Behavioural Problems

Why do behavioural problems occur?

As children develop, it is common for them to face emotional and behavioural difficulties as they transition through their life stages. These difficulties may be due to naturally occurring events such as a child’s growth and development. Such increase in behaviour difficulties is age-appropriate and reflective of a child’s developmental stage. For example, the ‘terrible twos’ or the teenage struggle to develop independence. Other times, it may be due to stressful situations such as a loss of a loved one, separation of parents, new sibling, or a transitional change to a new city. An increase in behavioural difficulties in response to stressful situations is normal, and in most children, the behaviour fades over time.

What types of behavioural difficulties are there?

Generally, there are two main behavioural difficulties which children present with: externalizing and internalizing behaviour. Externalizing behaviours are aggressive or argumentative behaviours which may cause conflict for the child in school or at home. Internalizing behaviours are withdrawn behaviors where the child loses interest in things which was once enjoyable. It is important for parents to look out for both types of behavioural difficulties.

When should I seek help?

One of the main struggles facing parents of children with emotional or behavioural problems is deciding whether the child’s behaviour is age-appropriate and normal, or out of the norm and requiring additional professional attention. Generally, there are 4 main guidelines which parents can use to help families make the decision to seek a professional evaluation.

Duration of Behaviour: How long has your child been displaying this behaviour? If the behaviour continues to persist after an extended period of time without subsiding. There is a possibility that there are additional emotional difficulties impacting the behaviour of the child.
Intensity of Behaviour: How intense is the behaviour? Whilst it is normal for children to have behavioural difficulties such as temper tantrums, if the intensity of the behaviour is extreme, these is a possibility that additional support is required.
Impact of Behaviour: How does the behaviour impact your child and family? Has the behaviour causing eating or sleeping difficulties? Is the behaviour dangerous to your child or other people?
Age of the Child: Is your child’s response age-appropriate? Whilst children develop at different rates, extreme deviations from age-appropriate behaviour is a cause for concern.

If you have concerns about your child’s behaviour, it is important to seek professional support to get a better understanding of the underlying issues which may be impacting your child’s behaviour. This can be done through a consultation with a clinical or educational psychologist. Generally, research has shown that the earlier the child receives intervention, the better the outcome would be. Children who have untreated behavioural disorders may grow up to be dysfunctional adults.

Is there treatment available for such problems?

Treatment for behavioural difficulties is multifaceted and dependent on the particular disorder and factors contributing to the behaviour. There are several evidence based interventions which are often used to support children with behavioural difficulties, such as: parental education, family therapy, cognitive behavioural therapy, social skills training, and anger management. Experts have found that early intervention that focuses on both the child and the family unit generally lead to best outcome. With support, children who have behavioural difficulties are able to cope and live fulfilled lives.

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Price

Tele-consultation (within Singapore)

10 minute Consultation	General Paediatrics Case	Sub Specialty Case
1^st Consult	$90	$120
Follow up	$50	$80

Additional charges may apply for extended consultation with the doctor.

Delivery of Medication (within Singapore):

A standard delivery fee of $15. Medications will be delivered to you within 3 hours.
Please note the following surcharges apply to the following area:

Orchard Road – $2, Tuas – $4, Sentosa and Airport – $10

*Tele-consultation (outside of Singapore) is only applicable for Sub Specialty Follow up.

10-minute Consultation – $100
Additional charges may apply for extended consultation with the doctor.
Medication delivery is subjected to availability and customs restrictions.

Appointment Times

Tele-consultation hours are per clinic operating hours.
Please refer to the link : https://www.sbcc.sg/location/ to know your clinic operating hours.

Terms & Conditions

Thank you for choosing SBCC's Tele-Consultation service. At SBCC, we strive to provide you with a seamless and effective healthcare experience. Our Tele-consultation service is different than other providers as we can schedule a tele-consult with your preferred paediatrician through our Platform.

Please go through the below terms and conditions for our Tele-Consultation process including your rights and responsibilities of this platform. These Terms and conditions, together with our privacy policy constitute an agreement between you and Healthway Medical group.

If you are having a MEDICAL EMERGENCY, please DO NOT use this service or platform. Please call EMERGENCY SERVICES (Call 995) immediately.

Tele-Consultation is a web platform to perform audio/video consultations with your doctor and solely relies on information provided by you. It is not a substitute for in-person medical consultations.

Every attempt will be made to provide responses to your questions within the stipulated response time. However, do not delay seeking medical attention from your doctor or hospital, under any circumstances.

Information you provide during Tele Consultation must be accurate and related to your medical condition. Additionally, you agree to update and maintain such information on this platform and our Clinic Management System to ensure that it is true, accurate, current and complete.

For video consultations, please do ensure that you have a stable and decent bandwidth internet connection to host a video consultation, or else the video and audio quality may not be up to the required standards.

Video Session Privacy, Security & Etiquette: It is required that the patient prepares ahead of time to participate in the Video Consultation, in a quiet and private place. There must be no audio/video recording of the video session by the patient.

Failure to comply with the above requirements can result in termination of the video session with no refund or rescheduling of the consultation.

All patients below the age of 16 years must be accompanied by a parent/legal guardian

All cases will be subject to approval by the physician or nurse

FAQ

What is SBCC’s Tele-consultation service?

In the current COVID-19 situation, parents may be hesitant to bring their little one to clinics. With this tele-consultation service, you may consult a paediatrician on non-urgent clinical matters without leaving your home.

Is Tele-consultation platform suitable for everyone?

Healthway Medical’s tele-consultation service is suitable for patients with non-emergency illnesses.
All patients below the age of 16 years must be accompanied by a parent/legal guardian.
If this is your FIRST time consulting an SBCC doctor, this service is suitable if your child is 5 years old and above.
If you are KNOWN patient to the consulting doctor, children less than 5 years old will be considered for tele-consultation
All cases will be subject to approval by the physician or nurse.

What do I need to proceed with this consult?

All patients below the age of 16 years must be accompanied by their parents/legal guardian.
Your child’s and parent’s photo identity (to be shown at the beginning of the consultation)
Your exact address where you are performing the consult
A recent weight of your child
A mobile phone and credit card
A computer/device which allows you to perform video-conferencing
A quiet and conducive environment

What medical conditions are suitable for Tele-consultation?

Cough, cold, runny/blocked nose, sore throat
Fever < 5 days
Diarrhoea, constipation, mild vomiting
Mild and gradual onset rashes (days) and skin irritation/itch
Itchy or slightly red eyes
Sleep problems
New visit screening consult for chronic symptoms or for second opinion to discuss possible diagnosis, follow up and management plan

FOLLOW-UP for stable chronic conditions such as asthma, allergic rhinitis, food allergy, eczema, constipation, juvenile arthritis, chronic urticaria

What medical conditions are not suitable for Tele-consultation?

Children who are lethargic or have poor activity
Children who are not passing urine well
Children who are drinking < 50% of their normal intake
Children 38⁰C
Chest pain
Trauma (Suspected fracture or dislocations (severe pain, open wounds, deformity, severe bruising or swelling, loss of sensation, limb weakness etc.)
Severe or sudden onset headache
Shortness of breath or difficulty of breathing
Fits or seizures
Significant stomach pain of any form
Quick onset and severe rashes occurring all over the body
Sudden numbness, weakness or slurred speech
Mental health conditions

What do I do if it’s urgent?

If your child is experiencing a medical emergency, please call an ambulance at 995 or make your way to the nearest Accident & Emergency department immediately. If it is not an emergency, but you/your child do not meet the requirement for telemedicine please call our clinics for an appointment. If you need mental health support, please call SOS Hotline (1800-221 4444).

How do I arrange for Tele-consultation?

1. Fill in the online registration form and make an appointment with your preferred paediatrician.
2. Complete the payment details before submitting the online registration form.
3. You will receive an SMS and Email to confirm your registration.
4. As the tele-consult request needs to be approved by the paediatrician, you will receive an SMS and Email confirming your request.
5. You will receive a video consultation link by SMS and Email when your appointment is near.
6. Click the link to start your consultation.
7. Once complete, you will receive a link by SMS and Email on the amount payable to the clinic.
8. If you have selected delivery of medication, a delivery fee will apply to your final bill amount.

What are the charges for the delivery of Medication within Singapore?

A standard delivery fee of $15.00 will be charged for medication delivery within Singapore. You will receive your medication within 3 hours.

Please note the following surcharges apply to the following area:

Orchard Road - $2
Tuas - $4
Sentosa and Airport - $10

Doctor Name	Doctor Specialty (Special Interest)
Dr Alison Joanne Lee	Paediatric Medicine (Allergy & Immunology)
Dr Chan Kit Yee	Paediatric Medicine (Cardiology)
Dr Charmaine Teo	Paediatric Medicine
Dr Jenny Tang	Paediatric Medicine (Asthma, Lung, Sleep & Allergy)
Dr Martha Liu	Paediatric Medicine
Dr Nancy Tan	Paediatric Medicine (Gastroenterology, Hepatology & Nutrition)
Dr Natalie Epton	Paediatric Medicine (Neonatology)
Dr Ratna Sridjaja	Paediatric Medicine
Dr Wong Chin Khoon	Paediatric Medicine
Dr Ng Ying Woo	Obstetrics & Gynaecology*

Is Tele-consultation platform available for me if I am outside of Singapore?

Tele-consultation outside of Singapore is only applicable for FOLLOW-UP for pre-existing and stable chronic conditions.
All cases will be subjected to approval by the physician.
Medication delivery is subjected to availability and customs restrictions.

Is Tele-consultation available with our Obstetrics & Gynaecology Specialist?

Tele-consultation is also available with our Obstetrics & Gynaecology specialist
To book an appointment, either call our clinic at 6774 1654, Whatsapp/SMS at 9633 3784 or email sbccwomenclinic.clementi@sbcc.sg