Paeds Cases · growth-development-and-behaviour
Sensory differences counselling — communication OSCE
OSCE on validating sensory concerns, excluding mimics, environmental plans and honest therapy evidence.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
8-year-old with noise and clothing sensitivity affecting school; parents request a sensory processing disorder diagnosis and expensive private programme.
Objectives
- Validate sensory concerns without over-labelling. [1]
- Screen for medical mimics and broader neurodevelopment. [3]
- Build an environmental and school plan. [6]
- Discuss OT evidence honestly. [4]
References6ShowHide
- [1]Miller LJ Concept evolution in sensory integration: a proposed nosology for diagnosis The American journal of occupational therapy, 2007.PMID 17436834
- [3]Ben-Sasson A Update of a Meta-analysis of Sensory Symptoms in ASD: A New Decade of Research Journal of autism and developmental disorders, 2019.PMID 31501953
- [4]Case-Smith J A systematic review of sensory processing interventions for children with autism spectrum disorders Autism, 2015.PMID 24477447
- [6]Clark GF Occupational Therapy Interventions for Children and Youth With Challenges in Sensory Integration and Sensory Processing: A School-Based Practice Case Example The American journal of occupational therapy, 2019.PMID 31120849
- [9]Kirby AV Sensory Features and Family Functioning in Families of Children With Autism and Developmental Disabilities: Longitudinal Associations The American journal of occupational therapy, 2019.PMID 30915965
- [10]Wolfe ID Should Tactile Defensiveness Exclude a Life-Sustaining Intervention in an Adolescent With Autism? Pediatrics, 2022.PMID 35229117