A Case Study of Adam, a Dyslexic Child

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Adam is a 4;00 year old boy, who was referred to the LRC in June 2004 due to parental concerns regarding his communication skills with other children, social relationships, and general development. Adam's parents attended an initial intake interview with Dr Eman El Sayed on the 6th June, 2004. Following the intake it was recommended that Adam would be assessed by members of the LRC Child Development Team. The two assessing clinicians were Donia Fahim, Speech and Language therapist and Eman El Sayed, Paediatric Psychiatrist.

Adam attended the LRC on the 28th June, with his mother and father. Both clinicians were present during the assessment.

This report must be referred to in conjunction with the neuro-developmental assessment conducted by Dr Eman El-Sayed.

Case History

Please refer to the initial intake report.

The following is a summary of the assessment findings based on informal assessment and parental report aged 4;00 years. Although Adam is exposed to English at nursery his predominant language is Arabic and therefore this was the language used during the assessment.

Behaviour, Play Skills and Pragmatics

Regarding Adam's behaviour, Adam's social skills and behaviour are mildly delayed and more like a child aged between 3;00-3;06 years. His parents reported in the intake that Adam's use of eye-contact is inconsistent with adults and peers. Adam's eye-contact was observed to be within the normal range. He made and maintained eye-contact appropriately.

His attention skills do affect his use of eye-contact, in that if he is not attending to what is being said he will not look at the adult.

Adam appropriately initiated with the therapist, his mother and his father. He used language appropriate...

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Use simple language to comment on Adam's actions during every-day activities.

Do NOT ask Adam questions that require him to label or comment.

Use specific language and gestures to praise Adam. For example, when he sits at the table he should be told, "Adam you are doing good sitting."

Adam should be told what you want him to do and NOT what you don't want him to do. For example, if he throws a cup on the floor, the adult should say "Pick the cup up" and NOT "Don't throw your cup on the floor"

Spend 5 minutes daily playing with Adam, which is his special time and he chooses the toys and activities. During this time Adam should not be pressurised to talk. The adult playing with Adam should wait for him to start the talking, not direct his play and comment on his actions. This will be demonstrated in detail during the parent child interaction sessions.

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