I had mentioned to Dan that it was his 90 day review. We consistently are looking at progress that is being made and re-assessing areas to further address in therapy. It is something that we do with every child. In Sebastian’s session prior to yesterday I was talking to Dan about possible areas that are still difficult for Sebastian at home and in school right now. He had mentioned the difficulty with tolerating doctor’s appointments and getting his haircut. Thank you for filling out the sensory profile, it gave me better insight in how Sebastian responds to different sensory stimuli in his environment. According to the results Sebastian has poor sensory modulation. He seeks sensory input at a higher rate than most children his age, at times he is bothered by sensory input more than children his age, he is aware of sensory input in his environment more than others his age and he may also miss sensory input at a higher rate than others within his environment. Sebastian is a child who needs lots of movement to feel self-regulated and to successfully engage in activities of daily life. He is easily distracted by the external sensory input in his environment: visual, auditory which limits his ability to attend to age appropriate play activities. He avoids different textures, smells and tastes and seeks movement. As a result of poor sensory modulation Sebastian presents with maladaptive behaviors that interfere with his ability to successfully engage and attend to age appropriate activities within his environment.
He has made a great amount of progress in the areas of: transitioning to bedtime with visual schedule and use of calming bedtime routine. Dan told me has fallen asleep 4-5 times this past week without any problems. He has made great gains in transitioning from preferred to non-preferred tasks, improved attention to fine motor tasks seated at the table to 10 to 15 minutes and increased independence in dressing skills such as taking his shoes and socks off and putting his shoes and socks back on with a little help for initial hand placement and to attend visually to task.
He continues to show need to address fine motor grasp pattern to work towards an efficient pencil grasp pattern in preparation for handwriting, increasing his independence in following morning routine to brush teeth, wash hands and dress self with initial assist by parent/adult. He also would benefit from continued focus on tolerating new experiences within his environment in order to be able to go to the doctor’s office, dentist, etc without demonstrating maladaptive