He took his first math and spelling tests and did relatively well. He continues to progress in these subjects. H. has improved in listen- ing skills and is more compliant with parents. Speech used to be too rapid to understand. It is now slower and more distinct.
Loud outbursts are now infrequent and softer.
Interacts with siblings and can do some group work at school for the first time. Responds more appropriately to parental directions. Improved balance and gross motor control Energy level has decreased from severe hyperactivity to a more normal level. More awareness of feelings, emotions, and humor Tolerates changes in his environment better than before. This is a place he could not have tolerated previ- ously.