James' Success Story:

Intellectual & Developmental Delay

 

Student Information

Name: James*

*actual name replaced

Gender: Male

 

Age: 13 

Diagnosis: Learning Delay

Evaluation Dates: 2011, 2018, and 2019​

Initial Functional Challenges: James entered Jacob's Ladder exhibiting frequent dysregulation in the form of uncontrollable laughter, along with frequent bouts of non-compliant behavior. He displayed difficulty with retaining symbols/words.

James' Individualized Plan

Based on James' evaluation, we created an individualized model of care to help James develop a better-connected brain and reach the following emotional-behavioral goals.

Goal #1

 

Social Problems: James utilizes perspective-taking in peer relationships

Behaviors Measured Daily

1. Allows others to control 50% of the conversation 

2. Actively listens 

3. Adheres to role as a student 

Goal #2

 

Thought Problems: James establishes a working understanding of perseverative (insistently repetitive) thoughts as related to present-minded thinking

Behaviors Measured Daily

  

1. Able to move past topic of high interest

 

2. Stays on appropriate topic

3. Utilizes reset tool when “locked” in thought process

Goal #3

 

Attention Problems: James is able to maintain socio-emotional homeostasis in the presence of social distractors

Behaviors Measured Daily

 

1. Maintains internal rather than external focus during cognitive endeavors

 

2. Maintains mind-body connection to avoid emotional outbursts in yellow zone moments

 

3. Give concerted effort in less preferred tasks

 

James' Functional Gains

As James developed the proper connections between areas in his brain, he experienced tremendous gains in his emotional, behavioral, and relational functioning. 

Starting at Jacob's Ladder In 2011

1. Frequent dysregulation in the form of uncontrollable laughter

2. Frequent bouts of non-compliance

3. Difficulty with retaining the name of visual symbols and identifying words

Re-Evaluation In 2019

1. Demonstrates overall maturity and flexibility within social interactions

2. Commits to tasks and follows through on expectations

3. Increase in overall academic performance

 

How James' Brain Changed In 14 Months

By utilizing a QEEG brain map, we were able to identify and measure where communication flow was lacking in James' brain (hypo coherence) or where communication flow was locked and/or was overly-used in James' brain (hyper coherence).

 

We identified James' top 10 hypo coherent connections and top 10 hyper coherent connections. Based on the regions of the brain that were struggling to communicate, it became clear why he was experiencing the observed functional challenges.

 

Over 14 months, James implemented specific activities in his individualized model of care to normalize these connections. Below is an example of two connection improvements.  

 

Example #1 of James' Brain Improvement

Communication flow between James' Prefrontal Areas was lacking by -4.95 standard deviations from a normalized connection.

 

Through James' individualized model of care, activities were implemented that improved his communication flow to -1.86 standard deviations from a normalized connection.

Prefrontal Area (Right)

  • Deductive reasoning

  • Inhibition of actions

  • Working memory

  • Mirror neurons

Prefrontal Area (Right)

  • Deductive reasoning

  • Inhibition of actions

  • Working memory

  • Mirror neurons

Example #2 of James' Brain Improvement

Communication flow between James' Primary Motor Cortex and Parahippocampal Gyrus was locked and/or overly-used by +3.76 standard deviations from a normalized connection.

 

Through James' individualized model of care, activities were implemented that improved his communication flow to +2.37 standard deviations from a normalized connection.

Primary Motor Cortex (Right)

  • Sequences of muscle movement

  • Voluntary breathing

  • Complex body actions and internal representation of movements

Parahippocampal Gyrus (Right)

  • Short term working memory

  • Recognition and encoding of visual scenes and images

  • Modulation of emotion

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