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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here. Thank you everyone. I am going to need to get more specific, direct, and structured - writing out what breaks and stuff he MUST take and then additional as needed. And instead of abstract, I think telling him that repetitive behavior is annoying and giving that silent cue maybe, reminding him that he can’t repeat the same things, is a more difrect helpful way to go.

You’re all right that hanging loose is a recipe for disaster.

He has been in approx 3x/month therapy for nearly three years, but so much of that was COVID time and while we continued on zoom therapy, I feel like we haven’t spent enough on social interactions? We talk about distress tolerance a lot, naming your emotions… but there’s gonna be a lot more to cover. We spent months on getting him to willingly engage in personal hygiene for example and made huge and hopefully permanent strides on that specific thing. But the social stuff has been insufficient, clearly. There’s so much territory to cover.[/quote]

I would talk to the therapist about the need for help with social skills (and possibly look into a social skills group).  My child presents pretty similarly and has been in twice a week therapy for years and separate social skills therapy with a speech therapist.  That therapy provides a frame of reference for discussing appropriate behavior.  My child did very well with his younger cousins recently but with his older cousins on the other side of the family, he has much more trouble (a lot more talking only about his interests, etc).  Good luck.[/quote]

I agree. It really should be weekly b/c chances are there are so many things happening to him each week that he won’t always remember the bug things each week. Def, discuss social interaction![/quote]

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