Pediatric: Autism Spectrum Disorder (ASD) Ethan is a 7-year-old boy living with both parents and a younger sister in a suburban home. Recently diagnosed with ASD, he receives speech therapy but not yet occupational therapy. Teachers report meltdowns during transitions. Parents say he spends hours lining up toy cars and becomes upset if routines change. He struggles with handwriting, group activities, and tolerating noisy environments like the cafeteria. Ethan loves dinosaurs, eats only four foods (chicken nuggets, crackers, yogurt, applesauce), and insists on wearing the same red sweatshirt daily, even in hot weather. The family has a dog that he fears. His grandmother provides afterschool care.