Santino was seen for session 8 of 8 with this Speech-Language Pathologist (SLP) in the "East" classroom. He appeared pleasant in demeanor and seemed to transition well between sessions as he exchanged photos successfully on his daily, visual schedule with both verbal and physical prompts by Miss Christina... Goals for the session included the following... 1. to engage in forming a relationship with Santino that includes regulation, and shared attention and interest 2. to enter into two-way, purposeful interactions with gestures and intentional communication 3. to determine highly motivating/favorable, cause and effect activities, so that Santino may develop a feeling of control and predict/anticipate what will happen next 4. to imitate predictable action sequences and communication patterns through cause and effect activities 5. to develop single-word requesting via eye-gaze, picture exchange and/or verbalization...At the start of the session, Santino appeared to be experiencing symptoms associated with a cold. Tissues were required throughout the session and Santino allowed wiping without protest...The session began in the typical fashion as Santino was directed to the sensory ball in order to assist with regulation. The "Hello" Song was introduced and Santino engaged with fleeting eye contact. He participated by completing the patterned lyrics, "I'm so glad to..." with the words, "see you!" for 2 out of 5 opportunities during the the song. Santino seemed regulated and chose to skip and walk on the rug in the "circle-time" area. Attempts to follow Santino's lead and to engage and join him via song and gestures during his chosen pattern of movement proved successful as he initiated eye contact and added the phrase, "my friend" for 2 out of 2 opportunities during the song (i.e. Walking with Santino..., Walking with Santino..., He's "my friend!"...,He's "my friend!")...At that point, Santino walked to the table where two planned cause and effect activities were displayed. He sat in the chair independent of direction and initiated via gesture to engage with a preferred activity, "Who Lives in This House?". He completed the patterned action sequence and requested via eye gaze and gesture for 10 out of 10 opportunities, each. Santino labeled 3 out of 10 items within the sequence. Upon completion of this 20-minute activity, Santino stood for a walking sensory break. Attempts to engage Santino with a new cause and effect activity proved quite successful as he engaged with this SLP for approximately 20- minutes in a playful exchange for 20 out of 20 opportunities. Santino appeared joyful as he located a small, red ball catapulted from a cone-shaped basket via the push of a trigger. Eye contact was required for each count to three followed by the catapult/release of the ball..."Zooooooooom!" He seemed to stand at the ready in order to catch the ball. Santino searched for and located the ball successfully without prompts. He ran with eye contact back to this SLP, placed the ball in the basket, then ran back to the rug, appearing to anticipate the sequence once again. The activity must have made him thirsty as he requested the vanilla shake via gesture. It was poured into his green container and he lay on the rug and had a few sips. At that time, the session came to a close in the usual fashion. Continue as planned for the next session. It was wonderful to share in the activities with Santino!