Assessments

Mindful Milestones focuses on paediatric neurodevelopmental concerns as well as related behavioural and psychological conditions. The work of the practice centres on considered assessments when a child’s development feels more complex or challenging.

Areas of Specialisation

Dr Sonia da Silva works with infants, children and adolescents from birth to 18 years when there are concerns regarding development, or differences in how your child progresses, copes, or engages with their environment.

Her training in Developmental Paediatrics allows her to consider both medical and developmental factors together, ensuring your child is understood as a whole rather than viewing these aspects in isolation.

These may include:

  • Developmental delays
  • Motor or coordination difficulties
  • Neurodevelopmental presentations requiring specialist evaluation

These concerns are approached thoughtfully and in context, recognising that development unfolds differently for every child.

When development feels more complex

Neurodevelopmental assessment is undertaken when there are concerns involving:

  • Attention, concentration and other executive functions
  • Learning difficulties
  • Behavioural regulation and hyperactivity
  • Language delays
  • Gross and fine motor delays
  • Social development

The focus is on understanding how a child is managing day to day, across home, school and social environments.

When further diagnostic clarity is needed

Where appropriate, diagnostic assessment may include consideration of:

  • Attention Deficit
  • Hyperactivity Disorder
  • Autism Spectrum Disorder
  • Specific Learning Disorders
  • Developmental Coordination Disorder
  • Global Developmental Delay
  • Emotional and behavioural difficulties
  • Communication disorders
  • Vision and Hearing impairments
  • Selective mutism
  • Avoidant restrictive food intake disorder
  • Intellectual disability
  • Sensory integration disorder
  • Social communication disorder
  • Congenital abnormalities

Any diagnosis is made carefully and discussed in context, serving to clarify your child’s needs and provide structured guidance and support, rather than define their identity.

What the Assessment Involves

Every child is different, and the assessment process is structured to individual needs. To develop a comprehensive understanding of your child’s development, information is gathered from multiple sources and combined with assessments to inform a thorough management approach.

Parent Consultation

A detailed discussion with parents about current concerns

Developmental History

A comprehensive review of developmental and medical history

School & Therapist Reports

Consideration of school or therapist reports where available

Physical Examination

Assesment of your child’s overall health and development

Anthropometry Review

 measuring and plotting weight, height and head circumference

Developmental Assessment

Use of appropriate diagnostic tools where indicated

Frequently asked questions

We understand that considering an assessment for your child can raise important questions. Here are answers to some of the most common ones before beginning this journey.

Will my child be labelled?

The aim of assessment is understanding. Where appropriate, a diagnosis may be considered, as this can provide meaningful clarity and help access appropriate support.

Parents often seek an assessment when something about their child’s development feels unclear, or when there are concerns relating to learning, attention, behaviour, emotional regulation or developmental milestones.

The initial consultation lasts approximately 90 minutes, followed by a 30-minute feedback session where findings and recommendations are discussed.

No. A referral is not required. Parents are welcome to contact the practice directly to enquire about an appointment.

With your consent, collaboration with your child’s school is encouraged. Schools may be asked to complete a short form outlining their observations and any concerns.

Please bring any previous reports, school feedback or relevant medical history that has not already been shared with the practice.

Parents receive detailed feedback and a written report outlining the findings and recommendations. This may include guidance for parents, referrals to allied professionals where appropriate, and recommendations for school support.

Learn more about what to expect at your consultation.