Dulbarger's Psychodynamic Approach

Gio

S: Child was alert and compliant most of the time.

O: Sensory processing activities: jumping on the trampoline and crashing on pillow 10x5 sets; swinging in the hammock swing for 10 mins with slow to medium linear motion; static wheelbarrow while stacking peg numbers and Wilbarger's brushing protocol ( deep pressure and proprioceptive techniques; oral motor massage-MORE protocol) to improve self regulation, body awareness and work behaviors to facilitate learning and in preparation for table top activities.

-Behavioral modification techniques: positive reinforcements (verbal praises and chalkboard and a marker to scribble), therapeutic use of self ( active friendliness), and prompting and fading in order to improve compliance, impulse control, frustration tolerance and work behaviors.

-4 steps of Obstacle course for 10 rounds : knee walking, jumping on the trampoline and crashing on the pillow for 10 counts, picking puzzle pieces, crawling on the mat and placing the puzzle pieces on the puzzle board and walking to the speech therapist to read buddy bear book to improve motor planning and coordination, work behaviors, problem solving, attention, body awareness as well as provides sensory input.

-Caregiver feedback was provided.

A: Child was alert and compliant most of the time. He was able to follow the sequence of task for obstacle course with min verbal, visual and tactile cues. He was noted to exhibit good attention span with the speech therapist in answering questions from buddy bear book. However, he exhibited difficulty in distinguishing color of jumbo beads during the structured sit-down activity.

P: Continue plan of care as