Child Case Study 7E
Anxiety, Autism, Concentration Issues, Dietary Limitation, Echolalia, Sensory Issues. Weight Issues.
"Before Sleep Therapy, he used to have sleeping late problem and he would wake up very late.
This has definitely changed. Once he starts to sleep, he is sleeping very well. Very deep sleep now.
There is a difference in his eating too. Before, he liked to put a lot in his mouth. Now, He has started to chew little portions now.
Before Sleep Therapy, he would struggle when I brushed his teeth. I see the difference. He can brush easily now.
In the past, he would be crying if he didn't get what he wanted. But now, I think he understands what I am telling him.
Attention span is a bit longer. Now it is much better - he responds.
Last time, he liked to be alone in the room and play on his own.
Now he is more with us. He will be next to us in the hall.
~ Mdm Than
Background Info
7yo Boy I (Kuala Lumpur, Malaysia)
Medical history: Anxiety, Autism, Concentration Issues, Dietary Limitation, Echolalia, Sensory Issues.
Started koo energy Sleep Therapy on 31.3.21.
After
30.6.21
After 3 months of koo energy Sleep Therapy, here are the comparisons observed by parents, 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
Medical history: Anxiety, Autism, Concentration Issues, Dietary Limitation, Echolalia, Sensory Issues.
Started koo energy Sleep Therapy on 31.3.21.
After
30.6.21
After 3 months of koo energy Sleep Therapy, here are the comparisons observed by parents, 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
After 32 days
On 2.5.21, parents sent in the updates in progress through WhatsApp.
SLEEP
1a. Sleeping normal
1b. very hyperactive at bedtime
1c. Sleeping well though the night
1d. less tossing and turning
1e. doesn’t wake up in the middle of night anymore
1f. wakes up early due to school
DIETARY
2a. Drinking normally.
2b. already drinking distilled water everyday, 2 weeks ago
2c. Eating on his own more often
2d. Eating slower
2e. Normal chewing food
2f. tried veggies, but doesn’t eat
TOILET
3a. less willing, lazy to go to toilet to pee or poo.
3b. Passing motion everyday. Same frequency
3c. Same stools
3d. No changes in teeth brushing habit
TEMPERAMENT
4a. same rigid in his behaviour, like before
4b. More eye contact
4c. More grumpy
4d. Crying more
4e. Getting angry more than before
ATTENTIVENESS
5a. More able to focus on task at hand, like dressing up, or putting on shoes et
5b. Longer attention span before
5c. More use of handphone/tv/YouTube
5d. Goes into his own world less often than before
5e. new interest developed lately - Respond to command
BEHAVIOUR
6a. Slightly less stimming behaviour
6b. Less verbal stimming
6c. Tongue visible with mouth not fully shut less often
RESPONSIVENESS
7a. Responding to mummy or sister more
7b. Faster to get his response
7c. Able to engage him in reading
7d. Engaging more with his sister and brother
COMMUNICATION
8a. Always expressing his hunger or thirst
8b. Expressing his physical needs/discomfort more
BODY LANGUAGE
9a. No rubbing/scratching of hands and/or legs before and now
9d. No new/old body gestures
VERBAL
10a. A lot more mumbling/humming more than before
10b. A few new words
10c. One time
10d. He been saying names lately
OTHER AREA OF OBSERVATION
As for the hat, he forgot completely.
SLEEP
1a. Sleeping normal
1b. very hyperactive at bedtime
1c. Sleeping well though the night
1d. less tossing and turning
1e. doesn’t wake up in the middle of night anymore
1f. wakes up early due to school
DIETARY
2a. Drinking normally.
2b. already drinking distilled water everyday, 2 weeks ago
2c. Eating on his own more often
2d. Eating slower
2e. Normal chewing food
2f. tried veggies, but doesn’t eat
TOILET
3a. less willing, lazy to go to toilet to pee or poo.
3b. Passing motion everyday. Same frequency
3c. Same stools
3d. No changes in teeth brushing habit
TEMPERAMENT
4a. same rigid in his behaviour, like before
4b. More eye contact
4c. More grumpy
4d. Crying more
4e. Getting angry more than before
ATTENTIVENESS
5a. More able to focus on task at hand, like dressing up, or putting on shoes et
5b. Longer attention span before
5c. More use of handphone/tv/YouTube
5d. Goes into his own world less often than before
5e. new interest developed lately - Respond to command
BEHAVIOUR
6a. Slightly less stimming behaviour
6b. Less verbal stimming
6c. Tongue visible with mouth not fully shut less often
RESPONSIVENESS
7a. Responding to mummy or sister more
7b. Faster to get his response
7c. Able to engage him in reading
7d. Engaging more with his sister and brother
COMMUNICATION
8a. Always expressing his hunger or thirst
8b. Expressing his physical needs/discomfort more
BODY LANGUAGE
9a. No rubbing/scratching of hands and/or legs before and now
9d. No new/old body gestures
VERBAL
10a. A lot more mumbling/humming more than before
10b. A few new words
10c. One time
10d. He been saying names lately
OTHER AREA OF OBSERVATION
As for the hat, he forgot completely.
After 64 days
On 3.6.21, parent sent in the updates in progress through WhatsApp.
SLEEP QUALITY
1a. Less tired at bedtime.
1b. Sleeping well but hyperactive before falling asleep.
1c. Looking for mummy/brother missing in the room.
1d. Lessened tossing and turning and kicking.
1e. Give only warm distilled water at night.
1f. Wake up but sleep immediately.
DIETARY HABITS
2a. Drinking well.
2b. Eating more.
TOILET HABITS
3a. Initially very lazy but after mother scolded him few times - back to normal.
3b. Signalling his desire.
3c. Frequency of passing motion output varies with input .
3d. No sign of discomfort.
3e. No changes in texture/smell.
TEMPERAMENT
4a. Craving for sweet- as I have limited the intake,
4b. I’m getting tired- consoling him as always want phone.
4c. Getting naughtier, have to hide my phone.
ATTENTIVENESS
5a. Same focus ability.
5b. 10 seconds of attention span.
5c. Need of handphone-badly looking for phone.
5d. Sometimes going to own world.
5e. Better response to sister.
BEHAVIOUR
6a. Stimming is still there.
6b. Not communicating.
6c. Mouth ajar no longer observed.
6d. Love to bite everything.
RESPONSIVENESS
7a. See some changes in response.
7b. Responding more with words - repeat what we say.
7c. Responding more in action- he follow exercise movement with brother.
7d. The moment I take book- he starts to cry or run to the room and close the doors.
7e. More interactive with sister and brother in action.
COMMUNICATION
8a. He is expressing his thirst and hunger in the same way as the first month .
BODY LANGUAGE
New word displayed- are there but only once.
VERBAL
10a. Mumbling more audible.
10b. Lately, he has been singing "Twinkle Twinkle Little Stars".
10c. He said some new words lately.
OTHER AREA OF OBSERVATION
11. Gaining weight, and constantly hungry.
SLEEP QUALITY
1a. Less tired at bedtime.
1b. Sleeping well but hyperactive before falling asleep.
1c. Looking for mummy/brother missing in the room.
1d. Lessened tossing and turning and kicking.
1e. Give only warm distilled water at night.
1f. Wake up but sleep immediately.
DIETARY HABITS
2a. Drinking well.
2b. Eating more.
TOILET HABITS
3a. Initially very lazy but after mother scolded him few times - back to normal.
3b. Signalling his desire.
3c. Frequency of passing motion output varies with input .
3d. No sign of discomfort.
3e. No changes in texture/smell.
TEMPERAMENT
4a. Craving for sweet- as I have limited the intake,
4b. I’m getting tired- consoling him as always want phone.
4c. Getting naughtier, have to hide my phone.
ATTENTIVENESS
5a. Same focus ability.
5b. 10 seconds of attention span.
5c. Need of handphone-badly looking for phone.
5d. Sometimes going to own world.
5e. Better response to sister.
BEHAVIOUR
6a. Stimming is still there.
6b. Not communicating.
6c. Mouth ajar no longer observed.
6d. Love to bite everything.
RESPONSIVENESS
7a. See some changes in response.
7b. Responding more with words - repeat what we say.
7c. Responding more in action- he follow exercise movement with brother.
7d. The moment I take book- he starts to cry or run to the room and close the doors.
7e. More interactive with sister and brother in action.
COMMUNICATION
8a. He is expressing his thirst and hunger in the same way as the first month .
BODY LANGUAGE
New word displayed- are there but only once.
VERBAL
10a. Mumbling more audible.
10b. Lately, he has been singing "Twinkle Twinkle Little Stars".
10c. He said some new words lately.
OTHER AREA OF OBSERVATION
11. Gaining weight, and constantly hungry.
After 3 months of koo energy Sleep Therapy
Sleep Issues
Before |
After |
Toss and turn a lot in his sleep. He loves to kick me, sleeping next to him. He does not know. I have to shout “stop it”. I will push him. |
Lessened tossing and turning and kicking. |
He used to sleeping late problem and he would wake up very late. |
Once he starts to sleep, he is sleeping very well. Very deep sleep. |
In the past before Sleep Therapy, after he woke up around 5, he would never sleep back. |
Now he’s going back to sleep. |
Sometimes, he would wake up in the middle of the night at 5, and then he would go to sleep again. |
Even if he wakes up, he goes back to sleep immediately. He comes out and searches for mummy, then goes back to sleep again. |
Breathing used to be heavy. |
Now no more. |
Dietary Habits
Before |
After |
Fed by mother or domestic helper. |
Eating on his own more often. Eating slower. |
He will put big chunks and stuff them into his mouth. |
Now he puts smaller portion in his mouth. |
Toilet Habits
Before |
After |
Poop twice a day - morning and evening. |
For passing motion, he is still running to the toilet. |
Usually, if he wants to to pee, he would run to the toilet. |
Less willing, lazy to go toilet. |
Before, he would struggle when I brushed his teeth. Every morning and night, I am the one brushing him. Last time, it was difficult. |
He can brush easily now. I see the difference: Now, he will open his mouth and let me do whatever. |
Temperament
Before |
After |
In the past, he would be crying. |
He wants the phone. When I tell him, your eyes will be strained. You cannot use it, or you will have headache. He will just shrug his shoulder and walk off. |
Attentiveness
Before |
After |
Focus and attention was very bad. |
More eye contact. More able to focus on task at hand, like dressing up. Longer attention than before |
He loves to look around. |
Goes into his world less before than before. |
Behaviour
Before |
After |
Last time, he liked to be alone in the room and play on his own. |
Now he is more with us. He will be next to us. He wants to engage himself in the hall. He does not go inside the room alone. |
Responsiveness
Before |
After |
In the past, it was difficult. |
Now it is much better - he responds. I think he understands what I am telling him, compared to before. |
In the past, he would look at me angry and be quiet. He never react to me like that. |
When my tone is very loud, he will give me eye contact. Especially when I am scolding him, he will come to me and kiss me on my lips. And say “shut up”. In future, his wife will melt. |
Communication
Before |
After |
Last time, he dragged my hands. He would bring me to the kitchen to show me. |
But now he asks for ‘chocolate’, ‘milk’, ‘rice’. He would say, “Chocolate, baby” Clearer vocal projection. |
Verbal
Before |
After |
In the past, I never heard him say the word “Happy”. |
When I put this (happy birthday) banner out for my older son, immediately he came and said “Happy”. |
Other Area of Observation
Before |
After |
Before Sleep Therapy, he was not singing. |
Now, slowly I can see he is singing once again, ever since he started sleep Therapy. |
Interview with Mother
30.6.21
After 3 months of koo energy Sleep Therapy, Mother shared the progress of her son on the detoxification as well as the different aspects of concern.
After 3 months of koo energy Sleep Therapy, Mother shared the progress of her son on the detoxification as well as the different aspects of concern.
Detoxification
At a Glance |
Reactions/Symptoms |
Changes in toilet habits |
Mother and Child experienced same smell in urine - like metal smell. For the past 2 weeks. Something wrong. Currently, both of us are having the same smell of metal. My son has a lot of foamy stuff in his urine since the SleepTherapy, happening recently only. |
Constant Farting |
I cannot stand the smell. Both boys are farting every day. I had to open the window. I cannot stand. He farted but not his much. He is passing motion every day. Farting before falling asleep. Nowadays, he would go toilet in the night at 9.30-10pm. His habits are changing. Last time, he would go toilet in the morning. |
Flu and Running Nose |
Day 9 - My son is having flu and running nose since morning. Energy level is good. I’m feeling like going to have flu. |
Running Nose |
9/4 to 14/4 for five days. Running nose. He is ok already. Even me, early when I wake up, I still got it. The whole family got it, including his sister and his older brother. All four in the family - everybody got it. |
Yellow mucus |
Mother was having yellowish mucus. My son was having more runny. He was given a lot of honey during that time. He recovered faster. We all took some time, like 2 weeks to recover. After that, he never had any more flu. |
Ear Flushing |
My son asked me to press his both ears with my palm as soon as he is on the bed yesterday night, and if I let go, he started to whine |
Emotional Discharge |
I would rather say - he is more active, naughty, tantrum and cry. Now he is better. |
3 Lumps on the Head |
Day 7 - having two bumps on the head as shown in photo. Now I see the third one. No fluid discharge but when I touched - he is yelling - quite painful. There were 3 bumps on the head. Exactly here - this area (pointing to top back of head). Very painful. I could not touch. He was crying when I touched. But it was ok when I did not touch. Within one or two days, they healed. I just gave him a lot of koo energy Water (distilled water infused with koo energy after some hours). Spray on his head. After that, he was ok. It went away in 7 days. No liquid discharge. 3 lumps separated in 3 places. Slight red and they were bumpy. Very painful I guess, I could not touch nor hold his hair. |
Bad Breath |
He had bad breath 2 weeks ago, but he is ok already. For 2-3 days 2 weeks ago, when he opened his mouth early in the morning, his bad breath was quite bad. I brush his teeth even before he goes to bed. It was not good smell, like old people/adults if you do not brush teeth. Only for 2-3 days, after that it was okay. |
Muscle Pain |
When he whined sometimes, I pressed his legs and hands, he was like very relaxed and sleeping. He loves to play on the scooter. He rides on the scooter so fast inside the house. So maybe he did have muscle pain. |
Sleep Quality
"Once he starts to sleep, he is sleeping very well. Very deep sleep."
SLEEP QUALITY
BEFORE
Consultant: He used to have sleeping late problem and he would wake up very late. Sometimes, he would wake up in the middle of the night at 5, and then he would go to sleep again. Once a week, he would want to go out and play and being active.
AFTER
Consultant: Were there any changes.
Mother: Yes yes, definitely. On that I agree honestly. Once he starts to sleep, he is sleeping very well. Very deep sleep.
Even if he wakes up, he goes back to sleep immediately. He comes out and searches for mummy, then goes back to sleep again.
During fasting month, we are fasting and waking up around 5, he woke up, looked for us and went back to sleep again. It is not like before - after he woke up, he didn’t want to sleep.
In the past before Sleep Therapy, after he woke up around 5, he would never sleep back. Now he’s going back to sleep.
BEFORE
Consultant: He used to have sleeping late problem and he would wake up very late. Sometimes, he would wake up in the middle of the night at 5, and then he would go to sleep again. Once a week, he would want to go out and play and being active.
AFTER
Consultant: Were there any changes.
Mother: Yes yes, definitely. On that I agree honestly. Once he starts to sleep, he is sleeping very well. Very deep sleep.
Even if he wakes up, he goes back to sleep immediately. He comes out and searches for mummy, then goes back to sleep again.
During fasting month, we are fasting and waking up around 5, he woke up, looked for us and went back to sleep again. It is not like before - after he woke up, he didn’t want to sleep.
In the past before Sleep Therapy, after he woke up around 5, he would never sleep back. Now he’s going back to sleep.
Dietary Habits
"He has started to chew little portions now."
DIETARY HABITS
BEFORE
2a. Veg like carrots, beans, need to smash them and add in dahl.
2b. Fed by mother or domestic helper. Tear food into smaller pieces.
2c. He does not like liquid food.
2d. If given chance to eat on his own, he will take 30-45 minutes.
2e. He will put big chunks and stuff them into his mouth.
AFTER
There is a difference in his eating now.
He has started to chew little portions now.
Before, he liked to put a lot. Now the portion is smaller. He puts smaller portion in his mouth.
Attempt to introduce new food
Breakfast - favourite beehoon. Stopped mee goreng.
The kids love nasi lemak. Made at home.
Thosai, itli, meehoon, with egg.
Change in taste as seen in different preference of food
He does not want curry chicken. He used to like chunks of fish but now limited amount.Now, he does not even want the smell of mutton.
He wants only small pieces of chicken breast. He loves prawn sambal (strong spices). He wants it everyday.
Selective in food
When I tried to give him some new food, he completely ‘vomitted’ (more like gag) and ran away. He did not want to eat anything. I felt pity that whole day he was not eating.
BEFORE
2a. Veg like carrots, beans, need to smash them and add in dahl.
2b. Fed by mother or domestic helper. Tear food into smaller pieces.
2c. He does not like liquid food.
2d. If given chance to eat on his own, he will take 30-45 minutes.
2e. He will put big chunks and stuff them into his mouth.
AFTER
There is a difference in his eating now.
He has started to chew little portions now.
Before, he liked to put a lot. Now the portion is smaller. He puts smaller portion in his mouth.
Attempt to introduce new food
Breakfast - favourite beehoon. Stopped mee goreng.
The kids love nasi lemak. Made at home.
Thosai, itli, meehoon, with egg.
Change in taste as seen in different preference of food
He does not want curry chicken. He used to like chunks of fish but now limited amount.Now, he does not even want the smell of mutton.
He wants only small pieces of chicken breast. He loves prawn sambal (strong spices). He wants it everyday.
Selective in food
When I tried to give him some new food, he completely ‘vomitted’ (more like gag) and ran away. He did not want to eat anything. I felt pity that whole day he was not eating.
Toilet Habits
"He eats a lot, and he passes out a lot."
TOILET HABITS
BEFORE
He is toilet-trained. Need assistance in holding the tap to wash. He can wash himself but still cannot adjust the tap.
AFTER
Changes over the past 1 month - sometimes good sometimes bad.
Intensive detox with a lot of discharge
Now, he likes to control his urine. He does not want to run straight away. Sometimes, he pees a little bit on the underwear.
In the past, he would run immediately in the toilet. There were no urine on his underwear.
Especially yesterday, I had to change his underwear four times, because there was urine.
BEFORE
He is toilet-trained. Need assistance in holding the tap to wash. He can wash himself but still cannot adjust the tap.
AFTER
Changes over the past 1 month - sometimes good sometimes bad.
Intensive detox with a lot of discharge
Now, he likes to control his urine. He does not want to run straight away. Sometimes, he pees a little bit on the underwear.
In the past, he would run immediately in the toilet. There were no urine on his underwear.
Especially yesterday, I had to change his underwear four times, because there was urine.
Toothbrushing
"He can brush easily now. "
BEFORE
Before, he would struggle when I brushed his teeth. Every morning and night, I am the one brushing him.
AFTER
He can brush easily now. I see the difference: Last time, it was difficult. Now, he will open his mouth and let me do whatever.
Before, he would struggle when I brushed his teeth. Every morning and night, I am the one brushing him.
AFTER
He can brush easily now. I see the difference: Last time, it was difficult. Now, he will open his mouth and let me do whatever.
Temperament
“I think he understands what I am telling him, compared to before."
TEMPERAMENT
BEFORE
Gets angry if doesn’t get what he wants but not too long. He will settle in 5-10 minutes.
AFTER
Change: Still he gets angry when he does not get what he wants.
He wants the phone. When I tell him, your eyes will be strained. You cannot use it, or you will have headache. He will just shrug his shoulder and walk off.
In the past, he would be crying. I think he understands what I am telling him, compared to before.
BEFORE
Gets angry if doesn’t get what he wants but not too long. He will settle in 5-10 minutes.
AFTER
Change: Still he gets angry when he does not get what he wants.
He wants the phone. When I tell him, your eyes will be strained. You cannot use it, or you will have headache. He will just shrug his shoulder and walk off.
In the past, he would be crying. I think he understands what I am telling him, compared to before.
Attentiveness
"Attention span is a bit longer."
ATTENTIVENESS
Attention span is a bit longer.
Immediate attention to cars and phones. Other things, he doesn’t care.
Attention span is a bit longer.
Immediate attention to cars and phones. Other things, he doesn’t care.
Behaviour
"Good boy but new place - very naughty."
BEHAVIOUR
He is still a good boy. He was very naughty in between.
He is still a good boy. He was very naughty in between.
Responsiveness
"Now it is much better - he responds."
RESPONSIVENESS
BEFORE
In the past, it was difficult.
AFTER
Now it is much better - he responds.
BEFORE
In the past, it was difficult.
AFTER
Now it is much better - he responds.
Communication
"He will give me eye contact."
COMMUNICATION
When my tone is very loud, he will give me eye contact. Especially when I am scolding him, he will come to me and kiss me on my lips. And say “shut up”. In future, his wife will melt.
In the past, he would look at me angry and be quiet. He never react to me like that.
When my tone is very loud, he will give me eye contact. Especially when I am scolding him, he will come to me and kiss me on my lips. And say “shut up”. In future, his wife will melt.
In the past, he would look at me angry and be quiet. He never react to me like that.
Verbal
"New words lately. Sometimes, he says yes or wrong."
VERBAL
BEFORE
Consultant: He did not make sentences. Very few words. And he had echolalia.
AFTER
New words lately.
Sometimes, he says yes or wrong.
When I tell him you are not supposed to do that, he will say ‘wrong’.
BEFORE
Consultant: He did not make sentences. Very few words. And he had echolalia.
AFTER
New words lately.
Sometimes, he says yes or wrong.
When I tell him you are not supposed to do that, he will say ‘wrong’.
Cognition
"I feel that he understands."
I feel that he understands. The other day, I was telling him your cousins are already talking. Mummy was so upset. He started to cry.
I was telling him about my brother’s kids who are 4 and 5, they are talking very well. You are already 7 and not talking.
I was very upset. He also started to cry.
I was telling him about my brother’s kids who are 4 and 5, they are talking very well. You are already 7 and not talking.
I was very upset. He also started to cry.
Out of His Own World
"Now he is more with us."
Now, he is with us. He wants to engage himself in the hall. He does not go inside the room alone.
Last time, he liked to be alone in the room and play on his own.
Now he is more with us. He will be next to us.
Last time, he liked to be alone in the room and play on his own.
Now he is more with us. He will be next to us.