits of MB 12 injections.Though we lack sufficient controlled data in the Indian context to prove the 'quantity and quality' of improvement but still this surely looks like a promising treatment option for children with ASD. 

These injections are initially given for 3-6 months to see any discernible changes and continued later if found favourible.
Side effects include - hyperactivity and sleep disturbances, but these mellow down with time.

They are easy to administer at home. ( given subcutaneously) . Currently these injections are procured from USA.

Many of my ASD kids are taking the MB 12 injections and are showing good progress in my sessions, in school and at home :)







Tuesday, 12 June 2012

Outdoor play - why and how?

 In today's techno pro world where children have been left confined indoors to indulge in excessive TV and computer, the charm of outdoor play and fun is fading away. And the ones bidding adieus are the variety of learning opportunities that are fostered through outdoor play. My daughter will complete 9 months in a few days and as a mother I know that she loves the 'park time' way better than her favorite I pad games!


Lets see what do outdoor activities help a child achieve - 


1. A medley of developmental tasks - fine and gross motor skills, exploring, risk taking
2. Physical Exercise - must for development of motor skills and cardiovascular endurance
3. Enjoyment - children need opportunites to explore, manipulate, expand, experiment, discover, practice, sing, yell, change and create!
4. Learning about the world - how do plants grow? do sticks stand in sand? why do we slide down instead of up? How do I make my bicycle go faster? etc.. new doors of curiosity are opened..
Not only do children learn lots of basic and fundamental information about how the world works in a very effective manner, they are more likely to remember what they learned because it was concrete and personally meaningful (Ormrod, 1997).
5. Learning about self and the environment - how high can I go on the swing, Can I slide on sand, Can I go on the slide with the head first? To learn about the physical world, the child must experiment with it.
6. Health - Fresh air and exercise always improve childrens' health.




Thursday, 17 May 2012

Managing Separation Anxiety in toddlers

Most mothers like me find it hard to cope with times of separation from the little one. But to make the child independent and to help him traverse the normal way of living, we have to learn to deal with these tough times.
I have compiled the following information for all mothers whose little petals are undergoing this phase of separation anxiety.


Why separation anxiety happens
It's unclear why some kids pass through this phase with barely a whimper while other children become consumed by it. Whatever the reason or intensity, you'll be happy to know that your toddler will outgrow this phase. When? Well, that's a tricky one. Separation anxiety tends to wax and wane throughout the toddler years. But most experts agree that the period of extreme neediness usually passes between 18 months and 2 1/2 years. By age 3 he should be fully out of it. In the meantime, here are some tips and tricks for making departures go a little smoother.


What to do...

Wave bye-bye when you leave.    
It's a simple tactic but one that many parents ignore. Instead, fearing the wrath of their toddler, they try to sneak out of the house while he's otherwise engaged. Big mistake. This approach may save you the pain of watching your child cry, but it can actually make his separation anxiety more severe. If your child thinks you might disappear at any given moment without notice, he's not going to let you out of his sight. This also goes for nighttime departures. Some parents try to avoid the whole ordeal by putting their child down for the night before the babysitter arrives. That's all well and good — if he doesn't wake up. But suppose he does. You don't want him surprised — and possibly terrified — to wake up and find you gone.


Help your child look ahead.
Although your child's ability to communicate is still hindered by his limited vocabulary, he understands much more than he can say. So prepare him for your departure by talking about the event ahead of time. Make sure your child knows where you are going and when you'll be back. You may also want to give him details, such as who will be watching him and what sort of activities he can look forward to doing. To that end, it's also important to talk about your child's sitter with great enthusiasm. Your child looks to you for reassurance, and if you say things like "I think Bella is so much fun, don't you?" he'll be inclined to agree. To gauge how much of your conversation he's absorbing, follow up with simple questions like "Where are Mommy and Daddy going?" or "Who's going to watch Kenny while Mommy and Daddy go to dinner?"

Look on the sunny side.
Separation anxiety isn't merely a toddler thing — you may not be thrilled by the prospect of leaving either. But if you let your apprehension show, your child's almost certain to pick up on it. Besides, a dramatic farewell will just validate your child's feelings of insecurity. So try to stay calm and positive — even if he's hysterical. Talk to him evenly and reassure him that you'll be back soon. To keep the situation light, try adopting a silly parting phrase such as "See you later, alligator" or your own made-up alternative. Getting your child in the habit of responding with "After a while, crocodile" will also help serve as a distraction.

Try a transitional object.
Having a reminder of Mom or Dad may help your toddler cope in your absence, so when you go out, leave him with a personal memento. It can be just about anything — a photograph, an old sweater of yours, or a special pin for him to wear. It's possible that the token might have the opposite effect, though, by serving as a constant reminder. So check with the babysitter to see if your child seemed agitated by it. A security object — a blanket, a stuffed animal, or even his very own thumb — can also be a source of solace.

Play "name that feeling."
A true understanding of emotions is still years away for your toddler, but he can learn to put simple labels on his feelings. When your child starts to panic, tell him: "I know that you're sad that Mommy's leaving. What you're feeling is called 'missing.' When Mommy leaves she has those 'missing' feelings too." "Sometimes all a child needs is a way to express his fears," says child psychologist Donald Freidheim, director of the Schubert Center for Early Childhood Development in Cleveland, Ohio. "Teaching him a name for what he's feeling helps defuse the anxiety."

Set up gradual transitions.

If you're leaving your child for an evening out, ask the babysitter to arrive a half hour ahead of time. This gives the two of them time to get acquainted while you act as a calming presence. If you're starting with a new long-term childcare provider, you may want take a day or two off work — or see whether the sitter can come on the weekend — and do a few activities as a threesome. Whenever your child seems happily engaged with his babysitter, recede into the background. If your child brings you a book to read, for example, redirect him with "Why don't you see if Mary wants to read that book with you?" Or, if he wants to be picked up, suggest that he let the new caregiver do the honors. Some kids are so clingy, though, that they won't give a new sitter a chance, as long as Mom (or Dad, whoever is the primary caretaker) is an option. So if possible let the secondary caretaker be the go-between. "It happens at daycare facilities all the time," says Freidheim. "When Dad drops his toddler off, the child jumps right into the action, but when Mom tries to leave, the same kid dissolves into tears." For these kids, the transition may go more smoothly if the less-available parent acts as the middleman.

Head out at the same time.
Good-byes are always easier when it's your child who does the exiting. Instead of you leaving him behind, have the babysitter take him for a quick trip to the park or out for a stroll as you head out the door. Make sure your child understands that you're going out as well. Otherwise he'll be doubly upset when he returns to find the house empty.

Involve him in an activity. 

Allow your toddler and his caregiver to get engrossed in an activity before you leave. When the time comes for you to go, give your child a quick kiss good-bye and make a beeline for the door. He may still cry, but the activity can serve as a distraction soon after your departure.

Let him learn to cope.

No parent wants her child to feel any unnecessary sadness, but coping with separation is one of the many stresses your child will have to learn to manage in life. Sometimes doing nothing — especially if you've already tried everything — is the best advice. "Learning to cope is an important developmental task," says Freidheim. "Your child has to learn that there are times when he's going to be unhappy." If your child's clinging is so severe that you can't even cross the room without a protest, for example, you may be making the situation worse by constantly caving to his demands. If you know that he's safe, it's okay to let him cry a bit. In a matter-of-fact voice, reassure him that's everything's okay, then go ahead and do whatever it is you need to do — without feeling guilty.




Tips courtesy baby center...

Thursday, 10 May 2012

Appy Bedroom :)



Lets build a bedroom

This is one useful free iPad app. It can be used to teach children categorization and organizational skills.Also checks listening skills, improves attention span and instruction following.





Wednesday, 21 March 2012

Four magical words!

There are four magical words that I always carry in my speech bag, and they are - 
one, two, three, start!
As you can guess, this set of words can be used every time you want your child to do an activity or start any action (even talk!)
This set of words if used carefully, can even entice and motivate a non talker to jump on her first word! Just like other words in the speech therapy world, its more about how and when you use them than what they mean.
The magic begins when the child hears the word - 'start'.. the numbers ( 1, 2, 3 ) act like a preparatory set for the child to get ready for some speech.
You can start by preceding any exciting activity by these words. For instance, speak out these words and do something that the child loves ( sing her favourite song, toss her in the air, swing on your arm, play peek - a- boo etc). The idea is to reinforce this set of words when the child is happy and automatically she would learn that something new and exciting will begin soon.
I use these words before starting any sort of game/activity/rhyme etc with the kids. They can just read my eyes and wait for me to say the word 'start'. You will often find that kids start copying you by saying out these words out loud in unison with you.
Consistency is the key like always. You might have to use these words hundreds of times before your child understands what you are aiming at. 


Keep going :)

Thursday, 15 March 2012

Tongue Aerobics


Tongue is one of the busiest muscles in a Speech Therapist's body :) 
Talking, Tasting, Swallowing, Chewing, Singing ...all are possible because of this dynamic muscular oral organ.

I do a lot of 'tongue aerobics' with kids who need to exercise their tongues to elicit clearer speech. Here is an insight -



Home based activities to develop tongue protrusion (Sticking the tongue out)
  • Push or show how to push your child's tongue against an object like - a flat spoon, tongue depressor, an ice cream stick, cheerios on the plate etc.
  • Ask your child to balance a cheerio/crax/small fried onion ring/ a piece of chocos cereal ( anything small and light) on the tip of her tongue.
  • Play an imitation game of poking the tongue out like a snake. Sit in front of the mirror and encourage your child to copy you.
  • Encourage your child to lick foods from a plate. Get all messy with stuff like ketchup/chocolate syrup/honey/ sweetened malai/ kheer/ yoghurt etc. Your child should use her tongue and not the lips..
  • Encourage licking of stuff mentioned above from a spoon.Use colorful spoons to draw your child's attention to the activity.
  • Encourage your child to lick ice creams - sundaes/softies/choco bar etc
  • Place food stuff ( mentioned above) on the lips and ask your child to lick them. Get innovative with your little one's favourite sticky foods and use them in this game which works best while played in front of a mirror.. Mom does it, and then the baby does it..
Tongue Retraction ( Pulling the tongue in)
  • Use difficult to blow whistles/party horns etc
  • Encourage longer and sustained blowing -- like blowing bubbles
  • Drinking with different sized straws. Use thinner liquids first and then move on to thicker shakes and smoothies. The Krushers at KFC is ideal for thick shake sucking. I even like their fat straw :)
Tongue Lateralization ( Moving the tongue from side to side)
  • Licking sticky foods from the corner of the mouth.
  • Put small bits of melt in the mouth foods like - chocolate buttons/ crackers/orange candies etc
  • Show your little one how to chew with molars ( back teeth). Use crunchy foods like carrot sticks/ onion/raddish salad/sprouts/soup sticks etc
Tongue Tip elevations ( Lifting the tongue)
  • Get your child to lick from a plate wth sticky food placed in front of the face.
  • Dab a long line of chocolate sauce on the lip line and encourage your child to lick it all at one go with his tongue tip.
  • Tongue Lifts - Think youre a weight lifter and youre lifting cheerios with your tongue..how many can you lift and how fast??
  • Open your mouth a little, then slowly lick around your lips in a circle, clockwise and then anticlockwise. Ask your child to imitate
  • Open your mouth a lot and repeat the aforesaid.
  • Try touching the nose with your tongue tip.
  • Try touching the chin with your tongue tip
  • Do the nose and chin touch consecutively. Do this 3 times.
  • Poke your tongue into your left cheek and then into the right cheek.. Repeat 5-6 times.
  • Clean your teeth with your tongue
  • Make faces in the mirror. Ask your child to copy you :) Children love this !
Practical Ideas to develop better tongue movements from a mother's point of view :)
  • When spoon-feeding your child, place  the food centrally on the  tongue and apply firm  downward  pressure. This will reduce tongue  protrusion that occurs during swallowing.
  • As the protrusion reduces, place the food at the sides of the mouth, between the teeth. This will encourage munching and sidewards tongue movements. 
  • To stimulate biting, munching and sidewards tongue movements.
    •  Initially, do this at times when your child is relaxed.
    • Initially, these activities should not be done at mealtimes. 
    • Use items such as teethers (ridged etc.), foods that do not break up (bite & stay firm  foods - Dried fruit: bananas / peaches / apricots etc
    • Place the item in the mouth, between the teeth, along the line of the jaw and  ensure that  it  is not placed  so  as to  stretch the lips.  Do  not  place too far back in case your child gags.
    • Place on the best side initially, than move to the other side.
    • If the child is not munching, pull the item out slightly and gently or press down.
    • When you feel your child is confident about  their biting  skills, introduce food items. Initially use bite-and-dissolve foods  (Glucose biscuits,Crax, etc.). 
    • If the child is not biting off the food, break it off for them while they are biting down on it. Do not force your child to take foods that their mouth is not ready to handle.
    • Over time, gradually introduce chewier foods in the same way.

Thursday, 8 March 2012

Holi based language activities

Holi, the festival of colours, is the most popular spring festival of Hindus.It signifies the victory of good over evil and marks the end of the winter season and the commencement of warmer summer days in Northern India. 
There is so much that you can teach your child about the festivities through simple enjoyable activities. Here are some ideas..

  • Colours
    • Cut different coloured balloons from glazed paper sheets. Stick them on a scrap book or just play with them on a table/mat. You can play a colour matching game, get your child to identify or name the colours, revise numbers with the colourful balloons etc. 
    • Get messy with the colourful gulal available in the market. Spread it on white paper sheets to make butterflies or flowers.This would facilitate eye-hand co-ordination too. Age no bar!
    • Dab some gulal on your face to revise the facial features. You can give 2 -3 step instructions to make the game tougher.e.g - Dab the red gulal on your forehead, yellow on your right cheek, green on your chin and pink on mine.. etc. This activity will help to improve listening skills.It can be modified depending on the language age and abilities of your child.
    • Make a Rangoli on the floor. 
    • Finger painting with different colours. Children love this!
    • Create new colours by mixing them.. e.g - yellow + blue = green, red + yellow = orange etc.
  • Go Shopping
    • Great activity to get the Holi related objects in your little one's vocabulary bank.
      • commonly bought items - gulal, pichkari, balloons, glitter, water colours, mithai,namkeen,dry fruits etc.
    • Ask your child to choose the items she likes. Giving choices always encourages better language expression 
  • In the Kitchen
    • Holi is also a festival for foodies! Get your little one to help you in the kitchen while you prepare or arrange the grubs. You can do simple activities of sorting and arranging. Mix the sweets in a bowl and ask your child to sort the similar ones in a separate plate.
    • Transferring of food items can be another activity.
    • For bigger children, you can give multiple instructions and also ask them to tell you the sequence of making a particular sweet/mithai etc.
    • Get a cake ( or even cupcakes) and have your child decorate it with different coloured frostings/gems/smarties etc.
  • Memory games
    • Take turns and name as many holi related stuff that you can. The winner gets an extra sweet to munch :)
    • You can also ask your child to draw these objects and colour them.
    • For bigger children - List out or sing Bollywood/regional Holi songs(Antakshri)
  • Photo Album
    • Make sure you click pictures of your child playing with the colours and water.Encourage her to meet the children in the neighbourhood and get naughty!
    • Create a photo album ( printed or even an array of pictures on your computer should suffice). Ask your child simple questions based on the pictures.Great task for improving retrieval from the past.
    • You can share and talk about old Holi pictures from your childhood days too!
  • Religious Streak

    • Motivate your child to get a sneak peak on the history of Holi
    • Tell her about Krishna and Mathura/Vrindavan Holi
    • Watching Holi related news on TV can be a good practice
    • Printable pictures that can be coloured or painted are pasted above.
  • Online stuff 

  • Holi VOCABULARY
    • Holika dehan
    • Gulal/colours/rang/abir
    • Pichkari
    • Water
    • Bucket
    • Balloons
    • Sweets
    • Gujia
    • Namkeen
    • Mithai
    • Holi Milan
    • Krishna/Radha
    • Family get togethers
    • Gifts
    • Cards
    • Wishes
    • Messages
    • Cheer
    • Bachhon ki toli
    • songs/dance/masti
    • Happy Holi :)

Wednesday, 29 February 2012

Lets learn Fruits & Veggies

Learning the names and types of food we eat is something that I often teach kids. In this post I have described a simple language game that I use to teach the concept of fruits and vegetables through picture cards.


STEP 1 - Sort out the mixed Fruits & Veggies


STEP 2 - Arrange them under the respective categories


STEP 3 ( For Ages 4 years +) - Match them to their trees/plants. I use the phrase - Where's Apple's mummy tree? OR Onion wants to hug her mummy plant!Children always love personification of objects :)


STEP 4 - ( For ages 4 years +) - All fruits and veggies are sorted and happy with their mummy trees.


Click on the following for some more exciting Fruity & Veggie games - 


Here is a simple video to teach fruits & vegetables    




Tuesday, 21 February 2012

The world of iPad apps





I bought my iPad a few months back and have started using it extensively as a speech therapy tool.. Every time I use an app with the kiddies, I am left amazed at how technology can do miracles! There are plenty of apps that can be downloaded to target specific areas of speech, language, & communication.Following are some apps that can be used with children on the Autism Spectrum.


1. Kindergarten.com - Flashcards that help in building language. Find :- actions, vehicles, rhyming words, healthy habits, functions, foods, emotions, science, shapes, clothing, pretend play, zoo animals, sports, vegetables,musical instruments, places, problem solving, receptive identification.



2. iTouchiLearn - Word games, matching games, puzzles, sight reading etc. 



3. Tap to Talk - Helps in improving communication.


4. Who am I ? - Animal guessing game. Clues provided.


5. Animal Fun -  Fun way to learn the animal names and what sounds they make.



6. I take turns - Helps in teaching the concept of turn taking.





7. 123dominos - Learn numbers, colours , shapes etc.




8. Learn to talk - Helps in teaching to talk using natural progression.




9.Conversation Builder - Allows children to chose the response. Has a  Recording feature



10. First-then-visual-schedule - Great app to build visual schedules for better learning.


11. Reward Chart - Beautiful way of keeping your child motivated to do better!




These apps are available in iPhone and iPod versions too. Some of them are free. Download them now from itunes  and get started!


Read this article to know how the delicious Apple world of iPad apps changed the life of this Autistic boy..Click here!





Monday, 20 February 2012

Songs and Rhymes to go

ALL kids like music in some form or the other.. Be it mommy's home made lullabies or the conventional nursery rhymes, children dote on the sing song notes and melodious tunes.
Songs are my strongest therapy tools. My sessions are incomplete without a dash of melody and all my kids and parents love it.


Top 10 English Songs that you will find awesomely useful and engaging -- 
  • When you are happy and you know it...
    • Great song to get your child to follow instructions, learn action words, revise body parts, improve attention span and imitation skills...


  • Row Row Row your boat...
    • Amazing to give your toddler the 'vestibular' input that she needs before starting a new activity.

  • Old Mac Donald had a farm..
    • Everyone loves this one..Pull out the animal toys and start singing!

  • Wheels of the bus...
    • Its a fun song! Can be used while learning transport vehicles.Improves listening skills and imitation.


  • Incy Wincy Spider...
    • Shape your fingers to make a spider climbing up..Your child will love it!

  • 5 little monkeys...
    • Jumping monkeys always amuse kids..Nice song to make your child understand the number concept. Helps in building attention span and improves listening skills.

  • I love you, you love me...
    • Song to bond with your little one

  • Here we go around the mulberry bush...
    • Great song to revise daily routine activities.

  • Twinkle Twinkle Little star...
    • Age old rhyme, sure to give a smile on your baby's face

  • Roly Poly...
    • Revise directions with this cute melody.


Grow Adjectives

I use this simple game to teach the application and usage of adjectives.






Monday, 13 February 2012

101 ways to praise your child!


Praises, rewards and all little words of encouragement showered upon your child go a long long way on the road of progress. So don't be greedy and PRAISE ON !!



Wow
Great
I’m proud of you
Hurray for you
You’re incredible
Good Job
Good for you
Spectacular
Fantastic Job
Phenomenal
Creative job
You are fun
I trust you
I respect you
You’re a joy
A+ Job
Way to go
Fantastic
Bravo
You’re fantastic
That’s incredible
I like you
You’re Darling
Hip, hip, hooray
Super work
Now you’ve got it
What an imagination
You mean a lot to me
You’re unique
You figured it out
Marvelous
That’s correct
Good Going
You’re special
Dynamite
You’re a winner
You’re sensational
You’re exciting
You tried hard
You’re important
You make me laugh
You’re wonderful
That’s the best
Outstanding
I love you
Looking good
 You’re catching on
How nice
You’re beautiful
Remarkable job
Great discovery
What a good listener
Beautiful
You’re a real trooper
Beautiful sharing
Amazing
Super duper
Super job
You care
High five
You discovered the secret
You’ve got a friend
You’re a treasure
You made my day
Super
You’re on your way
Hot dog
Nothing can stop you now
You’re spectacular
You’re growing up
You’re a good friend
You make me happy
I knew you could do it
Awesome
You’re A-OK
You brighten my day
Perfect
Love it
Excellent
Remarkable
Exceptional Performance
You learned it right
How smart
Outstanding
Beautiful work
Yes
You belong
Superstar
You’re on top of it
You’re on target
Well done
Nice work
Now you’re flying
Neat
Bingo
That’s it
You are responsible
You’re precious
Magnificent