Josiah wears a helmet 24/7. He has 5 different ones. Two are soft helmets to be worn at bedtime. Three are hard shell helmets, some with face guards to keep him from punching himself. Without a helmet, Josiah punches his head, cheeks or chin constantly. It seems to be almost a reflex he can’t control.
We work on ‘cool hands’ to encourage Josiah to put his hands in his pockets and keep them there for a bit. We use a weighted vest, wrist weights, compression tubes, and gel padded gloves throughout his day to keep him safe from himself.
His quality of life since September 2017 has steadily declined. We’ve gotten to a better place the past few months (as of April 2018) but without protective supports in place Josiah would self harm continuously.