<s>[INST] I work with a child that is nine years old diagnosed with autism. This diagnosis was dificult for the childs parents to get as many doctors said the child has global cognitive issues. The parents deny this. The child rarely talks and has dificulty saying the sounds of letters. When he knows about 4 sounds he quickly forgets them or needs verbal prompting. The father says his child knows hundreds of sight words. My problem in teaching this child using ABA techniques is he forgets quickly what he learns, does not have discipline and when the father sees some improvement wants his son to move to more dificult tasks that frustrates the child. What do you recommend and what is a global cognitive issue? [/INST] Thank you for following up. I figured your concern. I would suggest you to give your child B-comlex with lysin 5 ml 2 times or B complex 1 capsule 1 time 1 month, then do break 1 month and again repeat. For improving of cognitive issues you can give nootropil 1 month.1.Try to develope social skills, children study more from their friends2.Build his time -table on your child's interests:find his hobby-chess, dance, playing gitare3.Teach tasks as a series of simple steps.4.Actively engage your child's attention in highly structured activities; try to scating, swimming, athletics, wresling5.Provide regular reinforcement of behavior, you ask him what he likes the most, he will tell toys, then you promice that you will buy every week toy when he will good perform in studing, don't forget to buy, after week you will see, remind him5.Involve the teacher in developing your child from start to finish.   Best regards   Dr.Svetlana </s>