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Know Your Child

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This is presentation by Dr.Dhananjay Gambhire on "Know Your Child"

This is presentation by Dr.Dhananjay Gambhire on "Know Your Child"

Published in: Health & Medicine, Education

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  • 1. Know If Your Child Has Antisocial Or Addictive Potential Dr. Dhananjay Gambhire MD (Psychiatry)
  • 2. Signs of Antisocial or Addictive Potential
    • Lying
    • Stealing
    • Cheating
    • Bullying
    • Beating
    • Putting on fire
    • Not attending classes
  • 3.
    • Cruelty towards animals
    • Not respecting parents
    • Not respecting family members
    • Early sexual activity
    • Friendship with elder children's
    • Alcohol or drugs misuse
    • Family History
    • Marital discord
  • 4.
    • Nature
    • Genetic make up
    • You Can not change
    • Nurture
    • Environmental Stimulation
    • Change is possible
  • 5.
    • What is the best gift a parent can give to their children
  • 6. Attention deficiency hyperactivity disorder
    • A pattern of diminished sustained attention and higher levels of impulsivity in a child or adolescent than expected for someone of that age and developmental level.
    • The behaviors must appear early in life, before age 7.
    • The behaviors must create a real handicap in at least two areas of a person's life such as in the schoolroom, on the playground, at home, in the community, or in social settings
  • 7.
    • Incidence
    • 3% to 7%
    • Boys>Girls
    • Types
    • Inattentive (daydreamer)
    • Hyperactive/Impulsive (on the go)
    • Combined
  • 8. Hyperactivity
    • Attack test rapidly but answer only few questions
    • Unable to wait to be called answer before turn
    • Cannot be put off even for minute
    • Hyperactivity
    • Act impulsively
  • 9.
    • Emotional liability easily set of to tears or laughter
    • Irritable
    • Explosive
    • Action before thought
    • Learning disabilities
  • 10.
    • Inattention
    • Short attention span
    • Poor homework
    • Failure to finish task, easily confused, slow moving, and lethargic
    • Losing or forgetting things
    • Easy distractibility
  • 11. Reason
    • Genetic factors:
    • Similar twins >Diff twins
    • Alcohol use disorders in parents
    • Antisocial activity in parents.
    • Developmental factors:
    • Month of birth-September
    • Prenatal toxin exposure
    • Prematurity, Mechanical injury,Food additive, Colorings, Preservatives, Sugar.
  • 12.
    • Dysfunction of Neurochemicals
    • Blood supply to Frontal areas of brain
    • Institutional children's
    • Emotional deprivation
    • Stressful events
    • Family disruption
    • Demands of society
  • 13. Associated disorders
    • Learning disability
    • Many children with ADHD—approximately 20 to 30 percent—also have a specific learning disability (LD).
    • In preschool years, these disabilities include difficulty in understanding certain sounds or words and/or difficulty in expressing oneself in words.
    • In school age children, reading or spelling disabilities, writing disorders, and arithmetic disorders may appear.
  • 14. Anxiety & Depression
    • Some children with ADHD often have co-occurring anxiety or depression.
    • If the anxiety or depression is recognized and treated, the child will be better able to handle the problems that accompany ADHD.
    • Effective treatment of ADHD can have a positive impact on anxiety as the child is better able to master academic tasks
  • 15. Outcome
    • If Not Treated
    • 50% improve till puberty
    • Remaining are prone to
    • Antisocial behavior
    • Substance use disorder
    • Mood disorder
    • Learning problems
    • Social difficulties
    • Suicides
    • If Treated
    • 95% Improve
    • Adjust with backlog in 6 months
    • Lesser chances of complications
  • 16. Treatment
    • Medications
    • Older: Stimulant Medication
    • More effects more side effects
    • Newer: Non stimulant Medication
    • Safe
    • Monitoring of side effects
    • Evaluation of therapeutic progress
  • 17. Psychosocial intervention
    • Training of parents.
    • Sensory integration by OT
    • Speech Therapy
    • Social skills groups.
    • Treatment of coexisting disorders.
    • No direct improvement of learning
    • Special attention.
  • 18. Role of Teachers
    • Diagnosis.
    • Look out for more features in children's not studying properly.
    • Special attention for
    • children under treatment.
    • Monitor improvements.
    • Feedback with parents.
  • 19. Take Home
    • Modeling is best way of teaching
    • Best gift a parent can give is bond between them
    • Positive reinforcement Vs Punishment
    • Attention deficiency hyperactivity disorder should be treated
  • 20.
    • Thank you