ABSTRACT
Toby is 6 and has been referred by his GP to the child development centre as his school has expressed concerns over his lack of social interaction and mild speech problems. The referral letter describes him as being ‘a happy, friendly child most of the time but who can have periods of agitation in some situations. He has a few close friends at school but struggles with larger group activities. He also likes to know the times of breaks and lunch and struggles if these are delayed. He is progressing well in most areas of learning but we have noticed that he does not engage in conversation with others and rarely initiates questions. He has a special interest in sports cars and can talk about this happily for long periods of time.’
