Brief Answer: Visit to Pediatrician will be more re-assuring Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear XXXX, I would like to impress and stress few things. 1. First and foremost , it requires lot of patience and perseverance on the part of parents to manage such behaviour. 2. It requires understanding of child psychology 3. It requires empathy of the part of parents( putting oneself in place of kids and understanding them). From the description of the behavior its likely that she has tendency towards introvert behavior. It basically happens because of being restricted to indoor activity and less exposure to outdoor games and activities. Other factor could be due to feeling of isolation, possibly due to not able to interact with children of their own age group. Mood tantrums or behavioral tantrums(crying for small things), could be due to introvert behavior and also not having friends of the same age group with whom they can interact. Its important to remember that behavior of children is usually a response to surrounding environment including immediate family members and neighborhood. In case of your child its not much cause for concern, things can be taken care. The behavior of child is to be interpreted in light of other factors, including the family members, siblings, friends, other day to day activity of the child and overal performance of the child. A visit to Pediatrician is worth. It will be very much re-assuring and many of the times the children them-self express well to the Pediatrician when they develop good comfort level and rapport with the Pediatrician. In my practice i have many of the parents presenting with similar complaints. Many of the the kids operated by me, usually are seen by me even for medical problem. Over these many years the kids have develpoed a comfort level, and they share many things which they would hesitate sharing sometimes with parents. So i would recommend you to get a general assessment by Pediatrician, it will definitely be more reassuring to you. It does help. In case you need any further assistance, will be glad to assist you. Take Care Best Regards Dr Deepak Kishore MBBS,MS,MCH Consultant Pediatric Surgeon

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Brief Answer: All is fine Detailed Answer: Hi Greetings Sure. It would be my pleasure to advice you regarding your little daughter. Before that I just want to stress upon the point again, that kids being introvert and mingling only with limited number of people, is quite commonly seen and shall resolve naturally as the kid starts growing and start meeting new people and visiting places. Support from family and school would be important. Here are very important tips: 1. Never show your concern or discuss your concern (that your daughter is not freely expressing and does not mingle with everyone easily) in front of your daughter. Kids are very smart in picking up such discussions and body language of parents and relatives. This will only create worry in her. In fact, be less worrisome about it, just be very normal and casual with her. Do not ever indicate it through your words or action. 2. Kids spend most of their time in the school with their teacher and other kids. Discuss with her teacher and request her to motivate your daughter to speak and mingle freely with other kids and staff and make her do the stuff or work which interests her. 3. At home too, just observe what interests her more. Make her do those things more often so that she opens up. 4. Take her evening outside to play to the play area along with the kids everyday without fail. SHe will slowly open up. 5. Take her to family outings and picnics etc. where she gets to meet relatives and other kids in the family. 6. Try speaking to her at home (in turns: sometime mother, sometime you, sometime grand parents) and understand what amuses her, what would she like etc.. She will start loving conversing with you all slowly and starts becoming free. 7. Be very cool and casual with her. These things would really lighten up her attitude. All is fine at her end. No need to be worried or concerned. Things will be fine slowly. However, as mentioned by me above lots of time, patience and perseverance would be required by you and the family. Wish great future and happy life ahead for your daughter. Please do get back to me if you need any support. Will be glad to assist you. Take care. Best regards, Dr. Deepak Kishore Kaltari Consultant Pediatric Surgeon

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