III. Differential Diagnosis of Excessive Crying

Infant from6 months to3 years of age

• Difficulty in maintaining calm state

• Hypersensitive to stimuli: Touch, sounds

• Visual stimuli

• Poor rhythmicity

• Poor ability to habituate

• Other typesDefiant and negativeHyposensitive

• Multidisciplinary assessment

• Occupational therapy assessment

Relationship

Disturbances-Disorders

and Parenting Problem

RegulatoryDisorders

• High parental stress

• Insensitive parenting

• Ignoring of cry

• Failure to soothe

• Inadequate stimulation

• Poor fit between child’s need and style of parents

• ? Advice of family physician and pediatrician regarding management of cry

Medical illness ruled out

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