Child Case Study 3G

Autism, Dietary Limitation, Sensory Issues, Sleep Issues, Speech Delay.

"By Day 30, happier. More attention & ability to observe what's happening around him. More willing to follow commands. He is able to express more his hunger. Much more articulation of his wants.
​Learning to convey his frustration & anger.

Reading a book instead of running and jumping around at bedtime.
Sleep throughout the night is more consistent. No more broken sleep. 
No more teethgrinding. Less snoring. Eyes fully shut while asleep now.
He is chewing better. For sure less of keeping food in his mouth.
Very good handgrip now. He initiates more feeding himself.
He has grown - definitely a bit taller.

Past 2 weeks, he has initiated to go potty by himself. He verbalises it. 
Less struggle in showering. Ok with water running over his face.
More jovial. Less anxiety even going to school. No more whining. Great progress.
More emotionally-regulated. Expressive and responsive.
He has learnt how to communicate a little bit more. Less angry.

To hold his attention now is a much easier now than before. 
Interacting a bit more with visitors. Smiles & likes to be around.
Much better eye contact now. Going into line of sight - big improvement.

Responding to his name. Responsive to instructions - definitely better than at beginning of the journey.

Definitely more in expressing something he's feeling rather than random. Making requests. 
7
Quite a lot of improvement in verbal expression.
Consistent to express when he wants. Very good pronunciation. Faster to pick up vocabulary.
He is getting into trying to use more of his words, to say what he wants.

Another improvement: the love for books has increased.
He has moved from stacking & lining up things to flipping through a storybook.

I think koo energy Sleep Therapy is  great - that's a good move. Just needing to keep the momentum.
It's a good experience. We are really happy that we did it. The benefits showed.

Very thorough, as usual - all the discussion & the questions. It helped to go through the before and the after, so that we remember. We can also appreciate what the changes are, and what other area to focus on."​
​
​~ Mr & Mrs Varona

Background Info

3yo Singapore Q (Singapore)
​
Medical history: Diagnosed with moderate autism at the age of 3, at a private clinic in Singapore. Started speech therapy since then, but no improvement at all - still non-verbal. 3 times of OT sessions a week. Attended special kids learning centre.

Started using koo energy Sleep Therapy on 29.6.23.

14.9.23
After 3 months of koo energy Sleep Therapy,  here are the comparisons observed by mother & father, in terms of the 10 aspects at a glance:
1) Sleep & Energy Level
2) Dietary Habits
3) Toilet Habits
4) Temperament
5) Attentiveness
6) Behaviour
7) Responsiveness
8) Communication
9) Body Language
10) Verbal
11) Other Area of Observation

Detoxification at a glance

Interviews on Detoxification​

 "Constant fart, constipation, cough, with mucus & phlegm..."

 "Cold with running nose leading to phlegm & mucus discharge."

 "Bad breath in the morning."

​ "Bruises on his right arm."

​ "Night sweat but lesser now."

"2 or 3 days of diarrhoea."

"Fever in Month 1 & 2 with running nose no cough."

Interviews on Progress of Month 1-2-3

Review on Sleep Quality/Energy Level

"Sleep was more settled. Less fidgeting. Less tantrums & crying.
​Mood was more of happy and energetic, rather than frustration or irritation."

"​Waking up less often in the middle of the night.
​Sleep duration became more consistent."

"A little bit of night sweats."

​"Teethgrinding lessened.
​During sleep, tossing & turning definitely lessened during the first 30 days."

​"With first 30 days, energy level has improved. More energised, less irritable."

Review on Dietary Habits

"Less moody at mealtimes. Appetite slightly Improved."

"​An improvement in eating with spoon & fork. More engaged during mealtime.
More active in feeding himself. Better coordination."

"A lot more appetite for fruits. Snacking more on fruits."

​"Reduced cow's milk at month 1. Not requesting for it right now. "

​"Occasional treat of ice-cream - probably once a week."

​"Still taking eggs once every 2 days."

Reviews on Toilet Habits

"More urination in the night. Fuller diapers. Faint yellow most of the time."

"​Diaper heavier throughout the day. Urine colour slightly darker.
​Very Strong Smell of Ammonia."

"Month 3, he has started to indicate his desire to pee & poop.
​Ready to be toilet-trained."

​"Month 2, more able to pull his diapers up with more ease.
​More capability to put on and take off his clotes. "

​"Expressing discomfort in actions. Started verbalising."

​"Passing motion more often. Sometimes twice.
​Diarrhoea for 1-2 days - 2/3 times a day. There were times that he would skip."

"Profound motion smell on 1st day. Rotten vegetables. Rotten Meat. Oil smell.
Cheesy smell, when he's not eating cheese."

"​Consistency quite pasty. Not dry. Solid volume consistently good size,
unlike past poop of pebbles, small quantity."

"Sewage sort of drain smell -
more potent than rotten meat/vegetables, lasted for many days."

​"Toothbrushing improvement only in day 90. "

​"Hair cut went more smoothly by day 30, versus the previous struggle."

Progress on Temperament

"By Day 30, happier. More attention & ability to observe what's happening around him. More willing to follow commands."

"He is able to express more his hunger. By month 1, much more articulation of his wants. Learning to convey his frustration & anger."

Interviews on Improvement
After 3 months of Sleep Therapy

14.9.23
After 3 months, Mother & Father are happy to share their son's progress in every aspect.

Sleep Quality/Energy Level

Past issues: poor sleep quality, 2 hours to wind at night, usually very active - jumping, singing, sleeps 8-9 hours at night, but sometimes waking up after 4-5 hours and staying awake for 1 hour.

"​Sleep throughout the night is more consistent. We do not observe broken sleep - hardly. Improved energy level - less crying, mood is quite good when he wakes up."

"​No more self-talking. Less scratching.
​Still quite active but a little bit more on relationship.
​Reading book instead of running and jumping around at bedtime."

"No more teethgrinding. Less snoring. Eyes fully shut while asleep now."

Dietary Habits

Past issues: limited diet, snacks a lot through the day, drinking 1-2 cups of cow's milk."

​"Less Milk. Likes more water. No more attracted to sweets."

​"He is chewing better. For sure less of keeping food in his mouth."

"Very good handgrip now. He initiates more feeding himself."

​"He has grown - definitely a bit taller."

Toilet Habits

Past issues: not yet toiled-trained, diapers day & night. Going to a corner or less crowded area to poop quietly.

"Past 2 weeks, he has initiated to go potty by himself. He verbalises it."

"He pulls his diapers down because it's heavy. Peeing in the the potty just in time."

"Less struggle in showering.
He likes running his fingers & rubbing his body with soap. More active.
Ok with water running over his face."

Temperament

Past issues: Pleasant. Quite attentive to surrounding
But he was not consistent. Not responding.

"​More jovial. Gets frustrated still but less than before though.
​More controlled frustration." 

"Less anxiety even going to school. No more whining. Great progress."

"More emotionally-regulated. Less anxious. Expressive and responsive.
​He has learnt how to communicate a little bit more. Less angry."

Attentiveness

"To hold his attention now is a much easier now than before."

Behaviour

Past issues: always rubbing & scratching his ears, touching his face, sitting awkwardly, rubbing eyes, tilting head.

 "A little bit more comfortable with strangers & other people.
​Interacting a bit more with visitors. Smiles & likes to be around."

"Much better eye contact now. Going into line of sight - big improvement.
​Responding to his name."

"Much less disturbing eyes-blinking.
​Much less opening & closing of doors.
Less pouring water slow & mindful."

Responsiveness

 "Responsive to instructions - definitely better than at beginning of the journey."

Communication/Body Language

 
Past Issues: Focus not always paying attention, infrequent use of words/phrases to respond, resorted to non-verbal or sounds.

"Definitely more in expressing something he's feeling rather than random.
Making requests. Used to parrot phrases from shows.
But now intentionally copying me and smiling."

Verbal

 "Quite a lot of improvement in verbal expression.
Saying 'I don't want to go to sleep' - longest sentence ever.
Consistent to express when he wants. Faster pickup. Increase in vocabulary."

"We catch him familiarising himself with words. Very good pronunciation." 

 "Faster to pick up vocabulary. More Spontaneous, more intentional than just random. He can mobilise things because of language."

"Definitely more words - he's expressing more.
Saying words in context. He can draw too."

 "Less echolalia. No more random words."

"More into interactions.
He is getting into trying to use more of his words, to say what he wants.
More intentional, less of mimicking."

Other Areas of Observation

"​Another improvement: the love for books has increased."

"He has moved from stacking & lining up things to flipping through a storybook,
​unlike in the past stacking, not so much interested in content."

"Effective interaction with him is drawing or writing together.
He likes colouring & drawing. Likes switching colours. Drawing rainbows."

​"New interest in clay and blocks. Also into magnet tiles & Lego - big & small.
​Saying 'camera'. "

​"Lining up toys not as often as before. He is lining up eggs toy & matching number."

Mother's Improvement

"Sleep is deeper which is helpful. No so much backaches recently. Not also cramps. Migraine is better than before. Less snoring."

Father's Improvement

"Cough with phelgm picked up 2-3 weeks ago.
Less backaches. Faster recovery after tennis."

9yo Older Brother's Improvement

"​Less sneezing in the morning. Still washing up & blowing the nose. Not a lot like before. Less constipation. Some whizzing still. No more nosebleeding within the 3 months. "

12yo Older Sister's Improvement

"Less snoring. Energy a little bit better."

Conclusion

​​ "I think it's great - that's a good move. Good direction. Just needing to keep the momentum."

Consultant: How do you feel after 3 months of sleep therapy for your 3yo?

Mother: I think great - that is a good move. It is a good direction. Just needing to keep the momentum.
It has helped because we are more mindful. It is in the small micro habits, behaviours that we we will see a difference.

That may not be like overnight.
But the small mico-observation, from stools, sleep, eating habits.
And then the more complex ones - communication, emotion.

I think as a whole eco-system, the family is more mindful.

It is mindfulness. You need to celebrate the small wins, whever possible. It is setting expectations. This is where he is at. Let's move from there. I think we enjoy also expanding our muscles around this topic. Other than very tradition what the paediatrician say, if we do this, or this is the medicine you need, this is the avenue we as a family do. Because it is holistic. It is not just for him. It is actually the whole ecosystem, even the water.

​"It's a good experience. We are really happy that we did it.
​The benefits showed."

Father: For me, I think it's a good experience. We are really happy that we did it. The benefits showed. Beyond the benefits, what I like about it is it is less external. It is something that we do, in the comforts of our home. It is about really reenforcing the normal things we should be doing - eating well, sleeping well, drinking proper water. Because of that approach, it helps us get less confused about what is said to be 'cured', what are all the treatments we need to do.

I like the constant philosophy and the reminder: actually once this is cleared, you just go back and help the child learn as fast as he can, and bring out his personality. For me, that is very exciting and inspiring for me. Otherwise, we are also feeling you need to depend on experts, a lot of therapies or care. That may not also bring out him, as the real person.

That is something I like and I am believing  about this experience.

Consultant: So has your expectation been met?

Father: YES!

Consultant: That's great!

​"Very thorough, as usual - all the discussion & the questions.
​It helped to go through the before and the after, so that we remember.
​We can also appreciate what the changes are, and what other area to focus on. "

Father: Thank you Ms Lai. Very thorough as usual - the discussion and the questions.

I think it helped to go through the before and after, so that we remember. We can also appreciate what the changes are, what other area to focus on. Even the few points you talked about ALP - it is a good start to think about and to incorporate.