I really dont know what to do anymore. nothing works. Sammy's behavior at home is horrific. The therapists advice is: He is very sensitive to subtleties. There are a gazillion incidents a day caused by a gazzilion different subtleties so how the heck are we supposed to figure out what each of those are? It took them 4 months when he first started at a year to figure out that he was only choking on food when sitting in the highchair so take away the highchair. How are we supposed to figure out every subtle move we make. My eye twitched My hair blew in the wind My husband turned left.... That is a cop out not a plan of action We also are doing the token system. Sammy works for rewards during the day. The problem is Sammy doesnt care. The reward has to happen the second he is interested in it and that is before he has earned tokens. Nothing holds great power over him. He doesnt care and because he is so strong willed, he would never give us the satisfaction of letting us know that he cared. A token system can only work if he cares about the reward and he doesnt. We are only keeping the therapists around now for the potty training and once that is over we are done with them. Sammy was evaluated by a speech therapist at school and in home. She was stunned at the difference in Sammy in the 2 places. At school he was coopertive and talking. HE did have issues with initiating social interaction which she will work on. At home he used fake words would not answer anything threw tantrums, rolled around on the floor. She originally wanted to do an articulation test but then said, he has a great vocabulary and articulation. She said it is a matter of him choosing to speak because he is perfectly able. That is everything with Sammy. At school, they are stunned to hear about his behavior at home at therapy the other parents wondered why he was even there. I dont know what to do for him and us anymore. I think I am calling a psychiatrist. Maybe they can help. We are so desperate for some help to come up with a working plan to help him behave at home!