Children with fragile X may learn spelling words better as entire units, then perhaps in syllables, rather than sound by sound. Math goals should also be presented in very visual and tactile manner, with real object counters, size and shape manipulatives, touch math, and concrete examples. The IEP goals must also address the social-emotional needs of the child with fragile X syndrome. Social-emotional development may be enhanced by careful consideration of the learning environment. Occupational therapists can be sure there are appropriate settings and equipment for a calm, structured learning environment.
Behavioral plans can include goals, rewards, and consequences for appropriate behavior.
Communication and sensory motor goals may be addressed together at times. Board games and computers might be used for turn taking, communication, and fine motor skills. For girls with fragile X syndrome, both social-pragmatic and math goals may need to be addressed. Speech-language pathologists and learning disabilities teachers may be part of the team to work in these areas.