Autism ADHD Doctor Mumbai india Dr SV Kondekar

Why Children (Especially with Autism) Do Not Follow Instructions: A Clinical-Sensory Model Beyond Behavioral Interpretation Dr Santosh Kondekar Prof Pediatrics TN Medical college Developmental Neuropediatrician, Mumbai, India 🌐 www.autismdoctor.in Abstract Failure to follow instructions in children with autism spectrum disorder (ASD) is frequently interpreted as behavioral non-compliance. However, such interpretations overlook underlying neurodevelopmental mechanisms. This paper proposes a clinical-sensory model, distinguishing quantitative (input-related) and qualitative (meaning-related) components of sensory development. It highlights the role of verbal–sensory disconnect, concept formation deficits, and sensory regulation in instruction-following. The model integrates clinical observations with existing frameworks in sensory integration and predictive processing, and proposes a shift from compliance-based to neurodevelopmentally informed intervention. Keywords Autism spectrum diso...

Why Do Children with Autism Cry? (Complete Clinical & Behavioral Guide) This article is expanded from the original article by same author "Every time a child cries, doesn't mean the kid is hungry, so before your offer fodor water bottle to a crying kid, think of these causes". Crying in autism is multilayered. It may arise from: Communication difficulty Anxiety, fear, panic Behavioral patterns Hidden medical causes (often missed) 1. Crying is a Signal — Not Just Behavior Dr Kondekar says: 👉 Crying is the child’s language of distress But that distress may be: Emotional Behavioral Physical (pain or internal discomfort) 2. Emotional & Cognitive Causes Children may cry due to: Anxiety Fear Panic Confusion Inability to understand situation 👉 The child is overwhelmed, not disobedient 3. Behavioral Types of Crying Dr Kondekar insists: Identify the type Temper tantrum crying Stubbornness / denial crying Demand-based crying Conditional crying (stops when demand is met) ...

In this  article Dr Kondekar answers few common questions of parents of autism kids. 1.10 Early Signs of Autism Parents Often Miss 2.Why Screen Time Delays Speech in Children 3.Dr Kondekar’s 7 Golden Rules for Autism Parenting 4.Why Some Autism Children Understand but Do Not Talk 5.10 Home Activities That Help Autism Children Start Talking 6.The Hidden Reason Speech Therapy Fails in Some Children *** *** *** *** *** *** *** *** *** *** *** *** *** * 1. 10 Early Signs of Autism Parents Often Miss Many parents think speech delay is the only sign. But autism often shows earlier behavioural signals. Dr Kondekar warns parents to watch for these signs: 1. Poor or inconsistent eye contact 2. Child does not respond to name repeatedly 3.Limited pointing or showing objects 4. Lack of interest in people or social play 5. Repetitive behaviors like hand flapping, spinning, lining objects 6. Strong interest in specific objects or routines 7.Delayed imitation of actions 8. Reduced sha...

1. Dr Kondekar’s:  10 Mistakes Parents Make That Delay Speech in Autism ❌ Overuse of screens and mobile videos ❌ Ignoring eye contact practice ❌ Giving everything before the child asks ❌ Overindulging the child and removing communication need ❌ Being impatient and rushing the child ❌ Lack of structured daily interaction ❌ Expecting full sentences first ❌ Allowing only passive listening ❌ Relying only on rhymes, videos, and cartoons ❌ Waiting for perfect words before encouraging communication Dr Kondekar warns: Children learn to talk by interacting with people, not by watching screens. 2. 7 Signs Your Autism Child Is Ready to Start Talking ✔ Makes regular eye contact ✔ Imitates simple actions or sounds ✔ Responds to their name ✔ Understands common daily words ✔ Points or gestures to express needs ✔ Shows interest in people and activities ✔ Attempts small sounds like “ba”, “ma”, “da” Dr Kondekar says: Speech readiness begins when attention, imitation, and understanding start developi...

ADHD: It Is Not Excess Energy — It Is Poor Channelisation of Energy Prof Dr Santosh Kondekar Autism Doctor Mumbai, Autism doctor India 9869405747 MD DNB DCH FCPS DNB FAIMER,fellowship Pediatric neurology & Epilepsy, Diploma Developmenatl Neurology CDC Kerla ,prof Pediatrics T N Medical College Mumbai, Director AAKAAR CLINIC Byculla west Mumbai INDIA, mobile: 91-9869405747 Affiliation: Cognitive Neurosciences for Autism & ADHD, Website: www.autismdoctor.in , email: autismdrmumbai@gmail.com Children with ADHD are often described as having “too much energy.” However, Dr Kondekar says that most of these children do not actually have excess energy. The real difficulty lies in the brain’s inability to channelise available energy toward organised thinking and purposeful actions. Because the brain struggles to organise attention and control impulses, the available energy often leaks out as excessive movements such as fidgeting, running, jumping, or constant body activity. T...

We Don’t Need “Sensory Experts” — We Need Sensible Experts for Non-Verbal Autism Poor sense of awareness is a constant feature in autism (A1+A2=A3), and this creates sensory issues, which is an accesory feature in autism, "common sense" initiation should dominate and precede the "other sensory regulation" Dr Kondekar insists every therapy or sensory activity should be sensible towards cognition than just sensory satisfaction.  read multisensory social joint attention click here Many modern autism intervention programs focus heavily on sensory therapies such as swings, brushing, trampoline exercises, ball pits, and repetitive motor activities. While these activities may temporarily calm or entertain a child, they rarely address the core difficulty in autism — communication and language development. Autism is fundamentally a neurodevelopmental disorder affecting communication, understanding, and social interaction. Sensory issues can occur in a...

Kondekar Clinical Rule in Developmental Pediatrics : Do Not Wait for Reports to Start Intervention Also read causes and patterns of speech delay here  Let's first understand speech delay, then discuss common questions of parents and then understand the 10 common mistakes parents do.and what sshould be done for same  One of the most important principles in developmental pediatrics is that intervention should never be delayed while waiting for investigations, reports, or specialist appointments. Speech delay, poor eye contact, reduced responsiveness, or limited gestural communication are clinical signals from the developing brain that require early stimulation and structured developmental support. In many clinical settings, parents are advised to wait for: • BERA or hearing assessments • Ear cleaning procedures before BERA • Institutional speech therapy appointments • Psychological or therapy evaluations • Surgical opinions such as cochlear implant assessments During this waiti...

Understanding Speech Delay: Looking Beyond Words Speech delay is one of the most common developmental concerns encountered in early childhood. While speech delay is frequently associated with autism, it is important to recognize that speech delay occurs in both children with autism and those without autism. Therefore, the presence of delayed speech should never automatically lead to a diagnosis of autism without careful developmental evaluation.¹ Speech development depends on the coordinated functioning of hearing, brain processing, cognition, and speech motor systems. A child learns speech by hearing sounds, processing them in the brain, and reproducing them through complex coordination of the tongue, lips, palate, and vocal cords. Any disturbance along this pathway can lead to delayed speech development." Hearing and Speech Development One of the most important factors influencing speech development is hearing ability. Hearing loss is among the most common and treatable causes o...

Integrating the Kondekar Sensory-Cognitive Hierarchical Evolution (SCHE) Model into a Goal-Directed Cognitive Framework Prof. Dr. Santosh Kondekar Director, AAKAAR Clinic, Mumbai Autism Doctor India www.autismdoctor.in Read basics about SCHE MODEL of development here...click here Abstract Autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), speech delay, and behavioural dysregulation are commonly conceptualised through behavioural, sensory, or diagnostic frameworks. However, these approaches often fail to capture the underlying developmental mechanism responsible for the emergence of these symptoms. The Kondekar Sensory-Cognitive Hierarchical Evolution (SCHE) Model proposes that child development represents a progressive integration of sensory processing, emotional regulation, motor organisation, social awareness, language and cognition. Development progresses hierarchically from primitive survival regulation toward symbolic verbal cognition and socially re...