How to improve cognition delay

Anonymous
OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.
Anonymous
Anonymous wrote:You have to adjust your thinking on what it means to learn. My middle child who had many delays including cognitive, had no interest in letters, colors, words or numbers. But he knew different types of cars at a young age. Clearly he could learn but had strong preferences on what he would learn. He was well into kindergarten before he knew his letters.

Preschool helped - especially the four year old class.


That is nice to hear that your child doing great later on.
Anonymous
Anonymous wrote:
Anonymous wrote:My 22 months old boy has cognition delay & only a few words. He has been seeing therapists from EI for the last couple months, maybe 15 classes so far, but not big improvement yet. I am more worried about his cognition delay. He has no problem learning or playing or figuring a new toy or wood puzzles/shape sorters. The problem is he is not interested and cannot recognize anything from a book, e.g. first 100 words, baby animals etc. He is easily to get distracted and lose focus. He just wants to play toys than learning. Anythings I can try or tips?


Op, this an example of play based strategies: https://m.youtube.com/watch?v=DO_sneeTZDQ

This child happens to have autism but how the SLP is teaching the grandmother how to interact/play is generalizable to lots of kinds of kids.

Also patience on your end is key. Celebrate the little victories. Kids can change and grow so much. Give yourself a lot of credit for intervening early. I have a SN kid who is 10. We started ST at 2 through EI: we still do ST. It's a marathon not a sprint.


I would look at the link when I get the chance. Thanks. Maybe I should try to be more patience, more patience.
Anonymous
We all just do what we can OP. I wasn't trying to imply that you were impatient with your child, only that he's so young and has had only 25 sessions. Try to be patient in terms of seeing progress. Slow and steady wins the race. You hang in there.
Anonymous
OP, your child may know all those things and cannot express it A mom/me gymnastics class at that age is great. Receptive issues don't exactly mean cognitive delays. I would start private speech in the next few months if you can.
Anonymous
Anonymous wrote:OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.


That's just weird and I would disagree. He needs to start paying attention to others and to start enjoying the company of other children (and start noticing peer behavior) and fun classes (things he would like - active classes) are a great way to do that.
Anonymous
Anonymous wrote:
Anonymous wrote:OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.


That's just weird and I would disagree. He needs to start paying attention to others and to start enjoying the company of other children (and start noticing peer behavior) and fun classes (things he would like - active classes) are a great way to do that.


Your advice is weird, pp. Taking him to classes won't teach him to learn how to pay attention; this is a toddler and what you're suggesting isn't developmentally appropriate for this age group in any case. You can read a ton of threads in gen parenting of parents lamenting how their kid doesn't pay attention in classes.

Op, you know your kid best and what he'll tolerate. If he enjoys a class great. If not no worries. There are plenty of playgrounds, open gyms, and unstructured activists.

Anonymous
Is English your second language? Are you speaking to him in English or the language you grew up speaking or is he being raised bilingually?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.


That's just weird and I would disagree. He needs to start paying attention to others and to start enjoying the company of other children (and start noticing peer behavior) and fun classes (things he would like - active classes) are a great way to do that.


Your advice is weird, pp. Taking him to classes won't teach him to learn how to pay attention; this is a toddler and what you're suggesting isn't developmentally appropriate for this age group in any case. You can read a ton of threads in gen parenting of parents lamenting how their kid doesn't pay attention in classes.

Op, you know your kid best and what he'll tolerate. If he enjoys a class great. If not no worries. There are plenty of playgrounds, open gyms, and unstructured activists.



Pediatricians don't recommend that a parent spend all of her time with her child, especially a SN one. They always recommend that the child is out and about with others, and preferably in a preschool by age 3 if they have SN. If the parent wants to do more unstructured activities with their child they will be supportive but to say that a child would be confused by playing in a class with other children makes no sense. Something is off about this story or her understanding of what was said.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.


That's just weird and I would disagree. He needs to start paying attention to others and to start enjoying the company of other children (and start noticing peer behavior) and fun classes (things he would like - active classes) are a great way to do that.


Your advice is weird, pp. Taking him to classes won't teach him to learn how to pay attention; this is a toddler and what you're suggesting isn't developmentally appropriate for this age group in any case. You can read a ton of threads in gen parenting of parents lamenting how their kid doesn't pay attention in classes.

Op, you know your kid best and what he'll tolerate. If he enjoys a class great. If not no worries. There are plenty of playgrounds, open gyms, and unstructured activists.



Pediatricians don't recommend that a parent spend all of her time with her child, especially a SN one. They always recommend that the child is out and about with others, and preferably in a preschool by age 3 if they have SN. If the parent wants to do more unstructured activities with their child they will be supportive but to say that a child would be confused by playing in a class with other children makes no sense. Something is off about this story or her understanding of what was said.


There are play groups where you meet with other parents and kids and let the kids play. If you find another parent has a kid like yours then all the better.
Anonymous
He sounds very much like my son, who was eventually diagnosed with ADHD at 4. We did OT and speech therapy without much success at that age. This may not be popular, but what really helped him was TV. At the suggestion of the speech therapist, we turned on Mickey Mouse and he would sit still and focus and he started picking up words that way. I also stayed at home with him and would spent all day talking to/with him but he never really learned any new words. Two episodes of Mickey and he had picked up several. It started to click for him and his receptive and expressive language really took off. We also 'read' some books on an iPad. I can't remember how because the therapist had loaded them onto her iPad, but those held his attention longer than paper books.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.


That's just weird and I would disagree. He needs to start paying attention to others and to start enjoying the company of other children (and start noticing peer behavior) and fun classes (things he would like - active classes) are a great way to do that.


Your advice is weird, pp. Taking him to classes won't teach him to learn how to pay attention; this is a toddler and what you're suggesting isn't developmentally appropriate for this age group in any case. You can read a ton of threads in gen parenting of parents lamenting how their kid doesn't pay attention in classes.

Op, you know your kid best and what he'll tolerate. If he enjoys a class great. If not no worries. There are plenty of playgrounds, open gyms, and unstructured activists.



Pediatricians don't recommend that a parent spend all of her time with her child, especially a SN one. They always recommend that the child is out and about with others, and preferably in a preschool by age 3 if they have SN. If the parent wants to do more unstructured activities with their child they will be supportive but to say that a child would be confused by playing in a class with other children makes no sense. Something is off about this story or her understanding of what was said.


You are right that preschool is a great thing for 3 year olds, but this child isn't even 2 yet. 1 year olds have very different needs than 3 year olds, and the focus should be on building skills and interaction with caregivers.
Anonymous
OP - the video clip is really good. Only about 5 minutes. Pls watch it and follow the suggestions. It will help!
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:OP here. Thanks for all comments & tips. Yes, he already saw developmental pediatrician, and he had cognition delay, speech & language development delay & and social emotional development delay, but no ASD/ADHD diagnosis for now. Children hospital pediatrician told me that my boy is better off by staying at home with me than going to daycare because of one-on-one attention. And, also I am told do not overstimulate him by taking him out to many classes because he is easily to get distracted & lose focus. I am told to try to work on his focus.

EI therapists are mainly working on his speech & development delay now with Hanen program approach, and I took him out to playground a lot to social with other kids. Therapists say that looks like he does not want to learn many times already and they are still trying to figure out a way for him to imitate sounds/words for the past couple months. I see the frustration from those EI therapists, and I also don't know what works for him yet.

I always hear that many normal kids have learned their letters, numbers, shapes, colors, body parts, animal sounds, and so on by 2 year old. I am not even expecting my boy knows any of these above (and he does not at all), but how about recognize shoes/cup some basic things from the book by just pointing. And, he cannot even do that, just does not recognize anything at all from book.

I don't think my boy has IQ problem because I see some potential in him, and on top of it, my husband told me that he had problem with focus & daydreaming in school till 7th grade without any medical diagnosis.....that does not help me feeling better. My husband is also worried that our boy would be just a mini-him will be having the same problem growing up, and it was a frustrating experiences, and he forgot how he outgrows it.


That's just weird and I would disagree. He needs to start paying attention to others and to start enjoying the company of other children (and start noticing peer behavior) and fun classes (things he would like - active classes) are a great way to do that.


Your advice is weird, pp. Taking him to classes won't teach him to learn how to pay attention; this is a toddler and what you're suggesting isn't developmentally appropriate for this age group in any case. You can read a ton of threads in gen parenting of parents lamenting how their kid doesn't pay attention in classes.

Op, you know your kid best and what he'll tolerate. If he enjoys a class great. If not no worries. There are plenty of playgrounds, open gyms, and unstructured activists.



Pediatricians don't recommend that a parent spend all of her time with her child, especially a SN one. They always recommend that the child is out and about with others, and preferably in a preschool by age 3 if they have SN. If the parent wants to do more unstructured activities with their child they will be supportive but to say that a child would be confused by playing in a class with other children makes no sense. Something is off about this story or her understanding of what was said.


OP here. Thanks for the concern. The reason that developmental pediatrician from children hospital wants me to do more one-on-one playtime with my boy at home (with Hanen & floortime theories) because it is beneficial to his development in terms of focus,attention span & eye contacts since he does not talk much yet. He is so easily distracted by other toys & the new surrounding environment. He has no problem playing with other kids or adults, but the problem is a lot of time, he does not really "play with" other kids/adults at all, but only concentrates on the toy itself. That is the observation from the 3 hour evaluation, and we agree with it. I still take him to playground & library storytime, but I cut all the gym class & music class as recommended for now because all those classes are too fast paced & over stimulating to him. He will go to preschool when he turns 3 years old.

Anonymous
Anonymous wrote:Is English your second language? Are you speaking to him in English or the language you grew up speaking or is he being raised bilingually?


OP here. English is not my first language, and yes, he is raised bilingual. But now, I mainly speak to him in English, and sometimes my visiting parents/older relatives speak to him in foreign language(because that is the only language they know). All the pediatricians say that second language does not have a big impact as you think to me on the cause of speech delay, which I was surprised.
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