Dynamics

Dynamics Hena Jawaid Mother AlcoholicDrug user Physically or sexually abusedDepressedPsychiatric disorderPersonality disorderh/o crimeh/o sexual perversionsMalnutrition UnemployedNo outlets for emotionMultiple kids below 14 years to take care

Father Alcoholicsubstance userAbuserh./o sexual abuse in childhoodPsychiatric dsorderh/o crime or assaultUnemployedExtramarital affairs

Family relationshipPrenatal Poor placental blood flowFrequent hemodynamic instability secondary to drug useTruma secondary to physical abuseHyperactive HPA axis secondary to constant mothers increased cortisol statusMalnutrition Frequent infections secondary to poor healthreduced feeling of well being emotion in motherIntrauterine growth restrictionNatal PretermLow birth weightForcep deliveryPoor APGAR scoreWithdrawl signs

Post NatalCranky babyIrritablePoor sucking reflexDelayed milestonesFrequent colickyNon organic failure to thrive (NOFT)

developmentalDelayed speechPremature short stature syndrome (PSSS)Delayed toilet trainingFrequent infections or physical ailments

SocialPoor interaction with siblings or other kidspoor eye contactPoor self esteem/confidenceEasily gets afraid and defensiveTries to hit other kidsTemper tantrumsAttention seeking attitudesimpulsivity

Academic poor attention/concentrationUnable to sitIncreased distractibilityDisciplinary issuesPoor handwritingLearning disabilitiesDifficulty in following instructionsPoor social termsParental behaviors towards a childCriticizing BlamingGuilt inducingHumiliatingDiscouragementProvide Poor routine structurePoor emotional supportPoor attachmentPoor physical availabilityPhysical/emotional/sexual abuse

Child Feels abandonedFrustratedDepressionImmature defense mechanism acting out, displacement , autistic fantasyMaladaptive behaviors pyromania, stealing , self-cutting, attention seeking attitudeLow self esteem/confidenceNo mirroring experience

PsychopathologiesADHDODDCONDUCTLearning disabilitiesPersonality traits of borderline or avoidantDepressionBipolar Schizophrenia