More and more parents are seeking help in psychological clinic after their children have problems with their grades,
text/Xin Ying Cao Yujie
edited by Wang Xiao
Photo/Doctor Zhang Lili of the Children's Research Institute is "chatting" with children in the hospital. Photo by Xin Ying
Every Tuesday afternoon, outside the "learning difficulties" specialized disease clinic of the Children's Hospital of the Capital Institute of Pediatrics Research Institute, there are parents with their children waiting for the "learning difficulties" outpatient clinic.
Since May, the Children's Research Institute has opened a special disease clinic for "learning difficulties", and it is hard to find a number one. Attending physician Zhang Lili has become the norm for overtime. At the end of the consultation, the lights of this room on the entire floor are often on.
The "learning difficulties" here are not a specific disease. Zhang Lili, who specializes in , children's psychology, found that more and more parents are worried that their children will go to the hospital for treatment when they are not good at studying, but they don't know which department to go to. Therefore, the hospital has added a specialized outpatient clinic and arranged three doctors to take turns to go out.
"Two-thirds of children actually have no medical diseases, they just need to adjust some study habits, but some parents are too worried that their children will not meet their parents' expectations." Zhang Lili pointed to a thick stack of consultation records next to the computer, "This situation occurs more in the families of children with high IQs, and many of them have IQs above 109."
After more concentrated contact with children with "learning difficulties", Zhang Lili also felt more intensively the anxiety of parents in their children's learning. There are many cases of corporal punishment of children because of learning. "regardless of whether the child has a psychological illness that affects learning, I hope that parents can adjust their mentality and treat it correctly."
Most of them are not children who are sick, but parents' "graduation" anxiety
After school started, in the outpatient clinic with specialized learning difficulties, which mainly treats primary school students, the number of consultations every Tuesday afternoon is already smaller than that during the summer vacation. However, it was only 7 o'clock that the assistant informed that there were no patients outside the door. Zhang Lili, who stopped for no moment in the afternoon, took off her mask, drank two sips of water, and went to the bathroom. More than 120 groups of patients in
html are Zhang Lili's limit.
If you are in the general internal medicine clinic, one patient can finish 50 numbers in one afternoon. However, psychological outpatient clinics are different. Each first-time home has at least 20 minutes of consultation, and the hospital only opens 15 numbers in half a day. The first patient in the afternoon had a consultation lasting 40 minutes. Considering that there were too many people waiting later, Zhang Lili had to interrupt her parents, prescribe a checkup plan, and communicate after seeing the results.
Most of the plus signs are follow-up patients. Because it is difficult to grab the number, the solution for the department to negotiate in the room is to check in with the general health department number and go to the outpatient clinic for follow-up visits. Therefore, the work is overdone almost every week.
Photo/Parents and children waiting for the clinic at the entrance of the clinic with learning difficulties in the Children's Research Institute Photo/Xin Ying
Xiaole (pseudonym) is in the fifth grade of elementary school. During the process of "chatting" with him easily, Zhang Lili initially learned about Xiaole's learning state, living habits, expression ability, interpersonal relationships, and family environment, including observing whether his expression was hunched, whether his attention was not easy to concentrate, and his tendency to move.
The consultation between children and parents is conducted separately. Compared with the carefree children, the concerns revealed in their words are another situation.
Xiaole's father didn't know about the outpatient clinic before, and the teacher had never reported that the child had such problems, but Xiaole's parents felt that the child was not focused. After hearing about this department, they came to take a look.
Primary school has cancelled its grade ranking, but parents' attention to scores has not diminished at all. Although Xiaole's grades fluctuated, he did not have the same failure as Zhang Lili's consultation standards. His score of more than 70 points was lower in his father's opinion. "There are quite a lot of mistakes in homework. The content was simple in the first grade and it was not very effective. However, the content behind it is more difficult, and the impact of poor attention is more obvious."
Zhang Lili’s preliminary judgment after the consultation was that the problem was not big. “The child is not bad except for being particularly good at speaking. But if you are worried, you can do a concentration test.”
In addition to routine questionnaire tests such as intelligence, attention, and emotional behavior,
may require EEG testing, and individuals need to undergo nuclear magnetic field.
About two-thirds of the children are free of illness after the examination. Parents are too worried and are more likely to appear in families with high IQ children. "Smart children are more likely to be questioned. Parents hope to get 100 points and 98 points, but their father doesn't think they can accept it." Zhang Lili can get one or two such families every week.
A mother who came to the consultation asked her to concentrate for 40 minutes every time she accompanied her daughter in the third grade to do her homework. After hearing this, Zhang Lili smiled and said that children of this age have concentration levels of 15-20 minutes, so they should not be too strict.
However, Zhang Lili still reminds that if finds problems, it is recommended that parents come to the hospital for identification and identification in time to see if there are any attention problems. For example, the incidence of ADHD in children in is increasing. According to international statistics, the incidence of ADHD has increased from 3%-5% to 7%.
ADHD is a neurodevelopmental disorder that can easily affect the grades of children at school age, and in turn trigger inferiority complex and interpersonal skills, and will become more withdrawn and irritable. Compared with the active and active nature of normal children, children with ADHD will be "naughty" regardless of occasions and lack of self-control, which is mainly manifested in inattention, hyperactivity, and impulsiveness.
For mild ADHD, it can be improved by strengthening cognitive training, exercise intensity, psychological intervention, and family education . However, for unsatisfactory situations, it is necessary to cooperate with drug treatment. is a chronic disease, and the treatment cycle of ADHD is based on years. You have to take medicine for at least one or two years. Some medications are required to graduate from high school for a long time, so it is important to insist on treatment.
Zhang Lili introduced, "The current drug treatment is relatively mature. Before, parents were worried. After prescribing the medicine, they took it for a week before giving it to their children."
View "learning difficulties" peacefully
In the medical major, the narrow sense of "learning difficulties" is actually a kind of learning skills development disorder . Mathematics learning disabilities are one of the typical examples. "If you can't learn the same question 10 or 20 times, it may be a disease," said Zhang Lili.
In addition, there are writing disorders and reading disorders, such as children skipping lines, missing words, and confusing order when they are reading. Learning skills disorders may also be associated with ADHD, Asperger and other diseases.
"This type of patient is actually relatively few, but the treatment is very difficult." Zhang Lili introduced that due to limited treatment methods, long-term correction is the main focus, and early detection is needed.
Photo/Waiting for clinic at the entrance of the clinic with learning difficulties in the Children's Research Institute Photo/Xin Ying
His mother from another province found Zhang Lili, her son was in middle school. Because of poor math grades, both mother and son developed anxiety.
The son's grades are often compared because the brother who is already in college has excellent grades. Three years ago, my younger brother was diagnosed with ADHD locally.
In order to improve my younger brother's math scores, he not only enrolled in extracurricular classes, but also hired one-on-one teaching alone, and even tried some drug treatment plans. The mother always insisted, hoping that through hard work, she could improve her child's grades.
After going to the Children's Research Institute for examination this time, he was diagnosed with learning skills disorders, "the intellectual structure does not match, and there are problems with logical thinking ability." Zhang Lili introduced that at present, there are basically no drugs to treat learning skills disorders, and they mainly rely on intensive training. Taking writing difficulties as an example, if a child always writes inverse characters (left and left-right structures) you can use the same method, choose a simple character that is not easy to write incorrectly, and form words, first let the child slowly remember what the word looks like in this word, and then gradually associate and apply it to other contexts.
Some social institutions have also launched various training programs. In response to dyscalculus, the National Key Laboratory of Cognitive Neuroscience and Learning of Beijing Normal University has also launched a study.After the intervention, the accuracy of the questions in those with calculation difficulties was significantly improved compared with students who did not intervene. In another brain cognitive function training, 6-12 classes in Jiangsu participated in experimental research, and 6 classes used the abacus method for 2-3 years. The other 6 classes adopt traditional teaching. In the regular class, the incidence of dyscalculus was 6%, and after the implementation of abacus education, the dyscalculus was 0.
"It is hard to say how much training can be strengthened for different cases." Among most patients Zhang Lili has been exposed to, the help is limited.
After all the efforts, no results were seen. My mother was particularly hit and also increased the pressure on her younger brother. Zhang Lili advises parents to adjust their mentality as much as possible, "If the child does not improve, the child will feel stronger after excessive training. must see the child's highlights. You cannot compare your child's shortcomings with others' advantages, so that the child's pressure will become greater and greater. 's motivation to learn is getting worse, and it will develop a sense of disgust in learning, and will also incorporate more psychological problems."
Don't increase the emotions of parents "learning difficulties"
After several months of online classes, my mother will feel a fire of nameless in her heart as soon as she sees Xiao Feng (pseudonym) studying at home.
"She can no longer control her emotions, and then she realizes that there is something wrong with her." A social psychological service center staff member in Changping District, Beijing, community staff member Jia Xiaoying met Xiaofeng's mother when she went to the community to provide mental health service publicity.
Xiaofeng started to go to elementary school in 2020. Due to the impact of the new crown epidemic, he intermittently took online classes and went to school to study. This is not an isolated case that Jia Xiaoying encountered. "School life is actually an important part of cultivating children's learning habits. This is irreplaceable for online classes. Even adults do not focus so much when holding online meetings."
According to the report "2021 World Children's Status" The academic performance of about 1.6 billion teenagers around the world has been affected by the new crown pneumonia epidemic. Among adolescents aged 10-19, more than 13% suffer from mental disorders defined by the World Health Organization .
More importantly, after asking professional psychological counselors to intervene, it was found that Xiaofeng's mother's emotions actually did not come entirely from the children's learning, but also had many aspects of work and life. However, the contradiction eventually broke out on the children's education, which aggravated the children's fear of difficulties, and the vicious cycle of "learning difficulties".
"Sometimes, what is more difficult than accepting children's learning ability is that parents accept that they have problems in raising their children." Among the "learning difficulties" children treated by Liu Nan, deputy chief physician of Beijing Puren Hospital, a considerable part of them is due to the resistance to learning caused by emotional problems. "For example, parents always quarrel in front of their children, teachers in school often criticize their children, and tension in parent-child relationships during adolescence, etc.."
Even parents said, "How come there are children like you? Our good family has been ruined by you" because their children are unwilling to go to school. Liu Nan came to this family because her child was disgusted with school and had poor grades. The parents believed that either the child had an intellectual problem or the child was disobedient. The doctor did ideological work to help the child improve his academic performance, but he did not realize that problems in the education method have caused the child to have symptoms of depression.
Liu Nan suggested that for every child with "learning difficulties", parents should first pay attention to their children's emotions and beware of the psychological problems behind their learning difficulties. At the same time, you should also pay attention to your emotions and learn to regulate your emotions. Don’t simply vent your emotional stress on your children.
For more than ten years of experience, Zhang Lili has felt that parents attach more importance to children's mental health, but to improve their children's "learning difficulties", parents and schools still need to cooperate at the same time.
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