Is it Eczema or Skin Sensitivity?

Written by: YEUNG Ming Ha, Registered Chinese Medicine Practitioner

As we move into early autumn, in addition to starting to feel the cool breezes, we also notice that many of our friends around us have started to “itch”, and skin problems have come knocking on the door again! Many people have rushed to seek medical attention, constantly inquiring whether they have already contracted incurable eczema. Although eczema itself has different categories, in terms of the pathogenesis, there are many similarities with skin sensitivity. How exactly should we distinguish between skin sensitivity and eczema? Is eczema really as terrible as it seems?

  1. Causes of the Condition

Eczema is a common type of allergic dermatitis that is not contagious. In traditional Chinese medicine, it is referred to as “damp sores”, and it is a very common skin condition. The internal factors of eczema include constitution, emotions, and organ dysfunction, while the external factors include wind, dampness, and heat obstructing the skin. “Where evil congregates, the vital energy must be deficient.” When the body’s righteous qi is weakened, and the immune system function is reduced, wind, dampness, and heat evils permeate the skin, leading to the development or worsening of eczema.

Skin sensitivity, also known as urticaria, is closely related to certain food sensitivities or contact with substances. There are two common types of skin sensitivity. The first is an allergic reaction triggered by exposure to external irritants such as metals, dust mites, and chemicals. The second is caused by food sensitivity, which can lead to varying degrees of skin sensitivity issues, including redness, dryness, and peeling, as well as intense itching that may result in a “scratching” sensation.

  1. Differences in the Appearance of the Affected Areas

In terms of the appearance of the skin rash, skin sensitivity generally presents with redness, and even urticaria, which can worsen after scratching. Acute eczema can manifest with red rashes, oozing, and even bleeding, while chronic eczema can lead to thickening of the stratum corneum, an uneven surface, dryness, and even cracking. Once this thickened stratum corneum is scratched off, it can not only cause bleeding, but also result in oozing. Moreover, eczema can occur on any part of the body, such as the ears, head, face, hands, navel, and legs, but in a symmetrical distribution. Patients often experience intense itching, and when they scratch the affected areas, it can lead to skin erosion, oozing of serous fluid, and even the formation of thick crusts. The repeated episodes can make the skin surface rough and with raised lesions.

  1. Treatments Converge Towards the Same Goal

Skin problems are primarily related to the three pathogenic factors of wind, dampness, and heat, especially dampness. Dampness can engender heat, leading to a damp-heat pattern. Over time, dampness can injure the spleen, while heat can damage the yin blood, resulting in a mixed pattern of deficiency and excess. This is because the patient’s innate constitution (inherent physical factors) is intolerant, with a weakened spleen and stomach, leading to the generation of internal damp-heat. When combined with an external wind evil, the internal and external evils interact, causing the wind-damp-heat evil to permeate the skin. Patients generally have a congenitally weak spleen and stomach constitution. Excessive consumption of spicy, irritating foods like seafood, or a large intake of raw, cold foods in summer can lead to dampness and toxins burdening the body, further impairing the spleen’s function and increasing the likelihood of developing skin sensitivity.

Therefore, dietary adjustment is crucial in the treatment of skin problems. Patients with skin diseases should avoid “aggravating foods” during the treatment period. These include seafood, beef, sweets, spicy foods, and alcohol – items that can trigger or worsen skin rashes. Patients should also avoid various skin irritants, such as scratching, using strongly alkaline soaps, taking hot showers, and engaging in activities that cause excessive sweating, as these can provide relief for eczema.

The Wonderful Use of Storybooks (For Young Children with High-Functioning Autism)

Written by: The Educational Psychologist Team of the Heep Hong Society

For young children with autism who have intellectual and language abilities at the 5-6 year old level, what kind of books should they read? What techniques should parents use when reading with their children?

Young children with high-functioning autism should be able to understand simple moral stories. Parents can refer to the “social story” format to help children with autism effectively understand the content. When the child is familiar with the story content, parents can replace the main character with other real people, or even the child themselves, so that the child can gradually put themselves into the moral story scenario. The story characters can be changed, and the story plot can also be slightly altered: for example, “grandma’s house” can be changed to “aunt’s house”, allowing the child to flexibly apply what they have learned. Of course, changes to the characters and plot should be made before the child develops rigidity towards the story details. As for fables, fairy tales and mythological stories that commonly use abstract metaphors, they can be used only when the child with autism has the ability to generalize their knowledge.

In terms of cognition, when the child’s comprehension reaches a certain level, parents can emphasize emotional words in the story, such as “When she saw the dog, Mei Mei was very scared.” When the child is ready to learn the concept of sequence, parents can emphasize the description of time, such as “Mei Mei did something wrong, and then she said she was sorry.” Based on the child’s level, parents can utilize each page of the storybook, adding or emphasizing appropriate words.

In terms of parent-child interaction, for children with autism who have higher abilities, they can take turns with their parents to tell the story, one sentence at a time. This method not only trains the child’s ability to continue the story and focus on listening to others, but also allows the child to deepen their impression of the story through active participation. By using storybooks flexibly, parents can meet the developmental needs of the child and promote parent-child interaction. Children with autism often lack imaginative ability, so storybooks that come with character dolls can be very useful: initially, just tell the story, then add the dolls, and gradually reduce the use of the storybook, until finally using only the dolls to tell the story, and using the “one sentence for you, one sentence for me” method to guide the child out of the storybook and into the world of imaginative play.

In terms of social cognition, parents who use comics can use correction fluid to white out the “speech bubbles” of the characters, then work with the child to create new dialogues. Initially, they can modify certain words or phrases, and when both parties are familiar with the method, they can modify more parts, until all the dialogues are self-created. Daring parents can even try to custom-make storybooks for their child and design different ways of storytelling to attract the child to learn the social concepts they need.

We should be grateful to others for being willing to ‘offer help’

Written by: Dr. Cheung Kit

In this era, parents’ protection of their children surpasses that of any previous generation. This may be due to the decrease in the number of children and the improvement in living standards, leading to parents spending more time and providing more comprehensive care for their children. Under such (possibly excessive) protection, children often become very self-centered and disregard the importance of others. From the parents’ perspective, they are inevitably biased and more tolerant of their own children. When faced with their children’s inappropriate behavior, parents tend to make excuses for them. This common human behavior, however, may lead to children becoming unruly. Therefore, in the difficult situation of balancing right and wrong, if someone is willing to “offer help and guidance,” parents should be grateful. The following are “important figures.”

  1. Teachers

Teachers are among the people who spend the most time with children. We would prefer teachers to directly point out the rights and wrongs to children during their daily interactions. This direct message can effectively “sink in” for the children. Sometimes, facing negative criticism, children will naturally feel unhappy, but it helps them understand the boundaries. Therefore, parents should appreciate the strict guidance of teachers and avoid casually complaining about their efforts.

  1. Elders

Many elders may be very strict with their own children but tend to be much more lenient with their grandchildren, sometimes even more so than the children’s parents. However, the status and life experience of elders are actually superior to anyone else’s. Therefore, their “one word of praise” can be more effective than others’ advice. The question is whether they are willing to play the role of the bad guy. If they are, parents should be grateful for their assistance.

  1. Medical Personnel

Medical personnel have always been relatively respected. However, children often have an aversion to medical procedures. Therefore, during consultations and treatments, children’s reactions often present a good teaching opportunity. If medical personnel (including doctors and nurses) are willing to provide guidance when children exhibit uncooperative behavior, the children will likely understand better. Although they may not correct their behavior immediately, it will certainly help in their life learning process.

  1. Passersby

Sometimes, unrelated bystanders can immediately point out inappropriate behavior in children, which can have a startlingly effective impact. For the parents present, this might be a bit embarrassing, but thinking it through, it is beneficial for the child’s behavior.

Children in their growth and learning phase need proper guidance, especially when their behavior deviates. Therefore, if parents are unwilling to play the “bad guy,” we should be grateful and appreciative if others are willing to speak up and correct the child.

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Chronic cough? Bronchitis? Or Asthma?

Written by:Cheng Sui Man

The children can’t stop coughing, often continuing for an entire month, especially severe in the middle of the night, waking up from coughing, leading to insomnia, and then falling asleep from extreme fatigue. This is torturous for both children and adults! What exactly causes this persistent coughing? Is it sensitivity or inflammation of the trachea? Upon consulting a doctor, it turns out this is also a form of asthma!

Children are naturally more prone to having narrower airways due to their young age, making them more susceptible to nasal congestion, snoring, and even shortness of breath even with just a common cold. However, unlike bronchitis, a common cold usually recovers within a week, but the cough from bronchitis can last over twenty days, so it’s not surprising that the coughing continues for a month from the onset of the illness.

This leads to another question: Why does bronchitis occur? According to doctors, one common cause is the child contracting the Respiratory Syncytial Virus (RSV). This is a very common virus that spreads through droplets and air. It causes the airways to constrict and become inflamed, producing mucus that accumulates and further narrows the airways, stimulating the patient to cough and creating a vicious cycle. Doctors indicate that in these cases, bronchodilator medication may be prescribed to reduce symptoms and allow the child’s immune system to fight off the virus. However, once a child has been infected with RSV, the airways are somewhat damaged, increasing the likelihood of developing asthma in the future. As the doctor explained, my eldest son had indeed been hospitalized due to RSV infection in the past, and since then, every time he catches a cold and coughs, his recovery time is longer than that of my younger son!

“So it seems your eldest son might indeed have asthma,” the doctor’s conclusion was definitely the last thing I wanted to hear. Asthma, in its worst case, can be fatal! Wait, that’s the worst-case scenario. The doctor added that asthma is actually classified into four stages.

Stage 1: Intermittent Asthma

Usually caused by respiratory viruses such as RSV or filtrable viruses, occurring sporadically a few times a year, with normal conditions the rest of the time. Therefore, it is only necessary to use a bronchodilator during episodes of airway constriction and shortness of breath to relieve discomfort without significant side effects, and there is no need for long-term medication.

However, if the airway constriction is not properly relieved, the airways can become increasingly prone to narrowing, and the asthma could progress.

Stage 2: Mild Persistent Asthma

Patients have episodes about once or twice a month, and bronchodilators are insufficient to manage the condition. Inhaled steroids are needed to “treat the root cause” and control inflammation. Inhaled steroids come in different strengths, and the doctor will prescribe the appropriate dosage as needed.

Stage 3: Moderate Persistent Asthma

Patients have asthma attacks on average once a week and need to use a bronchodilator daily.

Stage 4: Severe Persistent Asthma

Patients need to use a bronchodilator daily, three to four times a day, while also using inhaled steroids to control the condition.

Following the doctor’s advice, I should no longer be afraid to let my child use inhaled bronchodilators! Relieving the child’s coughing and asthma symptoms early on can also hopefully prevent the worsening of asthma conditions in the long run.

Motivating children to study hard without relying on rewards and punishments

Written by: Founder and Volunteer Secretary-General of GLP, Lam Ho Pei Yee

Everyone already possesses an intrinsic motivation, and people have long had the desire to do things well. This is precisely why when we give children external rewards and punishments, trying to interfere with their behavior, their performance becomes worse, such as killing creativity, reducing judgment, and other negative effects, which are the bad consequences that rewards can bring. Whether it is material or psychological rewards, although they can temporarily stimulate children’s enthusiasm, they cannot help children develop long-term behavioral habits, nor can they make their performance better.

How can parents motivate children to study hard without solely relying on rewards and punishments? It turns out that by simply understanding and satisfying three basic psychological needs of humans, children can automatically and consciously enjoy and engage in learning. These three basic psychological needs include autonomy, competence, and relatedness. Every child also has a basic need to develop their abilities, to see their abilities improve, and not to let incomprehensible social standards change their children. It is dangerous to teach children things that do not fit their stage of growth. We need to create challenging yet appropriate learning experiences for children’s abilities, allowing them to feel a real sense of success, boosting their confidence in their abilities, and giving them more motivation to learn.

Parents should not limit their children’s infinite possibilities with their own limited wisdom. If parents understand how to cultivate their children’s intrinsic motivation for learning, making them recognize the importance of learning and adopting it as a life goal, children will automatically and consciously engage in learning. Therefore, by making themselves and their children more responsible, more perceptive, and better at interacting with others, parents are helping their children grow while gaining creativity and a sense of success themselves.

If these theories can be applied to children, can they also be applied to parents, thereby bringing a positive impact to the family? The answer is yes. As we ask our children to study hard, parents should also strive to change their own thinking. As Stone, the guitarist of the Taiwanese rock band Mayday, said: “What schools can teach is knowledge, is skills; what society can teach is interaction, is cooperation; and what children learn at home is yourselves, is your own way of governing as individuals, how you solve problems when you face difficulties and setbacks.”

A story that enlightens ‘monster parents’ in 5 minutes’

Written by: Mr. Chiu Wing Tak, a senior education expert and honorary advisor to the Association of Careers Masters and Guidance Masters

If you ask me, in the decades of teaching experience, what are the most unforgettable moments, I would unhesitatingly answer the stories that enlighten people. Why am I so attracted to enlightening moments? Because enlightenment is a form of “higher-level education,” and as someone who deeply loves education, these moments are particularly memorable.

Below is a story of how I enlightened a “monster parent.” Why did this parent become a monster? Because he “pulled out all the stops” to make his son win awards! And I “woke him up” in just 5 minutes!

The “monster parent” was a professional who had very high expectations for his son, demanding that his son win the Best All-Round Student award at school every year. His son had been attending the school where I taught and had already won the all-round award for his grade level for two consecutive years. In the third year, he and his son continued to work hard, hoping to achieve a “hat trick” by winning for three consecutive years!

The student and his father were well aware of the areas the school emphasized, so they focused all their efforts on those key areas. However, that year, an unexpected change occurred when the school increased the weighting of certain subjects’ scores. As a result of this change, the student ended up in second place. Upon learning that he would not be first, both the student and his father were furious. The father did not hesitate to call and vehemently protest to the Brother Principal. The kind-hearted Brother Principal was bothered by the parent for two days straight, and finally passed the matter to me, saying, “Peter, this parent has been talking to me on the phone for half an hour every day, insisting that I promote his son to first place, which has completely prevented me from dealing with other school matters. Please help me out; I’ll give you the parent’s phone number.”

Tactfully persuade to understand the need to face failure early

After understanding the ins and outs of the matter, I immediately called the parent. I understand that this parent loves his son very much, so he started by saying, “Mr. T, I know you love your son dearly, and your son is also doing very well in academics and extracurricular activities.”

The parent responded, “Exactly!”

“Your son has already won the all-around award in both the first and second years of middle school, so it’s only natural that you would want him to win it again in his third year. But…” I paused here. “A person cannot always succeed without failing. Since failure is inevitable sooner or later, Mr. T, would you prefer your son to face failure sooner rather than later?”

The parent, being a person who “gets to the point,” immediately said, “Are you suggesting I should stop pursuing this matter?”

“Not at all, I just want you to consider what’s best for your son, to let him experience minor failures early on. This way, when he faces major failures in the future, he will naturally know how to handle them!”

After some thought, the parent replied, “I understand Mr. Zhao’s point. I won’t pursue it further, thank you for your explanation!”

How did I make the parent see the reason? The answer is: I helped him break free from his fixation. What was his fixation? He was fixated on an unbreakable belief – that a good parent must do everything within their power to ensure their child’s success. From his perspective, I appreciated his efforts, but also gently told him that helping his son accept failure early could also be the mark of a good parent. Being a wise person, he understood the implied message that not allowing his son to face setbacks early could lead to worse pain later. Thus, he suddenly saw the light and accepted my advice.

How to discover hidden talents and potential?

Written by: geneDecode Genetics Education Professional Team

Innate potential is an ability that everyone is born with, a genetic characteristic that is present before growth. From birth, each child possesses their own unique talents. In the process of a child’s growth, emotional intelligence, IQ, and the ability to withstand setbacks, among others, are all necessary conditions for success. Among these conditions, each child’s talents are different. Can we discover their innate talents in the innocent eyes of children? Can we be sure to capture these talents and guide the children on a path of growth that suits them?

Here is a mother’s experience:

‘Amy is 4 years old this year. As she grows up, she is becoming more and more curious about the things around her. Amy’s father noticed that she seemed to show a special interest in doodling when she was 2 years old. I casually gave her some paint, and she could use a brush, crayons, or her fingers, even a bottle of ketchup, to paint. No one knows what she is painting, maybe only she knows. Amy’s father and I both think that she should be allowed to grow freely. I found that she seems to like painting very much. If she is really good at it, I think we will definitely cultivate her well.’

Amy’s parents are wise. Each child has different talents hidden in different fields. When a child’s talent is found, if it can be cultivated and paid attention to by parents and teachers, it will save a lot of detours in the direction of success. However, the most important thing is for children to have a sense of success from a young age and grow up to be happy and confident people.

Scientific research confirms that the period of infant growth is the fastest and most sensitive period of brain development, and it is also the best time to develop a child’s talents. The cultivation of talents is time-sensitive, and scientists call this irreplaceable stage the ‘talent time window

Only at the most important and appropriate moments, with the right education and cultivation, can innate potential develop into real abilities. Missing these key moments of development, a child’s talents may relatively weaken, and their innate potential may no longer stand out. Here are some key moments for reference:

Key Moments for Talent Development

Memory: 12 months to 12 years old

Emotional Intelligence: 2 months to 22 years old

IQ: Birth to 13 years old

Music: 2 months to 5 years old

Drawing: Birth to 15 years old

Sports: Birth to 12 years old

‘Whether Amy can become a painter when she grows up, I can’t confirm, we are just observing. It can be said that it is completely based on feeling. Talent is hard to say, maybe she has talents in other areas, or sometimes it is not obvious, then it is hard for us to discover. We can only do our best and observe her from as many angles as possible.’

This is not just a worry for Amy’s mother. Every parent dreams of their child’s success, but the key is how to accurately discover a child’s talents.

Many parents are trying, hoping to find clues in their child’s behavior, hoping to find ways to discover a child’s talents early. Those parents who seem to have found a method, according to their own judgment and willingness, send their children to various specialty classes and youth classes to learn various skills, hoping that one day, they can become experts in this field. For this goal, parents spare no effort to invest a lot of money and time.

However, doing so seems to not only waste a lot of money and time, but also those originally intelligent children are more likely to lose their spirit in the multitude of educational directions, their talents are delayed or even obliterated. They passively move from one tutoring class to another specialty class, learning things they neither like nor are good at.

Childhood, for children, is no longer a memory of happiness and beauty, but of pressure and worry. The saddest thing is that when they grow up, they have more complaints about their parents.

Is there a better way to understand a child’s talents, personality, and traits, so as to teach students in accordance with their aptitude and cultivate them in a directed way?

The impact of hearing impairment on overall language development

Written by: Lee Wing Yan, Speech Therapist at the Hong Kong Speech and Swallowing Therapy Centre

In my work, I once encountered a 5-year-old child. Like other children of his age, he appeared well-behaved and polite. However, he had a distinctive feature that set him apart from his peers – he had a hearing aid in his left ear. He was a child with a hearing impairment.

As the name suggests, hearing impairment is defined as a “disability caused by impaired hearing, ranging from mild to complete deafness.” Does hearing impairment only affect a child’s auditory perception?

Understanding Surrounding Sounds to Build Concepts

Consider this: before toddlers learn to articulate meaningful words, what ability do they possess? They engage in what we commonly refer to as “baby talk.” Now, what crucial step do toddlers take before mastering “baby talk”? It’s the ability to understand the sounds in their environment and establish concepts through interaction with sounds, including meaningful conversations with parents, nursery rhymes, etc. They learn to comprehend that different sounds represent different people, things, and objects, gradually understanding words and building language. Therefore, due to reduced and weaker sensory stimulation in the aspect of “hearing,” children with hearing impairment may experience delayed language development.

Reduced Listening Experience and Difficulty Following Instructions

Children with hearing impairment cannot fully receive external information through the sensory aspect of “hearing,” reducing opportunities for listening experiences and language exposure. As a result, they often exhibit inattentiveness, difficulty following instructions, and challenges in understanding more complex sentence structures, affecting their learning. Language learning occurs through paying attention and receiving external input, followed by repeated exposure to similar information, connecting specific concepts, imitation, and application. Consequently, many children with hearing impairment may exhibit weaknesses in grammar usage, sentence expression, and vocabulary recognition compared to other children. Research even suggests that the gap in vocabulary recognition between the two groups tends to widen with age.

Impact on Speech Development: Difficulty Perceiving Differences in Tone

Another more noticeable effect of hearing impairment on the language development of young children is its impact on speech development. Children with hearing impairment often have lower sensitivity to higher-frequency and lower-intensity speech sounds. Consequently, they may not pay attention to these sounds, such as the Cantonese sounds /f/, /s/, /ts/, and /tsh/ found in words like “fei” (飛), “saam” (三), “zi” (吱), and “che” (車). Instead, they may substitute other sounds, such as pronouncing “fei” as “bei,” “saam” as “daam,” “zi” as “di,” and “che” as “dei.” Since these pronunciation errors stem from the child’s hearing impairment and their lower sensitivity to certain phonemes, the child may not necessarily be aware of the pronunciation mistakes they make or the differences between their pronunciation and that of others.

On the other hand, Cantonese is a “tonal language” with generally nine tones. The differences between tones are subtle, similar to nuances in pronunciation. Children with hearing impairment may also fail to perceive the distinctions between tones due to their lower sensitivity, much like in articulating individual sounds. To others, the child’s speech might sound akin to a foreigner speaking or singing.

Early Intervention and Therapy

Of course, not every child with hearing impairment will experience delays in language development or pronunciation issues. I have encountered many hearing-impaired children and adults with excellent language abilities. Like any health issue, “early intervention” is the key to addressing problems. Therefore, if there is suspicion of any hearing issues in a child, an early assessment by an otolaryngologist and audiologist is crucial to determine whether hearing aids or other treatments are needed. If a child indeed has hearing problems, relying solely on hearing aids may not completely resolve or prevent language development issues associated with hearing impairment. Therefore, early and appropriate speech therapy should also be sought to ensure the child’s language development catches up with their peers as soon as possible.

Reject the Busyness: Build Parent-Child Relationships Every Day

Parents should first handle their own emotions to help their children express their inner feelings.

Whether parents are working or full-time homemakers, they are busy every day with work, household chores, and taking care of their children. After school, children are also busy with homework, tutoring, and reviewing for exams. Leisure time is limited, and bedtime comes early. Dr. Wong Chung Hin, a specialist in psychiatry, points out, “Parents and students in Hong Kong are very busy, but we need to learn to ‘preprocess’ emotions or stress before they erupt, and establish a good parent-child relationship. Parents should set aside dedicated parent-child time every day to communicate with their children. Parents should also take care of their own emotions, which will help their children express their inner feelings.”

In the midst of busy daily life, parents need to take good care of themselves first in order to better care for their children. Dr. Wong suggests, “Rather than dealing with emotional problems after they arise, ‘preprocessing’ is more important. Parents can establish healthy habits with their children, ensuring they have sufficient rest. Many students have tutoring and homework to do after school, but a moderate amount of entertainment is also crucial. As mentioned earlier, daily parent-child communication time is necessary. Doing fun activities together, such as exercising, not only builds quality parent-child time but also improves emotions.”

Dr. Wong emphasizes, “Parents should review their disciplinary expectations, adjust disciplinary methods according to their children’s abilities to avoid putting too much pressure on them. Parents need to understand that every child will grow up, want to be independent, and have their own thoughts. Parents can understand the reasons behind their children’s behavior, such as not wanting to go to school or declining academic performance. Parents should investigate whether the underlying cause is excessive learning pressure and communicate with the school to make adjustments to their child’s learning.”

In fact, children’s emotions can be influenced by the emotions of their parents. Dr. Wong explains, “When children have emotional issues, it may be partly influenced by family history. However, in many cases, children with emotional problems have parents with poorer emotional well-being. Parents should always be aware of their own emotional states to avoid expressing emotions inappropriately. For example, when parents are dissatisfied with their children’s behavior, they may burst out in anger, which not only affects the parent-child relationship, making the child at a loss and afraid to communicate with their parents, but also influences the parents’ own perceptions, negatively characterizing the child’s behavior as ‘disobedient,’ ‘pretending,’ and lazy.”

Parents most commonly face the situation of children “not listening at all” and may find it hard to refrain from getting angry. However, Dr. Wong reminds, “During these times, parents should not confront their children directly. Instead, they can find a space to calm themselves, for example, by doing some slow breathing exercises to soothe their emotions. Once the parent has calmed down, they can then address the child and understand the underlying reasons for the child’s behavior. If parents cannot control their emotions, it will only complicate things and make it difficult to have a chance to communicate with their children.”

Dr. Wong suggests, “Everyone has a different personality, and the methods for handling stress also vary. Parents can work together with their children to establish stress management methods, whether it’s through exercise, drawing, listening to music, taking a good rest, or simply relaxing. However, when parents notice that their child’s emotional issues have persisted for a prolonged period, or have started to affect daily life, and especially if there are signs of self-harm or suicidal thoughts, parents should seek professional assistance for their children as soon as possible.”

Dr. Wong concludes with a message to parents: “Many parents are currently juggling work commitments, but it’s important for parents to consider setting aside a moment each day, putting work aside, and dedicating time to their children to build a strong parent-child relationship and enjoy quality time together. This way, parents can also pay attention to any changes in their children’s mental and emotional well-being, detect problems early, and prevent the development of emotional issues such as depression or anxiety.”

The four major preparations for enrolling in first grade

Source: Senior Parenting Education Expert Bally

In fact, preparing for the transition to first grade can be more stressful and time-consuming. If you were to ask me, I would recommend that parents should start from Pre-Nursery to “analyze first and then plan.” But how to analyze first?

Many parents are not entirely clear about the various types of schools in Hong Kong. For instance, we have traditional government-subsidized schools, Direct Subsidy Scheme (DSS) schools, private schools, and international schools. What are the differences between these types of schools? What are their educational philosophies? What is the ideal type of school for parents based on their financial situation and aspirations?

They should first understand and analyze this, which will give them a goal. Once they have a goal, we can move on to the next step, which is to personally attend the orientation sessions of each school. Why do we believe that parents should start preparing from Pre-Nursery (PN)? Because many schools often hold orientation sessions only once a year. These orientation sessions often occur at the same time. If we wait until the year of K2 to attend these sessions, and we are interested in three different schools, and all of them schedule their sessions on the same Saturday at the same time, parents may miss out.

Secondly, it’s important to note that these orientation sessions have limited spots. While many people may sign up, there are often only a few hundred to a thousand slots available. During the course of a single day, there may be over 5,000 registrations. With such high demand, it’s possible not to secure a spot, which means you won’t have the opportunity to attend. This is why we need to prepare one to three years in advance, considering whether the school’s philosophy is suitable for your child.

If you have been attending orientation sessions for your preferred schools for the first one or two years, by the final year, you should revisit your top one to three choices multiple times. This is because educational changes in Hong Kong happen rapidly and frequently. By attending multiple sessions, you can confirm your preferred school.

In many cases, the first time someone attends may be the mother, and the second time, it may be the father. It’s essential for the family to be in agreement, so attending orientation sessions together to understand the school’s philosophy is crucial. Once everyone has a shared understanding, you can move on to the third step, where the family sits down to discuss the direction of your child’s education. What kind of education do you envision for your child’s future? Do you want a very traditional teaching method, or do you want a happy one? Some schools are called “Happy School,” but many parents mistakenly think that a “Happy School” may not be effective.

In fact, there are two major categories of “Happy School” now. Some “Happy Schools” focus solely on happiness, but their curriculum may not align with the first-grade curriculum. Others combine happiness with effectiveness, and students from these schools have the ability to select their preferred schools because they can keep up with the first-grade curriculum. Therefore, parents need to understand what a “Happy School” is, what their teaching philosophy is, and how effective they are.

Once parents reach a consensus, it’s time to truly and thoroughly select the school that is most suitable for the child. Many times, parents may choose the best school for their child because it’s considered the best. However, what is considered the best may not necessarily be the most suitable. As parents, our goal should be to find a school that is the best fit for our child. For example, if a child is very active, parents may wonder whether they should choose a more traditional school that enforces discipline and expects students to sit still. But what if the child is like a “wild horse” and sitting still is not their nature? Or if a child struggles with English, should they attend an English primary school, or should they go to an international school?

In reality, consider this: if a child’s learning abilities are far from meeting the school’s primary requirements, they may not even want to go to school. If a child is weak in English and strong in Chinese but chooses an English primary school, they might not understand what the teacher is saying, and they would have no interest in English at all. In this case, you could argue that the child doesn’t need to attend school because they won’t grasp what the teacher is teaching, and their poor performance in English could negatively impact their overall academic progress and their interest in learning.

Parents often ask how to make the right choice. To analyze this, let’s use the analogy of a small fish in a big pond versus a big fish in a small pond. If a child attends a school where their learning abilities and performance are in the middle to upper range within that school, their confidence will increase, and they won’t feel inferior to their peers. However, if they attend a school considered “good” or prestigious but their abilities are not up to par, they may struggle and feel like a small fish in a big pond. In this scenario, the child is likely to be unhappy throughout their learning journey and may feel underestimated.

So, I would recommend that parents, first and foremost, understand how to choose a suitable school. You need to comprehend the school’s educational philosophy and evaluate the academic standards for students after they enter first grade to determine if your child is a good fit in terms of English, Chinese, and mathematics. If you believe that your child can handle these aspects well and is already coping with them, then this school is likely the right fit for your child.