Santino was seen for session 39 of 40 with this SLP in the individual classroom and appeared pleasant and calm upon transition between sessions. The daily, visual schedule was referenced and reviewed...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 presented with 2 novel and 2 familiar activities. Santino appeared to be in search of "The Little Old Lady..." which was not an option. His frustration was validated and alternate options were presented once again. Santino selected each activity in succession, but did not appear interested or engaged in any of the options requested via photo exchange. He participated in the action sequences for a few turns, only. With each activity, upon noticeable disinterest, "All Done?" was referenced by this SLP then selected and verbalized by Santino who assisted with clean-up upon verbal direction...This SLP stated, "Oh MY, Santino! What are we going to do? Nothing Miss Sharon brought today seems interesting to you."...Independent of direction, Santino approached, reached for my arms, wrapped them around him and put his head on my shoulder then looked up at me. He seemed to want to provide comfort or offer a solution to the situation... The session came to a close in the usual manner with the "Good-Bye" Song and successful photo exchange on his daily visual schedule given verbal and minimal physical cues. Santino verbalized, "Sharon"...Continue as planned with focus on intentional communication to request and initiate via social referencing paired with photo exchange and verbalization.