Dr Elizabeth Green sees families who are concerned about their child’s social, emotional, physical and academic development. Some children have complex ‘neurodevelopmental’ problems:
- Autism -children with speech, language, communication and play and behavioural difficulties.
- Anxiety – overwhelming fears which make children scared, angry, emotional, sad and withdrawn. School and social ‘phobias’ which prevent children from going to school or playing with friends.
- ADHD - problems listening, processing and remembering information. Poor organisational and planning skills. Problems with self-regulation (settling and calming) and impulsive and reactive behaviours.
- Learning disorders – ‘normal’ children who struggle to read, write, spell and do math.
Dr Green’s paediatric practice can’t take online bookings. Bookings are made by contacting the practice on the provided phone contact. A referral is required from a doctor to see a paediatrician. A referral from a family doctor lasts for 12 months and from a specialist doctor 3 months.
Her consulting practice is by appointment only. It has no after-hours facility available. Urgent medical and crisis care is available at emergency departments of surrounding tertiary and children’s hospitals. They include Fiona Stanley Hospital, St John of God Hospital, Murdoch private emergency department and the Perth Children’s Hospital.
There are times when Dr Green’s practice is full and her bookings closed. She apologises for this and understands how worrying it is for parents when their child is not developing ‘normally’. Families can speak with their local doctor about other services.
Who else to consult?
- Child health nurses – assess the development of infants and young children and can liaise hearing and vision screens.
- Speech pathologists – identify problems with how children speak, comprehend, listen, understand and play. They may identify early autism symptoms.
- Occupational therapists – evaluate school readiness skills including behaviour, self-regulation and sensory and co-ordination problems.
- Physiotherapists – can help children with delayed crawling, sitting and walking. They assess kids with hypermobility or ‘bendy’ joints.
- Audiologists – check that kids can hear.
- Developmental optometrists – check that kids can see.
- School or private developmental and educational psychologists – identify school learning and attentional problems in students who are under-achieving or failing school. They do IQ (psychometric) testing. This documents learning strengths and weaknesses. It does not tell parents how funny, quirky, lovable or creative their child is and what amazing things they can do!
- Psychologists, clinical psychologists, counsellors, social workers, teachers and mentors – can take charge and facilitate appropriate intervention when a child suffers from severe anxiety, depression, cyberbullying or eating problems.
The child who gets sick quick and sicker quicker needs to be seen quickly!
If a child has any of the following they need urgent medical assessment at the nearest children’s or general emergency department or with the family doctor:
- Temperature – the very hot or extremely cold child
- Lethargy – floppy, no energy.
- Colour – very pale or blueish tinge to fingers, toes and lips.
- Breathing – very fast or very slow; gasping or wheezing.
- Heart rate – extremely rapid, irregular, or hard to detect.
- Headache – severe, especially if also very hot, irritable, vomiting or rash.
- Vomiting – if green bile, blood or dehydrated, i.e.: dry nappies or not much wee.
- Diarrhoea – frequent, not drinking or weeing, blood in pooh, abdominal pain.
- Rash – sudden onset in a pale, unwell child who is getting sick quick.
Mental health crises
Severe anxiety or depression, domestic violence, drug or alcohol use or ‘psychosis’ can result in a crisis situation. Attendance at a hospital emergency department may be necessary. Stay calm. If your safety or that of your child is at risk call the police.
Try to prevent this catastrophic situation. Never strike, hit or hurt a child. If your family have mental health problems act early. See a local doctor, psychologist, mental health nurse or social worker.
Contact a 24/7 crisis number or resource such as: