What you need to know
- Anxiety disorders
- Depression
- Obsessive compulsive disorders
- Wandering off
- Playground
- Field Trips
- Children with Down syndrome will often approach strangers in a friendly way.
- The overt friendliness with strangers may put them at an increased risk for exploitation.
- Reinforce the concepts of personal boundaries.
- Talking aloud to oneself is a way to process information and think things through.
- Children who have DS not only use self-talk to help themselves learn, but many seem almost incapable of silent thought.
- Those who are readers may have difficulty reading silently and need to do so out loud.
- Also, self-talk often involves the externalization of fantasy life. This can lead to embarrassing moments, and at worst, mistaken impressions that a child or youth is delusional or hallucinating as they audibly act out fantasy dialogues.
- Stubborn behavior usually prompted by not fully understanding what is expected or trying to gain control over their lives
- Pay attention to triggers
- Frustration
- Lack of understanding
- Inability to communicate
Decreased attention span, impulsive behavior excessive fidgeting, and non-directed motor activity are common in all children at various ages. However, they are more commonly seen in individuals with Down syndrome.
- Attention Deficit Hyperactivity Disorder (ADHD) and impulsivity can be based on developmental age and not just strictly chronological age.
- The frequency of ADHD in children with DS is not known with certainty.
- However, ADHD like symptoms are more common in young children with Down syndrome compared to children from the general population.
- Compounding symptoms such as repetitiveness, anxiety, or extreme irritability in the presence of ADHD-like symptoms may indicate another disorder such as autism, bipolar disorder or obsessive compulsive disorder.
- Language processing problems and hearing loss may be involved.
- It is important to rule out other causes of ADHD.
What you can do
- Individuals with Down syndrome may need:
- Behavioral supports
- Counseling
- Medication
- Safety considerations should be written into the classroom IEP.
- Consider using a visual supports such as a stop sign to act as a reminder to ask permission to leave.
The following points are also found under 'Special Ed Supports'.
- Direct instruction in short periods of time
- Teach smaller chunks of activities
- Give new material slowly
- Teach in a sequentially and step-by-step fashion
- Minimize distractibility
- Keep away from windows
- Keep a structured environment
- Keep noise level down
- Have clear expectations, routines, and rules