Santino was seen for session 11 of 11 with this Speech-Language Pathologist (SLP). He exchanged photos successfully on his daily, visual schedule with prompts from Miss Dorothy and transitioned calmly from the "middle" classroom to the "East" classroom...Goals for the session remained consistent and 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...Santino was directed to the sensory ball and sat with support at his hips. The "Hello" Song was introduced. Eye contact was fleeting. Upon the presence of visitors to the classroom and independent of direction, Santino walked to the shelf, removed the alphabet stamps, returned to the "circle-time" area and spelled "pigy" and "yelow". Attempts to "join" Santino in his chosen activity were met with more tolerance than in the session prior. Initially, he did protest and remove the "g" and "l" added to his words, but with persistence and increased affect by this SLP, Santino eventually permitted the additional letters to remain and spell the words "piggy" and "yellow"...The second 20-minute session commenced as Santino selected "Water Wow" from a field of two activities presented. He imitated the action required to mainpulate a "water pen" and "paint" 4 separate farm scenes to reveal hidden objects. Santino maintained focus for 15-minutes. Delayed echolalia was noted intermittently as objects were revealed and named...Santino was easily enticed into an engaging, predictable interaction via the "Ball-Launcher" for the final segment of the session. As noted previously, each action in the sequence was initiated upon request (via eye-contact). Santino engaged in the typical manner by standing in anticipation, locating, retrieving and returning the ball to the "launcher" for 5 out of 5 opportunities. When the roles reversed, Santino launched the ball independently for 5 out of 5 opportunities. He giggled throughout and responded via eye contact when his name was called to "help" this SLP "find" the ball. Santino "came to the rescue" following appropriate wait-time and increased affect by this SLP who "stretched" but "could not" reach the ball...The session came to a close in the routine manner with side-to-side rocking in time to the "Good-Bye" Song followed by successful photo exchange on his daily, visual schedule with both visual and verbal prompts from this SLP...It should be noted that Santino brought his backpack to this SLP in anticipation of dismissal. He appeared upset and was redirected to the visual schedule to show Miss Christina NEXT...THEN Mom or Ingrid. Santino seemed to remain upset and even teary-eyed throughout the transition process given validation of his feelings, and attempts to distract, calm and soothe.