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Nothing. EVeryone there should have known in advance that the child has a mental disability. Learning social customs is just like anything else. If the people there can't understand that, then it's their problem - not yours. Just love your child and don't worry about it. ===ANOTHER ANSWER=== THE PROBLEM IS DEEPER than the birthday party. DON'T worry about the guests. DO worry about your son. Teaching him basic manners and social skills is long overdue. No matter what level of disability he has, he CAN learn. Aknowledge the fact that he is unappreciative of the gifts and remove them from the area. Put them away, and let him know (in whatever capacity he understands or MIGHT understand) that from now on we will be working on social skills and manners. DON'T underestimate his ability to comprehend. Work with him and when he is successful at a task (following directions, being non-combative, any appropriate behavior) let him EARN one of the gifts. Just one at a time. When he earns the gift, have him communicate to the giver "Thank-you". (In whatever capacity that he can communicate; be creative). Keep working with him until he earns all the gifts and follows through with the above. Lots of praise for each successful accomplishment. Don't go "soft". If he throws the gift down again, start from the begining. It's a LOT of work and takes LOTS of patience, but if you stick with it, he will be successful and happy and so will you!! You didn't mention his level of disability, but it can work with mild to severe disabilty. It all depends on how much you want to invest. Trust me, if you stick with it, it will work. I've been working with disabled kids and adults for 29 years; not in an office somewhere but hands on with the child and family. It DOES work. Also, next time there is a party or gift giving to him, have guests place all the gifts AWAY from him, as he probably was overstimulated with everything at once. Have friends give him one gift at a time, discuss it with him, then put it aside and let him go on to the next gift. Feel free to post again with more info, I'd be happy to steer you towards a plan that will have a high chance of success. Good Luck. Hang in There!!!

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Q: What should you do if your 13-year-old learning disabled son threw his birthday gifts down on the table very rudely letting the givers know he was unappreciative?
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