Patient :Hello. I have a 20 month old son and his developmental milestones are quite okay. He walked at 10 months. Now, he says more than 170+ words, recites & recognizes all the alphabet letters (both upper & lower cases), knows some colours (red, blue, green, yellow & orange), counts 1 to 5 & knows some shapes (square, triangle, circle, oval, heart & star). He also has a strong memory of what I'd taught him when he was 8 months old, I'd said ball/beach/flower & all of a sudden at 17 months old, he remembered & said those words while pointing at a ball/beach/flower (it had been 9 months since I'd last said those words). So I thought my son might be slightly above average to have such a good memory. But what concerns me is, we can't have a proper conversation with him, he ignores us, he does his own thing & when we join in he suddenly loses his interest in the activity. Whenever we try to talk with him, he'll pretend playing with his toy or reading a book. He always throws tantrums when his needs are not fulfilled, hits & scratches us in the face & throws things everywhere. He doesn't like other babies or toddlers but likes to associate with older children & other adults (wonder why he's okay with other adults & initiates the talking first but not with us & his grandparents). We really want to ask him common questions like were you having fun at the beach?, where are your shoes on?, etc. But it's almost impossible. Even he learnt his ABCs & the rest for shorter than 3 minutes before he went doing other stuffs but yes we saw him recite his ABCs, shapes, colours & count 1 to 5 by himself when we just observed him from afar or pretended watching TV. We just couldn't join him or else he'd lose interest again. We're not bad parents, never pressure him to do things, but it seems like his personality around other people differs from when he's with us. Everyone says he's friendly & chatty though he hasn't really talked in sentences. But, when he's with us, he seems bored & starts to rebel. We don't know how to start having a peaceful conversation with him without us having to get hit & scratched in the face again. Pls advice us dr.
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