Blog Archive - Prayatna
Center for child development

A case Study

9 Year Old Girl with Asperger Syndrome and Social Interaction Difficulties

Anooja, the Child

Anooja is a 9 year old girl who lives with her parents and two of her younger brothers. She has been diagnosed with Asperger Syndrome and has certain limitations with her social interactions at home, school and at other social gatherings.

Lately, she has also been reported to have issues with understanding abstract ideas taught at school, while she does pretty well in other subjects in her class. She is in a class for special children with language and speech inconsistencies.

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Our team has also been able to learn that she tends to exhibit temper tantrums and crying behaviors when she is asked to do something that she does not want to or when she is unable to carry out any activity.

Our Assessment and Intervention Plan

In order to understand the severity of the difficulties and the problems, we carried out a series of assessments. We collected data about Anooja’s behavior and discussed among the team to create a befitting plan to help Anooja.

We planned to address the behavioral issues firstly. The team in charge of Anooja came up with a visual plan that depicted the daily activities of Anooja after waking up. As she carried out each of the tasks such as brushing, bathing and dressing etc, she would remove the images that represented such activities from the plan. The parents were asked to praise her once she completed all the tasks on the plan.

We have also talked to Anooja’s teacher to support her with the intervention tasks given to her at class as well.

The result and the behavioural changes

As the therapy session and intervention plans were designed to help the child slowly cope up with the issues, we are able to bring desired changes in the child after three weeks. The degree of success varied from 70% to 92% on an average with the intervention.

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Qualities In Children That Comes With Good Parenting

Often the parents are the first role models that most children grow up with. As the child grows older, different sets of values that are conditioned by external influences and other factors are introduced to the young minds. It thus falls on the parents to act as ideal role models that could set an example for the early development of children.

There are some desirable qualities in children that most good parents must attempt at inculcating. It would apt to discuss a few of them here briefly.


The value of leadership is to the most fundamental to the development of any child early on in life. It must be usually followed that a good parent sets the role by acting in a leadership role early on in life. Most instances of people not taking up roles of responsibility can be analyzed as lacking leadership ability. This is also a value that cannot be taught in classes but must be enacted to achieve results.

With the proper role models a leader can bring about changes to society and the surroundings that are associated with such people. Children are taught to be the changes that needs to be brought about around themselves.

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It is important that structures be established early on in life. The ability of the immediate surrounding that a child is brought up in, being able to form structured thoughts are a major plus point. It is indeed a good structure that teaches a child of the actions and the resultant consequences to actions. A good structured upbringing does help relate the occurrences to actions committed. A person loose in structural mooring would tend to go astray like a ship without an anchor.

Cause and effect

That every action would bring about an appropriate reaction is to be emphasized early on in the lives of children. The effects are due to a cause must be brought to the attention of most children so as to bring about a transformative changes to society and in children as well. If a child could relate to a certain condition as being brought about by particular action, then he would be in better control of the situation.

The concepts of rewards and consequences are best used to bring about a greater awareness to the concepts early on in life.


Being disciplined does not mean to be quiet. Being disciplined would mean being in total control of any situation that might arise. It is often the crux to success. At times a disciplined person is able to better manage situation to bring about conclusions to certain processes. Often it would mean going against instincts that have been formed by years of conditioning to be able to override the most base of feelings.

It is a disciplined child that knows to think before acting. This can only be done if a strong correlation is established to actions and their consequences. Often a child that had been introduced to the concepts of rewards and the efforts needed to achieve targets or goals would in most probability be a better disciplined person than one who cannot do so. Being disciplined would mean that the child is in total control of the situation and can only be brought about by good assertive parenting.

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How we helped a child with picky eating behaviors

The child and the concerns

Children and eating is easily one of the biggest everyday challenges that many parents face. Eating disorders are directly linked to developmental issues. Apart from this, a weak diet can also affect the health condition of the child which is also a pressing issue for the parents and it needs quick interventions.

The child, Ajesh, was an eight year old boy who is staying with his parents and his younger sister. The parents informed us that Ajesh was extremely picky of the foods that he eats and often skipped dinner with the parents.He is said to like to eat fruits and sweets while, most of the times, he does not eat any rice-made food.

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Issue identification and intervention

In order to understand the fundamental issues of the child, we carried out a series of assessment of the child’s health condition. After carefully studying the same, we have arrived at the conclusion that the child was underweight with respect to his height and his BMI or Body Mass Index felt way off the normal permissible lines.

From the information that we gathered from the parents about the type of food that Ajesh typically eats in a day, we also found out that he consumed inadequate quantities of calories and proteins needed for a child of his age.We have planned for a diet that will meet the adequate nutritional requirements of a child of Ajesh’s age. We have also talked to parent to make mealtimes a fun affair for the child and also to make a variety of foods that are colorful and attractive for the child.We have also made certain plans with the parents to give rewards to the child for eating certain food.

The result of the interventions

Though the plans did not go as expected initially, which we anticipated, over the course of three weeks, the child started to follow the diet plan given to him and started eat better.

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Supporting a Boy Child with Autistic Disorder

The child and the concerns

Tom was a child who is 34 months old and he attends preschool. He was the third child of the parents who live in Kadavanthra in Kochi.He has two elder sisters and the family lives with Tom’s paternal grandparents.

The parents consulted us as recommended by one of the friends of a previous client. They informed us that the child exhibits erratic behaviors and tantrums that include drawing away from people and screaming.

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Observation and solutions:

Though we had understood the issues when talked to the parents, the siblings and the teacher of the child, we needed to get to the bottom of the issue. So, our team consisting of some of the best speech pathologists in Kochi carried out a functional analysis of Tom’s behavior at several different contexts such as during meals, school, play, transportation and bed.

Once we have understood the issues, in order to measure the severity concerns, we planned for several methods including observations and interviews. We have also made notes of the behavioral patterns and created intervention plans.One of the strategies was to give the child conducive environments that will help the child develop socially acceptable behaviors. We also created strategies to help him make friends at his school.

We have also created a plan that helped the parents avoid cues that triggered erratic and socially awkward behaviors from Tom.Sessions to orient the parents, siblings and grandparents of Tom were also created to support him cope with difficult situations.

The result and changes observed

As a result of the continuous support and execution of the intervention plans, Tom started to exhibit lesser instances of erratic behaviors at the school and at home. Though the child was able to develop several socially acceptable behaviors and get rid of tantrums, we continued the intervention further to help the child reduce autistic behaviors as well.

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Is early intervention needed for your child?

As developmental issues have been made more aware to the general public and parents, it is natural for the parents to be confused as to if their children need any sort of intervention during their developmental stages. Many parents do not even consider of such a possibility and they refrain from getting the help of a speech therapy center

However, understanding if the child’s development cycle is normal is really important to plan for early intervention for a speech pathologist . As a result, the parents need to keep in mind the following.

Behavior of the child from the very first day

It has to be understood that children development from the very first day and the child will constantly develop and display her personality. What is important is that, even when the children are unique, most of them develop at a regular pace. Though the developmental concerns begin to be displayed as the child ages, there are certain unlikely behaviors that can be observed such as refusal to being held, fear of movement, sensory difficulties and feeding difficulties. However, the developmental issues begin to show as the children grow and as they need to express their needs, wants and when they are responding to their surroundings.

The developmental milestones tend to happen to all children at similar periods of their development. But in children with developmental concerns, they may not happen as historically expected. When the child is not meeting the milestones as she must, it is always better to consult a specialized speech pathologist for earlier interventions.

Why early interventions?

Interventions are a collection of various therapy services that can help the child reach the developmental millstones that she was unable to meet previously. Getting the support from one of the best speech and language therapy centers is really important to get the desired results.

There are always confusions in parents while getting the help of a speech and language pathologist . However, it is important that you consult a physician if your child;

Is not crawling even after being 10 months old

Is not imitating gestures, pointing or waving even after being 12 months old

Is not able to walk even after being 18 months old

Cannot manipulate form boards, nesting cups and ring stacks even after being 18 months old

Does not speak or understand minimum 50 words even after being 18 months old

Early interventions are a key factor in deciding the result of the therapies that the child undergoes. Hence, identifying the needs and getting the support of a speech and language center is really important.

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Our Team

Dr. George Joseph P

Dr. George Joseph P

Consultant Pediatrician
Mr. Boney Kannoth

Mr. Boney Kannoth

Associate Visiting Counsellor
Ms. Mayuri Chaudhari

Ms. Mayuri Chaudhari

Ms. Minna Mathew

Ms. Minna Mathew

Clinical Psychologist
Ms. Meghana

Ms. Meghana

Rehabilitation Psychologist.
Ms. Jobitha.K.J

Ms. Jobitha.K.J

Occupational Therapist
Ms. Jeena Mary

Ms. Jeena Mary

Occupational Therapist
Ms. Varsha Renjan C

Ms. Varsha Renjan C

Occupational Therapist

What People Say

Prayatna clinic is class apart in terms of the child oriented therapies accorded over here. Each therapist takes personal care of the needs of the children and offer palliative cure that starts showing results within few days. I have not come across such clinics across India. The infrastructural support and resource base particularly the brain gym etc. are world class. Children also enjoy learning therapies over here due to the motivating atmosphere. Rehabilitation process is faster. Prayatna is really doing a stellar job.

Vineesh S

I have never had such a pleasant therapeutic experience as I have enjoyed in Praytana clinic. The ambience does not have that medical feeling to it. Therapists are always willing to walk the extra mile to make the process easier. The simple manner in which the therapies are offered is really hard to believe without experiencing at a personal level. They also prescribe therapies to be practised at home so that idleness does not interfere with the effect. Keep up the good job.


It was not long since I started seeing a positive change sweeping the life of my only child who required sensory integration therapy. At first, I was hesitating to go to Praytana and thought it to be like any other clinic with lofty claims but with no substance. But, a rude but pleasant shock awaited me as I could see the therapies work wonder for my child. He was no longer the same old kid seeking vents to express his pent-up emotions. Hats off to Prayatna.

Arunima Software Engineer

My son has been suffering from autistic syndrome and was not able to interact intuitively with his peers. The rehabilitative care offered at Prayatna was life-changing experience for me. Changes in the behavioural patterns of my son started becoming evident. His actions are now more agile and he no longer starts feeling uneasy in the company of others. Prayatna has pulled off the trick for my son. I would candidly recommend the clinic to all parents who want their children to take control of their lives.

Stephan Georage Sales Executive

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