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22 June 2008 @ 03:18 am
Game Boards and Puzzle Therapy  
We're getting more game boards as many as we can in order to give fun therapy to Keith. These kind of games may fun for other kids but for Keith they're more just fun. We hope they will be helpful for Keith in getting better control of his temper and good tools to improve Keith's flexibility in handling different expectations.

Since about two months, in the same week, Keith shown difficult behaviors at school. His teacher said that he talked back to her. After she told me about it she ended the conversation by saying "I just don't want his *future kinder* teacher thinks that he is intentionally disobedient" which I think she indirectly expressed her personal opinion in that sentence. He also refused to sit down for a time out at Tae Kwon Do class and watering our mattress just because he was doing dramatic play of planting some seeds. Wan had a feeling that he might be having some type of disobedient disorder.

I googled for that type of disorder and I found a lot of resources about difficult behavior including disobedient disorder that is known as defiant child but the one that fits Keith best is actually explosive child disorder. Some sites explained that these disorders were caused by delay in maturity/growth and can transform into habits/characteristic if not handled right away in a scientific manner. I suddenly recalled all the frustration that Keith had during his first year of life. He always got frustrated if things not going his way or as he expected it to be. Just because his shoes and socks came off in the car and nobody was in the back seat to help, he would cry for the rest of the trip. He would just believe that he could get people's attention by crying. His allergy just reinforced his crying habit. His allergy to dust mites triggered asthma. When he was having asthma episodes, crying will make him cough and throw up easily, so getting attention was very easy at that time and this will reinforced the crying habit one more time. He also could never play puzzle without getting frustrated. He couldn't even put two pieces together without pulling a tantrum. The worst thing was that he knew that by crying he most of the time will get attention from people. He also didn't get to the "Why?" phase because all he did was just crying and he was sure he can negotiate with crying.

When he was 2 or 3 years old, those symptoms were common and age appropriate but he's now 4 yrs old and should be able to communicate his feelings and handle his temper better. From gathering those facts, we felt that Keith had reoccurring terrible phase of explosive child symptoms. Children with these symptoms tend to show some of these actions: extremely inflexible, easily frustrated, has no patience, will not calm down easily when exploded, can not learn from experience easily.

Fortunately there was online and library resources I can quickly get a hold of during that week of crisis. I instantly implement what I learned from all the sources I read, we enforced rules and consequences and formal reward & punishment. Since that day all of his toys (including all of the planes he loved), hours of watching TV and playing online computer games were no longer his privilege. He usually played the DS on weekends but it also had to be extracted from his routine. On the bright side, he'll get all of the positive attention from me. I hope he'll follow my example and can better communicate as well as expressing his own feelings (instead of crying - he doesn't show aggressiveness but he can cry and whine for days if he wants to lol). I never thought that days without TV was possible in Wan's house, well at least he got his game and tv after Keith went to bed.

Keith can get his toys one by one by playing puzzles or do instructions correctly. After he got used to the system then he can choose whether he wanted one of his toy, an hour of TV or an hour of computer games. After a week Keith even asked to play puzzle, not the toys anymore, because he knew the process. Seemed like he realized that his crying didn't have a magic touch after all (sometimes he couldn't help it, but sometimes we could tell that he was trying).

Since then I started to use English more when communicating to Keith, especially when in comes to the subject of school, Tae Kwon Do class, swimming class and socializing with other English speaking moms and friends. When he looked like he wanted to get frustrated, I guided him to express his feeling and he repeated after me. Other than that he's still trying (when reminded) to respond in bahasa Ind to me. Keith even called us Ayah dan Ibu after watching Doraemon on Youtube.com. Keith LOVES Doraemon. He even got embarrassed when I told him that he cried a lot like Nobita. I let him watching Ind dubbed shows and Ni Hao Kailan during his therapy weeks, since those program didn't make him over stimulated. My fav of his bhs Ind is this:"Mami jangan kenceng-kenceng nanti disetopin polisi" LOL a few days before I was actually pulled over by a police officer and got a warning.

He now can express his feelings better. He can ask why questions voluntarily and do verbal whine more lol. I can't believe I actually hoped my son to verbally abuse me with his whine more than ever just to get rid his crying habit. He also can be very flexible during his time playing game and meal time. He also has got two awards (self-discipline award and another one) at Tae Kwon Do class since the regression incident.

Tante Ira helped us to find information about finding a therapy for fall semester. She told us about Special Education Dept of Pleasanton School District. We've registered for a test and hopefully they'll contact us before school starts. If they thought Keith's qualified for a service, a psychologist with be assigned for Keith and will work with Keith during the school year at the kindergarten that Keith will attend (long story short we're still waiting for district's decision on our open enrollment application because Donlon elementary is overflown. Previously before we moved, Keith was already accepted at Fairlands Elementary. Fingers crossed, we're still hoping that Keith will get admitted at Mohr).

Anyways, here are some pics of some of the puzzles Keith played and some of the new board games we've just received (only one has been opened and played so far).










He has rocket and astronaut puzzle but it contains of 50 pieces. Even though he loved playing with it, he needs my help every time. So I created a layout and print it as a 20 piece puzzle. He needed my help at first, but I could encourage him to do it on his own. After a few weeks he enjoyed it even more since it was no longer a challenge for him lol. Here's how the custom puzzle looks like:

New board games
Leaping Lizards Melissa and Doug See & Spell Melissa and Doug Wooden Shape Sorting Clock
Trouble Board Game Don't Break the Ice Guess Where
How Tall Am I Game   
ckristantockristanto on June 22nd, 2008 12:18 pm (UTC)
Good job Mama Ake !
Pinter jg kalian bisa figure out what kind of disorder, jd bisa handle it appropriately. Seneng jg denger Keith bisa responds well to your therapy.
Gua lagi curiga Patrick is somewhat ADD. Krn dari kecil dia emang hyper, sekarang hypernya mendingan tp susah konsentrasi dan sering ga fokus.
kitoratorakitoratora on June 22nd, 2008 09:10 pm (UTC)
Thank you Cin, ini soalnya udah bertubi2 itu si Keith... jadi baru deh gue grabak grubuk cari info. Thanks to internet and library deh, jadi bisa cepet2 ditangani sampe ketemu therapist beneran.
Semoga Patrick masih batas normal yah, kalo udah gurunay complain baru deh Cin, kita monitor apa bener2 serius. Semoga siy gak serius yah... ribet soalnya urusannya.
jobir on June 22nd, 2008 08:18 pm (UTC)
Ke, seneng denger cerita elo, semoga lancar semua ya. Seneng gitu kalau baca pengalaman temen yang sempet ada masalah sedikit, tapi krn gigih cari penyelesaian akhirnya keliatan titik terang.

Gamesnya boleh juga ... untung minggu depan kita udah pindahan ke apt baru dan container dateng ... gw udah mo muntah rasanya main hiss the snake game hahaha.
kitoratorakitoratora on June 22nd, 2008 09:13 pm (UTC)
Thank you, San, iya nih semoga lancaaaarrr.. dapet therapist juga nanti Fall, walo pun telat karena register buat testnya pun telat juga gpp deh yah...
Kikikik anak2nya enggak bosen2 ya San main hiss the snake? Gue pikir ya udah skip aja ular tangga dkk, direplace aja ama trouble itu yg dadunya enggak bisa ilang hihi ini main break the ice itu si Keith enggak bosen2 getok2in itu es sampe beruangnya jatoh hihi...
Ini pas lagi sale San.. belanja berikutanya juga ditentukan oleh sale dong lol! ;)
chubby_cheekchubby_cheek on June 22nd, 2008 08:50 pm (UTC)
Ke, elo hebat yah ! "He always got frustrated if things don't go his way"...itu Edric word-by-word...:):) Keep posting ya....supaya gue bisa belajar dari elo....:):)
kitoratorakitoratora on June 22nd, 2008 09:18 pm (UTC)
Thank you, In... udah kepepet In jadi usaha banget gitu deh cari info waktu itu. Guru preKnya dah tua and gak sabaran bener, punya temper juga itu orang lol.. di Tae Kwon Donya kalo si keith enggak mau duduk sila waktu di time out diancem enggak boleh dateng lagi, sampe mau nurut di kelas, serem aje.. yg ada panik deh gue.. lol
Iya tuh Edric lagi stagenya gitu yah... semoga deh pas saatnya lolos, pindah ke stage berikutnya lebih mature. Tapi kalo diliat gayanya Edric yg independent and anteng di toilet siy gue kayaknya confident bakal graduate dari stagenya with flying colors tuh Edric, In!! :D
Indiindi_2004 on June 23rd, 2008 08:20 am (UTC)
Ake, yg sabar ya! Special Ed will be helping him a lot. Don't worry, Keith will be doing a lot better!
kitoratorakitoratora on June 24th, 2008 01:59 am (UTC)
Gue telp2 ama Oni waktu nyari itu Special Ed (sempet share ttg elo dulu gimana cari specialist), tapi ternyata cari itu Special Ed sempet ribet. Gue tanya anak gue minta di screen just in case dia punya behavior problem. Terus dari district dilempar ke home schoolnya, mereka bilang oh iya assessment, sign up ajah. Eh taunya itu assessment rutin buat masuk Kindergarten. Sampe Ira Prajogo bantuin tanya ke sekoalah anaknya, gurunya enggak tau, dia ke office baru tau. Guru pre Knya si Keith yg katanya complain gue malah disuruh ke pediatrician biasa, kayaknya enggak tau deh dia ttg Special Ed itu. Ribeeeeet deh Ndi, kok kayaknya di Illinois gampang2 ajah yah... anyway.. semoga deh nih ditest sebelum sekolah mulai, or telat juga gpp deh yg penting diurus. Thanks supportnya Ndi ... :D
marmalade81marmalade81 on June 26th, 2008 03:46 pm (UTC)
you're an amazing mom!
kitoratorakitoratora on June 26th, 2008 04:21 pm (UTC)
I'm trying the best I can... thanks for the encouraging words, Mar!! ((hugs)) :D
febrianyfebriany on June 27th, 2008 04:59 am (UTC)
Bagus layout-nya Ke! Keep up your good work with Keith!
Akegoodebag on June 27th, 2008 05:15 am (UTC)
Thank you Deb!! ((hugs))
Congrats yah new mom ;) gimana rasanya nih punya 2 anak? Gua blon ngerasain siy yah :D
vanessa272010 on August 27th, 2010 11:34 am (UTC)
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