Speech delay hyperactivity and behaviour in children

Based on Dr. Santosh Kondekar's published clinical philosophy and his Goal Directed Cognitive Approach (GDCA), these are the recurring core principles that define his approach to autism care.

Dr. Kondekar's Top 10 Principles in Autism Care

1. Make the child social, not merely special. The ultimate objective is meaningful participation in family and society, rather than isolated acquisition of skills.

2. Prioritize communication before academics. Speech, language, understanding, and social interaction should develop before focusing on letters, numbers, or school performance.

3. Brain before body. Cognitive development, understanding, and attention should guide therapy. Physical activities are valuable only when they support developmental goals.

4. Listening comes before talking. Strong receptive language (auditory understanding) forms the foundation for expressive language. Therapy should maximize meaningful verbal input.

5. Teach through people, not objects. Face-to-face interaction, shared attention, imitation, and social engagement are preferred over excessive object-based or screen-based activities.

6. Use sentences and narration instead of isolated words and questions. Continuous narration, storytelling, and natural conversation provide richer language learning than repetitive labeling ("What is this?").

7. Provide structured goals with regular review. Every intervention should have measurable developmental targets. If meaningful progress is absent after a defined period (commonly around three months in his framework), reassessment is warranted.

8. Parents are the primary therapists. Therapy principles should be integrated into daily routines so that learning occurs throughout the day, not only during therapy sessions.

9. Medicines support learning—they do not replace therapy. Medication is used to improve attention, behavior, sleep, anxiety, aggression, or other comorbidities when appropriate, thereby increasing the child's receptivity to developmental intervention.

10. Focus on meaningful functional development. Success is measured by improvements in understanding, communication, emotional regulation, independence, common sense, and social participation rather than by completion of therapy activities alone.

These principles reflect the broader philosophy summarized by Dr. Kondekar as:

> "Adding life to senses, adding sense to life."

and

> "Turn special into social."

http://AutismDoctor.in

Together, these principles emphasize a cognition-first, communication-first, family-centered approach in which therapies, educational strategies, and medications are integrated around clearly defined developmental goals rather than isolated symptom management.

www.autismdoctor.in RBSK The identified conditions are grouped into four categories, commonly referred to as the 4 'D's: 1. Defects at Birth (9 Conditions) National Health Mission +1 • Neural tube defect • Down's Syndrome • Cleft Lip & Palate / Cleft palate alone • Talipes (club foot) • Developmental dysplasi...

Come, Sit Beside Me...

(An original poem for children with Autism, ADHD, Speech Delay, and Cerebral Palsy)

Come, sit beside me for a little while,
You'll see my heart behind my silent smile.
Listen to me, feel me, understand me,
Only then will you truly know me.

If all we do is run and jump all day,
Our hearts will slowly drift away.
A restless body cannot always hear,
The voice that longs to draw you near.

If toys become my closest friend,
How will my human journey begin?
Living minds connect with living minds;
Love grows where true companionship shines.

If music is only for passing time,
I'll miss the stories hidden between the lines.
Language grows through meaningful speech,
One complete story within my reach.

If every hug replaces conversation,
I'll miss the art of social interaction.
Teach me respect, waiting, sharing, and grace;
These are the skills that society embraces.

Exercise can strengthen every bone,
But my brain cannot grow on movement alone.
Connect your mind with mine each day;
That is the Goal-Directed way.

Help me listen before I speak,
Help me understand before I seek.
Connection comes before communication,
Understanding before expression.

The day I understand one story from beginning to end,
Is the day my real life begins.
Not because I learned to repeat words,
But because I learned to connect with the world.

— Dr. Santosh Kondekar http://kondekar.com
Goal-Directed Cognitive Approach (GDCA)
"Connection before Communication. Understanding before Expression."

https://speechandsenses.blogspot.com/2026/01/speech-develops-only-by-listening-it.html?m=1

Speech develops only by verbal listening. it doesn't develop by oral motor exercises if listening or understanding or receptive speech is poor. so first focus on listening and learning speech input before you work on output. 90% of your daily... free help,tips, learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy, speech, behaviour

Autism easy to diagnose and options what to do

hyper medicines, atomoxetine, risepridone, vyanase, methyl phenidate etc

Goal Directed Cognitive Approach - Hyper medicines what amd why why parents often keep saying child is hyper despite medicines going on? As specified elsewhere on this website hyperness is always underestimated and misinterpreted. to summarise again, according to dr kondekars goal directed cognitive approach in autism kids hyperness behaviour is of 2

https://speechandsenses.blogspot.com/2026/03/20-mistakes-that-may-happen-with.html

20 mistakes that may happen with parents and therapist while teaching expressive Communication, Dr Kondekar answers how to rectify same free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech

Basic simple tips language and communication in autism kids by Dr Kondekar www.autismdoctor.in 9869405747

Langauge and communication, basic simple tips by d kondekar

http://speechandsenses.blogspot.com/2026/02/why-ismy-autism-kid-hurting-someone.html

why is my autism kid hurting someone? Dr Kondekar explains it as an adaptive behaviour and needs medical regulation free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech

Focus on input... Don't fiddle with output device...
Speech development in autism kids

https://www.facebook.com/share/p/1AvbE8hMS4/

Speech develops only by verbal listening. it doesn't develop by oral motor exercises if listening or understanding or receptive speech is poor. so first focus on listening and learning speech input before you work on output. 90% of your daily... free help,tips initiating learning, executive functions, social communication in AUTISM ADHD, cerebral palsy, learning disability & epilepsy. speech