This is a case study of a 20yo adult who is non-verbal with a primary diagnosis of an intellectual disability (ID) coupled with autistic spectrum disorder (ASD). Heffernan, (2016, p. 41), states that ‘sensory differences play a central role in the experience for many people with ASD’ and sensory stimuli are a predominate feature in this case. In a scholarly search for music therapy methods and through posting questions to international professional music therapy forums seeking recommendations for interventions relevant to this case- the results were lacking. Representative literature from recent years reported evidence of using music therapy with ASD / ID participants. However, these studies were focused on children, or only partly inclusive of adults aged over 20 years (Boster, J.B., et al 2023, Geretsegger M. et al 2022, Williams Z.J. et al. 2021).

The RMT, an experienced clinician with a non-Australian and teaching background, along with the participant’s mother discuss creative methods that strengthened communication and expression such as:

• gathering extensive information over several meetings to understand the participant’s background
• observing participant responses in a holistic manner (e.g. physical movement, vocalisations, sensing)
• exploring the use of recorded music to decrease strong reactions to sound stimuli (e.g. crows, dogs, oven fan)
• playing live versions of preferred music with adaptations
• increasing the use of a communication device (e.g. updating content based on responses in sessions)
• adapting language (e.g. short, sharp sentences, use of words)

…among others.

Over time, understanding the nuances of the participant’s response to sensory stimuli led to notable outcomes and prompted the sharing of this clinical information. In this conference presentation, the participant’s mother and the RMT exemplify aspects of music therapy that represent ‘the epitome’ of creativity in working together. How small achievements are magnificent milestones and deserve celebration!