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Question
Posted by: SR | 2011/06/29

Concentration

Good day Dr

My son is 6 and has a speech delay. we have been in speech therapy for a few years already and he is making huge progress. there is no medical reason for the delay and he is not delayed in any other aspect of his development.
We do however have a problem with concentration on listening.
His teacher complains because he can never sit still and he always has to ask her to repeat the tasks. this is going to make it very difficult for him in school later on.
I am still not convinced that its a concentration thing? when i do his ST homework with him he fidgets a lot but when i ask him the next day about the activities we have done he remember clearly and call recall a lot of the words (even ones that i forget!)
he also has an amazing memory for things that happened in the past.

i am also not totally convinced that ritalin is the way to go... or even medication for that matter. omega oils etc have not made a difference though.
Do you have any suggestions. i also want to know what Dr i should take him to as i will not take him to a normal GP for medication.
Should i take him to a neurologist? he has had an eeg before but things are fine. He also had the copeland assessment done when he was about 3 and the Dr was not too concerned about it being add.

any advise?
thank you in advance.

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Our expert says:
Expert ImageCyberShrink

Such problems don't just occur out of the blue If it has been decided on good grounds that there is no medical / physical reason for his speech delay, presumably there is some sort of psychological factor relevant here. And perhaps these same factors are affecting his concentration in class ? Is he, at home, able to concentrate on his hobbies, computer games, movies, and such like ? There are elements of hyperactivity in what you describe. I agree that one should not rush to ritalin, and that one should not rely on a GP in a complex matter like this. He would pobably benefit from being seen by a child psychiatrist or child psychologist for a full assessment, and then a discussion of treatment options. Most neurologists dont see much of children, so unless you find on locally who specializes in such possibly developmental disorders and such specialists are exceedingly rare ) the child psychologist would be a better bet, and able to do a ramnge of psych testing that could be revealing.

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2
Our users say:
Posted by: Anon | 2011/06/29

Have you had his hearing tested?

Reply to Anon
Posted by: cybershrink | 2011/06/29

Such problems don't just occur out of the blue If it has been decided on good grounds that there is no medical / physical reason for his speech delay, presumably there is some sort of psychological factor relevant here. And perhaps these same factors are affecting his concentration in class ? Is he, at home, able to concentrate on his hobbies, computer games, movies, and such like ? There are elements of hyperactivity in what you describe. I agree that one should not rush to ritalin, and that one should not rely on a GP in a complex matter like this. He would pobably benefit from being seen by a child psychiatrist or child psychologist for a full assessment, and then a discussion of treatment options. Most neurologists dont see much of children, so unless you find on locally who specializes in such possibly developmental disorders and such specialists are exceedingly rare ) the child psychologist would be a better bet, and able to do a ramnge of psych testing that could be revealing.

Reply to cybershrink

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