Dates and Types of Services: James is scheduled to attend weekly therapy appointments for 45-55 minutes in duration. Prior to the sessions, a review of his weekly behavior data will be conducted and pertinent issues will be addressed first, then skills training relevant to his healthy living plan, social skills, independent living, and prevention of sexually inappropriate behavior will follow. Therapy will consist of success oriented cognitive behavioral therapy. Other techniques that will be employed include (1) teaching strategies to increase satisfaction with his life, (2) teaching skills to increase motivation and decrease symptoms of depression (3) general skill rehearsal for emotion management (4) role modeling assertive and…show more content… Fluency- the interruption in flow of speaking, characterized by atypical rate, rhythm, and repetitions in sounds, syllables, words and phrases.
Voice- the abnormal production and/or absences of vocal quality, pitch, loudness, resonance and/or duration.
Further, it appears that James has Sensory Integration challenges. A person with this condition has trouble receiving and responding to information that comes in through the senses. Some people with a Sensory Integration disorder are oversensitive to things in their environment. Common sounds may be painful or overwhelming and activate a fight or flight response. James symptoms appear to fit the criteria for this disorder, specifically experiencing pain and feelings of being overwhelmed. Historical data show that when James becomes overwhelmed or experiences discomfort, he reacts physically and becomes volatile. This can be shocking to those around him because it appears random and are baffled by the behaviors.
James’ prior therapist reported the following with regard to his challenges with speech and getting his needs met through communication, “This does not come easily to him and he is often hard to understand”.
James’ file and reports from his previous provider indicate that his interactions are generally pleasant and appropriate with housemates, staff, and with professionals that work with him. He is low maintenance and is able to