Andrew has been placed in foster care and had been making progress until his sister was recently removed from the foster home they were in together. He is very close with his sister and right now he is having challenges with emotional regulation and maintaining concentration. While he is very smart and friendly, he has a hard time making friends and coping with change. He loves to read, sing and play video games. Five Nights at Freddy's is his favorite game. His foster mother reports Andrew is at his happiest when he is able to escape into his games and have time for fantasy play.