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Mitch was six years old when his family contacted me. He had been

diagnosed as having autism spectrum disorder two years earlier by a multi-discipline clinic at a university medical school. Autism spectrum disorder (ASD) is a developmental neurological disorder characterized by atypical development in social interactions and in communication. Mitch, a six year old, has trouble making eye contact with listeners. His expressive language is vague: his sentences are long enough and have the right grammar and syntax (word order) but the words he chooses do not quite communicate his meaning and the listener has to work extra hard at decoding the message. It is hard to have a conversation with Mitch: he tends to monopolize the talking, works hard to steer it toward one of his favorite subjects and does not appear to be listening when it is the other person's turn to talk. He has trouble with focus and attention: he is quite distractible. He has two favorite subjects (farm tractors and the carved images at Mt. Rushmore)) and doesn't really talk much about anything else. He does not play very much with other children at school or in the neighborhood and interacts mainly with adults. Mitch periodically has bouts of anxiety and it is much harder for him to focus when that is happening. In speech therapy, among other objectives, we practiced looking at the listener and using just exactly the right word(s) to answer questions.
Read about autism Spectrum Disorder in your DSM-5 and then, using the internet, The "Cross-Cutting Measures," in Course Content, and any other resources you can find, share with each other different forms of treatment that might be appropriate for Mitch in the above scenario.  Be sure and look at the information on Case Formulation as well.

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