Autism ADHD Doctor Mumbai india Dr SV Kondekar

The Goal-Directed Cognitive Approach in Autism:  How Attention and Meaning Reduce Stimming Naturally Many therapies fail because they are: Random Symptom-focused Not brain-directed Random stimulation gives random results. What Is Goal-Directed Cognition? The Goal-Directed Cognitive Approach focuses on: Where the child’s attention is going What meaning the brain is processing Behaviour improves when cognition is guided toward purpose. Folded hands and eye contact create a window for learning. Once the brain is receptive, it can receive: Language Awareness Social meaning Why Medicines Alone Are Not Enough Medicines may reduce hyperactivity or irritability, but they cannot: Build eye contact Create meaning Develop cognition Without cognitive direction, stimming returns. The Core Philosophy When the brain has meaning, stimming reduces. When hands are folded, the brain receives meaning. When eyes connect with eyes, the brain connects with the world. This is the foundation of Dr Kondekar...

Folded Hands in Autism: Why This Simple Posture Improves Attention, Eye Contact, and Behaviour Hands are the main tools of stimming in autism. Free hands often mean free stimulation. One of the most practical tools in Dr Kondekar’s approach is the use of folded hands. Folded hands are not just discipline. They are an attention posture. Why Folded Hands Work When hands are folded: Hand stimming reduces Body movement settles Visual scanning decreases Head and eye position stabilises This creates the ideal condition for: Eye-to-eye connection Listening Learning Dr Kondekar recommends: Three Folded-Hand Postures and Their Use 1. Namaste posture Creates calm, respect, and readiness for learning. 2. Arms folded with palms touching elbows Strong body regulation; blocks intense hand stimming. 3. Folded hands with finger on mouth Encourages silence, patience, and impulse control. Folded hands do not suppress the child. They organise the child. 👉 Read next: How directing cognition toward goals...

Visual Stimming in Autism:  Why Children Watch Fans, Lights, and Objects Instead of Faces Not all stimming happens through hands or body movements. Many autistic children show visual stimming, which is often overlooked. What Is Visual Stimming? Visual stimming includes: Watching ceiling fans or wheels Staring at lights, reflections, shadows Looking at objects from the corner of the eyes Bringing objects very close to the face Repeating the same visual movement again and again Parents often say: “He keeps watching the fan” “She avoids faces but watches objects” “He looks, but doesn’t connect” This is not curiosity. This is visual stimming. Why Visual Stimming Happens In autism: Eyes may see clearly But the brain struggles to assign social meaning Human faces require: Emotional processing Interpretation Integration of sound, expression, and intent For an autistic brain, faces may feel confusing or overwhelming. Moving objects, on the other hand, are predictable and non-de...

Stimming in Autism: What It Really Means and Why Stopping It Directly Never Works Parents of autistic children often come with one common concern: “Doctor, my child keeps doing the same thing again and again.” Hand flapping, rocking, jumping, humming, spinning objects— these behaviors are commonly labelled as stimming (self-stimulatory behavior). Unfortunately, stimming is also one of the most misunderstood aspects of autism. Most advice given to parents focuses on stopping the behavior.  But stopping stimming without understanding its cause is like silencing an alarm without checking why it rang. What Is Stimming, Really? Stimming is not bad behaviour. It is not naughtiness. It is not a habit picked up deliberately. According to Dr Santosh Kondekar, stimming is a brain response, not a discipline issue. In autism, the brain often struggles to: Integrate sensory input Understand the environment meaningfully Stay engaged with people and situations When the brain does not ...

FAQ: Why Some Children Appear “Lazy” in Writing — A Developmental Perspective ✍️🧠 Writing is not just a hand activity. It is a complex developmental task involving sensory processing, motor planning, cognition, language, attention, and motivation. Many children who appear lazy in writing are actually struggling with underlying developmental factors. Below are frequently asked questions parents and teachers often ask. 1 . Is a child really lazy if they avoid writing ? Usually no. Most children who avoid writing are facing difficulty somewhere in the developmental chain—such as fine motor control, attention, visual processing, or language formulation. Avoidance often reflects frustration or fatigue, not laziness. 2 . What developmental abilities are required for writing? Writing requires integration of many systems: Fine motor skills – controlling fingers and pencil grip Visual–motor integration – copying shapes and letters Postural control – stable sitting and shoulder stab...

Here’s a clear summary of concessions available to a certified dyslexia child in Maharashtra (India) — based on the Maharashtra Board provisions and common practices under RPwD Act: 📌 1. Legal Basis Specific Learning Disability (SLD) — including dyslexia — is recognised under the Rights of Persons with Disabilities Act, 2016 (RPwD Act). A certified SLD child can get exam and educational concessions once the disability certificate is issued under this Act and submitted to the school and relevant board. � Dr T Srinivas Rajkumar MD 📌 2. State Board (Maharashtra Board) Concessions For children certified with SLD (such as dyslexia), the Maharashtra Board of Secondary & Higher Secondary Education provides the following exam and academic concessions: � LDExplained +1 🧠 Extra Time 30 minutes extra in SSC (Class 10) board exams 1 hour extra in HSC (Class 12) board exams 📖 Language & Subject Exemptions Exemption from Third Language (e.g., Hindi/Marathi) at SSC — can be replaced with ...

Autism: Where Learning Truly Begins Steadiness is not built By running, jumping, moving fast, A wandering body Makes attention never last. Social skills don’t bloom With toys that never speak, Objects can’t replace The lessons humans teach. Observation isn’t learnt By movement without pause, Still eyes read faces, Not motion without cause. Listening does not grow When hands and feet compete, Divided attention Makes learning incomplete. Entertainment may delight, But it cannot educate, Fun without direction Only teaches us to wait. Language won’t unfold By movement taking lead, Words are shaped by listening, Not only what we do or feel. Discipline won’t settle With hugging, climbing free, Structure builds self-control, Not constant liberty. Social etiquette won’t form Without distance and restraint, Boundaries shape behaviour Before closeness can be gained. Cognition and language— Common sense, thought, and skill— Ninety-eight percent are learnt When listening is still. So if the mind i...

Sleep related to medicine or diet is short term and dose related. It settles over few days if same dose is maintained If u notice sleep with any medicine, it means the medicine is a cooling agent for behaviour and movement. Sleep doesn't mean that medicine is addictive or habit forming . All sleep causing medicines are not same. All medicines causing sleep are not sleep medicines and they may not have been prescribed for sleep. If a doctor prescribes a medicine and if it causes sleep and you or school is uncomfortable with it the dose needs to be adjusted up or down to make the child comfortable just short of sleep. If you notice any hyperness or restlessness following sleep related medicine , it just means that the child may need double dose.  treat the neurobiology   https://speechandsenses.blogspot.com/2026/03/neurogenesis-synaptic-biology-and.html To understand brain development, read my article on neurogenesis and synaptic biology in autism learning . If any me...

for all post links click https://speechandsenses.blogspot.com/p/httpsspeechandsenses.html why does an autism kid avoid eye to eye contact? Autism is a disorder with core feature "poor non verbal communication" , this involves poor eye to eye connection. Autism kids may start staring at objects, toys, corners or light but not staring at living beings easily.  This mainly occurs because they find living beings difficult to connect at understand. Living beings / people are not static like objects but they keep changing colour/ clothes, position and the environment; and this makes them uncomfortable.  When the new awareness/ change occurs, the kid not being used to it gets anxious/ shy/ feared and loses confidence to connect with eyes.  non living objects/ toys being static, the kids finds them easy to control and stay connected  with the object as comfort zone, stimming is a way to stay into a repitition or routine which if changed they find more anxiety. - DRKONDEKAR ...

for all post links click https://speechandsenses.blogspot.com/p/httpsspeechandsenses.html Blueprint Protocol for Certification of Learning Disability (LD) For Developmental / Child Guidance / Neurodevelopmental Centers (Aligned to Indian school systems & government expectations) Prepared by: Dr S Kondekar Consultant – Autism & Neurodevelopmental Disorders www.autismdoctor.in | 9869405747 1. Purpose of LD Certification Learning Disability (LD) certification is meant to: Identify specific academic processing deficits Differentiate LD from low IQ, poor teaching, autism, ADHD Enable school accommodations (extra time, exemptions, scribes) Provide official documentation for boards and schools This protocol ensures certification is: ✔ Scientifically valid ✔ Defensible in schools & boards ✔ Ethical and child-focused 2. Eligibility Criteria (Entry Gate) A child can enter LD certification pathway if: Age ≥ 7 years (or Std 2 completed) Regular school exposure ≥ 2 years Average o...