This question always hits me hard. I am not used to it. No one ever asked me this, when I was I child. I had to adapt to the demands of authorities and people in charge. I had to function. I had to be quiet. No one ever asked me what I needed, what I wanted. So it´s a fairly new concept to ask questions like this:
Is there anything I can do to help you? Is there anything you want? What would make it easier for you? Wow!