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Caring for Autism Beyond Awareness, A Neurodevelopmental Pediatrician turning a Parenting Guide and a Lifecoach for parent and kids in distress

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Goal Directed Cognitive Approach
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  • UNDERSTANDING AUTISM
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Goal Directed Cognitive Approach
  • Home
  • Cry in autism kid
  • UNDERSTANDING AUTISM
  • FAQ
  • Main site
  • WRITE A REVIEW
  • GDCA
  • More
    • Home
    • Cry in autism kid
    • UNDERSTANDING AUTISM
    • FAQ
    • Main site
    • WRITE A REVIEW
    • GDCA
Dr Kondekar Santosh , Associate Professor Pediatrics Nair Hospital Mumbai.          REVIEWS             UPDATES    Clinic Address: Aakaar clinic, shop 25, first floor, Laxmi residency, Byculla West, Byculla, Mumbai, Maharashtra 400027, India 9869405747  MAP LINK
CLICK ON UNDERSTANDING AUTISM ABOVE IN LINKS / MENU OR CLICK HERE  

Adding life to SENSES, Adding SENSE to life;  helps shaping the future & personalities. - Dr Kondekar

Lets dream to turn every autism kid an auditory learner (not visual)  and thus a verbal & Orator. - Dr Kondekar

Giving up hopes adds nothing to life, add hopes. Work on what is weaker and not what is stronger in autism kids. - Dr Kondekar

Turning Special kids to Social kids. - Dr Kondekar

Pediatric Neurologist, Neuro Developmental Pediatrician in Mumbai for help in autism, adhd, hyper kids, behaviour issues, child psychiatry issues, issues related to epilepsy, neurometabolism, genetic disorders and IQ issues, intellectual disability, slow learner, learning disability and related issues.

video testimonials by parents of autism kids on youtube

https://fb.watch/lI1ngycovA/ for above video, time to come out of blues of   autism      A goal-directed cognitive approach for individuals with Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) focuses on enhancing the ability to set, pursue, and achieve meaningful personal and social goals through tailored cognitive, behavioral, and metacognitive strategies.[3][4][7]


### Core Principles


Goal-directed cognitive interventions are structured around identifying individualized goals such as improved communication, social engagement, regulation of attention, and executive functioning. The primary aim is to address the unique cognitive and behavioral strengths and challenges observed in autism and ADHD, leveraging motivation and real-world relevance to foster generalization of learned skills.[4][7]


### Evidence-Based Approaches


- **Cognitive Remediation and Socio-Cognitive Training:** Programs such as NEAR (Neuropsychological Educational Approach to Remediation) integrate cognitive exercises, social skills activities, and real-life bridging tasks to improve executive functions (e.g., planning, working memory, mental flexibility) and social cognition. These methods combine digital exercises with group-based discussions and scenarios to promote application and generalization of skills beyond the therapeutic setting.[3]

- **Mindfulness and Metacognitive Training:** Mindfulness training and metacognitive strategies are shown to help individuals with ADHD and ASD enhance self-awareness, regulate attention, and manage emotional responses, supporting goal pursuit in daily life.[2][3]

- **Behavioral and Environmental Supports:** For ADHD, structured routines, visual schedules, and reinforcement systems help maintain focus on goals. For autism, sensory integration and environmental modifications (e.g., reducing distractions, using sensory tools) are critical to support engagement and reduce interference.[2]

- **Intentional Control and Cognitive Flexibility Building:** Interventions address intentional control—the capacity to form, maintain, and shift goals—and cognitive flexibility, both of which are frequently impaired in autism and ADHD. Practice with task switching, planning, and adapting behavior helps individuals adjust their actions in response to changing demands.[7]

- **Generalization of Skills:** Bridging groups and role-play scenarios ensure that cognitive improvements translate to real-life settings, addressing the common challenge of limited skill transfer among individuals with ASD and ADHD.[4][3]


### Practical Elements


- Setting clear, achievable goals collaboratively with the individual and their support system.[4]

- Incorporating digital or hands-on cognitive tasks that match the individual’s interests and abilities.[3]

- Using group interventions to build self-esteem, peer relationships, and pragmatic language skills.[3]

- Fostering metacognitive reflection—encouraging individuals to think about their problem-solving strategies, recognize progress, and adapt approaches as needed.[3]


This approach is dynamic and tailored, combining structured cognitive exercises with real-world relevance, thereby strengthening executive control, social cognition, and goal-oriented behavior for people with autism and ADHD.[7][2][4][3]


Sources

[1] Social cognition in autism and ADHD https://www.sciencedirect.com/science/article/pii/S0149763425000223

[2] ADHD and autism in Neurocognitive Mismatch Theory https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2025.1617192/full

[3] Toward an integrative socio-cognitive approach in autism ... https://pmc.ncbi.nlm.nih.gov/articles/PMC10244578/

[4] Understanding Autism. 15 Goal-Directed Cognitive ... https://www.youtube.com/watch?v=2GqZa7rxP7Q

[5] The paradox of cognitive flexibility in autism - PMC https://pmc.ncbi.nlm.nih.gov/articles/PMC5538880/

[6] Real-world goal-directed behavior reveals aberrant functional ... https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0319746

[7] A Review of Intentional and Cognitive Control in Autism https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2012.00436/full

[8] Differentiating neural reward responsiveness in autism ... https://www.sciencedirect.com/science/article/pii/S1878929314000541


Autism it's time to act and not just be aware..., | By Santosh Kondekar | FacebookAutism it's time to act and not just be aware...,

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Dr Santosh Kondekar‪Topiwala National Medical College BYL Nair Hospital Mumbai‬ - ‪‪Cited by 134‬‬ - ‪pediatrics‬

There is no complete cure for many disorders including autism. 

Dr Kondekar is a neurodevelopmental and behavioral  pediatrician, being available for parents and kids suffering from autism, adhd, cerebral palsy, conduct disorders, learning disability and other behavioral and developmental disorders; helps then understand the issues and help enable the kid towards development of learning, attention, focus, behaviour, communication, speech, language, locomotion and improving scholastic / academic performance; eventually contributing towards the personality of the child through life skills, manners, habits, stories and cultural / moral values of life. Dr Kondekar is available in Mumbai at Nair hospital for autism kids, Aaakaar Clinic Byculla west and also providing services at Vashi, Nashik, Sangli, Pune, Delhi Bengaluru, Kolkata, Goa, Bhubaneshar, Lucknow, Hyderabad, Jabalpur; and to a vast number of parents through video consultations.

Online appt We can plan or prepone today or tmrw. Send payment to 9869405747 any mode. Or other payment details at website.You may also book in advance at website. www.autismdoctor.inFor clinic appointment ask with date and time.Payment details at http://www.autismdoctor.in QR code at www.autismdrmumbai.comnew case 2500/-Old case 1500/-Video call whatsapp or botim,for bank account details https://kondekar.weebly.com/uploads/1/3/8/3/13830206/bank-account.png.                          Name of child-Date of birth-City-Last prescription copy-Current issues-                                           paypal link https://www.paypal.com/paypalme/aakaarclinic
Please if possible fill the two forms , form 1 and form 2 below and send the filled report copy paste as whatsapp to 9869405747 and for free genetic counselling and advice for genetic test, click here  Visit bottom of page for payment. QR code After 2013, the revision of criteria is made to call is DSM V Diagnostic Criteria for autism, see form 2 link above. Accordingly we have devised a scoring system and classification for autism, click here for same.DSM 4 based scoring system for self use and understandingDSM 5 based scoring system for self use and understandingCARS score free evaluation add your case result here

Cerebral Palsy

http://speechandsenses.blogspot.com/2025/10/dr-kondekar-on-world-cerebral-palsy-day.html


https://youtu.be/zVNcAs96Q2s?si=p7PlB7NTM-8yzYNA


Dr Kondekar talking on cerebral palsy in children, a marathi program in door darshan Sahyadri Chanel

Cerebral palsy is a disorder of muscle tone and posture due to some insult to developing brain usually at or before birth, due to unknown reasons.

Cerebral palsy kids often present with developmental delay as late sitter, late walker, slow walker, weakness of one or other or both sides of body with or without joint deformities affecting various functions of hand feet and locomotion. Often they may also have issues like squint deafness speech delay low IQ epilepsy and behavioural issues as added complications in some cases.

There is something that can be done for everything to improve personality of kids. So management of cerebral palsy is multidisciplinary involving many different experts and therapists.

For any questions related to cerebral palsy management whatsapp 9869405747 india.

www.neuropediatrician.com


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