Child Development Center and Developmental Pediatrician

19/03/2026

https://speechandsenses.blogspot.com/2026/03/why-some-autism-kids-donot-follow.html

Why some kids donot follow instructions read aticle here

free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech

18/03/2026

Why Some Children Struggle with Focus and Learning

🧠 Why Some Children Cannot Focus or Learn

(Dr Kondekar explains in simple clinical terms)

🔴 Core Message

👉 “A child who cannot regulate their sensory system cannot access learning. Regulation comes first.”

🧠 What really happens inside the child?

Many parents and teachers think:

“Child is stubborn”

“Child is not interested”

“Child is slow”

👉 Dr Kondekar insists: This is often NOT true.

✔️ The real problem:

The child’s brain is overloaded or disorganized due to:

Noise

Visual distractions

Touch sensitivity

Internal discomfort (hunger, constipation, headache, anxiety)

👉 When the brain is in survival mode,
it cannot enter learning mode

⚠️ Why such children get labeled or removed from school

1. Poor attention

Child looks inattentive

But actually → brain is trying to block sensory overload

2. Behaviour issues

Running, shouting, crying

👉 This is not bad behaviour

👉 It is loss of regulation

3. Not following instructions

Teacher gives instruction

Child does not respond

👉 Dr Kondekar warns:
“Understanding fails not because of intelligence, but because regulation is absent.”

🔍 Common hidden causes

Sensory Processing Difficulty

Autism spectrum

ADHD

Anxiety or fear

Sleep problems

Medical issues (pain, gut issues, medication effects)

🛠️ How to tackle this (Practical approach)

✔️ Step 1: REGULATION FIRST (Most important)

Reduce noise, crowd, chaos

Give calm corner / safe space

Deep pressure activities (hug, weighted blanket)

Movement breaks

👉 Dr Kondekar says:
“Do not push learning into a dysregulated brain.”

✔️ Step 2: BUILD SENSORY FOUNDATION

Occupational therapy

Structured sensory diet

Gradual exposure to classroom environment

✔️ Step 3: SIMPLIFY LEARNING

One instruction at a time

Use visuals instead of long verbal commands

Short tasks → frequent breaks

✔️ Step 4: SUPPORT SCHOOL, DON’T FIGHT CHILD

Educate teachers

Modify expectations

Avoid punishment

👉 Child is not refusing…
👉 Child is unable

---

❤️ Final Message (Dr Kondekar)

👉 “When a child is calm, learning follows automatically.”
👉 “First regulate the brain, then educate the child.”

---

⭐ Take-home summary

❌ Problem is NOT laziness

❌ Not always intelligence issue

✔️ It is often sensory dysregulation

👉 Fix regulation → focus improves → learning begins

08/03/2026

how does dr kondekar treat autism kids

free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech

27/02/2026

27/02/2026

DSM 5 autism definition, most standard assessment tools ISAA CARS ADOS LD INCLEN TABC ETC are based on DSM4 DEFINITION , which is outdated in 2013. Http://www.autismdoctor.in

23/02/2026

https://speechandsenses.blogspot.com/2026/02/levels-of-autismsimple-to-understand.html

free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech

16/02/2026

for autism kids : understand need of life that he needs to connect with humans to communicate with them. 2. for this he need to spend his maximum time for the same and not for objects. 3, once we decide this, we need sustained good sitting which will make child aware of family members a longer time. 4. this helps improve eye to eye connection 5. once u start connecting longer, ears open up for listening. 6. once sustained story listening comes, language understanding and converstaion can b initaited. 7. read more at www.neuropediatrician.com 8. a doctors job is to fix the child dish antena by making body and mind study. 9. this helps initiate sustained connection with child. 10 , remember autism is a software problem, if u keep on giving exercises to hand and feet, u r missing out on listening. 10. one who connects less, listens less and hence talks less. one who connects sustained an dlonger, listens deep and thus learns stories and conversationsbasic

free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech

11/02/2026

Tests in Autism
Autism is not diagnosed by tests, scans, imaging or blood levels. Diagnosis of autism is purely based on assessment by neurodevelopmental pediatrician or pediatric neurologist through question-answers, history taking and observation of the child. There are various scales like ISAA,CARS,TABC, etc but most are based on diagnostic criteria before 2013.
Actually Dr Kondekar Does not advise any tests in Autism. Actually in most cases of autism, tests are not needed for diagnosis or monitoring or treatment.
ASSESSMENT TESTS:
Diagnosis of Autism is by questionnaires. For process of certification the ISAA questionnaire or INCLEN _AIIMS is recommended in Indian Law. Actually most questionnaire based tests are based on DSM IV criteria for autism, which is actually outdated after 2013 when DSM V is proposed.. In DSM V severity was decided by scores of DSM IV based tools like ISAA CARS ADOS 3di etc
There are very few questionnaires based on DSM V [ form 2 as above ] are available. AIIMS has modified its INCLEN tool as per DSM V.
As per new guidelines, The severity is not decided by scores but by level of disability.
actually test results are reports based answers to questions and observation by a pediatrician or therapist or psychologist. the test reports may change as per the answers given by parents and also often its natural for parents to go defensive when a question points out at some disability. Remember a level of development that is not consistent age appropriate and reciprocable will not be taken as positive development during that assessment.
So results may be different from person to person taking the test.
I RECOMMEND NOT TO GO BY TEST RESULTS BUT USE THEM FOR DOCUMENTATION and COUNSELLING ONLY.
OTHER TESTS :
OFTEN ARE FOR RESEARCH PURPOSES.>>>
1. BIOCHEMICAL BLOOD TESTS FOR RARE DISEASES ; THERE IS A LIST, OFTEN IN SEARCH OF ACCIDENTAL RARE METABOLIC DISEASE OF MENTAL RETARDATION REALTED ISSUES. RARELY OF SOME HELP IN GIVING SPECIFIC COCKTAIL MEDS. Like say thyroid profile, homocysteine, CPK, TTG, b12, lead,etc I don't ask any of them on routine basis.
2. GENETIC TESTS - DEPENDING ON CLINICAL PICTURE, ITS OFTEN LIKE SAY FRAGILE X, MECP2 ETC DNA/MLPA / MUTATION STUDIES OR KARYOTYPE, CHROMOSOMAL MICRO ARRAY, EXOME SEQUENCING WES/CES, AND TRIPLE TEST MAINLY THESE WILL BE OF HELP IN PREVENTING AUTISM IN NEXT PREGNANCY. CHK THE PDF ON THIS PAGE FOR WHY GENETIC. www.autismmumbai.com
3.NEUROIMAGING & EEG - FOR RESEARCH PURPOSES AND IN CASES OF EPILEPSY OR SYNDROME SUSPECTED. DR KONDEKAR PREFERS MRI BRAIN MRS WITH TRACTOGRAPHY OR PET, PRE AND POST TREATMENT OF SIX MONTH.
4. TESTS DONE FOR IMMUNITY FUNGUS TOXIN METALS AND MICROBIOME ASSAY --- NOT RECOMMENDED AT ALL FOR DIAGNOSIS OF AUTISM..
FOR ANY TESTS RELATED INFORMATION WHATSAPP 91- 9869405747 FOR FREE ADVICE

A ray of hope in children with social communication, speech,learning, activity, understanding and behaviour issues

11/02/2026

online video consultation available whatsapp 91-9869405747 Turning kids Sit Look Listen Focus Behave Socialise Civilise
Goal Directed Cogntive Approach in autism,
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