Case Study

1. Case Study Interactive Metronome

2. Paul • Male, 6 years, 7 months • 3 weeks, 10 1-hour sessions • Does not like getting hands wet • Letter reversals • New and novel is anxiety provoking • Has occasional meltdowns • Getting ready in morning is a battle • Chewing on non-edible items • Reading still needed more improvement • Stating that he does not have friends at school • Motor planning issues • Ocular motor issues Do not use or distribute without written permission.

3. LFA (2/21/2018) Do not use or distribute without written permission.

4. Averages Do not use or distribute without written permission.

5. LFA (3/15/2018) Do not use or distribute without written permission.

6. Averages Do not use or distribute without written permission.

7. April 10, 2018 • Increased frequency in bowel movement • Gross motor coordination improving • More fluid playing ball • Caught the beat dancing, a first for him • Appears stronger in his body • Still emotional meltdowns but less in frequency • More empathetic • States he is not social at school, but no issues reaching out to neighbourhood friends • Doing chores once per week now • Improvement in memory • Can be ready quickly for school depending on mood • Improved reading skill, though still at slower pace. • Attention is improving • Teacher reports no concerns socially or academically Do not use or distribute without written permission.

8. LFA (7 / 2 / 2018) Do not use or distribute without written permission.

9. Averages Do not use or distribute without written permission.

10. LFA (7/16/2018) Do not use or distribute without written permission.

11. Averages Do not use or distribute without written permission.

12. Henry • Age 6 • June 6, 2016 to June 17, 2016 • 1 hour per day for 10 days Concerns: • Praxis • Somewhat dysregulated / Anxiety • Talking loud in class • Working memory • Possibility of reading issues Do not use or distribute without written permission.

13. LFA (June 6 / 6 / 2016 Do not use or distribute without written permission.

14. Averages Do not use or distribute without written permission.

15. LFA (6/17/2016 Do not use or distribute without written permission.

16. Averages Do not use or distribute without written permission.

17. July 20, 2016 • Selective listening improved • Improved motor, can skip now • Able to start swimming instructor • Wants to swing all the time now • Taking more risks with body • Waits till last minute before going to bathroom • Improved writing skills • Symbol / sound association improving • Sibling issues, comparing himself negatively Do not use or distribute without written permission.

18. LFA (8 / 8 / 2016) Do not use or distribute without written permission.

19. Averages Do not use or distribute without written permission.

20. LFA (8/19/2016) Do not use or distribute without written permission.

21. Averages Do not use or distribute without written permission.

22. September 13, 2016 • Picky eating • Jumping into pool by himself • Doing all kinds of flips with his body • Ok with head inverted now • No more bucket swing, on regular swing – learning to pump his feet • Drawing stick figures now, but finally willing • Explosive outbursts still • More confident overall • Still needing to be in control of play, but more flexible with sister • Expanding into imaginary play • Telling more jokes • Getting dressed improved, still frustrated with socks • Identifying letters and numbers now • Transitioned back to school with no issues • Reversals in letters • Time concepts emerging: before, after, yesterday, tomorrow Do not use or distribute without written permission.

23. LFA (6/19/2017) Do not use or distribute without written permission.

24. Averages Do not use or distribute without written permission.

25. LFA (6/30/2017) Do not use or distribute without written permission.

26. Averages Do not use or distribute without written permission.

27. Peter • 6 years, 1 month – male • 10 days, 1-hour daily • Regulation difficulties • Sleep and eating too little • Handwriting poor • Ability to connect ideas need to improve • Table top work triggers behaviors • Resistive to adult directed requests • Reading comprehension challenging Do not use or distribute without written permission.

28. LFA (8/19/2013) Do not use or distribute without written permission.

29. Averages Do not use or distribute without written permission.

30. LFA (8/30/2013) Do not use or distribute without written permission.

31. Averages Do not use or distribute without written permission.

32. LFA ( 5/26/2014) Do not use or distribute without written permission.

33. Averages Do not use or distribute without written permission.

34. LFA (6/6/2014) Do not use or distribute without written permission.

35. Averages Do not use or distribute without written permission.

36. October 29, 2014 • Multiple circles of communication in DIR/Floortime sessions with ongoing sustained engagement over 2 hours one-on-one. • Increased ideation • Expanding play ideas and sequences • More even pacing through activity • More focused on “being different” • More systematic in math step sequences • Increased fluency in meta-cognition • One-on-one teacher – increased working memory • More willing to engage in verbal reasoning with sequencing and fluidity Do not use or distribute without written permission.

37. October 7, 2015 • Social triggers for regulation – seeks movement • Verbal expression improved • Working memory • Tested gifted • Not as resistant to reading • Reading decoding improved strongly • Phonetic spelling really good Do not use or distribute without written permission.

38. LFA (12/16/2015) Do not use or distribute without written permission.

39. Averages Do not use or distribute without written permission.

40. LFA (12/31/2015) Do not use or distribute without written permission.

41. Averages Do not use or distribute without written permission.

42. January 27, 2016 • Improved eye hand coordination • Catching throwing ball • Handwriting improved, less slanting • Increased awareness of emotions • Sometimes misinterprets non-verbal cues • Wants to be part of a group, not sure how • Overall better socially • Reading well • Written expression challenging • Working memory difficulty still persists Do not use or distribute without written permission.

43. LFA (6/13/2016) Do not use or distribute without written permission.

44. Averages Do not use or distribute without written permission.

45. LFA (6/24/2016) Do not use or distribute without written permission.

46. Averages Do not use or distribute without written permission.

47. July 27, 2016 • Increased independence • Defiance toward authority • Expanded interests • Recalling past events • Verbal expression good, may still lack a little in spontenaity • Gets angry and pushy, but no meltdowns • Success important • Skipped one grade at school Do not use or distribute without written permission.

48. John • 6 years, 1 month (ASD) • Loud places overwhelming • World is scary, more aware • Still working on balance • Obsessed with coloring • Wants to write now / seeking words to spell • Trying to overcome fear of stove / toaster • Concrete preferred, not abstract • Still aggressive from time to time • Expresses need to be more independent at school • Perfection in lieu of executive functions • Wants to “fit in” Do not use or distribute without written permission.

49. LFA (12/1/2014) Do not use or distribute without written permission.

50. Averages Do not use or distribute without written permission.