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Autism is no longer a secret

Written by: The Educational Psychologist Team of the Heep Hong Society

 

For parents, explaining their child’s autism to others can feel like reopening a wound. They fear not only the lack of support from friends and family, but also the potential for misunderstanding or discrimination. So, how should parents approach this with their relatives and friends?

Understanding the causes of autism is crucial. When explaining to friends and family, parents must first clarify that the cause of autism is not related to parental neglect or overindulgence. Autism is associated with abnormal brain development, which affects the child’s communication skills, thinking and behavior patterns, as well as their ability to understand the thoughts and actions of others. Parents can list the common characteristics of most children with autism, including social difficulties, stubbornness, anxiety, communication difficulties, focus ability, varying levels of activity, atypical emotional responses, physical coordination problems, and different sensory responses.

Written by: The Educational Psychologist Team of the Heep Hong Society

For parents, explaining their child’s autism to others can feel like reopening a wound. They fear not only the lack of support from friends and family, but also the potential for misunderstanding or discrimination. So, how should parents approach this with their relatives and friends?

Understanding the causes of autism is crucial. When explaining to friends and family, parents must first clarify that the cause of autism is not related to parental neglect or overindulgence. Autism is associated with abnormal brain development, which affects the child’s communication skills, thinking and behavior patterns, as well as their ability to understand the thoughts and actions of others. Parents can list the common characteristics of most children with autism, including social difficulties, stubbornness, anxiety, communication difficulties, focus ability, varying levels of activity, atypical emotional responses, physical coordination problems, and different sensory responses.

However, explanations are just explanations. When parents face their child’s ever-changing behaviors, they may prefer to remove the child (or even themselves) from sensitive situations to reduce the disturbance to relatives and friends. But this also reduces the child’s opportunities to adapt to society. Instead, parents can actively guide relatives and friends to interact with the child in appropriate ways. For example, they can positively say, “You can speak a little slower”, “The child is very sensitive to sound, let’s speak a little quieter”, or “I’m sorry, can I know the schedule first to prepare my child?” If relatives and friends can do this, it’s already a step towards success.

The perspectives of relatives and friends need to be broadened. However, the most important thing is that parents need to maintain an open and accepting attitude, setting an example for relatives and friends. If the parents themselves accept autism, who else can say “I don’t accept it”?

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Can children be naughty?

Written by: Fung Ji Hei, Game Therapist

 

When Ji Fung, a first-grader, didn’t return from the restroom after a while, the teacher sent the male class leader to check on him. After a while, the class leader came back panting, saying, “The entire restroom is soaked!” So, the teacher went to investigate personally. Upon arriving at the restroom, the teacher saw a flood, with water and bubbles everywhere, and Ji Fung was “washing his hands” in one of the sinks. The teacher asked, “What are you doing?” He replied, “Washing my hands and seeing why there are bubbles.” To prevent any danger, the teacher stopped Ji Fung’s actions.

Ji Fung is a very curious child, but his curiosity often causes inconvenience for others and himself. He likes to question everything and even more, he likes to try everything. Once, in order to see if he could fit through the hole in the back of a chair, he got his head stuck in it for about an hour. It was only after a worker used tools to break the chair that he was able to free himself. Despite his numerous terrifying experiences, nothing has deterred him yet. The teachers are at a loss because Ji Fung is not a bad student. Punishment alone is futile, so they need to think of other solutions.

“Naughty”: A Multi-faceted View

Describing Ji Fung as “naughty” is perhaps the most fitting, and this trait is quite common among children, albeit to varying degrees. What is “naughtiness”? We often associate it with words like “mischievous” or “playful,” which mostly carry a negative connotation. However, from a positive perspective, naughtiness can have many benefits. First, it’s not hard to see that naughty children love to play; they are motivated to play at all times, and these motivations often stem from their curiosity. They satisfy their curious thoughts through different methods, sometimes disregarding consequences and limitations to personally try and explore solutions to puzzles. Secondly, most “naughty” children are somewhat clever and know how to play better than others, so they use various ways to express their creativity, coming up with ingenious methods to play. In summary, “naughtiness” can be seen as a mix of curiosity and creativity, only becoming problematic when it is not properly controlled and leads to trouble.
What can you do if you have a “naughty” child around?

1)Relax

Naughty children can easily make their caregivers nervous because they often do unexpected things, sometimes even causing embarrassment. We need to understand that naughtiness is one of the children’s natural traits, and they are in the process of learning. We need to patiently keep pace with their growth, avoiding suppressing their development for the sake of our own pride.

2)Set Boundaries

Naughty children often cross boundaries due to a lack of understanding of them. We can set rules with them and implement them effectively. This not only ensures the children’s safety but also establishes their understanding of limits.

3)Satisfy Curiosity

To address the issue at its root, we need to satisfy their curiosity. The method is to teach them how to think and find answers. For example, parents can teach them to find answers through reading or take them to nature to train their observational skills, which can help them face future challenges.

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Sep-Oct 2024 Reminder 

Being a parent can be stressful; it’s important to manage anxiety promptly

Source: Psychiatrist Dr. Wong Chun Yin

 

As parents, we have to juggle work and family responsibilities. Under significant stress, it’s easy to experience anxiety. Anxiety is a natural, built-in response, and it can protect us when our lives are threatened. However, excessive worry can lead to physical discomforts like a racing heart, stomachaches, muscle tension, rapid breathing, headaches, trembling hands, sweating, or frequent urination. If not addressed in a timely manner, it can lead to more serious emotional issues and can also affect family relationships.

Here are three ways to reduce anxiety symptoms. First is practicing relaxation through deep breathing, using diaphragmatic breathing. Inhale slowly through your nose for a count of 4, letting your abdomen rise for 2 seconds, then exhale slowly through your mouth for a count of 4. Pause for 2 seconds and repeat this process 5 to 10 times.

The second method is muscle relaxation exercises. Find a comfortable place to sit or lie down, gently close your eyes, and relax all your muscles. Start by shifting your focus to your feet, tense the muscles in your feet for 10 seconds, and then release. Proceed sequentially, tensing and relaxing the muscles in your legs, arms, neck, and facial muscles.

Lastly, there is imagery relaxation practice. In a quiet place, close your eyes and imagine a comfortable setting, visualizing what you see, hear, smell, and feel for 5 to 10 minutes. Gradually return to the present reality.

Additionally, it’s important to cultivate a positive thinking pattern in your daily life. Try to see the bright side of things at all times rather than dwelling on unhappy thoughts constantly, which can reduce the chances of developing mood disorders.

Everyday life is full of eye use. Adults and children do eye exercises together.

Source : Chinese Medicine Practitioner, Chiu Shi Cheung

Many children today spend a lot of time looking at computers, phones, or reading, which can strain their eyes. There are some acupoint massages that can help children relieve eye strain.

The first acupoint we’ll introduce is the “Zan Chuk” point. It’s located at the very front end of the eyebrows, about half an inch downward, at the corner of the eye socket. Another acupoint is called the “Jing Ming” point. It’s located at the side of the nasal bridge, right in the middle between the two eyes, near the inner edge of each eye. The third point is the “Si Pak” point, which is about 1 inch below the eyes, roughly the width of two fingers apart. It’s in front of the cheekbone, and when you touch it, there should be a slight depression just below the eyes; this is the “Si Pak” point. The last acupoint is the “Shi Chuk Hung” point, located at the very end of the eyebrow. All four of these points can help with dispersing wind, clearing heat, and improving vision.

Once we know the locations of these acupoints, how do we massage the eye area?

First, let’s start with the first point, the “Zan Chuk” point. You’ll use your four fingers to hold down the eyebrows, and then use your thumb to press on the “Zan Chuk” point. The “Zan Chuk” point is right at the very front end of the eyebrows, in the depression at the corner of the eye socket. Hold it with your four fingers and your thumb, and gently rotate 64 times in opposite directions.

The second acupoint is called “Jing Ming” Point, located in the area in front of the inner corner of the eye, between the eyebrow and the bridge of the nose. We use two fingers to gently pinch the bridge of the nose and then slowly massage it up and down, repeating this motion 64 times.

The third acupoint is called “Si Pak” Point. It is located on the inner edge of the cheekbone on our face. In fact, when you touch it, you’ll feel a slight depression. Using two fingers, place them on either side of the bridge of the nose, and you will be able to locate this point. Gently press inside, and you will feel a slight soreness. After locating it, you can also rotate the pressure 64 times.

 

The fourth acupoint is Shi Chuk Hung Point. To locate it, use your thumbs to first press on both sides of the temples. Then, starting from the Shi Chuk Hung Point, sweep upward to the Shi Chuk Hung Point again, and then continue downward, below the eyes, to the Shi Chuk Hung Point. This constitutes one cycle, and repeat this motion 64 times.

 

By massaging these four acupoints, you can not only relieve eye fatigue but also improve the blood circulation around the eyes and prevent eye conditions such as nearsightedness. When we do eye exercises, remember to keep our eyes closed throughout the entire process. After completing the eye exercises, it’s also important to keep your eyes closed for 2 to 5 minutes. We typically press each acupoint for 64 times. Why 64 times? It’s because, from the perspective of Traditional Chinese Medicine “eighty-eight sixty-four“, we call it the “first of eight eights” meaning the most important.

Why don’t the children want me to be with them again?

Written by: Family Dynamics Founder, Marriage and Family Therapist, Ms. Ng Yee Kam

As a child grows up and interacts with the environment and people around him or her, he or she will gradually develop some feelings. Children will use these feelings to choose what they like or dislike, which is normal development for children. Mom says that her son is beginning to have an opinion, which means that he is expressing these feelings and that he has his own choices. Mom found out that his choice was not to choose herself but to choose Dad to play and read books with him.

There is a possibility that the son likes books and toys, that may not be the kind that his mother chooses, so he slowly begins to think that his mother may not be the right person to play with him. So the content of the play may be one of the reasons. Mothers can try to give their children more space to choose the toys they like to play with when they play with them. For example, sometimes our son likes to read a book, and he may look through it many times, so we can give him some space. Even when he likes it, we can continue to let him read the book, continue to talk to him about the book, and give them some space to choose for themselves!

 

Another possible reason is attitude. First of all, the mother can observe if she makes the child feel comfortable, happy, and joyful when playing with him, or if she is very nervous when playing and has to worry about him doing this and that—a lot of regulation—or if the mother is always leading him and giving him instructions, or if she unknowingly quizzes him during play: “How do you call this?” and “What color is this?”, “What is this symbol?”, “What is this mark?”

When playing, we need to let go of these so-called educational ideas, we don’t need to be strict and serious, so that we can build a happy and enjoyable experience for our children. Children need to be relaxed when they play. We don’t want to test them, we want them to have their own space and freedom of choice, and this is real play.

Once he chooses what he likes to play with and how he likes to play, Mom can try to observe these two aspects and see if there is room for improvement. At the end of the day, there may be nothing wrong with the mother, but the father is a master at playing games with the children, which is why they love him so much.

Some adults are really attracted to children, and it’s a good thing if fathers can play so well with their children, so mothers really don’t need to be too concerned. If a mother feels lost or depressed because her children do not choose her, she should investigate whether there are aspects of her life that are not as good as she would like, such as feeling lonely, and the company of her son becomes very important to her. If this is the case, the mother needs to address her needs or seek help.

Why will children pamper?

Written by:Dr. Wilbert Law, an assistant professor in the psychology department at Hong Kong University of Education and a registered educational psychologist.  

How do parents react when their children coax and pamper them, ask for different things,  or play with them in a baby-like voice? Do you think children are troublesome? Or do you feel that your child is just messing around, doing nothing serious?

But why will children pamper? Research has shown that adults are particularly sensitive to the sound of pampering, so it is easier to catch their attention. It is possible that the child is pampering his parents because he needs your attention at that moment. Sometimes adults are so busy with their lives that they may neglect them, so children will pamper their parents when they see them.

Another possibility is that when children are tired or feel powerless, they may pamper or   act like babies. These behaviors are very common in the growing-up stage.

How can parents respond when their children are pampering their parents? In fact, when we understand the possibility of our children’s pampering, we know that they are not deliberately provoking parents, they can try to sit down and talk with their children to understand their needs, especially if the child is pampering because he or she is tired. We  can help them express themselves with some words. For example, ask your child, “How do you feel?” “Are you very tired?” “What can I do for you?”

Of course, you may also want to reduce your child’s pampering behavior by encouraging   them more, using age-appropriate words and behaviors, and praising and affirming them  more often. When they are pampering you, do not scold or mock them.

 

Taking medicine: Bitterness before eating

Written by: Doctor Cheung Kit

If a child is seriously ill, I think the parents’ suffering is also significant. This is because, in addition to taking the child to see a doctor and taking time off to care for the child, they also worry about giving the child medication. Therefore, the real battle often begins after returning home from the doctor. There is a systematic approach to administering medication to children, and parents can learn how to do it.

First, the initial form of medication that children encounter is liquid. Liquid medication can be divided into two types: solution and suspension. The former is a watery preparation, often containing a small amount of alcohol, while the latter does not contain alcohol but has granular suspended particles, which can be felt in the throat. Both types are equally effective and have their supporters. Doctors generally have both types of medication available.

 

Due to the medicinal taste, children do not like it. If you plan to add the medicine to a flavored drink to mask the taste, it generally fails because children are very likely to notice. Furthermore, children have a natural aversion to nausea, so when they feel the discomfort of the medicine in their throat, they may vomit it out. There is no distinction between taking children’s medicine on an empty stomach or after a meal. However, some medicines may react with food, for example, tetracycline and erythromycin in antibiotics may interact with milk, affecting their effectiveness.

As for pills or capsule medication, it’s better to wait until the child is a little older to try them. In theory, both are equally effective compared to liquid medicine. However, generally, cough syrups contain a variety of functional ingredients, making them more effective. Therefore, adults also consider prescription cough syrups. As for the age at which prescription pills can be taken, it depends on the child’s acceptance, as some adults may not even swallow pills. So, as parents, how can we make the process of administering medication less of a chore?

● Try not to force the child to swallow the medicine.

● Involve the child in the process of taking the medicine as early as possible, such as getting the medicine, pouring the liquid, and eventually self-administering with a spoon.

● If the child vomits heavily within half an hour of taking the medicine, you can administer another dose.

● It’s best not to mix the medicine with milk, as if the child doesn’t finish the milk, they won’t get the full dose of the medicine.

● Encourage the child to try swallowing pills (no age limit), starting with a small one.

● Suppositories are indeed effective for certain oral medications. However, for many sensible children, this is a “painful” experience and can lead to negative associations, so it’s best to avoid it if possible.

● Parents should also have a positive attitude towards taking medicine: getting sick requires taking medicine, and taking medicine is not a chore.

 

We hope that all parents will not be troubled by their children taking medicine.

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Jul-Aug 2024 Reminder 

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Parents Zone

Do children need to take nutritional supplements?

Source: Senior Dietitian, Ng Yiu Fun

Many parents ask me, “Does my child need to take supplements?” For example, would fish oil or DHA be better for him? I have children myself, and I don’t let them take any supplements. But some parents say, “Is it really smarter to take supplements?”

In fact, if you have a balanced diet, you don’t need any supplements. Why? For example, if you take too much fish oil, it will have an excessive blood-thinning effect, and you will easily bleed out. So we say that if you take too much fish oil, it may not be good for your child.

We may have to figure out how to add a little bit of fish to our food. For example, if he doesn’t like eating fish, we can dip the fish in batter and bake it to make it feel crispy and tasty. Or when cooking spaghetti, you can add some crustaceans, such as clams, which are easy for children to absorb. Also, simple foods such as seaweed have ingredients that make them smarter.

As for the parents, they may think that if they take more calcium supplements, their children will grow taller. This is also not necessary, because if you take too many calcium tablets, it will be very easy to give him kidney stones. We can let children drink milk, tofu, or soy milk to help them absorb calcium without the need for special supplements.