Friday, January 30, 2009

Another Great Day

Sean did great at preschool and speech therapy today. There were still tears when he got dropped off, but they didn't last. His teacher is very impressed with Sean's ability to follow directions, take turns, and transition from one activity to another. I am impressed with how some of the things he is learning from other students are showing up in his daily life outside of the classroom. The most noticeable is dancing. Sean has always loved things that play music but he hasn't been much of a dancer. Since he started preschool and dancing to songs in a circle, he has started dancing to the music he plays at home. I am trying to catch it on video. His Elvis-like hip gyrations are pretty funny.

Sean did better on some of his oral motor exercises. He was able to "kiss" a bubble more than 90% of the time. This is exactly what it sounds like. The therapist blows bubbles and Sean tries to kiss the bubbles in the air. All the therapist wants to see is Sean making the proper kiss mouth movements. He doesn't actually have to catch the bubbles, but he doesn't know that. He tried to blow the whistles and kazoos again but still can't actually make sounds.

He did very well on his receptive language lessons. Those are simple exercises in following directions with verbal prompts. He did well with pointing to body parts, and he blew us all away by demonstrating that he has some basic understanding of colors. Overall, a great day!

Sean the Artist

Occupational therapy continues to go very well. The therapist wants to expand Sean's control over his senses by introducing him to a lot of sensory input in controlled settings. One tool she uses is a swing. I warned her that Sean was scared of swings, but she wanted to see how scared. On the second visit, she took him into the room with the big swing and Sean lost it. He was screaming and trying to climb on me to get away and this was just after seeing the swing. She wasn't even suggesting that he get on it.

Well, fast forward three sessions and Sean is swinging sitting down, laying down, standing up, on his belly. You name it, he's doing it. We just took it slow each session. Showing him how you make the swing go back and forth. How you sit on it. How Karen, the therapist, likes to swing. How Mom likes to swing. He started to imitate us and before long he was enjoying it. He even branched out on his own, figuring out how to make the chains twist together and make the swing go round and round.

He has made similar progress with coloring. He has always had an aversion to crayons. Anytime we would try to show him how to color, he would just switch off and ignore us. That's how he acted at the first therapy session, too. At the second session, he would at least hold the crayon. By the third, he was coloring a few very light lines at a time. At last week's session, he took a crayon from the tub on his own and colored this puppy dog. When Karen asked him to move to coloring some of the shapes, Sean followed her directions willingly. And his new skills are transferring outside of therapy. While we were in his behavioral therapist's waiting room, Sean sat down at the kids' table and colored on his own happily. This is one of his "drawings" that he did just for fun at the last therapy appointment. He chose the colors himself (and put the crayons away when he was done, by the way) and seemed to be taking great care with his design.

Karen considers Sean to have mastered his goals with the crayons. He holds regular crayons correctly and consistently applies the right amount of pressure. He can follow her lead and draw a straight line and a circle. Later on, he will have more complex goals but for now he gets a big checkmark in this particular box. She is very impressed with his progress.

Tuesday, January 27, 2009

Back to School, To Prove to Dad that I'm No Fool

Sean's second day was a little bumpier. The shock had worn off and he was a little ticked off to be abandoned again. He was pitching a fit when I dropped him off, but as the teacher's aide was walking him to the building a group of cute little girls enveloped him and they seemed to cheer him up.

The teacher said he continued to imitate the other kids in song time, but he didn't care to listen to story time so the teacher chose that time to do her one-on-one work with Sean. He still did well with his turn taking and his attentiveness.

And he was talking everyone's ear off. Unfortunately, he was telling everyone he wanted to "go home." I am happy that when he really wants something, he is willing to use his words.

Friday, January 23, 2009

Occupational Therapy


Sean has had three occupational therapy sessions, and I am very impressed with his progress. The therapist goes over the same lessons every session, including coloring, using scissors, lacing beads and putting together puzzles, and every session Sean gets better and more independent with the tasks. Here is an example of a "craft" project he did. Sean tore up the pieces of paper and some of them he cut with special orthopedic scissors. He squeezed the glue onto the paper and he pressed the pieces of paper into the glue. (Of course, he also wanted to pull all the pieces back off.) He mimicked most of the actions except squeezing the glue. He tried to do that one all on his own.

A Great First Day



Those were his teacher's exact words. There were tears when I dropped him off, but apparently, they were gone before Sean even made it down the hall to his classroom. When I picked him up, he was happy and relaxed.

Best news of all-Sean was taking his cues from his classmates. He sat quietly for circle time. All 25 minutes of it! He clapped to the songs when the other kids clapped. He stood up and jumped when the other kids jumped. That kind of peer modeling is exactly what we were hoping to see at preschool.

He also met with his new speech therapist today. She is taking two different approaches with Sean. First, she will be having him do oral motor exercises with a series of musical instruments. It starts with simple instruments like kazoos and whistles and each instrument in the hierarchy is harder to make sounds with. They will also require him to make very specific movements with his lips, tongue and cheeks. She thinks he may lack the muscle tone to actually form sounds correctly. After her first attempts with him, it appears she is correct. Sean attempted all three of the easiest instruments, and yet, he wasn't able to produce a peep.

Second, she will work with signs and vocalizations. Sean did a much better job on these lessons. I should interject here that we have been hearing quite a few new vocalizations from Sean and even a word here and there. He has been actively trying to imitate sounds and words that we use. Well, today he made spontaneous animal sounds including a dog's bark and horse's neigh when doing animal flash cards with the teacher. He also correctly used the signs "more," "eat," "sit," "stand," and "ball."

He got big smiley faces from both teachers for his attentiveness and turn taking. It really was a great first day.