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Question
Brian was a three-year old whose mother requested treatment to address his frequent aggression toward himself and others. She said that whenever she told him 'no,' he hit her and sometimes hit his head on the ground until she relented and gave him what he wanted. At the intake appointment, the therapist asked more questions about Brian. Although Brian smiled at the therapist when she came in, he then proceeded to play on his own and no longer maintained eye contact. His mother reported that his language had always been delayed, but she attributed this to the family speaking three different languages at home, and him learning pieces of each of them. During the interview Brian could not open a box so he brought it to his mother and put it in her lap to open, then went back to what he was doing once she opened it without saying anything to her or the therapist or looking at them. Mother reported that Brian often had difficulty with attention but could focus very well when engaged in something he liked to do. However, she said that it was difficult to get him to transition from one activity to another, and.
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