Reason for Referral: She was referred for behavioural therapy by the class teacher due to concerns about maladaptive behaviours. These included oppositional defiant behaviour, verbal hyperactivity, attention-seeking behaviour, hyper fixations, and echolalia. She also exhibited spitting and occasionally engaged in socially inappropriate behaviour.

Therapeutic Approach: In behavioural therapy an amalgamation of various techniques and approaches were used to cater the concerns. Before the start of therapy, classroom observations were made, and brief history was taken from the class teacher. In therapy, discrete trial training was used alongside positive reinforcement, for example visual schedules were used to mark the beginning and ending of an activity. This facilitated her understanding and reduction in hyper fixation and defiance. Some techniques were taught to the teacher to deal with classroom behaviour and increase compliance.

Parental case-history was taken, and counseling was done. It was aimed at generalization to promote desirable behaviour both at school & home.

Progress & Outcome: With repetitive sessions her insight was developed with use of social stories and interactive games. Once the rapport was built, the child showed progress in her behaviour; she became more compliant with instructions. Eventually, coming to therapy became a reward for the child as she liked being in therapy which was used as a positive reinforcement by the class teacher to promote good behaviour.

Just with a few sessions a tremendous change has been witnessed in the child, the therapy end-goal is to eradicate the maladaptive behaviours and replace them with socially acceptable behaviours so that the child eventually is better adjusted in the society.