This is the case of Jan Merick a 12-year-old male exhibiting cluttering disorder. He attended 4 therapy sessions.
Jan Merick was easily distracted and was impulsive. He showed escape behaviors (i.e. ‘hindi ko po alam’) during clinician-directed activities but was compliant most of the time (90% OTT). Behavior modification techniques such as modelling, cueing, and use of positive and negative reinforcements were used to manage his behavior.
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Goals and performance of the patient are as follow:
GOALS ACTIVITIES/MANAGEMENT PERFORMANCE REMARKS
To be able to spontaneously reduce his speech rate during reading tasks, 90% OTT. Oral motor syllable training program
Breathing exercises
Reading tasks
Memory Games: Forward recall of numbers and…show more content… He was able to reduce the rate of his speech 50% OTT spontaneously otherwise given verbal and visual cues Continue goal
To increase attention span through answering questions regarding a story heard He was able to answer questions correctly, 70% OTT otherwise needed verbal prompts and visual cues Continue goal
To increase auditory memory through memory games He was able to repeat up to 5 numbers, and 4 words spontaneously otherwise needed verbal, auditory, and visual cues Continue goal
To improve verbal reasoning through problem solving tasks He was able to perform this spontaneously 80% OTT otherwise needed verbal cues Continue goal
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Respectfully recommending the following to address the problems:
1. Counselling regarding the importance of the carry-over of goals at home to his parents and the patient
2. For dyad speech and language therapy, once a week, focusing on:
a. Rate reduction fluency shaping strategies during reading tasks and
