Angel, I just wanted to say that Jacob was/is like this too. He totally loses the plot at the Doctor's and screams the place down, even if it's an appointment for me.....

I found with the CHN, Jacob was different as she let him come to her before doing anything at all. She also speaks in that 'way' that is very warm and friendly and inviting so he warmed to her quite quickly. I find it is much harder for Jacob to warm to men....

Like Kynan, Jacob needs personal space and time to adjust to new people and I think that's totally normal and understandable (the words "stranger danger" come to mind here - I'd prefer Jacob to be a bit cautious of people in the first instance rather than immediately getting friendly with them!)

Jacob's not too bad at new playgrounds or things like that, but we know his limits and he is quite clear about it when he wants to go home - he will say "bye (and wave to anyone around him LOL), car, home". If you don't start making a move shortly after that, then he starts to lose his rag a bit......before he could talk, he started going and getting in his stroller when he'd had enough. Before that, we'd wonder why he would get upset......so he worked out a way of saying "enough" and like you, I think it's important to respect that in our little ones. We don't like to be overwhelmed or fearful in our surroundings, so we shouldn't expect them to be either. Generally Jacob has a limit of around 45 - 60 minutes before he starts to get 'over' outings/visits etc.