Santino started the session with his socks and shoes off after finishing his session with Christine, the OT. He said good-bye to her after a few repetitions of the word and received verbal praise as reinforcement for doing so. I asked Santino if he wished to eat or drink but did not receive a response. However, when I took out food and beverage options, Santino promptly handed me a strawberry yogurt snack and brought over my cell phone. We proceeded to get a spoon and napkin from the kitchen, and when we re-entered the room, Santino handed me the yogurt. He makes his needs known but has yet to verbalize requests. I encouraged him to self-feed, but Santino would hand the yogurt back to me; hand-over-hand assistance is as yet required to complete spoon-to-mouth self-feeding. Next, we moved to the table and used a large piece of paper to improve pre-writing skills using large markers to facilitate fine motor skills and manual dexterity. Santino required hand-over-hand assistance to help him successfully coordinate the skills necessary to connect dot-to-dot to form 2 - 3 inch vertical and horizontal lines. He was subsequently allowed a break to walk about the room for a minute or two before being re-directed back to the table. At this time, Santino handed me his bottle, indicating he wished to drink. As two options were available, I asked Santino to choose by pointing to the one he wanted to drink. I modelled the desired response for him to clarify expectations. Santino was afforded a choice between water and a PediaSure vanilla shake, but he averted his eyes and failed to respond. I repeated my request several times before sufficiently re-engaging his attention. He then attempted to go behind me to retrieve my phone; however I maintained my request for him to point to a choice in response to my request, in order to receive the phone and listen to songs. In other words, Santino needed to comply with my single-step command in order to receive the phone as reinforcement. Santino returned his attention to the two options and, after several repeated requests, he pointed to the vanilla shake. This desired response was met with a great deal of verbal praise, clapping, and a high five. He even repeated some of my exclamations (“All right!" and Here you go!"). He was reinforced with an opportunity to listen to 'The Wheels on the Bus' on my phone, which remains a primary reinforcer at this point in time. We finished the session with an activity requiring Santino to follow one-step requests/commands. I presented Santino with three stuffed animals, a fish, giraffe, and a bear. Santino was asked to hand me the stuffed animal upon request. After I initially modelled the desired response, Santino handed me the fish when asked after two verbal prompts and was afforded praise for following this single-step command. He was next asked to hand me the giraffe, but he handed me both stuffed animals. However, he did hand over the giraffe after several additional prompts/requests. Santino was in good spirits and repeated several catch phrases after me, usually echoing the last two or three words of the sentence. We cleaned up and washed our hands as the session came to a close, and Santino was asked to hand me his shoes and socks. He complied and helped put them on with moderate assistance. Santino said "see you' upon leaving after I said "See you tomorrow!" This ended a productive session.