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Abstract
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Aims: This case report aims to explore the impact of Cognitive Disengagement Syndrome (CDS) on a 10-year-old boy diagnosed with Autism Spectrum Disorder (ASD). The focus is to investigate how CDS symptoms, such as attention deficits, fatigue, and motivational issues, affect the child’s academic performance and social interactions, emphasizing the need for individualized interventions.
Methods: The patient, diagnosed with ASD at age 4, received early intervention services including speech and occupational therapy. Despite progress in speech and social skills, challenges persisted in attention, task completion, and peer engagement. A multi-disciplinary approach was used to assess and manage the co-occurring symptoms of CDS, including behavioral strategies, structured routines, and cognitive-behavioral therapy (CBT) for motivation and fatigue management. Classroom accommodations were also provided to support his academic needs.
Results: Following intervention, the patient demonstrated notable improvements in attention, academic performance, and social skills. Behavioral techniques, task breakdown methods, and environmental modifications led to enhanced engagement in tasks, while CBT addressed motivational issues and fatigue. The child showed progress in social interactions, with increased focus during peer activities and games. This case highlights the challenges of managing both ASD and CDS but also illustrates how targeted, individualized strategies can effectively improve both academic and social outcomes.
Conclusions: Effective intervention for dual diagnoses of ASD and CDS requires personalized, multi-faceted strategies. This case underscores the importance of integrating behavioral, cognitive, and environmental approaches to address co-occurring symptoms, offering valuable insights for future support strategies for children with similar conditions.
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