The aim of the study is to examine the attention level of children with down syndrome receiving play based therapy as compared to children receiving child centered play therapy.

Inclusion Criteria:

• Age: 3-5 years
• Gender: Both male and female
• Children who are currently taking speech therapy sessions with parental involvement.
• Medically stable children with no severe ongoing health issues that could interfere with their participation in the study.

Exclusion Criteria:

• Children with severe sensory impairments
• Co-morbid neurological conditions that may confound the results
• Children who received intervention from any other institute