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ऑटिज्म और एडीएचडी के बच्चों में बैठने की सहिष्णुता विकसित करना

ऑटिज्म और एडीएचडी (एटेंशन डिफिसिट हाइपरैक्टिविटी डिसआर्डर) दो बहुत ही आम स्वाभाविक विकार हैं, जिनमें बच्चों की व्यावहारिक समस्याएँ दिखाई देती हैं। इस ब्लॉग में, हम जानेंगे कि इन समस्याओं के साथ जूझ रहे बच्चों को बैठने की सहिष्णुता कैसे विकसित की जा सकती है।

ऑटिज्म और एडीएचडी में बैठने की समस्या:
बच्चों में बैठने की सहिष्णुता किस प्रकार की समस्या है? इसके पीछे के कारण क्या हैं? ऑटिज्म और एडीएचडी के बच्चों में बैठने की समस्या का कारण उनके सेंसोरी प्रिकल्प, ध्यान की कमी, या अधिक चिंता की स्थितियों से जुड़ सकता है। इसका परिणाम है कि वे अकेले में बैठने में मुश्किल महसूस करते हैं और यह उनके शैक्षिक और सामाजिक विकास पर भी प्रभाव डाल सकता है।

सहायता और सलाह:
यह समस्या अद्वितीय हो सकती है, इसलिए इसे हल करने के लिए एक व्यक्तिगत दृष्टिकोण की आवश्यकता होती है। बच्चों को बैठने की सहिष्णुता विकसित करने के लिए कुछ उपाय शामिल हो सकते हैं, जैसे कि स्थिर कक्षाएँ, साना गेम्स, और सामग्री जो उनके स्थिरता कौशल को बढ़ा सकती है। यहां एक विशेषज्ञ से सलाह लेने की भी महत्वपूर्ण बात है, जिससे आपको सहायता मिल सकती है कि किस प्रकार की उपाय आपके बच्चे के लिए सबसे अधिक उपयुक्त हो सकते हैं।

सामग्री और उपकरण:
बच्चों को बैठाने में मदद करने के लिए उपयुक्त सामग्री और उपकरण अत्यंत महत्वपूर्ण हो सकते हैं। आपके बच्चे के आवश्यकताओं के हिसाब से, आप उपयुक्त आसन और सामग्री चयन कर सकते हैं जो उनके स्थिरता विकास को प्रोत्साहित करेंगे।

प्रक्रिया के दौरान स्थिरता विकसित करना:
बच्चों को बैठने की सहिष्णुता विकसित करने के लिए ध्यान और सहिष्णुता विकसित करने के उपाय अत्यंत महत्वपूर्ण हैं। यह तकनीकें उन्हें संजीवनी अनुभव देने में मदद कर सकती हैं, जैसे कि संरेखित ध्यान और संवाद कौशल, जिनसे उन्हें सहिष्णु बैठने का सही तरीका सीख सकता है।

सफलता की राह:
बच्चों को बैठने की सहिष्णुता विकसित करने का सफल तरीका केवल एक प्रक्रिया नहीं है, बल्कि यह एक पूरे परिवार और समाज के समर्थन और प्रोत्साहन के साथ होता है। इस प्रक्रिया में धीरज रखना और बच्चे की प्रत्येक मेहनत को मूल्यवान समझना आवश्यक है। सफलता के बाद, बच्चे को उनकी सफलता के लिए समर्थन प्रदान करना भी महत्वपूर्ण है।

संपूर्णता:
बच्चों को बैठने की सहिष्णुता विकसित करना एक लम्बा और समर्पित प्रक्रिया हो सकता है, लेकिन इसके आने वाले दिनों में सुधार देखा जा सकता है। परिवारों और सामाजिक संगठनों की भूमिका भी यहां अहम होती है। उन्हें बच्चों के बढ़ते हुए स्थिरता कौशल को समर्थन और सम्मान देने का दायित्व होता है।

आखिरी शब्दों में, ऑटिज्म और एडीएचडी के बच्चों के लिए बैठने की सहिष्णुता विकसित करना मुश्किल हो सकता है, लेकिन यह संभावना से भी अधिक महत्वपूर्ण है। उनके शैक्षिक और सामाजिक विकास के लिए इसका महत्व होता है, और उन्हें समर्थन और सहायता की आवश्यकता हो सकती है।

इस ब्लॉग के माध्यम से, हम आपको यह संदेश देना चाहते हैं कि इस चुनौती का सामना करने के लिए आपके पास समर्थन है, और आपके बच्चे के विकास को प्रोत्साहित करने के लिए आप कई तरीकों से मदद कर सकते हैं। आपकी सहायता और प्यार के साथ, आपके बच्चे के लिए एक बेहद उद्देश्यपूर्ण और सफल जीवन की ओर कदम बढ़ाने में मदद मिल सकती है।

ध्यान और सहिष्णुता विकसित करने की प्रक्रिया में सही मार्गदर्शन, प्रेम, और धैर्य का महत्वपूर्ण भूमिका होती है। हमें आशा है कि इस ब्लॉग के माध्यम से आपको उपयोगी जानकारी मिली होगी और आप अपने बच्चे के विकास में मदद करने के लिए उपयुक्त कदम उठा सकेंगे।

यदि आपके पास किसी विशेष विषय पर और अधिक जानकारी चाहिए, तो कृपया विशेषज्ञ सलाह लें और साथ ही अपने साथी और परिवार के समर्थन का भी सहारा लें।

शिल्पी मयंक अवस्थी, संस्थापिका- स्पेशलसाथी

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Developing Sitting Tolerance and Attention Building Skills in SEN kids

Developing Sitting Tolerance and Attention Building Skills in Children with special educational needs (specifically-Autism Spectrum Disorders and ADHD)

In my last blog, “Rethinking Sitting Tolerance as a Measure of Child’s Attention Span“, we shed light on why sitting tolerance is an inadequate measure and suggested alternative considerations when assessing attention and focus in children with autism. In this blog, we will explore effective approaches and techniques to support the development of these important skills.


Children diagnosed with Autism Spectrum Disorders (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) often face challenges in maintaining sitting tolerance and building attention skills. These difficulties can impact their ability to engage in educational and social activities. However, with the right strategies and interventions, parents, caregivers, and educators can play a crucial role in helping these children develop sitting tolerance and attention building skills.

Understanding Sitting Tolerance and Attention Challenges


Sitting tolerance refers to a child’s ability to remain seated and engaged in an activity for an appropriate period of time. Children with ASD and ADHD may struggle with sitting tolerance due to sensory sensitivities, impulsivity, and difficulties with self-regulation. Attention building skills involve the ability to focus on a task, filter out distractions, and sustain attention. Both conditions can significantly impact a child’s learning and social interactions.

Helping children with autism spectrum disorders (ASD) and attention-deficit/hyperactivity disorder (ADHD) develop sitting tolerance and attention-building skills requires a tailored and patient approach.

Here are some practical strategies and techniques to consider:

1. Creating a Structured Environment
Children with ASD and ADHD often benefit from a structured and predictable environment. Establish a consistent daily routine a proper structure around the child’s daily activities in while day that should includes designated times for activities, breaks, necessary instructions to keep in mind and transitions. Visual schedules or timers can help our children understand and anticipate changes, reducing anxiety and increasing their ability to sit for longer periods.

2. Sensory Considerations
Many children with ASD and ADHD experience sensory sensitivities.

a.)Incorporate sensory breaks to prevent sensory overload.
b.)Activities such as deep breathing, fidget tools, or sensory-friendly toys, weighted jackets or blankets can help regulate sensory input and improve focus.
c.)Adaptive Seating: Provide comfortable seating options that allow for movement without distraction. Wiggle cushions, therapy balls, or rocking chairs can help restless children focus better.

Multi-Sensory Learning: Incorporate various sensory modalities into learning. Hands-on activities, visual aids, and auditory cues can enhance engagement and retention.

The above Sensory Considerations and Multisensory learning approach can help the child regulate their sensory input, making it easier for them to sit comfortably and engage in tasks effectively.

3. Task Analysis- Break Tasks into Manageable Chunks
Long tasks can be overwhelming for children with attention challenges. Break down activities into smaller, manageable steps. Set clear expectations and offer positive reinforcement for completing each step. Gradually increase the duration of activities over time as their sitting tolerance improves. This prevents overwhelming feelings and allows for gradual progress toward sitting tolerance and sustained attention. This also allows a child to develop independent skills and a sense of achievement of task completion.

Time Management: Use visual timers or counter to signal the duration of an activity. Gradually increase the time as their sitting tolerance improves. Provide positive reinforcement for completing tasks within the allotted time.

Gradual Increase: Start with short periods of focused activities and gradually extend the time. Celebrate even small achievements to build confidence and motivation.


4. Incorporate Movement Breaks

Integrate movement breaks into learning sessions. Short bursts of physical activity can help children with ADHD expend excess energy, allowing them to return to the task with improved focus. Short movement breaks can be work wonders for our children as these breaks allow them to release excess energy and refocus their attention. Consider incorporating physical activities like stretching, jumping, taking a round of entire floor or dancing between sitting tasks.


5. Visual and Auditory Supports

Visual cues, such as visual schedules, charts, and checklists, can provide clear instructions and help children stay on track.

Auditory cues, like timers or gentle reminders, can signal transitions or the end of an activity. These tools provide a concrete representation of time and tasks, aiding in understanding and transitioning between activities.

6. Individualized Interests: Interests based activities
Incorporate the child’s interests into the activities whenever possible. This personal connection can enhance their motivation and engagement, making it easier for them to sit and focus. Engage children in activities that align with their interests. Children are more likely to maintain attention when they are passionate about what they’re doing.

Task Choice: Offer choices within structured activities. This empowers children and provides a sense of control, potentially reducing resistance to sitting.


7. Use Reinforcement Strategies

Positive reinforcement is a powerful tool. Offer praise, rewards, or a favorite activity after completing a sitting task. Gradually reduce the frequency of rewards as the child’s sitting tolerance and attention skills improve.

Use of Technology: Interactive educational apps and games can be engaging and provide immediate feedback, helping to maintain attention. Technology can be used as reinforcement strategy.

Positive Reinforcement: Implement a rewards system to motivate and reinforce positive behavior. Offer small incentives for sustained attention or completing tasks.

8. Social Interaction: Pairing activities with social interactions can increase engagement. Cooperative tasks or group activities can encourage children to focus and participate.

9.Clear Instructions: Provide clear, concise, and simple instructions. Avoid information overload and offer guidance when needed.

10. Modeling Behavior: Model appropriate sitting and attention behaviors yourself. Children often learn by observing and imitating adults.

11. Collaborate with Professionals
Consult with therapists, educators, and healthcare professionals who specialize in working with children with ASD and ADHD. They can provide personalized strategies and intervention plans based on the child’s specific needs and challenges. Work closely with these professionals to develop a holistic plan tailored to the child’s needs. Regular communication ensures consistent strategies across environments.


Developing sitting tolerance and attention building skills in children with Autism Spectrum Disorders and ADHD requires patience, understanding, and a tailored approach. By creating a structured environment, addressing sensory needs, and using individualized strategies, parents, caregivers, and educators can play a pivotal role in helping these children succeed. Remember that progress may be gradual and it’s important to be patient and flexible. With consistent efforts and a supportive network, these children can develop the skills they need to engage in meaningful activities and interactions.

Remember, what works for one child might not work for another, so continually assess and adjust strategies based on the child’s responses and needs. Hope you all liked my today’s blog on various strategies to build sitting tolerance and improving attention in the children with special educational needs.

Author Shilpi Mayank Awasthi

Founder SpecialSaathi

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Rethinking Sitting Tolerance as a Measure of Child’s Attention Span

Rethinking Sitting Tolerance as a Measure of Child’s Attention Span: Considerations for Autism Therapists and Educators



In the realm of evaluating a child’s attention span and focus, the concept of “sitting tolerance” has often been used as a parameter. However, when it comes to children with autism, relying solely on sitting tolerance to gauge their attention and focus can be misleading and counterproductive. In this blog, we will explore why sitting tolerance is an inadequate measure and suggest alternative considerations for therapists and educators when assessing attention and focus in children with autism.

The Limitations of Sitting Tolerance
Sitting tolerance refers to a child’s ability to sit still for a specific period of time. While it might be a suitable measure for typically developing children, it falls short in capturing the nuances of attention and focus in children with autism. Autism is a complex neurodevelopmental condition that affects individuals in diverse ways, including sensory sensitivities, communication challenges, and unique learning styles. Expecting a child with autism to exhibit the same sitting tolerance as their neurotypical peers is unrealistic and ignores these individual differences.

Sitting tolerance limitations in children can vary, but some common factors include their age, developmental stage, attention span, and sensory sensitivities. Younger children typically have shorter sitting tolerance due to their need for movement and exploration. Attention difficulties, sensory processing issues, and discomfort can also affect a child’s ability to sit for extended periods. It’s important to remember that children’s sitting tolerance can improve with age, practice, and appropriate accommodations. However, if you’re concerned about a child’s sitting tolerance, consider the following factors and further consult with a pediatrician or occupational therapist who could provide valuable insights.

Factors to Consider

1. Sensory Sensitivities: Many children with autism may have sensory sensitivities that make sitting for extended periods uncomfortable or even painful. These sensitivities might lead to fidgeting or restlessness, not because they are disinterested, but as a way to manage sensory overload. Evaluators must consider sensory factors before interpreting a child’s behavior.

2. Diverse Learning Styles: Children with autism and other special educational needs often learn differently from their neurotypical peers. They might be more engaged and focused when allowed to move around, sit in a certain way, fidget or rock, sit on the floor, engage in hands-on activities, or learn through visual aids. Judging their attention solely based on sitting tolerance on a chair disregards their unique learning preferences.

3. Communication Challenges: Most of the children with autism struggle with expressive communication. Their apparent lack of engagement might not be due to a lack of attention, but rather an inability to express their thoughts, feelings, and interests verbally. This communication barrier can lead to misunderstandings about their focus and attention span.

4. Hyperfocus: Children with autism might also experience “hyperfocus,” where they become intensely absorbed in a specific activity of their interest. While this might not align with traditional sitting tolerance expectations, it showcases their ability to concentrate deeply on tasks of interest.

5. Flexible Environments: Autism-friendly environments that incorporate sensory breaks, varied seating options, and opportunities for movement can create a conducive atmosphere for children to focus and engage. Measuring sitting tolerance without accommodating these environmental needs can really hinder their performance.

Guidelines for Evaluating Attention and Focus in Children with Autism

Evaluating attention and focus in children with autism requires a comprehensive approach. Common guidelines involve assessing various aspects:

1.Behavioral Observation: Observe how the child engages in different activities and interacts with others. Look for signs of engagement beyond just sitting still, or giving an eye contact, beyond the normal mode of communication. Engagement could be achieved immediately through their expressions of interest. Observe a child’s interactions and behavior in various contexts to sustained attention, distractibility, and difficulty shifting focus.

2. Individualized Approaches: Tailor assessment methods to each child’s needs and preferences. Provide choices for seating, incorporate sensory tools, and utilize a mix of learning styles to allow for a more accurate representation of their attention and focus.

3. Use of Technology: Technology can be a valuable tool to engage children with autism. Interactive educational apps, games, alternative communication methods and digital platforms can help in capturing their interest and provide insights into their focus and attention.

4. Collaboration: Work closely with the kid’s parents, or caregivers, and other professionals who interact with the child daily or much frequently. Gathering a comprehensive view of the child’s behaviors, strengths, and challenges can lead to a more accurate assessment.

5. Structured Assessments: Use proper standardized tools and performance tests to measure sustained attention, impulsivity, and vigilance in different settings.

6. Parent/Caregiver Input: Gather information from parents or caregivers about the child’s attention patterns at home and in different settings.

7. Teacher Input: Consult with teachers, special educators to understand the child’s attention and focus in a school environment. They can provide insights into classroom behavior and engagement.

8. Direct Interaction: Interact with the child in controlled settings (one on one with predictable structure given to the child)to assess their ability to sustain attention, follow instructions, and switch tasks.

9. Cognitive Tests: Administer cognitive tests to assess attention-related functions such as selective attention, working memory, and cognitive flexibility.

10. Neuropsychological Testing: This can provide a detailed assessment of attention and executive function skills, helping to identify specific areas of difficulty.

11. Eye-Tracking Technology: Utilize eye-tracking technology to objectively measure where and for how long a child directs their visual attention.

12. Functional Assessment: Understand how attention difficulties impact daily functioning, academic performance, and social interactions.

13. Combined Approach: Consider using a combination of assessments to get a well-rounded understanding of the child’s attention and focus abilities.

Remember, every child with autism is unique, and assessment methods should be tailored to their individual needs and strengths rather than entirely focusing on sitting tolerance, eye contact, command following etc. Consultation with professionals experienced in autism evaluation is crucial for accurate assessment and intervention planning.

Source: Harry Thompson PDA extraordinaire

Shifting the focus away from sitting tolerance as the primary measure of attention span and focus for children with autism is essential. These individuals possess unique qualities and challenges that require a holistic and tailored approach to evaluation. By recognizing their sensory sensitivities, embracing diverse learning styles, understanding communication barriers, and providing flexible environments, therapists and educators can gain a more accurate understanding of a child’s attention and focus, leading to more effective support and interventions.

In the next blog, I will discuss various hands-on techniques which could help your child in developing Sitting Tolerance and Attention Building Skills in classroom settings.

Author Shilpi Mayank Awasthi

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Building Sitting tolerance & independent time using TEACCH approach

A video blog by Pinki Kumar on Building Sitting tolerance & independent time in young kids, using TEACCH approach.

Author Pinki Kumar

Pinki is a special educator, play therapist and a mother of a neurodivergent kid. She has a YouTube channel Play and learn to teach different methods and strategies. These videos are a great resource for the parents to help their child learn various skills.

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Community service activity

A video blog by Ramya @simpleathomeclub on how to use a simple community service activity at a great way to work upon activities of practical learning. This particular activity focuses on pincer grasp, tactile sense, fine motor skills, sitting tolerance, eye hand coordination etc and is based on Waldorf and Montessori Learning methods.

Author Ramya

I am named Ramya, would love to be called mom from my 13 year old son.  Certified in various streams and last year remedial too.

@simplyathome YouTube channel was created to have my sanity and to support other caregivers of kids in spectrum who are aware of what needs to be done, but stagnant like I have been on the “how to’s”  break down the process.

This is my small way to give back to community by sharing all that I attempt at home. Home is where values embed and home is the first school for each of us.