Dr. Teh Shin Er, PsyD, BCBA 郑欣儿 临床心理博士,应用行为分析师

Dr. Teh Shin Er, PsyD, BCBA 郑欣儿 临床心理博士,应用行为分析师 美国罗格斯大学,临床心理学博士学位 - PsyD
美国执照与认证应用行为治疗师- B.C.B.A
美国加州伯克利大学,心理学最高荣誉学士学位 -B.A. Additionally, Dr. Teh provides extensive parent training and school consultations.

Doctor in Clinical Psychology 临床心理学博士 & Board Certified Behavior Analyst (BCBA) 美国认证应用行为分析师
@ TRANSCEND Psychology Centre
https://drtehshiner.com/
https://transcendpsychology.com/ Highest Honors
美国加州圣莫尼卡学院 -幼儿学前教育文凭
美国加州伯克利大学临床心理/儿童发展学研究人员
美国加州洛杉矶大学临床心理研究人员

USA Rutgers University Clinical Psychology Doctorate Degree (PsyD)
USA Board Certified Behavior Analyst (BCBA)
USA University of California,

Berkeley - Highest honors in B.A. Psychology
USA Santa Monica College - Certificate in Early Childhood Education
USA University of California, Berkeley - Clinical & child developmental research assistant
USA University of California, UCLA - Clinical research assistant

Dr. Teh has received training in the field of clinical psychology, developmental psychology, early childhood education and applied behavioral analysis (ABA) at established universities and research labs in the United States. These sites included UC Berkeley, UCLA, Santa Monica College and Rutgers, The State University of New Jersey. She has worked and trained in the San Francisco Bay Area, Los Angeles, New Jersey and New York. She received trainings at reputable sites in the USA, including Douglass Developmental Disabilities Center, Children’s Specialized Hospital, ChildMind Institute, and Boggs Center on Developmental Disabilities. She completed her final year of doctoral internship at John Hopkins Medicine/ Kennedy Krieger Institute in Maryland, USA. With more than 10 years of education and clinical experiences, Dr. Teh is skilled at providing psychological and behavioral therapy to children, adolescents and adults across the diagnostic spectrum, including autism (ASD), Attention Deficit/hyperactivity disorders (ADHD), disruptive behavior disorders, mood and anxiety disorders. Being a licensed Board Certified Behavior Analyst (BCBA), she is highly skilled at using behavioral interventions while weaving in methodologies of early childhood education and social skill training for children with special needs. Dr. Teh is also trained in the administration and evaluation of various diagnostic and psychological measures (e.g., ADOS-2, ADI-R, WISC-IV, WJ-COG/ACH, DKEFS). While Dr. Teh provides diagnostic evaluations, a diagnosis is not warranted to initiate and continue services with Dr. Teh.

【让我们谈霸凌】(1)🌟 了解霸凌:【BOO 和霸凌的四种类型】霸凌一直是我非常关注的议题。马来西亚最近的霸凌案件,值得我们重视。1. 莎拉·凯丽娜之死(沙巴)13岁女生从宿舍三楼坠落身亡,身上有瘀伤引发霸凌嫌疑。事件引起全国关注,首相要求...
25/08/2025

【让我们谈霸凌】(1)

🌟 了解霸凌:【BOO 和霸凌的四种类型】

霸凌一直是我非常关注的议题。
马来西亚最近的霸凌案件,值得我们重视。

1. 莎拉·凯丽娜之死(沙巴)
13岁女生从宿舍三楼坠落身亡,身上有瘀伤引发霸凌嫌疑。
事件引起全国关注,首相要求彻查并追究责任。

2. 马来西亚理科寄宿中学(MRSM)事件
一段宿舍霸凌视频流出,学生遭到同伴殴打和辱骂。
涉事学生被开除,社会掀起“惩罚或辅导”争论。

3. 7月三起严重霸凌案
沙巴、吉打及另一所中学接连发生女生跳楼、被绑及男生眼部重伤事件。
儿童专员警告校园安全机制严重不足。

==
我有不少个案,
孩子在第一或第二个session就会和我提到
在学校被欺负。
有一些孩子被言语霸凌、孤立、散播不实谣言;
有一些孩子的个人物品被破坏。

然而,遗憾的是,
【因为孩子没有带着伤回来】,
许多家长起初,
并不认为孩子遭受的是霸凌。

常听到的说法包括:
* “他只是被别人挑衅而已,我叫他不要理就好了。”
* “哎呀,人家只是开玩笑,有什么大不了的?忍一忍不就好咯!”
#需要引导的往往是家长本身哦~~
#还好大部分的家长在好好理解之后都愿意积极采取行动

也有些家长非常担忧自己的孩子成为了霸凌别人的【恶霸】,来告诉我:“我的孩子一直在霸凌别人,但不论我怎么提醒,他似乎都不明白自己的行为就是霸凌。”

==
霸凌的第一个处理方式, 其实是先
👉 让孩子理解什么是霸凌。
孩子必须先学会辨认霸凌,才有可能:
* 在遭遇霸凌时积极求助
* 避免自己成为【霸凌者】

🌟【BOO 和霸凌的四种类型】
BOO 帮助孩子分辨情境:
* B (Being mean):恶意、不友善,但未必是霸凌
* O (Once):一次性的事件,可能是冲突或误会
* O (Over and Over):反复、长期的行为 → 这就符合“霸凌”的特征

🎯 四种霸凌类型
1. 身体霸凌(Physical bullying)
* 打、推、踢、抢夺或破坏物品
2. 言语霸凌(Verbal bullying)
* 取笑、辱骂、讽刺或带有歧视的称呼
3. 关系霸凌(Relational bullying)
* 排挤、散布谣言、孤立他人
4. 网络霸凌(Cyberbullying)
* 在网络或社交媒体上嘲笑、攻击或恶意传播信息

📌 这套框架(BOO + 四种类型),就是我在青少年社交小组的核心教学之一。目标是帮助孩子们【认识霸凌】→ 【懂得保护自己】 + 【不成为霸凌者】。

📌 附上的文件,有更细的解释和例子。

==
下一篇,我们继续谈,【青少年如何寻求帮助】?
寻求帮助不受理,还有什么方式可以被认真对待?
#减少霸凌和保护孩子人人有责

社交小组 Part 4 - 隐藏教学內容【领导与团体合作能力】 除了既定的社交教学内容与活动我也会分组让孩子们去讨论,怎么把学习到的知识,转换成 “简单”的poster。但,这其实一点也不“简单” !第一个session,吵架的吵架翻脸的翻...
22/07/2025

社交小组 Part 4 - 隐藏教学內容
【领导与团体合作能力】

除了既定的社交教学内容与活动
我也会分组让孩子们去讨论,
怎么把学习到的知识,
转换成 “简单”的poster。
但,这其实一点也不“简单” !

第一个session,
吵架的吵架
翻脸的翻脸
发呆的发呆
霸占主权的霸占主权
看热闹的看热闹
跑厕所的跑厕所
🤣🥹😂😳🤯
然而这些
都是意料之内的事喔!

作为一个【很故意】型的治疗师,
我就是故意要制造这样的机会 😎
让冲突有机会产生
我就可以借机教导孩子。
孩子碰钉子了,
我提点一下,
孩子们竟然都愿意去try again,
尝试不同的方式去处理。

在安全的环境里
不断的尝试和犯错
都。没。有。错。

到session 5,
孩子们的团队合作能力
和表达与呈现能力,
刷刷刷的大提升。

==
这些做poster的环节
也不是PEERS里面的。
#我偏偏就是一个不爱照表操课的治疗师😉

我更喜欢按照
【多啦a梦百宝袋】的方式
依照每一个小组和组员的
需求、个性、能力
以及彼此间碰撞出的火花
来拟定教学内容。

还有,很多我自己加入的strategies,
其实是我借鉴青少年和成年自闭症个案的经历,
来揣摩出现阶段的孩子们需要什么,
尽可能避免他们也走上哥哥姐姐的【冤枉路】。
❤️🩷🧡💛💚💙🩵💜

#这就是为什么我很爱我的职业
#因为真的不会无聊喔
#大脑常常要急转弯好几百次
#看到个案进步真的很开心

📖 Transcend Psychology Centre’s First Blog Article is Out! 🌱We’re proud to share our very first article, written by our ...
17/07/2025

📖 Transcend Psychology Centre’s First Blog Article is Out! 🌱

We’re proud to share our very first article, written by our LeadClinical Psychologist, Ms. Ng Wei Yee — and it’s one that speaks to what so many silently go through:

“Silent Depression: How to Love Someone Who’s Struggling but Seems ‘Fine’”
👉 https://65d3e596.transcend-web-renewal.pages.dev/blog/silent-depression-how-to-love-

In this thoughtful piece, Ms. Ng gently unpacks what silent depression looks like — the kind that hides behind a smile, high-functioning behaviour, or the words “I’m fine.” It’s a quiet struggle, often missed by even the most caring partners, friends, or family members.

💬 Key insights from the article:
- How silent depression shows up differently from typical depression
- Why those who seem “okay” might still be deeply hurting
- The emotional impact on loved ones who want to help, but don’t know how
- Practical and compassionate ways to support someone going through this — without overwhelming them or yourself

Ms. Ng Wei Yee offers a grounded and empathetic perspective, reminding us that healing begins with understanding, presence, and gentle connection.

At Transcend, this is what we’re here for —
Expert, Evidence-Based Care for Every Stage of Life. 💙



📍 Address: F-02-01, Block F, 1, Jalan PJU 8/1, Neo Damansara, 47820 Petaling Jaya, Selangor�
🌐 Website: transcendpsychology.com�
📞 Whatsapp: 011 1105 7098

Professional psychological services including therapy, assessments, and social skills training. Led by Dr. Teh Shin Er (PsyD, BCBA), offering evidence-based care for all ages.

15/07/2025

【社交小组】Part 3. 看我如何用五花八门的方式得到孩子的专注力。 我很努力想要当一个很【酷】 的治疗师,但是最后还是回归老师的角色 🤣🤣🤣自闭和好动的孩子们,边界感 (personal boundary)真~~~的很弱。时常会【以为我们很熟了】, 就可以碰彼此 (直接熊抱对方的也有 😅),或占用他人的空间。每一堂课,我都会教导或提醒孩子,要如何尊重彼此的Personal space

10/07/2025

社交小组 Part 2
【委婉拒绝】 是怎样的?

(1) 很多年轻的成年自闭症人士,依然不理解【委婉拒绝】 是怎样的。他们需要等到一个明确的【我不要】,或【被骂】,才get到人家在拒绝他们。所以,我也特地的加入了教学里面。

虽然我用的是PEERS的教程,但是很多内容都是依据小组个案需求而添加或删减的。

上个周末的大主题 - 霸凌,也完全是额外加入的。

(2) 背景超多声音的对吧?孩子们不断发出敲打声,稀稀疏疏的声音; 但你看 - 不影响大家的学习和认真参与。知道孩子们好动,我不会强迫【不要动来动去】, 因为【身体不动,大脑会开始分心】是ADHD的本质。 只要他们待在座位上,不互相干扰(如:触碰别人、聊天),我会让孩子们在可接受的范围内fidget。

祝福孩子在交友的旅途上,越来越顺利!


08/07/2025

Transcend 已经开业一个月啦!
短短不到30 天
就办完了11-14 岁青少年社交小组
为期10堂课的头5堂 (每次2小时)
#开业很忙但依然保持治疗强度

社交小组除了教提前准备好的内容外,
也包括 【看到什么就临场教什么】
很多的突发状况,例如
孩子之间无意的冲突
或孩子提出的新观念
都成了教学的环节。

是啊,自闭症孩子都会长大,
我们都希望他们能够融入社会 🥰
在青少年自闭症个案越接越多的情况下
青少年小组也第一次,开拓到8人一组
#小小朋友的保持一组4人而已

这里分享
1。
连基本的【座位有水壶/私人物品的话,就代表位子已经被选走了】也要教哦!而且,别人离开位子了,那位子你或许可以暂时坐(最好别坐),但人家回来了你要还他。

不夸张,几个11岁的组员都出现了【抢位子】的问题。

很多时候,自闭症孩子会让别人跳脚 - 因为我们会觉得,他们的行为好像很【故意】。然而,很多我们社会上普遍认为【已经很明显】的社交规范,对于自闭症的孩子却依然要用很【黑白化】的方式去教;要不然,他们就只好通过不断的挫败/碰钉子,来学习.

Stay tuned for part 2 & 3!

🌈 Say Hello to Ms. Ng Wei Yee – A Rare Gem in the field of Clinical Psychology! 💎I am so, so thrilled to welcome Ms. Ng ...
03/06/2025

🌈 Say Hello to Ms. Ng Wei Yee – A Rare Gem in the field of Clinical Psychology! 💎

I am so, so thrilled to welcome Ms. Ng Wei Yee (Tiffany), Clinical Psychologist and university lecturer at TARUMT, to the Transcend Psychology Centre's team!

If you're looking for someone who truly gets kids, teens and adults — look no further. Before becoming a clinical psychologist, Ms. Ng worked extensively in the ABA field with children and also served as a motivational coach for teenagers.

Now, with a Master’s in Clinical Psychology and years of experience in both public and private settings, she brings the best of all worlds into therapy. From helping children with big feelings or developmental delays 🧸, to guiding teenagers through identity and school struggles 😥, to supporting adults with anxiety, depression, trauma, or burnout — she’s got you covered.

Ms. Ng is known for her calm, grounded presence, her ability to really listen, and her deep belief that healing starts with a safe and trusting connection. She uses evidence-based approaches like CBT, ACT, and compassion- focused therapy (CFT), while always seeing the human behind the struggle. 💛

Her rich and diverse background makes her a ✨rare✨ gem in the field — someone who can diagnose and treat children, adolescents, teens and adults. And, this is what TRANSCEND prides ourselves in - [ Expert, Evidence-Based Care for Every Stage of Life]

So if you’ve been wondering whether therapy could help you (or your child), come meet Ms. Ng Wei Yee. She is now accepting new clients – please whatsapp TRANSCEND to schedule with her!

==
🥳 We have OFFICIALLY opened today, on June 3rd, 2025 🥳
We will try to answer all inquiries within these 2 weeks, but we hope for your kind understanding that given my extensive caseloads and waiting list, and Ms. Ng's growing clientele, it might take us longer to return your message.

We seek for your kind understanding and support. Thank you so much and see you soon at Transcend!

📍 Address: F-02-01, Block F, 1, Jalan PJU 8/1, Neo Damansara, 47820 Petaling Jaya, Selangor
🌐 Website: transcendpsychology.com
📞 Whatsapp: 011 1105 7098

🚗🚆🚁PARKING INSTRUCTIONS 【停车指南】🚀✈️⛵️Here are the links to two videos that show the entry into Plaza Neo Damansara and its...
01/06/2025

🚗🚆🚁PARKING INSTRUCTIONS 【停车指南】🚀✈️⛵️

Here are the links to two videos that show the entry into Plaza Neo Damansara and its parking lot:
以下是两段视频的链接,内容分别展示了如何进入Plaza Neo Damansara以及找到停车场的位置:
https://youtu.be/2N3CTQADgqM
https://youtu.be/YEXK1W4EyyI

==
🚗 Parking Lot
After entering Plaza Neo Damansara, and after the first right turn — the parking lot is *immediately to your right hand side*! It's easy to miss, so do keep an eye out. If you do happen to miss it, no worries — just loop around and try again, as it’s a one-way street in the Plaza.
/
💵 Parking Ticketing System 停车场票卡系统
The parking system currently uses a traditional ticketing method, so ❗️❗️PLEASE PREPARE CASH (RM1, RM5, or RM10)❗️❗️

Transcend may not have enough change available for exchange.

Parking rates are approximately RM1–2 per hour, with a maximum of RM9 per day.
/
Per Neo Damansara's parking management staff, Touch 'n Go system is expected to be implemented by July 2025 — yay!

==
🚗 停车场
进入 Plaza Neo Damansara 后,*在第一个右转之后,停车场就在您的右手边*!
这个入口很容易错过,请务必留意。
如果不小心错过了也没关系——绕一圈再来一次就可以了,因为Plaza 里面是一条单行道。
/
💵 停车场票卡系统
目前停车场仍使用传统票卡系统,请❗️❗️自备零钱(RM1、RM5 或 RM10)❗️❗️

Transcend 可能无法为您提供找换服务。

停车费用约为每小时 RM1–2,单日最高 RM9。
/
根据 Neo Damansara 停车管理员工透露, Touch 'n Go 系统预计将于2025年7月上线。

==
There are PLENTING of parking spaces in LG1, B1, B2. The parking lot has never ever been full except for LG1; B1 and B2 are often quite empty. So no stress with finding parking k ❤️

See you all at Transcend!

30/05/2025

For those who are messaging us these few days, you will be getting an automated response that we are temporarily suspending WhatsApp services, as we are only officially opening on the 3rd of June. Because we are very busy with operations, here’s a sneak peek!

✨ Exciting News – We’re Officially Opening! ✨✨ 好消息!在我生日的今天😍,TRANSCEND 诞生啦! ✨怀着无比喜悦与感恩的心情,我正式宣布 —— TRANSCEND Psychology C...
29/05/2025

✨ Exciting News – We’re Officially Opening! ✨
✨ 好消息!在我生日的今天😍,TRANSCEND 诞生啦! ✨

怀着无比喜悦与感恩的心情,我正式宣布 —— TRANSCEND Psychology Centre 隆重开业!🥳🥳🥳

🪄关于我们的名字
TRANSCEND(意为“升华”)正是我命名的初衷 —— 在心理治疗的过程中,我始终希望协助来访者超越过往的自己,无论曾经经历了什么困难与创伤,都能朝自己想要的方向前进,发掘出内在的潜能与力量。这是一个疗愈、成长与升华的空间,陪伴您走过人生每一个阶段。

📍 地址:F-02-01, Block F, 1, Jalan PJU 8/1, Neo Damansara, 47820 Petaling Jaya, Selangor
🌐 官网:transcendpsychology.com
📞 电话:011 1105 7098 (Whatsapp)
📅 开业日:2025年6月11日,星期三

🙏我由衷感谢大家的支持 —— 6月与7月的slot已被全数预订。 你们的信任,是我继续前行的最大动力。

==
👩‍⚕️ 欢迎新成员:Ms. Ng Wei Yee
为了应对长达6️⃣个月的等候名单,我已诚邀临床心理学硕士与大学讲师 Ms. Ng Wei Yee 加入TRANSCEND!

除了成人治疗,她拥有丰富的儿童ABA经验,亦曾担任青少年的激励教练与辅导员。所以,Ms. Ng Wei Yee 也和我一样,可以为儿童、青少年与成人提供专业协助。未来,我们将由 Ms. Ng 协助处理部分转介个案,以提高服务可及性与缩短等候时间,同时维持我们一贯的专业品质。

👉 了解更多:https://transcendpsychology.com/team/ms-ng-wei-yee

==
💙 在 TRANSCEND,我们承诺以科学实证 (Evidence-based Therapy) 为治疗基础,提供温暖、真诚的临床心理治疗与行为治疗。

谢谢大家,我们Transcend见咯!

==
✨ Exciting News – We’re Officially Opening! ✨
With great joy and gratitude, I’m proud to announce the launch of TRANSCEND Psychology Centre! Where healing, growth, and transformation take place—across the lifespan.

🪄Our Name
Transcend Psychology Centre was named with a purpose—because transcending is at the heart of what I strive for in therapy. No matter your journey, no matter the pain or challenges you've faced, my goal is to help you rise beyond who you were and step into the potential you long for—or perhaps never even realized you had.

📍 Address: F-02-01, Block F, 1, Jalan PJU 8/1, Neo Damansara, 47820 Petaling Jaya, Selangor
🌐 Website: transcendpsychology.com
📞 Tel: 011 1105 7098
📅 Opening Week: Wednesday, 11th June 2025

🙏 I’m deeply thankful that all available slots for June and July have already been filled by existing clients. Your trust in my services means the world to me.

==
👩‍⚕️ Welcoming New Clinical Psychologist:Ms. Ng Wei Yee
To address our 6️⃣-month-long waiting list, I’m thrilled to welcome Clinical Psychologist and University lecturer - Ms. Ng Wei Yee to the team!

Aside from treating adult cases, Ms. Ng brings a wealth of experience working with children in the ABA field, and has also served as a motivational coach and counsellor for teens. With a Master’s in Clinical Psychology, she is well-equipped to support children, adolescents, and adults alike.

Going forward, some referrals may be attended to by Ms. Ng, allowing us to improve access and reduce wait times— while providing top - notch services.

👉 Learn more about her here: https://transcendpsychology.com/team/ms-ng-wei-yee

==
💙 At TRANSCEND, we are committed to evidence-based therapy and compassionate care. I’m excited to continue this journey and expand our services with integrity and sincerity.

See you soon at TRANSCEND!

==
ps: Happy Birthday to both Transcend and myself!! Both Geminis celebrating our birthday on 29th May!

Pss: Thank you interior designer Mr. Chew Weng Hong from SW studio, for your unwavering hard work, genius design, and master management skills. Transcend could not have happened within such a short time without you.

Psss: thank you to the BEST HUSBAND IN THE WORLD ( will keep his name private haha). And my BEST PARENTS IN THE WORLD. For everything you all do for me 😍😍


❤️🩷🧡💛💚💙🩵💜那天,线上的老师会议结束后,孩子的妈妈告诉我,在我和老师称赞她的努力时,她忍不住偷偷落泪了。她说:“一直以来,我从未得到身边人的赞赏。那一刻,感觉自己所有的付出终于被看见了。其实,身边的人可能有注意到,但从来没人真正表扬我...
21/03/2025

❤️🩷🧡💛💚💙🩵💜
那天,线上的老师会议结束后,孩子的妈妈告诉我,在我和老师称赞她的努力时,她忍不住偷偷落泪了。

她说:“一直以来,我从未得到身边人的赞赏。那一刻,感觉自己所有的付出终于被看见了。其实,身边的人可能有注意到,但从来没人真正表扬我,仿佛这一切都是理所当然的。”

原来,在成长的路上,我们常常忘了给予妈妈们他们需要的肯定。那些心酸、疲惫、无助感,都是我们旁人无法真正体会的。

事实上,真正需要一个拥抱的,往往是妈妈们——甚至是许多爸爸们。

当天下午,我接见一个新的成年个案,在理解到他小时候经历的种种不易时,我想起了早上那位妈妈的心声。于是,我对这位母亲说:“你真的辛苦了,恭喜你,孩子长大了。而且,他的能力也很棒!”

在与她的孩子互动时,我一次次惊叹于孩子的成长,也一次次对妈妈说“恭喜”。我的“恭喜”发自内心,同时也希望传递希望给这位母亲。当我说到第四遍时,妈妈笑着说道:“Doctor,你已经恭喜我很多次了!”

我哈哈大笑:“就是要恭喜你啊!走到今天,真的太不容易了!!”

==
各位父母、家长,
在这里,我想代表所有治疗师、医生、心理师、老师,真诚地对你们说:
“辛苦了,真的真的辛苦了。
你们的努力,孩子的进步,
我们都看在眼里,真的有看到。
没有你们的付出,孩子不会有今天。”

你们的付出不容易,我们深知其中的艰辛,
也由衷地敬佩你们的坚持与爱。

❤️🩷🧡💛💚💙🩵💜

有一个读者问了我这个问题:【孩子应该几岁时跟他们透露/解释他们的诊断呢?】这个问题其实非常非常的重要。所以我特地开了一篇和大家讨论一下。==我这里先把孩子的年龄大致上分为- 6岁以下- 7岁到11岁和- 12岁以上 (青少年)==一般上,如...
10/03/2025

有一个读者问了我这个问题:
【孩子应该几岁时跟他们透露/解释他们的诊断呢?】

这个问题其实非常非常的重要。
所以我特地开了一篇和大家讨论一下。

==
我这里先把孩子的年龄大致上分为
- 6岁以下
- 7岁到11岁和
- 12岁以上 (青少年)

==
一般上,如果孩子还小于6岁,
他的大脑发育空间还很大,
提早干预的成效也较高。
所以,家长一般上听到诊断结果之后,
更着重理解的是孩子接下来需要什么样的治疗或教育,
因此大多是不会问到这个问题的。
而我也不会去讲明和孩子沟通的时机。
毕竟我也需要在孩子往后的回诊中,
评估他们的身心灵发展与成熟度才来做决定。

==
然而, 7岁到11岁之间诊断的孩子,我会在他们的评估报告中放上这样的段落。供大家参考。

这是一个7岁(快要8岁)个案的报告 (化名)
Parents should also consider informing Jason of his diagnosis when he turns 11 or 12, or when he demonstrates enough maturity to understand and reflect on how his actions and attention skills could affect his day-to-day learning and interaction with others. They are welcome to engage in services with me at that time to elicit my help in providing psychoeducation on ADHD to Jason.

这是一个11岁个案的报告 (化名)
It is recommended that Amber learns about and have space to process her diagnoses. This session could happen soon or in 1 to 2 years’ time, when Amber has achieved more maturity. It is not recommended that parents wait till Amber turns into an adult before informing her of her autism diagnosis.

The importance of informing adolescents about their autism diagnosis lies in fostering self-understanding, empowerment, emotional well-being, improved social skills, and access to tailored support. It helps Amber and family to set realistic expectations, plan for the future, and develop advocacy skills while reducing stigma. This knowledge strengthens relationships, enhances communication, and promotes a more inclusive society, ultimately enabling adolescents with autism to lead fulfilling lives.

==
当然这些报告是所谓的formal report所以用词也会比较(含蓄?)。

我会额外和家长解释:
要知道孩子什么时候ready知道他的诊断呢?
其实很简单,你要观察的就是他【回来和你说什么】。

他ready的那一天,
就是当他从学校或社交活动回来之后,
会开始不定时的和你抱怨说:
😢:“妈妈,为什么我这么笨?我读来读去都不会。” (读写障碍)
😢:“爸爸,我同学最近都嘲笑我很怪/ 他们都不愿意和我玩。我也觉得我很奇怪。你觉得我奇怪吗?” (自闭症/社交障碍)
😢:“I just can’t fit in! 我就是参不进去!” (自闭症/社交障碍)
😢:“我觉得我好像很笨咯,常常都听不懂的?” (读写障碍/ 注意力不足)
😢: “我朋友一直说我话很多、一直插嘴、说我都get不到他们在讲什么。” (好动症/社交障碍)

😢:表达能力不好的孩子,会开始莫名的难过,情绪暴躁,或封闭自己。不少11-12 岁个案会开始和AI软件交朋友或诉苦。他们知道AI是假的,但他们也实在是太寂寞或太痛苦了。

也就是说
❤️‍🩹当孩子开始察觉到他似乎哪里和别人不一样、或
❤️‍🩹当他开始出现自我厌恶的心态、或
❤️‍🩹当他开始反思自己的举动却又同时表达出他无法克制自己的时候



这些就代表他的心智能力已经到达最基本需要出现的成熟度了。
他/她就应该要知道了。

==
就在上个星期天,一个10岁的自闭症兼好动症兼学习障碍(都是经由我诊断)的个案跟我说他是stupid的。我们的session学的是情绪认识与表达,谈到骄傲proud,我问他他的优点是什么,有什么是令他感到骄傲的吗?换几种方式问了,他都说:“根本没有,没有什么好proud的”。我为了鼓励他跟他说:“你道德教育考九十分啊!“, 他马上回我:”我其他科目都考10分啊!不是stupid是什么?“

❤️‍🩹这是一个自信心受创,已经开始极度厌恶自己的孩子。
(请不要件检讨父母 -- 父母非常爱他,也非常配合,但因为来诊断时年龄已经10岁,所以已经积累了很多年的“责骂”教育)。

还好我们治疗的第一个目标是他的沟通能力,所以在父母的配合下,他现在可以如此顺畅地表达出自己对自己的不满。

表达清楚后,大人们就知道:他ready了。征求父母的同意之后,我们会在下一个session和他好好解释他有ADHD和学习障碍。一般上,这个年龄的孩子,我都会使用好玩的影片和符合年龄所能理解的图像,去解释这些障碍是什么。

这个孩子还未足够成熟去理解和消化自闭症是什么,所以这个诊断我们会再等他大一点才告诉他。

==
青少年的个案,我一般在诊断结果出来就会和家长讨论应该如何让青少年知道。一般上在拿报告的那一天,就会和青少年解释了。

然后嘞,大部分青少年,其实心里有数了。

==
【为什么要和孩子说呢?】

其实很多读者不知道,我也看非常多的青少年和成人个案。
不少的成年个案都是三十几岁了,
在经历焦虑症甚至是忧郁症好几十年,
被refer来做更进一步的治疗时,
才在我这里得到正确的自闭症诊断。

你们知道,大部分个案得到诊断结果之后,下一个session回来,最普遍的反应是什么吗?

“我感到如释重负。”
“我这么多年来痛苦,终于有答案了。”

好几个个案,可以在短短的两到四次会诊间,就和我说
“我原谅了好大一部分的自己”
#写到这里我眼睛是湿的

成人neuro-divergent的个案的治疗,
我治疗的一大目标,就是
还他们一个正确的诊断,
还他们一个解释,
这就足以让好多个案和自己和解。

Many people are not aware, how powerful it is, to receive an accurate diagnosis. For those minds that have been troubled by self-doubt, plagued by self-hatred, tortured by the societal pressure to conform – receiving the correct diagnoses externalizes those blame.
#我有感写下,不想翻译,怕会破坏原本的意思。

ChatGPT 加持, 和翻译如下:
Many people underestimate the profound impact of receiving an accurate diagnosis. For those who have wrestled with self-doubt, endured self-hatred, and struggled under the weight of societal expectations—being correctly diagnosed can be transformative. It externalizes the blame they have carried for so long, replacing shame with understanding and opening the door to self-acceptance and support.

许多人低估了获得准确诊断的深远影响。对于那些长期挣扎于自我怀疑、承受自我厌恶,并被社会期望压得喘不过气的人来说,正确的诊断可以带来深刻的改变。诊断将他们长期背负的责备外化,以理解取代羞耻,并开启自我接纳与支持的大门。

==
但是,也有一些个案,还没有ready的其实是家长自己哦!

面对面露忐忑的家长我一般上还会送上这一句
“等你觉得他ready了,如果你怕在跟他沟通的过程中不顺利,或你怕不知道该如何开启这个话题时,你就回来找我就可以了。我会帮你们和孩子解释,陪你们走这段路。”

==
我个人很喜欢心理师的一个角色,
就是一个家庭或许不需要我一直一直的陪伴,
但当他们需要越级打怪的时候,我都会在。
各个关卡,
不论是意料之内或之外的,
我都会陪你走。

#一直都在

Address

Transcend Psychology Centre, F-2-01, Jalan PJU 8/1, Damansara Perdana,
Petaling Jaya
47820

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00
Saturday 09:00 - 17:00

Website

http://drtehshiner.com/

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