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Risperidone in Autism: Facts, Safety, Myths, adverse events, Clinical Guidance, and Practical Counselling : Dr Kondekar explains

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Risperidone in Autism: Facts, Safety, Myths, Clinical Guidance, and Practical Counselling - Dr Kondekar Autism Doctor  Introduction Medications like risperidone are widely used across the world to help children with autism who have significant behavioural and social regulation difficulties. Despite strong clinical evidence, many parents feel anxious because of confusing or inaccurate information online. This article explains why risperidone is used, its safety, addresses common fears and misconceptions, and provides practical monitoring guidance so families can make informed decisions. By intermitent underplaying risperidone when it is needed for peace of mind, we are spoiling his personality for lifetime to an aggressive personality. Why Risperidone Is Used in Autism Risperidone is prescribed when behavioural challenges significantly interfere with a child’s learning, safety, therapy participation, or family functioning. It may help with: Severe irritability Aggression...

need for change of goals in autism: Change the goals to see the change. Dr Kondekar santosh , autism doctor Mumbai explains

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Connection to Conversation in Autism: Why Changing Goals Changes Outcomes Introduction In autism, progress often depends not only on therapy intensity but on what goals we choose . Many children remain stuck because interventions focus on surface behaviors instead of foundational developmental processes like connection, listening, and thinking. Modern neuroscience and developmental psychology suggest that when we shift goals toward social engagement, auditory processing, and cognitive readiness, meaningful communication and adaptive behavior improve. This article expands the developmental pathway by introducing a crucial concept: turning the goals in autism to see real change. The Foundation: Connection Builds Communication Children need to understand the fundamental need of life — humans connect to communicate. When a child spends more time with people rather than objects, sustained engagement develops. This leads to better awareness of family members, improved eye contact, and readin...

How to initiate sustained eye to eye connection in autism kids? Dr Kondekar santosh Autism doctor Mumbai explains

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1. 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 conversations for...

Teaching Children with Autism How to Learn to Talk: Building Speech Through Receptive Vocabulary. Dr Kondekar explains

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Teaching Children with Autism How to Learn to Talk: Building Speech Through Receptive Vocabulary Language development in children with autism spectrum disorder (ASD) is often misunderstood as a problem of speech production. However, neuroscience and developmental psychology consistently show that speech emerges from understanding . Before a child can speak meaningfully, the brain must first learn to listen, interpret, attach meaning, and emotionally connect to language . Receptive language — the ability to understand words, sentences, and context — is therefore the foundation of communication. When receptive vocabulary improves, expressive speech often follows naturally. This article outlines a practical, neuroscience-informed approach to helping children with autism learn to talk by strengthening receptive language through natural, contextual learning rather than mechanical teaching. Understanding the Language Gap in Autism Children with autism frequently show differences in: ...

Sleep in Children with Autism: Causes, Importance, and Clinical Approach - Dr Kondekar SV Autism doctor Mumbai shares views

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Sleep in Children with Autism: Causes, Importance, and Clinical Approach Sleep difficulties are extremely common in children with autism spectrum disorder (ASD), with studies suggesting that 50–80% of children with autism experience sleep disturbances , much higher than typically developing children. ( MDPI ) Sleep is not just a nightly routine — it is a fundamental biological process essential for brain development, behaviour regulation, learning, and neurological stability. Sleep disturbances in autism are often multifactorial, involving medical, sensory, emotional, and neurobiological contributors. ( MDPI ) Why Sleep Is Critically Important in Autism 1. Reduced Sleep Can Precipitate Seizures Children with autism have a higher prevalence of epilepsy compared with the general population. Sleep deprivation is known to lower seizure threshold and increase neuronal excitability, making adequate sleep essential for neurological stability. Poor sleep therefore increases seizure risk and sh...

Autism Through the Lens of Pediatric Cognitive Neuroscience Dr Kondekars views

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Autism Through the Lens of Pediatric Cognitive Neuroscience Dr Kondekars views Understanding the Developing Brain to Improve Outcomes Autism spectrum disorder (ASD) is increasingly understood not just as a behavioral condition but as a neurodevelopmental difference rooted in early brain development . Pediatric cognitive neuroscience provides a powerful framework to understand how variations in brain structure, connectivity, and function shape the cognitive, social, and communication profiles seen in autistic children. By examining how the brain develops from infancy through adolescence, clinicians and researchers can better understand why autistic children think, learn, and interact differently — and how targeted interventions can support optimal development. What Is Autism in Neurodevelopmental Terms? Autism spectrum disorder is characterized by differences in social communication and the presence of restricted or repetitive behaviors. However, beneath these behavioral features lie co...

when Awareness fails, Connection with humans fails; when connection fails- Communication suffers.. when communication suffers= Behaviour gets affected

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Below is an expanded therapeutic framework integrating your **A → B concept** within the DSM-5 understanding of Autism spectrum disorder. This is not a replacement for diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition by the American Psychiatric Association, but rather a clinical-developmental way of understanding intervention. # The Therapeutic A → B Model in Autism ## Core Principle: **If A (Awareness, Understanding, Connection, Communication) is underdeveloped, B (Behavioral symptoms) emerge.** To reduce B, we must systematically strengthen A. This model shifts the focus from suppressing behaviors to developing foundational capacities. --- # Step 1: When A is Weak, B Develops In autism, differences in social awareness, understanding of meaning, and reciprocal communication create internal confusion. When a child cannot: * Interpret social cues * Express needs effectively * Understand expectations * Predict outcomes The nervous system e...

Listening Before Speaking: Why Regulation and Auditory Input Are Central to Language Development in Autism and Sensory Processing Disorders - Dr Kondekar Autism doctor Mumbai

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Listening Before Speaking: Why Regulation and Auditory Input Are Central to Language Development in Autism and Sensory Processing Disorders Introduction Language development is often misunderstood as a process driven primarily by speech production. However, neuroscience and developmental psychology consistently show that language begins with listening , not speaking. For children with autism spectrum disorder (ASD) and sensory processing difficulties (SPD), improving the quality of auditory attention and regulation is far more important than focusing solely on speech output mechanisms. Any child who is not deaf has the potential to be trained to listen. When listening becomes sustained and meaningful, understanding improves, and communication follows. This article explores why listening, regulation, and cognitive readiness are foundational to speech development and why focusing only on motor speech exercises may miss the core neurodevelopmental need. Listening as the Foundation of Lang...