1. A 2.5-year-old girl is brought to the pediatrician’s office for evaluation of recurring hand flapping. This occurs multiple times a day and appears in bursts, having started about a year ago. Parents specifically notice it in the evening when she is tired, but it sometimes also occurs when she is getting ready for her favorite outdoor playtime. Otherwise, she is doing well. During the episodes, she is aware and able to follow commands, and distraction usually abates these movements. She does not have any other movements. Based on the information provided, what do you think is going on?
Based on clinical history and examination, you diagnose her with primary complex motor stereotypies. Which of the following is the most appropriate approach to evaluation and management?
