My son was born 14 weeks premature (and subsequently had significant complications in the NICU like sepsis). He is currently just over 3.5. While he “looks normal” — he isn’t. He has various complications likely due to his extreme prematurity — asthma, developmental delays, sensory processing and emotional regulation issues, feeding issues, and more. Not diagnosed ADHD or autistic (yet) but many indicators and he likely is both. He’s already getting the same services so it doesn’t really matter what the label is.While he is 3.5, developmentally he is more like 2. He is a petite little guy, wearing 2T. We see four private therapists per week (PT/OT/ST/feeding) and he goes to a special education developmental preschool.My career is in health insurance, too. I have been living and breathing this for years.We own numerous Harkla products (and competitor products)… in fact, I have written reviews about my son’s experience using some of their other products.My son also struggled with areas these dice are targeting - various aspects of ability to emotionally self-regulate.I am very pleased overall and find these safe for 3+. I love the concept, I love how easy these will be to integrate into our routine and make learning fun. I think these mainly “physical” moves will be good for him, too.I can’t wait to take these to the OT and discuss her thoughts on incorporating them and making the most of them. (I do love the content Harkla provides and find it generally great but we are very close with our own therapists who are more familiar with our son’s unique needs).ONLY complaint: this will not be uncommon in their target audience - children with tics/particularities. My son likes things clean and undamaged. If they are dirty or broken he can become highly fixated on cleaning and fixing them. :(These dice have seams that my son perceived as dirty and damaged (even brand new), and this was very frustrating to him. He desperately wanted them fixed. We’ve been working on the concept that damaged things are not broken, it’s ok to be damaged, etc…. But this is just one of his *things*.I was disappointed to see all 3 dice had similar notable/jagged/dirty looking seams. This isn’t what I typically expect of Harkla products. I am rating a full 5 stars for now… However, I am VERY excited for this product for my son and will update as we begin to use it more!