As per the indications in the chart, his physical development and his growing years can be a bit challenging. His mental development would be much better as time progresses.
The next few months could be challenging and much care and focus needs to provided till around July-Aug 2023. Thereafter he would progress much better and would move towards normalcy gradually by the year 2026.
You need to take good care along with professional advice and continue with the therapy sessions as these are bound to give much positive results and he should lead a normal life.
Best Wishes.
Makara Lagna with the Lagna lord retrograde Saturn posited in the twelfth house conjunct Ketu; Sixth lord retrograde Mercury posited in the sixth house conjunct Rahu and getting full aspect of Saturn; Retrograde Mercury exalted and posited in the twelfth house in the Shashtamsha; Saturn Maha Dasha ongoing with Ketu Antar Dasha and Venus Antar Dasha starts from July 2023.