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The Honolulu Advertiser
Posted on: Sunday, April 6, 2008

Have a doctor evaluate child's 'zoning out'

By John Rosemond

In my column a few weeks ago, I answered a question from the mother of a first-grade boy who frequently "zoned out" in class, the result being he rarely finished classwork. I recommended that Mom have her son bring incomplete work home and finish it there with the understanding that every paper brought home (that should have been finished in class) results in bedtime being moved back half an hour. I've recommended that same strategy many times and feedback has been almost universally positive.

Not this time. Several readers, including one physician, an internist, wrote to say that the child might be experiencing what is known as "absence" or "silent seizures." My inquiring mind did some research and sure enough, that is a possibility. So, I encourage the mom in question as well as any parent whose child is "zoning out" periodically, to have the child evaluated by his or her pediatrician or a pediatric neurologist.

I feel moved to mention that the internal physician mentioned above wrote "Shame on you!" With due respect, I don't accept that I should feel ashamed.

Every column I write is read before publication by at least one pediatrician.

To date, I have yet to receive a letter concerning this particular column from any pediatricians or neurologists.

Q. My 10-year-old son wrote an autobiographical poem as a school assignment. The assignment was to write about what he dreams, wants and fears. He wrote, in part, "Dreams I get killed by aliens, dreams I was never born ... wants to die ... wonders how life will turn out ... afraid of death ... afraid of life."

The rest was about the son I know "who loves mac and cheese, card games, books and my imagination." When I asked about the poem, he cried and said life is made up of good and bad and the bad dominates. He was upset and could not further articulate his thoughts. Several days later, it seems the poem is long over and done with in his mind, however I remain scared by his words on dying.

A. Your son is obviously a very sensitive boy. He's also quite imaginative. His capacity for abstract thought is enlarging at this age and will continue to do so for the next few years. He's beginning to lose his sense of innocence about the world. I don't think this episode means there's something "wrong" with him. Growing up entails coming to grips with new ideas and emotions, some of which are not pleasant. Be careful not to make a big deal of things of this nature.

Family psychologist John Rosemond answers parents' questions at www.rosemond.com.