A four and a half-year-old boy was accompanied by his parents. He looked overactive and wandered around the room. On direct questioning and asking his speech was incomprehensible and it was very difficult to understand specific words. His mother said he speaks in English. people with this disorder use various communication modes which include speech, conventional gestures, picture symbols, facial expressions, vocalizations, unconventional signals and assistive technology (Benaron 2009). The communication modes were applied to the boy and he showed some positive change. Eye contact was limited, which is a social skill he struggled with, something that most children are not afraid of (Hanbury 2007). On looking at him straight to the eye, the boy could not respond by looking back directly. From the observation, this case fits in the Autism Spectrum Disorders category.
During birth the boy had no complications. he was robust and developed normally until he showed the first signs of delayed milestones. A healthcare provider was contacted and the boy was screened for the delayed milestones and help was given. At three months of age, he started using vocalizations (Cooper 2004). He developed delayed communication, although he developed a good rapport with his mother. He was unable to identify body parts and a learning program was suggested, he seemed to catch up. His social skills became abnormal. He seemed not to hear at times, had poor eyesight, poor response to his name, does not respond to touch and other feelings, he plays on his own and does not ask for assistance when he needs some (Benaron 2009). The boy takes a Risperdal name of treatment which was prescribed by a psychiatrist.Ethics involved acting in an appropriate manner, with due diligence and care in the execution of duties (Szatmari 2004). Various communication approaches were used and clinical decisions were made on alternative communication techniques on the boy. The relevance and reliability of the available evidence, expertise of the clinical staff and the client’s perspective on the consent of using a family member were put into consideration.