Good behavior is often negotiated. Physical coordination is a challenge for him His hand and foot movements were choppy, not fluid and it was apparent that his timing was severely skewed.
Although cooperative, he would often speak to himself or
make comments that didn’t fit the topic. He showed little
muscle tolerance for the foot exercises, and had a great deal of nervous itching/twitching.
After 25 sessions, over 45,000 repetitions, significant changes were observed in Aiden’s level of function.Conclusion Aiden’s parents reported improvement in these areas:Focus/concentration, multi-tasking, coping skills, and rhythm/timing. He needs less supervision when doing homework. His teacher commented that his ability to attend in class had improved.As his therapist, I observed improvement in Aiden’s ability to understand directions. He is less impulsive,more patient with himself, and shows more tolerance for the many challenges of the program. He no longer tries to negotiate rewards for good behavior. He has better focus, improved visual and auditory processing speed, much better rhythm, coordination, and motor skills, and there is less “random” talk. As we neared the last 5-6 sessions he demonstrated more of selfawareness of his accomplishments and bolstered selfesteem.
