Professional Documents
Culture Documents
Beh Prob in SCH Children
Beh Prob in SCH Children
Problems in Schools
Dr. V. Jithesh
AMCHSS - SCTIMST
When he was very young he was slow in
development. He didn't speak until he was
two years old, and even when he was older
he had trouble answering a question. He
would first silently mouth the words to
himself and then slowly answer out loud. His
teachers said he was dumb and would never
be successful at anything.
His family moved to @@@@ where he attended a high
school called @@@. He was bored at the school. His
family next moved to @@@, but they wanted him to finish
the school year in @@@. He wanted to leave so badly that
he got a false paper from a doctor stating he had a lung
condition and must move to a dry climate. Then he
convinced the school to give him a certificate in Maths so
he could get into college. They complied because they
wanted to get rid of him.
Dyslexia
Definition
Dyslexia is difficulty with language.
People with dyslexia typically have
average to above average intelligence.
They may have difficulty with reading,
spelling, understanding language they
hear, or expressing themselves clearly in
speaking or in writing. An unexpected gap
exists between their potential for
learning and their school achievement.
Characteristics of Dyslexia
Inventors/Engineers/Scientists:
Albert Einstein
Thomas Alva Edison
Alexander Graham Bell
Artists:
Leonardo da Vinci
Walt Disney
Military/Political Strategists:
General George Patton
Winston Churchill
Woodrow Wilson
A 15 year old boy
Difficulty sitting still in class and home
Runs around the room
Climbs on the furniture
Becomes restless when he is forced to sit
in a chair
Has difficulty for waiting his turn when
playing with other children.
Attention Deficit
Hyperactivity Disorder
(ADHD)
ADHD is
Poor attention span
Easy distractibility
Always restless, leaves seat, running,
climbing
Careless mistakes
ADHD-17.4%
ADHD NOS-7.9%
Ref; Anil kumar TV,MKC Nair et al(2006) ‘Development and validation of a visual
explanatory screening tool for identifying ADHD, a common mental health
problem in adolescent school students’
ADHD - Hyperactivity symptoms
Leaving Seat
Play increased
Motor….
Fidgets
Runs, Climbs
Talkative
Impulsivity
Awaiting Turn
Intrudes
Q? Blurts out
ADD- without hyperactivity
‘Lazy’ ‘Oppositional’ ‘ unmotivated’
A. Either 1 or 2
1. Attention - 6 symptoms x 6months
2. Hyperactivity – Impulsivity - 6 Sym. x 6 months
co morbidity
ADDICTION
Substance abuse
CONDUCT DISORDER
Treatment & Management
Evaluation
Treatment tips
Essential information
ADHD is not the child’s fault
attentive
May continue into adulthood
Counseling of patients and family
Adjustment disorder(8.3%)
Depression
?
4-8%
more in girls
(2 times)
ASK…….
HOW THEY ARE
FEELING ?
screening
1/2 x 2 weeks
Diagnostic criteria
Sleep - ()
Weight - Appetite
Worthlessness &
guilt
Diagnostic criteria
Death wish or acts
1.Mood
2.Interest
3.Sleep
4.Weight
5.Worthlessness
6.Death wish
7.Energy
8.Psychomotor retardation
9.Concentration
Complications of depression if
untreated are
Drugs.
Antidepressants
Fluoxetine 20 mg OD * 6 Months
Fluoxetin
1. No improvement
4. Atypical features
5. Substance abuse
U-unconditional
N-non judgemental
S-sincere
Counseling
E-empathy
L-listening
I-impartial
G-guidance
Depression -Summary
• Common
• Disabling, fatal
• Simple diagnosis
• Simple treatment
• Family involvement
Angry…...
Assaultive…
Conduct Disorder
Conduct Disorder “the aggressive teen”
Clinical features- ‘ADDS’
Aggression
Destruction
Deceitfulness/ theft
Serious violation of rules
CD-Clinical features ?
Antisocial behavior
Substance use
Effective discipline
(Clear and consistent)
but not harsh.
Avoid punishment
Effective discipline - clear and
consistent, but not harsh, avoid
physical punishment
Alter the circumstances resulting in
problem behavior
Recognize good, pro-social behavior
ADHD struggles
to control himself
and to maintain focus…….
Love
Trust
Hope