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Who We Support
Attention Deficit / Hyperactivity Disorder (ADHD)
What is Attention Deficit Hyperactivity Disorder (ADHD)?
Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood mental disorders and in many cases continue into adulthood. Symptoms of ADHD include:
- Inattention (not being able to keep focus)
- Hyperactivity (excess movement that is not fitting to the setting)
- Impulsivity (hasty acts that occur in the moment without thought)
An estimated 8.4% of children and 2.5 % of adults are diagnosed with ADHD. ADHD is often first identified in school-aged children when it leads to disruption in the classroom or problems with schoolwork. It is more common among males than females.
There are three main types of ADHD:
- Inattentive type
- Hyperactive/Impulsive type
- Combined type
Many adults with ADHD do not realise they have the disorder. A comprehensive evaluation typically includes a review of past and current symptoms, a medical examination and history, and use of adult rating scales or checklists.
Please consult our SEN Officer or a qualified psychologist in the community if you are experiencing difficulties or unsure of your own conditions.
Is ADHD Curable?
There is no permanent cure for ADHD, but the symptoms can be managed. Studies showed that the combination of behavioural therapy and medication can improve the symptoms of ADHD. Behavioural therapy such as ways to minimise distractions and increase structure and organisation is useful for people with ADHD. It is also helpful to have immediate family members involved.
At CityU, we undertake need assessments to reflect each individual’s unique circumstances. We highlight a person’s strengths and make clear recommendations for overcoming potential barriers to success.
We can also ensure that you are provided with the assistive equipment, software and technology that you need for effective learning.
Eligible students can request a list of modifications assigned to address individual needs in your learning, including separate classroom arrangement and extra time in examinations, etc. Further information about special examination considerations can be found here.
Self-Screening Test for ADHD
Hong Kong Association for AD/HD
http://www.adhd.org.hk/adult-adhd-assessment.aspx
This adult self-report survey is in Chinese, providing a quick screening on ADHD symptoms.
Disclaimer: This is a list of screening tools put together by SDS to offer CityU students free screening tests. The tests are aimed as a self-reference only. CityU is by no means responsible for the testing and any damage caused as a result of doing the screening tests. You may use these screening tests at your own risk. Please consult a qualified psychologist if you are unsure of your own conditions.
Further Information
For further information and guidance on ADHD in a wider context, please see:
- American Psychiatric Association
https://www.psychiatry.org/patients-families/adhd/what-is-adh - Education Bureau, Hong Kong
https://www.edb.gov.hk/tc/edu-system/special/resources/serc/adhd.htm - Hong Kong Association For AD/HD
http://www.adhd.org.hk/
Joe had been diagnosed with inattentive type of Attention Deficit Hyperactivity Disorder in early secondary school
years. Prior to accessing the Student Development Services (SDS) and being referred for counselling, he received no support other than prescribed attention medication. In the second year of his study, he found that he could not cope with the academic demands and took a deferral of studies. Joe missed his summer exams but returned for re-sits. It was during this period that he first sought assistance from SDS. As a result of this approach, Joe consulted the educational psychologist on a bi-weekly basis, to discuss strategies and techniques to address the impact of his inattention on his studies.
Joe was successful in his re-sits and progressed into the third year of his study, continuing to meet regularly with his psychologist. He spoke about how he struggled to complete work and felt unable to contribute to seminars, tutorials and especially group activities. Losing track of the date and time of the meetings, he often felt guilty of not working on the schedule. When Joe did work, he was dissatisfied with what he was doing and would dwell on this, which would further undermine his ability to concentrate. On the other hand, Joe often made verbal blunders towards his peers, which made him feel stupid and alienated from his peers. This created a cycle of low motivation for Joe and ultimately led him to believe that he couldn’t work effectively at all. Added together, Joe expected that he would show himself as incompetent to his classmates and be humiliated.
In response to his weak concentration, the psychologist coached Joe in training his executive functioning. This approach helped improve his short-term working memory, time management and prioritising. Tools such as time organizers, watches with alarms, visual organizational aids and checklists are used. Mindfulness techniques were taught to guide Joe. Further, he was invited to review, reflect and troubleshoot the problems with the psychologist on a regular basis. Gradually, Joe found himself to be punctual for lectures and group meetings, and was calmer and exercised more emotional control in front of peers.
By the end of the third year, Joe had re-established himself on his study and successfully progressed into the fourth year. By the time Joe commenced his final year of study, he felt well enough to be able to end his regular counselling sessions. The educational psychologist had great help with Joe solving his biggest problem in campus life.
If you experience similar struggles or problems, please contact us at the Student Development Services. We would like to hear from you.
Autism Spectrum Disorder (ASD)
What is Autism Spectrum Disorder (ASD)?
Autism spectrum disorder (ASD) is a developmental disorder that affects social interaction, communication and
behaviour. It is known as a “spectrum” disorder because there is a wide variation in the type and severity of symptoms people experience. Although autism can be diagnosed at any age, it is said to be a “developmental disorder” because symptoms generally appear in the first two years of life.
In the United States of America, it is estimated that 1 in 59 people has autism (Centers for Disease Control and Prevention, 2019). ASD is also three to four times more common in males than in females, and many females with ASD exhibit less obvious signs compared to males. Even though autism is a lifelong condition, many people diagnosed with ASD go on to live independent, productive, and fulfilling lives.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a guide created by the American Psychiatric Association for diagnosis of mental disorders, people with ASD have:
- Difficulty with communication and interaction with other people:
- Have trouble making friends and relating with colleagues
- Rarely share the enjoyment of objects or activities with people
- Have difficulties reading people’s facial expressions
- Find it hard to understand social cues or ‘hidden agenda’
- Restricted interests and repetitive behaviours:
- Hand flapping
- Toe-walking
- Playing toys with a unique and unusual way
- Speaking in an odd pattern or pitch
- Need for predictable routine
- Unusual sensory needs
- Greater risks for medical conditions:
- Mental illnesses
- Sleep problem
- Seizures
Please consult our SEN Officer or a qualified psychologist in the community if you are experiencing difficulties or unsure of your own conditions.
Is ASD Curable?
The wide range of issues people with ASD face means that there is no single best treatment for ASD. Medical treatment to alleviate symptoms such as irritability and attention problems is one of the options. In addition, behavioural, psychological, educational, or skill-building interventions are common treatments for people with ASD. These programmes are typically highly structured and intensive and may involve parents, siblings, and other family members. The programmes may help people with ASD to:
- Learn life skills necessary to live independently
- Reduce challenging behaviours
- Increase or build upon strengths
- Learn social, communication, and language skills
At CityU, we undertake need assessments to reflect each individual’s unique circumstances. We highlight a person’s strengths and make clear recommendations for overcoming potential barriers to success.
We are keen to ensure that you are provided with the assistive equipment, software and technology for effective learning.
Eligible students can request a list of modifications assigned to address individual needs in your learning, including separate classroom arrangement and extra time in examinations, etc. Further information about special examination considerations can be found here.
Further Information
For further information and guidance on ASD in a wider context, please see:
- American Psychiatric Association
https://www.psychiatry.org/patients-families/autism/what-is-autism-spectrum-disorder - Education Bureau, Hong Kong
https://www.edb.gov.hk/tc/edu-system/special/resources/serc/autism.html - National Institute of Mental Health
https://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-asd/index.shtml
Mark was recognised as having Asperger's Syndrome (a kind of ‘high functioning’ ASD) after starting his university
life. A schedule of accommodations was provided in discussion with him, taking into account the specific difficulties he was experiencing. Mark was also referred to an educational psychologist for regular individualised support. In addition, he met with the SEN Officer every couple of weeks to review his support.
One of the main challenges experienced by Mark daily was hypersensitivity to noise and lighting; this caused him extreme discomfort and made it difficult for him to concentrate as he was unable to filter out the distractions. Mark had developed many strategies to help him to manage this issue such as sourcing quiet locations to study and wearing earplugs in exams. However, in some situations, these strategies were not practical.
Mark was experiencing particular difficulties concerning the set-up of the open plan tutorial delivery for one of his courses and the associated noise levels. He stopped going to the tutorial due to the increasing anxiety and frustration caused by the noise. As attendance and submission of the tutorial solutions were counted towards the grading, it was essential to explore possible solutions to alleviate the barriers Mark was experiencing and prevent him from being disadvantaged. In discussion with his tutor and staff within the department, it was agreed for Mark to have individualised tutorials for the remainder of the semester, helping him participate in the tutorial sessions and complete the compulsory work whilst options for longer-term solutions were discussed.
It was ultimately agreed that a separate, quiet room for small group tutorials would be an acceptable, viable and appropriate long-term solution. Collaboration among the SEN Officer, academic staff and Mark was essential in making these arrangements to ensure that he received appropriate support promptly, which enabled him to participate fully in his course of study.
If you have similar struggles or problems, please contact us our SEN Officer. We would like to hear from you.
Chronic Illness
What is Chronic Illness?
Chronic illness is an umbrella term that affects physical health in long duration and generally has slow progression. There is a wide variation in the type and severity of symptoms people experience. Examples of common chronic diseases include:
- Hypertension
- Heart disease
- Stroke
- Cancer
- Chronic respiratory diseases
- Diabetes
Many people with chronic illness may require constant care and support financially and emotionally. Please consult our SEN Officer at SDS if you are experiencing difficulties.
Usually, people with chronic illness have medical reports from a medical doctor. With the submission of the medical evidence, we are keen to ensure that you are provided with the assistive equipment, software and technology that you need for effective learning.
Eligible students can request a list of modifications assigned to address individual needs in your learning, including separate classroom arrangement and extra time in examinations, etc. Further information about special examination considerations can be found here.
Michelle was recognised as having chronic kidney disease since high school in which there is a gradual loss of
kidney function. She needed to visit the hospital every week for treatment. Michelle met with the SEN Officer at the start of the university study for specific support. With the submission of her medical reports to AIMS, a schedule of accommodations was provided in discussion with her, taking into account the specific difficulties she was experiencing.
One of the main challenges experienced by Michelle daily was her leg swelling and tiredness during the day, causing her extreme discomfort and made her difficult to concentrate for a long period. She managed this issue by sourcing quiet locations to study and wearing earplugs in exams. Examination accommodations such as extended time at a separate venue with frequent breaks were applied to Michelle, allowing her to have better focus.
If you have similar struggles or problems, please contact us at the Student Development Services. We would like to hear from you.
Physical and Sensory Disability (Colour Blindness, Hearing Impairment, Physical/Mobility Disabilities, Visual Impairment)
What is Physical and Sensory Disability?
Physical and sensory disability is an umbrella term which consists of several conditions that may more or less have an impact on a student’s life. Physical disability may affect a person’s mobility, dexterity or stamina on a long term basis. Sensory disability, on the other hand, affects one or more senses: sight, hearing, smell, touch, taste or spatial awareness. Sight and hearing loss are common sensory disabilities. Some other common conditions are:
- Colour Blindness (Colour Vision Deficiency): It is the decreased ability to see colour or differences in colour. People with colour blindness will have difficulty distinguishing certain colours, such as blue and yellow or red and green.
- Hearing Impairment: Hearing loss can be acquired for a variety of reasons, ranging from disease early in childhood, difficulties during childbirth, to reactions to toxic drugs. They may exhibit a delay in language skills or a tendency to social isolation.
- Physical/Mobility Disabilities: refer to disability that is caused by a number of permanent, temporary or intermittent conditions such as diseases of the central or peripheral neurological systems, cerebral palsy, arthritis, muscular dystrophy, multiple sclerosis (MS), or traumas and diseases of the musculoskeletal systems.
- Visual Impairment: a decreased ability to see to a degree that causes problems not fixable by usual means, such as glasses.
A person may have one or more disabilities. A disability may exist from birth or be acquired later in life. It may not always be apparent, for example, epilepsy or a brain injury from an accident. While some disabilities could interfere with a student’s academic pursuits, people with the same disabilities may have different capabilities just like anyone else.
Our SEN Officer at SDS can discuss with you the specialised types of support you might need. We highlight a person’s strengths and make clear recommendations for overcoming potential barriers to success.
We are keen to ensure that you are provided with the assistive equipment, software and technology that you need for effective learning.
Eligible students can request a list of modifications assigned to address individual needs in your learning, including separate classroom arrangement and extra time in examinations, etc. Further information about special examination considerations can be found here.
Further Information
For further information and guidance on physical and sensory disabilities in a wider context, please visit:
- SAHK
https://www.sahk1963.org.hk - Education Bureau, Hong Kong
https://www.edb.gov.hk/tc/edu-system/special/resources/serc/pd.html - The American Association of People with Disabilities
https://www.aapd.com/
Ashley has a number of eye conditions which result in her having extremely limited vision of both eyes. She contacted the Student Development Services (SDS) at the beginning of her first semester, and it was clear that, in addition to the provision of a range of support and accommodations, Ashley would also benefit from the provision of assistive technology in order to enable her to access all elements of her studies.
Although the advisory staff within SDS are skilled and trained in the use and application of a very broad range of assistive technologies and software, there are occasions when even more specialised knowledge and expertise are required. Consequently, SDS worked with The Hong Kong Society for the Blind (HKSB, 香港盲人輔導會), and referred Ashley to them for a detailed assessment of need. This also allowed her to trial equipment which is not available at SDS.
Ashley met with HKSB staff in October and they were able to let her try out a range of equipment which had practical benefits for her studies. These included a digital voice recorder to record lectures, a laptop with Windows and MS Office and a ZoomText magnifier, optical magnifier and monocular telescope. The equipment enabled users to enlarge and adjust text size and utilise text to speech functions, which also minimised the need for human support and enabled users to maximise their capacity for independent learning.
Ashley had settled into her studies and made effective use of the equipment. On completion of her degree, most of the equipment will be returned to SDS so that it may be used by other students in future.
If you have similar struggles or problems, please contact us at the Student Development Services. We would like to hear from you.
Mental Illness
What is Mental Illness?
Mental illness refers to a wide range of mental health conditions – disorders that affect mood, thinking and behaviour. Examples of mental illness are depression, anxiety, early psychosis, eating disorders and addictive behaviours. Many people have mental health concerns from time to time. But a mental health concern becomes a mental illness when ongoing signs and symptoms cause frequent stress and problems in one’s daily life, such as at school, work or in relationships. Mental illnesses appear in many forms: some are mild and only interfere in limited ways with daily life, such as certain phobias (abnormal fears). Other mental health conditions are so severe that a person may need care in a hospital.
Mental illnesses, in general, are thought to be caused by a variety of genetic and environmental factors such as inherited traits, stressful life situations, brain damages, or drugs. In most cases, symptoms can be managed with a combination of medications and talk therapy (psychotherapy). Examples of signs and symptoms include:
- Feeling sad or down
- Confused thinking or reduced ability to concentrate
- Excessive fears or worries, or extreme feelings of guilt
- Extreme mood changes of highs and lows
- Withdrawal from friends and activities
- Significant tiredness, low energy or sleeping problem
- Detachment from reality (delusions), paranoia or hallucinations
- Inability to cope with daily problems or stress
- Trouble understanding and relating to situations and people
- Alcohol or drug abuse
- Major changes in eating habits
- Sex drive changes
- Excessive anger, hostility or violence
- Suicidal thinking
Please consult our SEN Officer at SDS or a qualified psychologist in the community if you are experiencing difficulties or unsure of your own conditions.
Is Mental Illness Curable?
Mental illness is treatable. The need for treatment takes into consideration how severe the symptoms are, how much
symptoms cause distress and affect daily living, the risks and benefits of available treatments and other factors (for example, psychiatric symptoms complicating other illnesses).
Mental health treatment is based upon an individualised plan developed collaboratively with a mental health clinician and the individual (and family members if the individual desires). It may include psychotherapy (talk therapy), medication or other treatments. Often a combination of therapy and medication is the most effective, while complementary and alternative therapies are also increasingly being used.
Self-help and support can be very important to an individual’s coping, recovery and well-being. Improved lifestyles supports mental health and its recovery. A comprehensive treatment plan may include individual actions (for example, having good nutrition, support groups, exercise or adequate sleep) that enhance recovery and well-being.
At SDS, we undertake need assessments to reflect each individual’s unique circumstances. We highlight a person’s strengths and make clear recommendations for overcoming potential barriers to success. Our specialist at SDS can work with you on an individualised basis delivering specialised types of support to cope with symptoms in order to improve health, wellness and function.
Eligible students can request a list of modifications assigned to address individual needs in your learning, including separate classroom arrangement and extra time in examinations, etc. Further information about special examination considerations can be found here.
Further Information
For further information on mental illness in a wider context, please see:
- Department of Health, Hong Kong – Emotional Health
https://www.studenthealth.gov.hk/tc_chi/emotional_health_tips/eht_eh/eht_eh.html - National Institute of Mental Health – Help for Mental Illnesses
https://www.nimh.nih.gov/health/find-help/index.shtml - World Health Organization (WHO) – Mental disorders
https://www.who.int/mental_health/management/en/
Case Study
Peter had been diagnosed with depression and social anxiety by a psychiatrist at high school. Prior to accessing the Student Development Services (SDS), he received no support other than prescribed anti-depressant medication. Peter was provided with the support of a counsellor, who met with him on a weekly basis, to discuss strategies and techniques to address the impact of his depression and anxiety on his studies.
During the counselling sessions, Peter spoke about how he struggled to concentrate, arrive on time, and complete tasks. He felt unable to contribute to seminars, tutorials and especially group activities. This made him feel stupid and out of his depth. He also felt fear of participating in group projects and presentations as he might show himself as incompetent in front of his classmates and be humiliated. Although he could make friends and socialise with them, he felt his enjoyment was always spoiled because he would feel guilty that he was not working hard enough. When Peter did work, he felt dissatisfied with what he was doing and would dwell on this, which further undermined his concentration. This created a cycle of low motivation for Peter, ultimately leading to a belief that he could not work effectively at all.
In response to these issues, the counsellor took an initial focus on helping Peter get his sense of purpose back by asking basic questions, such as ‘Why this subject?’, ‘What interests you in it?’, ‘Why is it important to get a degree?’. These questions were related to Peter’s situation considering the fact that inertia is a symptom of depression that makes people feel unmotivated. Good study habits were built around =the REVIEW – PLAN – PREPARE cycle. Reviewing his work each day helped Peter see that he was achieving things. Planning helped him know what he had to do next and how he should get the thing done. Preparation helped him understand that he could manage his anxiety about tutorials, seminars and group projects by clarifying the learning objectives, main themes and key readings for his subject. In addition, the counsellor introduced Peter to the Pomodoro Technique to improve his concentration. This approach helped alleviate the effects of anti-depressants on his short-term memory. For Peter himself, it is important to take frequent breaks and break tasks into smaller, manageable parts. The counsellor also helped Peter determine how he could enhance his approach to group work by using ‘ice-breakers’ such as ‘I notice that you did X, that was really good, can you tell me about it? ’.
By the end of the first year Peter had re-established himself on his study and successfully progressed into the second year. By the time Peter commenced his third year of study, he felt well enough to be able to end his regular counselling sessions.
If you have similar struggles or problems, please contact us at the Student Development Services. We would like to hear from you.
Specific Learning Difficulties (SpLD)
What is Specific Learning Difficulties (SpLD)?
Specific Learning Difficulties (SpLD), or dyslexia, is a disorder that affects how language is learnt and processed. It is likely to be present at birth and usually run in families. SpLD does not imply low intelligence. In fact, there are many bright and creative individuals with dyslexia who never learn to read, write, and/or spell at a level consistent with their intellectual ability.
SpLD affects 1 in 10 individuals worldwide, many of whom remain undiagnosed and receive few or no intervention services. For some individuals who have never been diagnosed, SpLD is a hidden disability which may result in underemployment, difficulty navigating academic environments, difficulty on the job and reduced self-confidence. Even those who have been diagnosed are likely to struggle with reading or writing in some aspects of their lives. SpLD can have a significant impact on individuals’ learning and acquisition of literacy skills.
Individuals with SpLD usually have more than one of the following difficulties:
- Make more grammatical and spelling errors
- Omit words in reading comprehension
- Fail to use punctuation appropriately in written work
- Have slow reading and writing speed
- Have difficulties with organisation, expression and accuracy of written work
- Have difficulties blending sounds in words (e.g. phonemes)
- Have fine and /or gross motor coordination difficulties
Please consult our SEN Officer at SDS or a qualified psychologist in the community if you are experiencing difficulties or unsure of your own conditions.
Is SpLD Curable?
Currently, there is no cure for SpLD. However, individuals with this condition can learn coping strategies. Study skills, learning strategies, essay writing skills and time management, etc. are important coping strategies which help individuals with SpLD. Based on your conditions, our counsellor or psychologist at SDS can provide individualised training and support.
We also undertake need assessments to reflect each individual’s unique circumstances. We highlight a person’s strengths and make clear recommendations for overcoming potential barriers to success.
We are keen to ensure that you are provided with the assistive equipment, software and technologies that you need for effective learning.
Eligible students can request a list of modifications assigned to address individual needs in your learning, including separate classroom arrangement and extra time in examinations, etc. Further information about special examination considerations can be found here.
Self-Screening Test for SpLD
International Dyslexia Association
https://dyslexiaida.org/dyslexia-test/
This brief, 10-question self-assessment tool is a quick screening for SpLD symptoms.
Davis Dyslexia Association International
This free screening assessment of SpLD will give a profile of learning strengths and weaknesses. The survey has 5 pages with 41 questions in all.
Disclaimer: This is a list of screening tools put together by SDS to offer CityU students free screening tests. The tests are aimed as a self-reference only. CityU is by no means responsible for the testing and any damage caused as a result of doing the screening tests. You may use these screening tests at your own risk. Please consult our specialists at SDS or a qualified psychologist if you are unsure of your own conditions.
Further Information
For further information and guidance on SpLD in a wider context, please see:
- Hong Kong Association for Specific Learning Disabilities
https://asld.org.hk/ - Education Bureau, Hong Kong
https://www.edb.gov.hk/tc/edu-system/special/resources/serc/spld.html - British Dyslexia Association
https://www.bdadyslexia.org.uk/educator/what-are-specific-learning-difficulties
Case Study
Daniel was a final year student when dyslexia was first recognised. Without support in place, he found the study consistently challenging and had failed examinations every year. He had specific difficulties with memory and speed of processing information.
He found the fast pace of lectures hard to grasp and reported major difficulties in maintaining concentration. His slow speed of handwriting and difficulty writing legibly impeded his ability to take effective notes in lectures. Consequently, he had difficulties recalling what the lecturers had said.
As lectures often include references to visual information such as graphs, Daniel was given special approval for having an in-class audio recording. By replaying the lectures in his own time, he could process the content by stopping and starting the recording as required.
Daniel was also provided with PowerPoint presentations in advance of lectures which enabled him to produce a print-out of the slides during the lectures. This reduced the amount of information he had to write as he could annotate the slides. In his final exams, he was not penalised for poor spelling, grammar, punctuation or structure in exam scripts and was given 25% extra time.
If you have similar struggles or problems, please contact us at the Student Development Services. We would like to hear from you.