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Your blog was really helpfull for me. Do you think it is the taste of the milk that could be the issue? In the meantime, take matters into your own hands and begin to work with her yourself. Hi Alisha — I have a 15 month old who still eats pureed food. I am stressing about how to transition from the two bottles at 11am and 4pm to mealtimes. Hi Alisha, I have a 15 months old son who will eat cereals and blended fruits just fine.
Food Neophobia and Selective Eating Disorder In Children: More Than Just Picky Eating
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Sign up or log in to start clicking and saving. Item prices vary from in-store prices. Service fees may apply. Available in select zip codes. Publix Brands Publix Brands on Sale. This is not your parenting ability, or all of your children would exhibit these issues, so please stop feeling guilty. I would not continue to try to handle this on your own. You could try to get an appointment with an occupational therapist who specializes in sensory and feeding issues.
Some of his social issues could also be due to sensory processing differences. His issues sound too complex for you to continue to deal with on your own. Get a referral from your pediatrician, or start making calls yourself, but please pursue action for your son soon. He needs you to help him. Thank you, Laura, for your informative and reassuring reply. It was such a comfort to read your words. However, I wondered if anyone else could offer another opinion? Of course we are more fully armed with information with as many people that offer it!
Are you based in the UK Laura? Do you mind if I ask if you specialise in such conditions, as you certainly sound as if you do….. I do value your opinion and asked for it! How mildly can autism affect a child? Or is this too difficult to define…? When you mention an appointment with an occupational therapist, would this be privately?
Or could my doctor refer me? Your reply would be much appreciated, many thanks for your help thus far, regards, Sarah xx. But from that list my baby has allot of familiar characteristics.
Like today in the hospital he tackled one little boy to the ground for no reason. He also makes allot of noises when he plays, he jumps up and down when he gets excited.
But one thing he does is smile at me when I smile at him and he comes to me and he may sit on my lap for a little while but then he gets back up and runs back around. I just want the best help for my son. What do you think I should do so I can get him properly diagnosed? Sarah — I live in the USA, and our health care system is very different. I am a pediatric speech-language pathologist, so my specialty is speech and language development. I do treat lots of children with autism.
Autism, as you know, is a spectrum disorder meaning that the range of severity is from mild to severe. Best of luck to you as you search for answers! Regardless you should ask his teachers for referrals to other specialists who might be able to give you more information not only about his diagnosis, but also with ways to help him at home.
I certainly hope he is because by nearly 3 most children know and say hundreds of words and communicate all day long use short sentences. If he is not in speech therapy, please ask your pediatrician for a referral or contact your local public school system. If you are in the USA, children with developmental delays such as a language delay receive early intervention services until they turn 3 in home based programs.
Let me stress again how critical it is for language delays to be identified and treated, and the earlier the better. Your goal should be to do everything you can to have him caught up to other children his age by kindergarten. Let me know if you need more specific help. Thanks Laura, I will do and will let you know what the doctor says. I have had chance to look around the site now and see what you are doing. Good luck with it all, and thank you for sharing your expertise with us!
He would yell and scream, knock his head on things to the point he almost passed out. I wish you both the best of luck and just remember to keep fighting for your child, follow your instincts as their mom. My son will be 3 next month. Since he was 1 yr, he seemed very advanced walked early, recites the alphabet and , knows animals and their sounds, colors, musical instruments, shapes, does puzzles. Understands phonics, has several words memorized for each letter, and even spells about 30 words both verbally and through typing.
I just figured conversation was coming slowly at the expense of these other talents. Taking a step back and being realistic I realize that there might be something else wrong. He typically cannot sting more than 2 words together. He can memorize long lists of objects or dialogs from television, but he cannot explain what he wants or tell me about his day. He makes his body go limp if you try to move him against his will or put him on the potty. Also fights getting dressed and undressed and going in the bath, and only eats about 10 different things.
And when I try to look him in the eye and speak to him, he looks away and talks about completely unrelated things and tries to break gaze and go back to what he was doing.
Despite all of his academic aptitudes, do these traits sound like he could have autism? However, I would be very concerned about him since he is not meeting his language use milestones.
Referrred to as pragmatic skills by SLPs. Children who are turning 3 are typically USING words combined into short sentences all day long to communicate their wants and needs to their parents, take turns talking back and forth in conversation including asking and anwwering questions, and can follow LOTS of directions and instructions whether they necessarily want to or not!
Even though your child is saying lots of words and is verbal, it sounds like he is struggling to truly communicate with you. He is not expressing basic wants and needs by asking for things, and he is not responding to you consistently. Trust your instincts and pursue an assessment for him. Let me know if you need any other more specific advice.
I am waiting for the school district to get back to me regarding the assessment. Summer break makes it tough to get a response. Is there anything I could be doing in the mean time to help him?
I would really like him to tell me about his day, or tell me about things he likes or ask a question. He knows how to engage me, is there any way to engage him? I try to speak in full sentences about things he is interested, but he never goes beyond his word fragments. Worried Dad — I have lots of specific things you can do at home to target his expressive and receptive language skills.
Please click on those categories and read the articles, especially the ones regarding asking questions and Teaching Toddlers the Words They Know To Change Their Worlds. Good luck in your pursuit of how to help your son! Sarah, you might want to read up on Sensory Processing Disorder, food allergies and food intolerances. My son is 22 months old and for some time now I have been worried about his speach and language abilities.
At first I chalked it up to being the second child, as I have a 34 month old daugther. His vocabulary consists of about words way below what his sisters was at that age , he has said a couple sentences like — I go get Daddy.
But it is very limited. He is a very active child and the best way to describe him is intense! For a couple months we had problems with him having tantrums to the point where he would hold his breathe and pass out!
He has done better but still has serious tantrums when told what not to do or if something is taken from him; which I have said is the norm for the terrible twos. But he will not repeat words back to us, and sometimes just acts like he is ignoring us completely. And I also try hard to repeat words Like — Can you say shoe? Any advice would be greatly appreciated! He has his regular checkup in September but I am wondering if I should take him to his pediatricain earlier to get a referral.
Both my husband and I are worried. Cameran — I would definately be proactive and see your pediatrician to discuss your concerns now. If you are worried, there is likely a good reason to be, so I would go ahead and pursue the referral for a speech-language assessment so you can have it done at least by his birthday.
Let me know if you need anything else. Angie — I know that your health care and educational systems in the UK are very different from ours in the USA, but the behaviors that you are describing are red flags, and do warrant attention from a professional.
Please implement the strategies your speech therapists gives you to use at home. I wish you all the best as you continue to help him!
He is obsessed with numbers and letters and any toy with wheels. Until recently he would only spin wheels on trains and cars but now he pushes them along the floor.
He has virtually no imaginative play and will not have anything to do with other children. He will play with other adults eventually but only if it involves something he needs, such as helping him onto a slide. His speech is delayed also, he has never asked for anything other than by taking my hand to reach for it, he would repeat whole sentences that he hears and sings whole nursery rhymes but never anything original when he gets excited he flaps his hands and he would also shake his head quite fast with his eyes looking to one side, this usually happens more when he is tired.
The first time he ever pointed in his life was 4 weeks ago. By the time children are turning 3, they are using LOTS of unique, sentence-length structures to verbally ask for things they need, respond to their parents questions, and talk about things they see and do all day long. Even if a child is autistic, he should be learning to communicate.
I hope that this site can give you some ideas for how to help him learn to do that AND that you continue to seek professional advice for him. Thanks for replying Laura. I am also a working pediatric speech-language pathologist and mother of young children. The above list of red flags for autistic spectrum disorder is excellent. It is important to remember that most children will not demonstrate everyone of these behaviors, yet concerns still are warranted.
Also, there are many typically developing children that may demonstrate some of them, such as picky eater or flapping type movements when excited.
It is important to keep frequncy and intensity in mind. If a child prefers to play alone sometimes, maybe it is not a problem. I know this sounds simplistic, but it does help gain perspective. Autistic spectrum disorders is just that. Diagnosing ASD can be challenging. I do believe I hand-flapped as a child. That is why a complete evaluation by an expert is necessary. I am certain that there are many adults today on the mild end who were never diagnosed and are functioning and happy.
With todays advances and early intervention, I am also certain that many more children who fall on the spectrum can grow into happy, successful individuals. Thanks again for commenting! I love hearing from other SLPs!!! He has therapists for the speech and physical delays. Who can diagnose autism or diagnose him as not having autism, and if it is not autism, who can diagnose a speech disability, like apraxia, if one exists? A department of the local university supposedly does evaluations snd diagnoses, but I have waited several days since I first called and no response.
The pediatrician, who has rarely seen my son, says he does little imaginative play. How much imaginative play is a two-and-a-half year old boy supposed to do, especially if he is speech and physically delayed, and what kind of imaginative play is it supposed to be and look like?
He seems fairly social and does not do any hand flapping or repetitive movements, but he is very speech delayed and slightly physically delayed. If autism is not the cause, then what is? His cousin has apraxia, but is not physically or speech delayed. She just has a speech impediment and fine motor shaking. Does my son have something worse if he is speech AND physically delayed? Can his therapists help in diagnosis, his pediatrician, or someone else?
Andrea — It sounds like you continue to be concerned about her, so I am glad you are seeing the doctor. Here are my thoughts about the things you mentioned —. She should also really be eating a full diet of table foods by now and eat a variety of foods. By variety, the experts say at least different foods is common for toddlers.
Wanting to constantly hold on to leaves or sticks outside or or little toys when inside is also a pretty common occurence for toddlers. So many kids are carrying something! Keep pursuing answers until you feel satisfied. The Out of Sync Child is another older book about sensory processing issues that I really like.
Some pediatricians are not trained in this area. Good luck and let me know how it goes! Thank you so much Laura for your response!! My son in almost 13 months old. He used to have a vocabulary of about 15 words and now he rarely says mommy or daddy. He sometimes also tends to hold his hands over his ears when he gets angry.
His doctor says that he is just a normal 13 month old but he seems to be a little off at times to me. I hear this over and over as I work with children with developmental delays. Do i take him for a second evaluation or a second opinion..
Nicole — Anytime a parent thinks they might need a second opinion, they usually do. You might try a team that includes a pediatric psychologist since you mentioned his aggression with other children. Did whoever evaluated him mention sensory processing issues as a possibility for him as well?
Another good resource for sensory information is The Out of Sync Child. You might want to explore this as a possibility for him too based on his high activity level. Occupational therapists are the professionals that evaluate and treat this kind of issue. I hope these suggestions will help you as you continue to pursue help for your son. Please check out the other articles for ideas at home for working with his language. Aggression with other children is sometimes caused by frustration since he may not be able to communicate with them, and he resorts to hitting and hoarding toys.
I also think maybe hes experiencing a little jealousy since i recently had a baby boy. Hi Laura, a couple of weeks ago I asked you a few question about my daughter. My daughter is 20 months old. When she was just 12 months she had a pretty extensive vocabularly for her age. She also seemed to understand and follow simple instructions.
She had an unusually long attention span when it came to television. She was the only toddler I knew of at that age that could watch television and seem to interact with what was going on. Since she liked to watch certain programs, I let her. Lately I have noticed that her vocabularly has decreased, she does not speak as much as she used to, she responds to her name sometimes, but mostly only when it is accompanied by something else such as eat eat or bye bye.
She points at things sometimes, but for the most part she grabs my hand or clothing and pulls me towards what she wants. Developmentally her speech has reached the milestones, but I have noticed that she has not really learned any new words from when she was much younger. I am concerned about her language and her lack of following directions. Nicole — Then I would get him enrolled in a program as she suggested. If you are still concerned after a few more months, then you could reconsider the second opinion.
Good luck with whatever you decide! Keep up the good work! Many children experience an initial period of interest just before they turn 2, and then seem to lose interest. All 3 of my own children did this, and only one of them successfully trained during this time.
Children with any developmental delay, including language, may be a little slower to train. Janese — I know you must be very worried about her. You may want to go ahead and schedule a visit with your pediatrician in the next couple of weeks to discuss these issues as well. Get very involved in her world and encourage her to interact with you, let you join her play, and use the words she knows. If you act early and aggressively enough, this could be just a little bump in the road for her.
Read the articles on the site for ideas with how to help her at home. I am really worried about my son, Chase. He is 26 months old and is displaying a whole range of worrisome behaviors. He has been ahead of others his age until recently. He is extremely active, constantly moving, wanting to play, and is very coordinated.
But… there are several things that keep distressing me. He has an outrageous temper. He has at least one blowout tantrum daily. He hits and kicks me constantly. He has recently added head-butting and attempted biting to that list.
He will take whatever toys he is holding and hit them against household objects or himself — especially his head. When we put him in timeout he will take whatever he can reach and throw it and if there is nothing to throw he just lays on the ground and spins around kicking and violently crying.
I have bruises all over my body and have no idea how to discipline him. He looks at me with the most sad and angry eyes that it just breaks my heart. His speech is also another concern.
He has said TONS of words — at least Majority of the day he uses his own language which I somewhat understand because of the physical motions and pointing. A lot of his speech is just noises for excitement or anger — a lot of high pitched whining.
I scheduled an appointment for a tympanogram with our local ENT next week — in hopes that they could rule any ear issues out. His eating habits are also extremely difficult. His meals consist of any kind of fruit really, bologna, peanut butter, chips, ground sirloin, and ravioli. He wont touch anything new or veggies. He recently weened him off his bottle and he refuses to drink milk out a cup. We tried the milk juice boxes and he wont do it.
We have been having to give him a bottle with water because we worried about his hydration. Does this sound like normal picky behavior or something to be worried about?
He is extremely affectionate to some people and wont even look at others. He does walk on his tip toes daily but not for extended periods of time — just for like 5 second intervals.
I talked to his pediatrician regularly about these things and he always says lets see where he is at in 3 months. I have been since he was born. My husband works 12 hours a day, days a week… I truly feel for these other parents experiencing even more extreme behaviors. I try to engage with him inside, outside, with his cars, with books — you name it… and everything seems to end with a tantrum or timeout. I am all ears for any advice or support groups!!! Elizabeth — Although Chase does have lots of good skills to build on, he is exhibiting some red flag behaviors that I too would be concerned about.
Per your report, he is displaying some sensory processing issues need for constant movement, food aversions, low frustration tolerance, lack of social interaction at times, restricted play interests and speech-language delays lack of phrases despite an adequate single word vocabulary and not using his words to communicate in an understandable way when he needs to ask for something. Any of these issues alone are not a huge concern, but put them all together, and it does seem to suggest the possibility of what could potentially turn into a very real developmental issue.
Just so you know, moms are usually the first person to be worried about a kid, often long before dad and especially grandmothers, are! Love for our children can sometimes blind us to what needs to be done in order to help him. If he were my child, I would seek out early intervention services in your state or a multidisciplinary evaluation. He should be evaluated by a speech-language pathologist and occupational therapist and perhaps even a pediatric psychologist who can help you figure out better ways to deal with his challenging behaviors.
You are his mother, and you know him best, so you need someone to help you address what is happening. While mother-in-laws who help you take care of your children are wonderful, they sometimes too are oblivious to what is really going on. As I said before, you are his mother, and you know him best. When he grows up, he will thank you for it! In the meantime, keep reading the articles on this site for very practical ways to work on his communication skills at home.
The DVD could also show you several techniques you could use to help him learn to USE his words on his own, expand to phrases, and improve your ability to teach him to learn to interact consistently through play. You can do this Elizabeth! You sound like such a thoughtful, engaged Mom. Chase is lucky to have you! Let me know if you need any other help.
My daughter is talking a lot! She loves to label things she sees on a book, on tv, at the playground. We have the appointment with the pediatrician on friday, though. Hopefully the pediatrician will confirm that for you. Most kids at her age do label things just for the sake of labeling them.
Let us know — Laura. My son is 27 months old. There are only a few behaviors that have me concerned but they are really worrying me.
I will count 1 2 3! And he will reply A 2 A! He also refuses to call me mom, he calls both me and his father daddy. He knows how to communicate very well using gestures, facial expressions and tone. He follows directions very well.
He is very affectionate and social. He loves imaginative play and to pretend. He has his stuffed animals have babbling conversations to each other. He can be very independent when playing but always prefers to have someone to play with.
When we read his first word books he will go through and point out only the words he knows, not wanting to pay attention to the other pictures. But if I name the items he will accurately point them all out to me. Are these language issues enough for me to be worried about autism? Could this really be the cause? He may just need a jump start from working with an SLP who can not only work with him, but more importantly, give you new strategies to try with him at home.
The only time this is the case is when there are absolutely no demands placed on him to talk, but it sounds like you are encouraging him to use words. You may also want to check out the DVD for ideas for all of you even those older siblings! Hi, I have a son Harley who is 21 months, i am worried and need some advice, he has started to head bang a lot, when we are at the park when he cant do something, when he cant have somthing etc… unsual attachments to his dummy and his blanket, like older children and doesnt know how to act around other children younger or his same age, or just ignores them.
Jessica — Thanks so much for your comments. I hope that you are finding the ideas on this site helpful so that you can be proactive at home in helping Harley learn to use language.
In the meantime, use the ideas on this site. I have a 20 month old that I believe is exhibiting signs of autism. I know this is young, but going through the list of red flags, he has more than 75 percent. He was speaking coherent and intelligent words by the age of one and has completely regressed. He will not answer to his name and totally tunes you out. At times he seems as if he is deaf — I can make loud banging noises to try and get his attention, but when he is focused on something else the house could collapse and he would not acknowledge.
He lives in his own little world and wants to play alone at all times. When he wants something he throws and explosive tantrum, falling to the floor and screaming and weeping until he is exhausted. He has begun talking gibberish rather than using words. He used to wave bye but no longer does this. He absolutely will not make eye contact. He does not follow even the most basic directions. The things he likes to do he does repeatedly.
He constantly walks on his tip toes. He is covered in bruises from his clumsiness. He can watch a cartoon and totally fixates on it and absolutely nothing can get his attention. He has a high tolerance for pain, i. When he gets his shots he never even whimpers.
Is it too early to insist that he be checked or is this typical 20 month behavior? I am worried sick. I will tell you that of the 28 children I am currently treating right now, 9 are children of physicians, therapists, or nurses, and every one of them started therapy before age 2. Research tells us that early therapy can helps change the way their little brains are wired.
Good luck and let us know how he does! Hello, My son is 2. He has bad tantrums. Or he will bang his head on back of the chair or the floor. He is very aggressive toward other kids. He hits, pinches and bites other kids for no reason at all. Not all the time, but very frequently. He may play alongside other kids, but then out of nowhere hit or pinch someone very hard. He always wants to take away a toy that another child is playing with.
He likes several cartoons that he can watch over and over again. She does engage in some social games, like throwing the ball back and forth and kicking a ball.
I noticed at a birthday party this weekend that she was climbing up and down a play structure and going down a slide, repeatedly, until I directed her to something else. She transitioned fine, but I was curious as to the repetition of what she was doing. Does anything I described sound like autism? Should I be worried? Camille — She could be imitating some of the things your son is doing rather than truly exhibiting the traits or autism herself. I really thought he also had apraxia, but we started therapy with him, and his mother really stepped up her play with him at home, and wah-lah, he is doing GREAT now with no characteristics of apraxia.
This could also be happening with her, but….. She made need some OT to help get her and you! I think you sound like a concerned Mom! Waiting to treat these issues until kindergarten is not a good idea since you would have wasted so much precious time.
Moms usually do know best! Thanks for the good question -Laura. I just read this article and now I am very worried about one of my twins. The boys were born 10 weeks premature, and are now 17 months chronological, 15 months adjusted age. They have been getting physical therapy through our local Early Intervention program for almost a year. Now that they are walking and are doing well with their motor skills, they will stop getting weekly PT.
Both boys are speech delayed, but babble with inflection quite a lot. We do have a speech evaluation scheduled for next month, and it could just be a normal speech delay, common in twin boys. In fact, neither one of them do much in the way of imitative behavior, and really never have. In contrast, S seems to want to do the same things over and over. For example, he will pick up a toy and walk back and forth from the table to the couch and set the object up high.
He does this over and over, and seems to enjoy it a lot. His eye contact is okay, but not great. On the other hand, he smiles and giggles and laughs and plays with his brother. He snuggles for brief periods, until he goes off on another adventure.
He is interested in our pets and likes to chase them and pet them. Maybe it is just his personality? Congratulations for going ahead and pursuing the assessment now rather than waiting. In the meantime, you can start implementing some of the suggestions from articles here on the site. You can listen to the show by clicking the top link under the blogtalkradio icon. That being said, autism is just one of the reasons a child may show a delay in communication skills.
Prematurity and late gross motor skills are also contributing factors. I hope their communication skills move along as well as their motor skills have! Keep us posted on how they do! You could also ask your pediatrician for a referral to a pediatric psychologist. Call your early intervention program back and ask for OT, or find an OT privately. In the first show we discussed the official diagnostic criteria for autism, so this info might also be helpful to you before you visit another professional.
You can listen to the podcast by clicking on the top link under the blue blogtalkradio column on the right. Why are we so quick to label such young children. We all learn at different rates. I am now in a very senior role within the working mom force. Can we not let them be children without the stress for just a few years? Lucy — I am all for stress relief for parents and children, but I think you and I have very different views of what stress is!
My son is 27 months old and has alot of these habits. He says a couple of words and gets very mad if we try to teach him new words or sounds. He only eats about 4 different things. He has really bad fits flinging his arms and legs to the point i think hes going to hurt him self or someone else. He doesnt listen, if we say no he keeps on or just screams.
I really dont no i am kind of worried. He seems to be a normal toddler, he is very loving son, loves to be cuddled and be kissed.