Santino - What a fantastic first therapy session! Santino was greeted by therapist and Dorothy. Therapist was informed he finished the yogurt with some assist to feed. He was transitioned to the table with verbal direction. He verbally requested Pop the Pig game that was in therapist's bag. To establish rapport and begin the session, we opened the game and placed all pieces on the table. With phonemic cues, he requested the hamburger colors with "I want purple hamburger". A clear bag of pretzel sticks were introduced in Santino's visual field. He immediately presented with visual/gaze aversion by looking away. With reinforcement, he rolled the palm of his hand over the pretzels in the bag as therapists auditorily described "bumpy", "hard". A bowl was provided to place pretzels in after interacting with them. With therapist model, Santino blew on the pretzel 3x and placed into the bowl. He then brought pretzel sticks to his lips 5x with verbal reinforcement and intermittent breaks of playing Pop the Pig. Santino was noted to wipe his hands on his lap after each trial, indicating tactile aversion however remained calm throughout tasks. Shortbread letter cookies were presented. He initially looked away from the cookies. A fishing game was introduced to play between trials of interactions with new cookies. He would verbalize each letter that was on the cookies, placing on the table - he would then wipe his hands on his lap. He tapped to his lips 5x with praise and soft tickles as praise. With therapist model, Santino crushed the cookies into crumbs on a napkin. An additional napkin was provided to allow him to wipe his hands whenever he demonstrated the need to do so. With a model, Santino tapped the crumbs to his lips as SLP gently wiped off with napkin. (EXCELLENT!) At that point, the session was complete. Santino was happy throughout the entire session and appeared to enjoy the interaction with the therapist and food. Dorothy then walked him out to leave for the day. It is recommended that Santino continue to be exposed to food visually to decrease his visual aversion. Great work Santino!