Naya AX Report - 230515 - 152643 - 1
Naya AX Report - 230515 - 152643 - 1
Naya AX Report - 230515 - 152643 - 1
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Naya lives with her parents and sister in Male’. Her father works full time and her mother is
a stay-at-home mother. She enjoys spending time with her family and gets along well her
sister although she prefers playing by herself mostly when at home rather than with her sister.
Schooling
Naya will be attending baby nursery later this year.
BEHAVIORAL OBSERVATIONS
Naya was assessed over one day. At the time of assessing, she failed to maintain adequate eye
contact, was unable to engage and rapport was not established. She was playful, babbled and was
active with her parents. Throughout the session, she was mostly did not take notice of the
examiner.
Cyma Care Clinic
M. Nalahiya Manzil, 8th Floor, Fareedhee Magu
Male’, 20274, Republic of Maldives
Phone: +960 7901920 Email: 2
info@cymacare.com.mv
Private & Confidential
EVALUATIVE PROCEDURES
1. Pediatric Symptom Checklist -17
2. Autism Screening Instrument for Educational Planning – 3
3. Gilliam Autism Rating Scale 3rd Edition
4. ADHD Rating Scale IV – Preschool Version
5. Vineland 3 – Comprehensive Parent/Caregiver Form
Internalizing 5 5
Attention 6 7
Externalizing 1 7
Total Score 12 15
Results of ratings from Naya’s mother reveal notably elevated scaled score in the subscale areas
of Social Interaction, Restricted/Repetitive Behaviours and Emotional Response. Social
Interactions refer to social behavior such as showing little or no interest in others people, not
initiating conversations with others, and showing minimal expressed pleasure with peers or
others. Restricted/Repetitive Behaviors may include stereotyped behaviors, or fixated interests,
routines, or rituals. Parent ratings reveal that Naya is demonstrating behaviors associated with
the Autism Spectrum Disorder at Very Likely levels in the home setting, and that these behaviors
are limiting her academic and social interactions. Results include an Autism Index standard
score of 78, with the probability of ASD being Very Likely with a DSM-5 Severity Level for
ASD of Level 2 – Requiring Substantial Support.
COM - Receptive 3
COM - Expressive COM - Written DLS - Personal DLS - Domestic
2 DLS - Community
Private & Confidential
SOC - Interpersonal Relationships
SOC - Play and Leisure SOC - Coping Skills MOT - Fine Motor 13
MOT - Gross Motor 10
12
10
9
9
11
14
12
1 2 3 4 5 6 7 8 9 101112131415161718192021222324
v-Scale Scores
Adaptive Behavior
The Adaptive Behavior Composite (ABC) provides an overall summary measure of Naya’s
adaptive functioning. Her ABC standard score is 67, with a 95% confidence interval of 64 to 70.
Communication Domain
The Communication domain measures how well Naya exchanges information with others. Her
Communication standard score is 51, with a 95% confidence interval of 41 to 56. This
corresponds to a percentile rank of <1.
Naya’s Communication domain standard score is based on her scores on three subdomains:
Receptive, Expressive, and Written. The Receptive subdomain assesses attending, understanding,
and responding appropriately to information from others. Naya’s Expressive score reflects her
use of words and sentences to express herself verbally. The Written subdomain score conveys an
individual's use of reading and writing skills.
Naya's v-scale scores are 3 for Receptive, 2 for Expressive, and 13 for Written. Pairwise
difference comparisons among these scores show that the Written score is significantly higher
than the Receptive and Expressive score.
Daily Living Skills Domain
SUMMARY
On the Pediatric Symptom Checklist-17, Naya’s cognitive, emotional, and behavioural
functioning is within the normal range.
On the ASIEP-3, Naya’s behaviors were consistent with features of Autism and indicated that it
was Very Likely.
On the Gilliam Autism Rating scale Naya scored 78, with the probability of ASD being Very
Likely with a DSM-5 Severity Level for ASD of Level 2 – Requiring Substantial Support.
On the ADHD Rating Scale IV – Preschool Version (ARS IV – Preschool Version) Naya’s
behaviors were inconsistent with symptoms of ADHD.
Lastly, on Vineland 3 Comprehensive Parent/Caregiver form, Naya portrayed relative strengths
in Motor Skills, relative weakness in Communication and Socialization domains.
It is highly recommended that Naya receives speech therapy as it will help her to communicate,
help her academically in being able to listen and understand her lessons, play and relate to others
and also help her to regulate her own emotions.
RECOMMENDATIONS
1. Psycho-educate the parents on the nature of Naya’s problems.
2. Inform her school about Naya’s challenges.
3. Let Naya know what will happen next in situations. Such as, “After you finish your
homework, it is time to have dinner”.
4. Give Naya choices on things. Such as, “Would you like to eat bread and Nutella or an
omelet for breakfast?”
5. Plan a schedule for Naya’s day so she knows how her day will go.
6. Distract and redirect problematic behavior instead of saying “stop” or “no.”
7. If Naya seems over stimulated from sensory input, such as in a large crowd, bring her to a
quieter place to de-stress.
8. Preferential seating (front of class, near teacher, away from distractions).
9. Repeat and simplify directions: Oral directions simple and clear, give examples,
periodically ask Naya to repeat instructions, demonstrate how to approach tasks.
10. Give regular breaks while studying.
11. Positive reinforcement: Positive verbal or written feedback, reward systems and
incentives, specify tangible goals and reinforce with incentives.
12. Teach self-monitoring strategies.
13. Firm, consistent, predictable limits, rules and consequences.