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Jason is 2 years and 4 months old. His mother has been concerned for the last6 months or more as he is saying very little. As a baby, he did not babble. He will point to things he wants or screams. Recently he has said ‘gone’ and ‘bye-bye’ and he can understand simple commands.
He does go to family members, but avoids cuddles and will often just ignore other people. He enjoys books for a short while and will turn several pages at a time. He also enjoys lining up toy cars in a row, but there are no other obsessive behaviours and he apparently copes with change. He does not sleep well, waking often in the night. His mother goes in and gives him a dummy and holds his hand. Observing Jason, he was very difficult to engage and no words were heard. A high pitched squeal was apparent when he became frustrated, which was frequent. He built a tower of 9 cubes and enjoyed playing with the toy cars and form boards.
- What diagnosis should be considered?
- What would you do if you saw this child?
- Which professionals should be involved?
- Are any investigations indicated?
- Are there any other issues that need to be discussed?