The Children's Clinic

Helping children attain their developmental and educational potential

Questions, Answers, and Comments

DISCLAIMER: On this page, we provide answers to questions from visitors to this site which may be of interest to others, but we cannot provide advice about specific children. If you have a question about a specific child you should consult your family doctor.

Questions from visitors to this site

Is it true that breast feeding makes children smarter?
Mrs. M. Dublin

A study published in the Journal of the American Medical Association (8 May, 2002) showed that infants who are breast-fed for up to nine months grow up to be smarter. Children who were breast-fed scored significantly higher than bottle fed children on the Wechsler IQ scale, a standard IQ test used in children.

Researchers in Copenhagen studied more than 3,000 young men and women and found that breast-feeding not only makes children healthier but smarter too.

There are three possible explanations for this finding:

Conclusion: Breast-feeding is one of the most important things a mother can do for a child.

Source: Mortensen, EL; Michaelsen, KF, Sanders, SA; Reinisch, JM.   The Association Between Duration of Breastfeeding and Adult Intelligence.   JAMA 2002; 287(18): 2365-2371

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Do baby walkers delay baby's development?
Mrs. Murphy. Galway

According to a (US) Consumer Products Safety Commission report (23 June 1994), baby walkers cause more injuries per year than any other product sold for use by children. These injuries include fractures, burns, head injuries, entrapment of fingers, amputations, dental injuries, and at least 11 deaths. As if that were not enough, it has now been shown that they delay mental and motor development.

Paediatricians in America assessed the mental and motor development of 56 infants who used walkers and 53 control infants.

Babys who used walkers sat, crawled, and walked later than those who didn't, and they also scored lower on the Bayley Scales of Mental and Motor Development (a standard measure used in the USA).

Conclusion: Baby Walkers are dangerous.

Fact: In 1992, The American Academy of Pediatrics and other consumer-oriented organisations filed a petition with the Consumer Products Safety Commission asking that baby walkers be banned.

Source: Siegel AC, Burton RV.  Effects of baby walkers on motor and mental development in human infants.   J Dev Behav Pediatr. 1999; 20: 355-361.

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Our baby who is just 19 months has started head banging. He seems to bang his head off any surface without much warning if he gets upset. The other night he banged his head very hard against the bedroom wall resulting in bruises on his forehead. We are very worried about this. What steps could we take to make sure he is ok and to try and get him out of this worrying habit?
Diarmuid B., Wexford

Head banging, the rhythmic banging of the head against a solid surface such as a mattress, cot-side, or wall, is common in young children.  It usually occurs when a child is tired, such as bedtime, and lasts for just a few minutes. It is a worrying problem for parents, but it does not lead to any damage to the child.

Banging occurs in as many as 19 of every 100 children, and most children grow out of it by their third birthday. It is three times commoner in boys than in girls.

It is not an indication of physical illness, emotional illness, brain damage, or a developmental problem. It often occurs during a temper tantrum, or it may be a way of relieving pain such as the pain of an ear infection or teething.

It does not lead to brain damage or brain injury. But, it may lead to a callus, a bony bump on the head.

As a parent, you need to do five things:

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My child has ADHD but we don't know the type. We are having a lot of trouble with her. She is taking Adderall and Zoloft, but they don't seem to help. Could you give us some other options to try?
Sharon D., Kentucky

The ongoing management of ADHD requires discussion and cooperation between the parents, the teacher(s), and the doctor.  If the child does not improve then several possibilities must be considered:

In this case, the child is taking Adderall, a stimulant, and Zoloft, an antidepressant, and this combination of medications is widely used.  We don't know the child's age or the dose of medication, but parents should proceed as follows:

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Is taking medication the only way to handle ADHD?  What if one parent is dead against taking medication, and the other one is not?
LM Detmer, Kansas

It is fairly common for parents to disagree about the most effective treatment for ADHD, and for several reasons.

So, don't worry about it.   Many children who have a mild form of ADHD respond to behaviour management and educational interventions, so sit down together, draw up a list of problem behaviours, discuss these with your child's doctor and teacher, and work out a behaviour management plan to help your child.  The school counsellor, behaviour management specialist, or psychologist, can help you with this.   After a month or two, sit down again and measure your child's response to this treatment.   If there is a significant improvement, then keep going without medication.  If there is no response, then work out a new plan, with or without medication.

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I have children with ADHD.  The local speech therapist has been wonderful, as has the school.  But at home things are difficult: fighting with siblings and friends; talking about dying and wishing to die...  We would love some help on how to cope outside the educational side of things.   Behaviour management and family support for parents and siblings would be great.
Patricia T. Galway

The fact that a speech language pathologist is involved in your child's treatment suggests that there is a language disorder in addition to ADHD.  Specific learning disorders, such as language disorders, occur more frequently in children with ADHD than in other children, so this is not unexpected.  However, fighting with siblings and friends, talking about dying, and wishing to die do not occur in most children with ADHD.  These behaviours indicate a more serious problem.

One possibility is that your children are not doing well at school, either academically or socially, because of their ADHD, and are being teased by other children.  This can be a problem in any child, but is compounded by a child's inability to express his feelings verbally, due to a language disorder.  This leads to frustration, further teasing, anger, fighting, depression, and further teasing. 

You should discuss these problems with your family doctor, and ask for a referral to a child psychologist or a child psychiatrist.

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I am looking for titles of books that deal with Attention Deficit Hyperactive Disorder.  Can you recommend any books?
G. O'Dwyer. Tipperary

Several Books about ADHD written for parents and teachers are listed on the ADHD web page. Here are several more books that are helpful to any parent. These books talk about "difficult" children, not just ADHD.

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We have a six year old son with Aspergers and we were wondering what type of care you could provide for him in the area of sensory and communication difficulties, particularly around food.
P. Hall. Co. Wexford

My son, 2 yrs and 6 months old, is autistic.   He is delayed in speech, but normal otherwise.  He is getting occupational therapy once a week.  Is there any chance that he can recover and talk in the future?
Alvin. Dublin

Delayed speech development is a common presenting symptom in young children with autism.  Some of these children don't acquire fluent speech, but many do.  There are many people with autism whose language development was severly delayed but who developed useful speech later on.  So keep working with your son. 

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Our 5 year old son is autistic.   We have seen significant improvement with the Son-Rise program over the past 2 years.   We are interested in trying the gluten-free and casein-free diet.
Tony C., Meath

The gluten-free, casein-free diet is fairly popular among parents of children with autism, and quite a few parents have reported that their children improved when given this diet.

The rationale for this diet is that in some children with autism, certain proteins (especially casein, from milk, and gluten, from wheat and other cereals) are not properly digested, and that large molecules, called peptides, enter the bloodstream where they have a deeterious effect on the brain.  Some believe that eating a gluten and casein free diet might then result in improvement.

This idea has not received adequate research, so how useful the diet really is, is unknown.  Parents who wish to try this diet should consult a nutritionist or dietician.

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I am concerned about my 3 year-old nephew who has no interest in anyone around him, preferring to play alone and no eye contact.   When he visits my Mum's house, he knocks everything down and then runs to the back garden where he jumps up and down.  This is a ritual for him.  He has to hold on to something all the time, and every time he sees someone he grabs their ear and twists it.  He doesn't really speak and has failed hearing tests.  He will only eat yogurt and chips.  He eats sand every time we take him to the play ground, and screams when he has to leave, really severe temper tantrums.  He has to go to bed every night at a certain time.  He will not participate in play at all (eg. kicking a football to and fro).  He has no interest in anything around him and he never shows affection at all.  What should I DO AND HOW DO I get my sister to see that these things aren't normal.
P. Martin. Chapel Hill, North Carolina

The behaviours you describe are not normal for a three year-old child.  Normal three year-olds play with other children, make eye contact, speak clearly, have a vocabulary of several hundred words, love to play ball, are VERY interested in the world around them, and show affection.

How you get your sister to realise this, I don't know.  Perhaps she already knows that something is wrong but is not ready to accept it. 

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Page last revised: 5 December 2002.