Reference no: EM133349984

Case Study: A 7-year old named Jacob was referred from school due to his poor attention and abnormal behaviour. He was reported to be constantly fidgeting, not following instructions, and hiding under the desk. Jacob did not engage in activities with his classmates and was also sensitive to light and noise. He, however, was able to understand some lessons and gave correct answers. Jacob is a product of full-term normal vaginal delivery and had normal developmental milestones. He walked at less than one year old and spoke his first words at 1.2 years old. There were complaints in kindergarten that he did not mix with other children as he was noted to be alone and was unable to engage in pretend games. In addition, he tended to repeat after people and flickered with his fingers. Teachers also noticed in kindergarten that he did not like a change in routine. Jacob has family history of ADHD, where his older 16-year-old sister has ADHD. On examination, the child had minimal facial expression, poor eye contact, no social smiling, and was flickering with fingers. He appeared with average dressing and hygiene. When asked questions, he did not answer any except for his name. He was either quiet or repeated the question after the doctor (echolalia). No significant medical findings noted

Question: What intervention strategies would you suggest for the family of Jacob? What steps should they take going forward?