Hannah is a 5-year-old girl in kindergarten. Her nonverbal cognitive abilities are consistent with a mild intellectual disorder.

Hannah is a 5-year-old girl in kindergarten. Her nonverbal cognitive abilities are consistent with a mild intellectual disorder. Birth and medical history are unremarkable. According to mom, Hannah has a large vocabulary and speaks in short sentences but does not communicate or play with others. Mom reported that Hannah does not make eye contact, bangs her head on the floor when upset, and resists physical contact such as hugs. Mom also noted that Hannah is a “picky” eater and eats only a few different types of foods. According to mom, the doctor at their community health center noted that Hannah “is way too thin” and needs a more balanced diet. Hannah’s current placement in kindergarten is of concern to Hannah’s mother and family due to her lack of progress and some “peculiar” behaviors.