We had this 6 month assessment yesterday, here are the new Occupational Therapist (OT) goals: - get dressed on his own with proper clothes orientation (right now, he gets dressed but I have to make him aware and tell him to turmn his shirt and pants about 50% of the time). - follow 4 step directions with no visual cues, 3 out of 4 times. - eat with silverware at every meal, during the whole meal (still uses hands unless it is pudding, yogurt or cereals. He will use sliverware if I watch him at all times and keep on reminding him every 5 seconds) - the Occupational Therapist (OT) and her boss will talk about a fourth goal. Maybe a behavioral goal that would relate to change, transitions or not getting his way... not sure. It would be real nice to get those goals met within the next 6 months (his initial goals were almost all met), but I wonder if we are dealing with the real issues. But of course, I can't even name the "real issues"! lol His playtherapist wants me to come up with a list of things V understand and can do on his own. The goal is to understand what concepts he masters and start from there. What trigered it: every single game she offers to play with him, V does not understand. This week, she tried "Simon says" to see how he would follow directions. Problem: he could not understand that you can only execute the action if one says "simon says". V kept on saying "But you told me to do it". And we tried a lot of different ways to explain it to him (such as using a little toy representing Simon, and other things). Here is my list: plays Hide & seek, understand that Dad works to make money and then we can buy things with money, books tell a story, we have to feed chickens for them to feed us with their eggs, water plants for them to grow, different people speak different languages, one to one concept (math), balancing concept (if he puts a heavy object on a platform, he has to counter balance on the other side), over/under, slow/fast. Those are the only things husband, Occupational Therapist (OT) and I could come up with... Concepts such as taking turns, least/most, number approximations, not interrupting people, feelings, letters, beat of the music and maybe more are hard for him. I'm not sure what conclusion to draw from it, if any... Are those goals and exercices helping or just making me feel good that we are doing something??