Bio Data

Name X.y
Age 10Years 3month
Gender Male
Sibling 3
Birth order 2nd
Religion Islam
Informant Mother

Reason for Referral

Client was referred to the welfare centre by one of her neighbor. He was admitted to
the CWC with the complains of Academic problem, short attention span, speech
problems, mild hearing problems and associated speech problems ,motor movements
,poor coordination
Presenting complains

Background Information
The client’s father was 41 years old. He was a teacher in government institute by
profession. His estimated income was 20,000. He was reported to be a caring and
concerned person. He was soft tempered he was fulfilling clients all needs and
complete acceptance of client problem was obvious the way they were upbringing
client. It has been stated that he was masters in physical education so he was having
extra physical exercises at home for client. Father was reported to be cooperative and
friendly with the client .he had congenial relation with him. Client was attached to his
father. Father was more attached to client because client used to spent more time
with his father in afternoon. The father had healthy relationship with family members.
No physical or psychiatric illnesses were reported by the father
The client’s mother was 40 years old educate up to MA in LLB. She was reported to be
house wife and responsible in her works. She had soft tempered. She was concerned
a lot about the client problems as client medical history revealed that there were
frequent medical checkups in different hospitals regarding his physical disability
.She was not an active lady. Client was attached to his mother. Mother had an
affectionate relation with all her children. No physical or psychiatric illnesses were
reported by the mother.

Client had 3 siblings two of them were brothers first born sibling was 10 years old .He
was a student of class 5.He was reported to be loving, caring .He was good student of
class He was confident and had warm relationship with the client. Client shared
valuable time at home when they were together. Brother had cooperative attitude
toward client problem. There was no physical or psychological problem was reported
by the mother in twin brother.

Next born sibling was 5 years old. He was in prep class. Client had understanding f
client problems and cooperated when client needed some thing or he was unable to
perform task in games .client had congenial relation with him. As he was the younger
than the client, he was much attached with client. He had a co-operative behavior
toward client. No psychological or physical problem was reported by the informant.

The client had a jointfamily system and the total number of family members in a
house was 11. The client belonged to a middle class family. His father was
authoritative figure in a family. The family was and co-operative towards the client
problem.The over all general home atmospheres were satisfactory, calm and learning
promoting.

Personal History
The client birth was through forceps delivery (assisted delivery) .During birth forceps
was used to pull the baby put as there was bit complication during birth. The mother
took no medicines or drugs other than those prescribed but the gynecologist during her
pregnancy period. Duration of pregnancy was less than the expected time of 9
months .it was about to be 34 weak months when the labour pains started of the client
was through forceps delivery. Birth injuries or significant complication was reported by the
mother as eye infection. Client weight at the time of birth was 4.5 pounds. First cry at
the time of birth was present. After birth his all sensory modalities were reported to
be intact as touch, smell, taste .visual problem was present because of the injury
during birth. appetite was reported to be normal, but gross and fine motor skills were
reported to be impaired.
The total number of pregnancies reported by the mother was 3 and all were live
births. No history of abortions was reported by the mother. There was no medication
during pregnancy. There was no significant illness during pregnancy. There was nay
emotional trauma accept the anxiety of first pregnancy was reported by the mother.

On third day of birth he had severe attack of jaundice. He was admitted to hospital
.Client took formula milk from its first day of birth as mother was not in the condition
to feed the child due to severe weakness after birth. No feeding problems were
reported by mother.

Developmental History
He had not achieved all the milestones at an appropriate age. Number of significant
illness was reported. As jaundice, , meningitis’s. Neurotic traits of, thumb sucking,
teeth grinding were reported by the mother.
Milestones Normal age
Achieved by the client
development
Neck holding
Sitting with support
Crawling
Walking
Talking
Eating without help
Bladder control

Neurotic traits such as of thumb sucking was reported to be present .Temper

tantrum were reported to seen occasionally, when the client was bit irritable he
used temper tantrums to make his demand fulfill .No Sleep disturbances were
reported by mother, but his sleep duration was less than the his siblings.

Physical History of child

The client was brought to CWC with the complaints of inability to speak, delayed
milestones and short memory. In addition to this, the client had visual problems and
bit hearing impairment was also present. The client had no exposure to school
settings. Child history of present illness started 9 years back immediately after client
birth. When client was born he was looked like normal

On third day of birth he had severe attack of jaundice. When client was taken to the
doctor for check up he was admitted to hospital for almost 14 days .After jaundice
attack when his complete medical check up was done it was informed by the doctors
that the child’s having cerebral palsy the parents were educated regarding the
associated problems of this disorder as his milestones and development will be at
slower rate as compare to normal child .Severe attack of jaundice was reported to be
the major reason of client’s present problem as he was normal child according to
doctors before this attack of jaundice. After doctor’s briefing regarding client’s
problem at first the parents were shocked but they took this child as challenge.
The client showed the milestone of, neck holding crawling walking holding this was an
indication of his delayed development. He showed sitting behavior at the age of 2 .AT
the age of 3 when the client did not start her speech.

When client was in his 8th month he was again attacked by jaundice but this tie the
duration was less than that of first one. Clients frequent medial check up’s were
reported by mother in different hospitals. physio therapy was provided in CWC but
that was not sufficient for client. Extra therapy at home was provided by his father..
Client also had speech problem Speech therapy was being provided in CWC, but no
extra speech therapy was reported by mother.
The client was initially very helping and complaint. He was quick at making fun with others
age mates as reported by mother. The parents consideration about the education and
management of the client problem of the client, and admitted the child to CWC, at the age of
6 years.
Educational History

The client was brought to Child Welfare Center when she was 7 years old. The
parents initially took the child to an other special school but because of shifting of
that school the head of that school referred the client to CWC.He was easily adjusted
in the school because of the home structured environment. Initially client showed off
seat behavior. He use to pay full attention classroom listened to the instructions of
school and enjoyed being in the school.

Client was very interested in the classroom tasks he used to complete the task with full
attention he got the concept of money alphabets counting. His relations with his classmates
were reported to be helping and caring. He used to execute other duties as bring water for
classmate if needed.

The Home he loved to play with toys and watching cartoons especially music. he
was moody and used to follow his own will and even sometimes irritates others at
home due to her stubbornness. According to her mother he was having fights with
his elder brother .he always preferred to be his own shoes and dresses. He was least
interested in sharing his toys or belongings or having others thing.

Client’s mother was satisfied with the diligence of class teacher she gave all credit
of clients current functioning to the class teacher. She was not satisfied with the
speech therapy of the client in CWC because he has not learned even two words in
CWC .she also showed bit complaining about the physio therapy but over all she was
happy at clients performance in school and management of his problems.