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Toddlers a Little Person Emerges : Is She OK? Your child’s development (part 1) - Early developmental difficulties How common are problems?

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Q: My child can’t do half the things other parents say their children can. What am I doing wrong?
A: It is worrying to hear other parents talk about how far ahead their children are—particularly if your own child appears to be slower to develop in some areas. It is important to remember, though, that each child progresses at his or her own pace and in their own unique way. For example, some might walk at an early age but be slower to develop speech and language skills. What matters is that you support your child to make sure she is developing to her potential. Comparing yourself and your child to other families is inevitable (and may make you feel good sometimes), but there will always be someone out there who seems to be doing things better than you. Talk to other parents and you will no doubt discover that they too have worries and concerns about their own children and may be grateful for your advice. If some of your daughter’s playmates are more advanced in certain areas, spending time with them will help her to learn their skills too.
Q: My son seems lazy—should I push him to do things that I think he’s capable of?
A: Children can only develop as fast as their bodies, and brains, will allow. However, social interaction with parents, other adults, and peers will help a child who is ready to move on to the next challenge. Children learn best when you give them new experiences and challenges that are just beyond what they are currently doing, but still within their capabilities. Some children need more encouragement than others to attempt new tasks, but try not to take over too much. Help your child learn by showing him how to do things, then getting them to repeat them, making suggestions about how to solve problems, and breaking things down into simple steps. One good example is to get your child to dress himself while you offer a running commentary of what should come next, helping out where necessary. However, pushing your child too hard will result in feelings of frustration and failure—for you and him. Having realistic expectations is the key to success.
Q: My partner thinks I’m overanxious, but I’m worried about my son’s progress. Should I get him checked out?
A: Parents know their children better than anyone else, so you are in the best position to judge if something does not seem quite right. Talk to your partner and explain the reasons why you are worried. It may be that he is concerned, too, but is anxious about taking things further in case there is actually a problem. Parents share lots of similar concerns about their children, so discussing things with family, friends, or other parents may be all the help you need. However, if you are still worried and have reason to believe there is a problem, check things out with your pediatrician, who will be able to direct you to further consultants or health professionals if anything is wrong. It is better to worry too much than too little, and if there are any concerns about your son’s development, then getting the right support and help early on could make a big difference.
Q: My son keeps having nightmares and wakes up very upset. Should I let him sleep with us?
A: As your son’s knowledge and understanding of the world expands, so too will his imagination and the ability to scare himself. If he’s getting anxious about going to bed, make this event as relaxing as possible. Spend time with your son in his room before the light goes out, read a bedtime story together (nothing scary!), and leave him with lots of positive, happy thoughts. If he wakes in the night, listen to his fears and give him plenty of hugs, and reassure him that it was just a bad dream and everything is OK. Settle your son back down in his own room, and avoid the temptation to cuddle up with him in your bed. This will make it even more difficult to get your son into his bed the next night, and will not help him to deal with his nightmares. If your son dreams about a monster under his bed or in his wardrobe, it’s fine to turn on a light and go hunting to prove that he’s alone. Be careful what you say to reassure him though. Reporting, “The monster’s gone now,” will make your son’s dream even more real because it suggests there was one there in the first place. Try “See, there’s nothing here,” instead.

Everyone has nightmares from time to time, but if your son’s bad dreams continue, try to find out if there is anything worrying him that might explain why his sleep is being disturbed in this way.

Q: My child rocks back and forth before she sleeps. Is she upset?
A: Body rocking is normal behavior in toddlers, who seem to find the rhythmic movements soothing and sleep inducing. It’s similar to the way a child may suck her thumb or twirl her hair to fall asleep. A few toddlers may rock to distract themselves from pain—from an ear infection, for example. The behavior usually starts in the first year, and most children outgrow it by the age of three or four. Your toddler may rock back and forth on all fours or sit up to rock.

Although you may not want to ignore it completely, try to take a low-key approach. If your child perceives that you’re trying to stop the rocking, she may take it as a challenge and persist in it, or the added attention may encourage the behavior. A soothing bedtime ritual, such as a warm bath, a story while cuddling, or a gentle backrub, may help her unwind without rocking. If your child starts rocking for the first time after 18 months of age or exhibits similar behavior during the day, or if it lasts past the age of four, bring it up with her pediatrician.

Early developmental difficulties How common are problems?

Most children will demonstrate some sort of difficulty during their early years. Problems ranging from nightmares and bed-wetting to fussy eating and behavioral problems are common and a natural part of your child’s development. Significant developmental and learning problems such as autistic spectrum disorder, Down’s syndrome, and learning disability affect a very small number of children. Overall, boys tend to have more difficulties than girls. The exact reasons for this difference are not clear, although it has been suggested that girls’ XX chromosome pattern is a protective factor so boys are more vulnerable to the effects of stress. Behavioral problems may be more common in boys because of the effects of the male hormone testosterone and the fact that society seems to condone more physical and aggressive behavior.

Q: What should I look for?
A: It is helpful to have some idea of the milestones and challenges that your child is working toward at particular ages (see One to three years). Don’t worry if she does not hit these targets exactly. Development is a slowly unfolding story, and each child follows her own individual path—some skills emerge early, some may be late or slow to develop, and some may arrive out of turn. For example, persistent bed-wetting may not be a cause for concern in your three-year-old child, but if it is still happening at age five, she may need some specialist help to master this skill. However, even at this age around seven percent of boys do not have full control of their bladder at night.

In these early years, children are progressing through a complex set of processes affecting their physical development, thinking skills, speech and language, and social skills. Difficulties in one area will have an effect on other aspects of their development, and may make things seem worse than they really are. A child who is slower to develop speech and language skills, for example, may get frustrated at being unable to communicate, have more temper tantrums, and find it more difficult to interact than other children do.

Q: When should I get help?
A: Most problems are very short lived, lasting for only a few weeks or months. If you have concerns about your child’s development, write them down and check things out with your pediatrician. Make sure that you attend regular well-child checkups. If your child has been struggling with a particular issue for six months or more, or you are worried that your child appears to have difficulties in several areas—for example, if she has little speech and language, limited play skills, shows a lack of interest in other people, or displays repetitive or unusual behaviors—it would be advisable to seek professional advice.

Worrying about your child’s development is a major source of stress for parents, but remember that in most cases, it’s just a phase. It is difficult to accept that your child may be struggling, but for those children who do need additional support, early intervention will lead to better outcomes. In the meantime, a good strategy would be to offer your child plenty of extra playtime and practice in the areas she struggles with, along with lots of praise.

Bed-wetting

This is a common problem, since young children learn bladder control gradually. However, if it persists or starts again after a dry period, something may be troubling your child.

In a rage

Tantrums occur a lot over the toddler years, as your child starts to exert her independence.

Nightmares

Comfort and reassurance when your child has bad dreams will help her to feel secure.

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