ICGC - Indlas Child Guidance Clinic

Common Childhood Conditions

Get the right care for your child

  • ADHD:A child being active and full of energy is always a joy, but having a hyperactive kid who cannot be calmed at home or school needs to be evaluated for ADHD

    What exactly does ADHD stand for? What is the child with ADHD like? Is it that common? Does it have any cure ?

    The child will always be like an engine which is always on, like a toy whose key is turned on eternally. They are always running around, breaking things, meeting with accidents, and getting into trouble. These kids have trouble paying attention in class, disturbing others, not waiting for their turn, and blurting out answers without letting the teacher complete her questions. For such children, completing classwork or homework and scoring well on exams can be strenuous. The child has trouble starting and completing work, easily gets distracted, may not be organized, loses things easily and forgets things easily.

    Does this child require treatment, and if yes, how can we help kids with ADHD?

    Yes, ADHD needs to be treated. Without treatment, a child with ADHD may fall behind in school and have trouble with friendships. Family life may also suffer. Untreated ADHD can increase the strain between parents and children. Teenagers with ADHD are at increased risk for driving accidents, getting into substance abuse.

    Safe and effective treatments are available which can help control the symptoms of ADHD and prevent unwanted consequences. We will aim to help your child overcome daily challenges, channel their energy into positive arenas, and bring greater calm to your family.

    The earlier and more consistently you address your child's problems, the greater their chance of success. We will provide a holistic approach, including psychoeducation, medication and therapies like occupational therapy and behaviour therapy to improve the child's concentration and reduce his hyperactivity.

  • AUTISM :

    Do not make the mistake of misinterpreting your child as a "good baby" when they are showing the earliest symptoms of autism. Like a good baby, your infant may seem quiet, independent, and undemanding, but that can indicate autism.

    • Doesn't make eye contact (e.g. look at you when being fed).
    • Doesn't smile when smiled at.
    • Doesn't respond to their name or the sound of a familiar voice.
    • Doesn't follow objects visually.
    • Doesn't point or wave goodbye or use other gestures to communicate
    • Doesn't make noises to get your attention.
    • Doesn't initiate or respond to cuddling.
    • Doesn't reach out to be picked up.
    • Remains aloof and prefers playing alone.

    Autism and autism spectrum disorders are a range of conditions which adversely affect the child's socialization, language and communication skills.

    How can we help you?

    Our team will first evaluate your child after taking a detailed history, then perform a few psychological tests and plan a personalized treatment protocol which will help improve the child's verbal and non-verbal communication skills, provide a friendly environment during therapy sessions to improve socialization and also help reduce disruptive behaviors which are commonly seen in these children. We will also undertake parent training and education, which will maximize outcomes.

  • MENTAL RETARDATION or Intellectual Disability :

    This term mental retardation hurts a bit, isn’t it so. Lets not call it that way, the new term used now is “Intellectual disability”

    What is this actually?

    Someone with an intellectual disability will have trouble learning and functioning in everyday life. If a kid has an intellectual disability, they learn and develop more slowly than other kids. This child could be 10 but might not talk or write as well as a typical 10-year-old. They are also usually slower to learn other skills, like how to get dressed or behave around other people.

    But having an intellectual disability doesn't mean a person can't learn. Ask anyone who knows and loves a person with an intellectual disability!

    Some kids with autism, Down syndrome, or cerebral palsy may be described as having an intellectual disability. Yet, they often have a great capacity to learn and become quite capable kids. Kids with intellectual disabilities want to develop their skills to the best of their abilities. They want to go to school, play, and feel support from loving families and good friends. There is a lot of shame and guilt in parents with such kids. Don't worry; identify these problems and bring them to us soonest so we can do the best for the child.


    My child does not listen to me, back answers me, does not respect me, and has started lying and stealing….. Do these sound familiar?

    These are symptoms of childhood psychiatric disorders called oppositional defiant disorder and conduct disorder, which, if left unattended, progresses to a graver form called antisocial personality in adulthood.

    This disorder requires intervention in the form of assessment, treating a comorbidity like depression if present, but more importantly, it requires step-by-step behavioral therapy.


    You are just not interested in studies; you only want to play, you are not trying enough, and you failed again….. Common sentences at your home?

    Have you seen your kid
    • Reading bat as dat?
    • Reading saw as was?
    • Not understanding what they read.
    • Confuse math symbols and misread numbers, e.g. Doing addition instead of multiplying or copying 41 as 14.
    • Have trouble following directions and often has confusion between right and left, east and west.
    • Mispronounce words or use a wrong word that sounds similar.
    • If yes, it probably should strike you that the child must have a specific learning disability or Dyslexia.
    What can be done?

    First of all, don't get disheartened. Remember, it's not their fault; accept your child for who they are. Please know that Children with learning disabilities have many strengths. With experts' help, parents and teachers need to help children with LD find and maximize their strengths.

    How can we help?

    Our team will do a series of tests to help us identify exactly which area your child is deficient in; based on this, our special educator will develop an individualized education program and plan sessions. Our aim will be a consistent improvement, helping him in his studies and boosting his self-confidence.


    Enuresis is the medical name for being unable to control your micturition (passing urine). Nocturnal enuresis is involuntary urination that occurs at night. Wetting the bed at night after a particular age is weird, awkward, and frustrating for both the child and his parents. Wet beds leave bad feelings all around.

    Not to make it bad, break out the secrecy first of all. Secrecy about bedwetting makes the situation tougher for kids and parents alike."Ninety percent of kids think they're the only ones who wet the bed, which makes them feel even worse. 5 to 7 million kids wet the bed some or most nights -- with twice as many boys wetting their bed as girls. After breaking the secrecy, please know it can be easily treated.

    The earlier and more consistently you address your child's problems, the greater their chance of success. We will provide a holistic approach, including psychoeducation, medication and therapies like occupational therapy and behavior therapy to improve the child's concentration and reduce his hyperactivity.

    We at ICGC can easily help your child with medications and behavioral techniques so do seek professional help.

    Can children really suffer from depression?

    Yes. Childhood depression differs from the normal "blues" and everyday emotions as a child develops. Just because a child seems sad doesn't necessarily mean they have significant depression. Still, if the sadness becomes persistent or disruptive behavior that interferes with normal social activities, interests, schoolwork, or family life develops, it may indicate that they have a depressive illness.

    Only in the past two decades has depression in children been taken very seriously. The depressed child may pretend to be sick, refuse to go to school, cling to a parent, or worry that the parent may die. Older children may sulk, get into trouble at school, be negative, grouchy, and feel misunderstood..

    Is it common?

    The lifetime prevalence rate of major depressive disorder in adolescents has been estimated to range from 15% to 20%, comparable with the lifetime rate of depressive disorders in adults.

    As a consequence of the depressive episode, the children show impairment in school performance, disruptive behavior and strained family relationships. There is an increased risk of suicidal behavior, homicidal ideation, tobacco use and other substance abuse into adulthood.

    What can you do if you suspect your child is depressed?

    Children who exhibit symptoms of depression should be referred to and evaluated by a mental health professional specializing in treating children and adolescents.

    Depression in children and adolescents is serious but treatable. Early diagnosis and treatment are essential for children with depression. The diagnostic evaluation may include psychological testing, laboratory tests and consultation with other specialists. A comprehensive treatment plan may include psychotherapy along with medications.


    School refusalis the refusal to attend school due to emotional distress. School refusal differs from truancy in that children with school refusal feel anxiety or fear towards school. In contrast, truant children generally have no fear towards school, often feeling angry or bored with it instead.

    Approximately 1 to 5% of school-aged children have school refusal, though it is most common in 5- and 6-year-olds and 10- and 11-year-olds.

    Symptoms of school refusal include the child saying they feel sick often or waking up with a headache, stomach ache, or sore throat. If the child stays home from school, these symptoms might disappear but return the next morning before school. Children with school refusal may also have crying spells or throw temper tantrums.

    Warning signs of school refusal include frequent complaints about attending school, frequent tardiness or unexcused absences, absences on significant days (tests, speeches, physical education class), frequent requests to call or go home, excessive worrying about a parent when in school, frequent physical complaints, and crying about wanting to go home.

    The longer a child stays out of school, the harder it will be to return.

    What can parents do?

    The most important thing a parent can do is obtain a comprehensive evaluation from a mental health professional, which will reveal the reasons behind the school refusal and help determine the best treatment.

    Whereas some cases of school refusal can be resolved by gradual re-introduction to the school environment, others may need to be treated with some form of psychodynamic or cognitive-behaviour therapy. In extreme cases, some form of medication is sometimes prescribed.

    How can we help?

    Our team will select intervention strategies tailored to your child's issues, and we will provide parent training needed to be practised in the home setting. School refusal may involve significant levels of anxiety and/or depression that will be assessed and addressed by our psychiatrist.

  • CHILDHOOD OCD (Obsessive Compulsive Disorder)

    All kids have worries and doubts. But kids with obsessive-compulsive disorder (OCD) often can't stop worrying, no matter how much they want to. And those worries frequently compel them to behave in certain ways over and over again.

    About OCD

    OCD is a type of anxiety disorder. Kids with OCD become preoccupied with whether something could be harmful, dangerous, wrong, or dirty or think bad stuff could happen. Once believed to be relatively rare in children and adolescents, OCD is now thought to affect as many as 2-3% of children.

    With OCD, upsetting or scary thoughts or images, called obsessions, pop into a person's mind and are hard to shake. Kids with OCD also might worry about things not being "in order" or "just right." They may worry about losing things, sometimes feeling the need to collect these items, even though they may seem useless to other people. Kids with OCD feel strong urges to do certain things repeatedly — called rituals or compulsions — to banish the scary thoughts, ward off something dreaded, or ensure that things are safe, clean, or right in some way.

    OCD can make daily life difficult for the kids that it affects and their families. The behaviors often take up a great deal of time and energy, making it more difficult to complete tasks, such as homework or chores, or to enjoy life. Children suffer from feeling frustrated and low self-esteem. They also may feel pressured because they don't have enough time to do everything. A child might become irritable and have difficulties with attention or concentration because of intrusive thoughts.

    Why does my child have this illness?

    Don't blame yourself for your child's OCD. Even the worst parenting doesn't cause this disorder.OCD is not a "phase" your child is going through. And your son or daughter isn't deliberately misbehaving or trying to get attention. It's important to understand that OCD is never a child's fault. OCD is a neurobiological disorder, which means that the brain of a child with OCD functions differently than the brain of a child who does not have OCD.

    What do we at our centre?

    Collaborative communication between your child's family, school, and clinicians optimizes the care and quality of life for the child with obsessive-compulsive disorder.

    The most successful treatments for kids with OCD are behavioral therapy and medication. Behavioral therapy, also known as cognitive-behavioral psychotherapy (CBT), helps kids learn to change thoughts and feelings by first changing behavior. Once a child is in treatment, parents need to participate in learning more about OCD, modify expectations and be supportive. We will provide the necessary assessment, treatment options and psychoeducation.

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